Toughest CPC Exam Quiz! Trivia

1. URINARY SYSTEM : 50000 SeriesOPERATIVE REPORT DIAGNOSIS: Acute renal insufficiencyprocedure : Renal biopsyThe patient was taken to the operating room for percutaneous needle biopsy of the right and left kidneys.

50200-50

49000-50

50555-50

50542-LT, 50542-RT

The correct answer is 50200-50. This code represents a percutaneous needle biopsy of the kidneys. The operative report states that the patient underwent a renal biopsy, which aligns with the code 50200-50. The other options do not accurately represent the procedure performed.

Explanation

The correct answer is 50200-50. This code represents a percutaneous needle biopsy of the kidneys. The operative report states that the patient underwent a renal biopsy, which aligns with the code 50200-50. The other options do not accurately represent the procedure performed.

2. Which code would you use to report a rigid proctosigmoidoscopy with guide wire?

45303

45339

52260

45386

not-available-via-ai

Explanation

not-available-via-ai

3. Mike had a bicycle accident and suffered deep hematomas in both knees. He underwent a bilateral incision and drainage. How would you report the procedure?

27301-50

10040

27303

27301-59

The correct answer is 27301-50. The code 27301 represents incision and drainage of deep hematoma or fluid collection. The -50 modifier indicates that the procedure was performed bilaterally, meaning on both knees. Therefore, reporting the procedure as 27301-50 accurately reflects the bilateral incision and drainage performed on Mike's knees.

Explanation

The correct answer is 27301-50. The code 27301 represents incision and drainage of deep hematoma or fluid collection. The -50 modifier indicates that the procedure was performed bilaterally, meaning on both knees. Therefore, reporting the procedure as 27301-50 accurately reflects the bilateral incision and drainage performed on Mike's knees.

4. A patient suffered a fracture of the femur head. He had an open treatment of the femoral head with a replacement using a Medicon alloy femoral head and methylmethacrylate cement. How would you report this procedure?

27236

27235

27238

27275, 27236-59

The correct answer is 27236 because this code specifically represents the open treatment of the femoral head with a replacement using a Medicon alloy femoral head and methylmethacrylate cement. The other codes listed do not accurately describe this specific procedure.

Explanation

The correct answer is 27236 because this code specifically represents the open treatment of the femoral head with a replacement using a Medicon alloy femoral head and methylmethacrylate cement. The other codes listed do not accurately describe this specific procedure.

5. DIGESTIVE SYSTEM : 40000 seriesGary is admitted to same-day surgery for a laparoscopic cholecystectomy.

47562

47600

47562, 47550

47560

The correct answer is 47562. This code represents a laparoscopic cholecystectomy, which is the surgical removal of the gallbladder using a minimally invasive technique. The other codes listed do not accurately describe this specific procedure.

Explanation

The correct answer is 47562. This code represents a laparoscopic cholecystectomy, which is the surgical removal of the gallbladder using a minimally invasive technique. The other codes listed do not accurately describe this specific procedure.

6. What modifier should you report when the same physician provided a re-reduction of a fracture?

76

59

77

54

Modifier 76 should be reported when the same physician provided a re-reduction of a fracture. This modifier is used to indicate that a procedure or service was repeated by the same physician or other qualified healthcare professional on the same day. It is important to report this modifier to ensure accurate billing and reimbursement for the repeated procedure.

Explanation

Modifier 76 should be reported when the same physician provided a re-reduction of a fracture. This modifier is used to indicate that a procedure or service was repeated by the same physician or other qualified healthcare professional on the same day. It is important to report this modifier to ensure accurate billing and reimbursement for the repeated procedure.

7. How should you code an excision of a lesion when completed with an adjacent tissue transfer or rearrangement?

The excision is always reported in addition to the adjacent tissue transfer or rearrangement.

The excision is not separately reported with adjacent tissue transfer or rearrangement codes.

Code only malignant lesions in addition to the adjacent tissue transfer or rearrangement codes.

Code the lesion with a modifier -51 and code in addition to the adjacent tissue transfer or rearrangement codes.

When an excision of a lesion is completed with an adjacent tissue transfer or rearrangement, the correct coding practice is not to separately report the excision. Instead, the codes for the adjacent tissue transfer or rearrangement should be used. This means that the excision is bundled or included in the reporting of the adjacent tissue transfer or rearrangement codes.

Explanation

When an excision of a lesion is completed with an adjacent tissue transfer or rearrangement, the correct coding practice is not to separately report the excision. Instead, the codes for the adjacent tissue transfer or rearrangement should be used. This means that the excision is bundled or included in the reporting of the adjacent tissue transfer or rearrangement codes.

8. What code would youy report for a cervical approach of a mediastinotomy with exploration, drainage, removal of foreign body, or biopsy?

39010

39000

39200

39400

The correct answer is 39000. This code is reported for a cervical approach of a mediastinotomy with exploration, drainage, removal of foreign body, or biopsy. It specifically identifies the procedure performed and accurately reflects the cervical approach used.

Explanation

The correct answer is 39000. This code is reported for a cervical approach of a mediastinotomy with exploration, drainage, removal of foreign body, or biopsy. It specifically identifies the procedure performed and accurately reflects the cervical approach used.

9. A five-year-old boy was brought to the ER by a social worker who discovered him alone in spasms, and seizures. The Social Worker relates that the child's older sister told her the boy was bitten on the hand by a raccoon he played with 11 days ago. No treatment was sought for the injury at the time, but the area was inflamed and hot. According to the Social Worker, the mother is a drug addict and often leaves the children unattended, illness actually began 2 days ago with a headache and restlessness and inflammation at the wound site.The child expired due to cardiorespiratory failure before any effectivetreatment could be administered. CPR was performed but was not successful. The physician's diagnosis was listed as Rhabdovirus from infected raccoon bite, not treated due to child's neglect. Critical care was provided for 60 minutes. Which of the following code sets will be provided?

071, 882.1, E906.3, E968.4, E967.2, 99291, 92950

079.89, 99285

799.1, 780.39, 780.6, 882.1, E906.3, E968.4, E967.2, 92950

071,780.39, 780.6, 92950

The correct answer is 071, 882.1, E906.3, E968.4, E967.2, 99291, 92950. The diagnosis of Rhabdovirus from an infected raccoon bite, combined with the neglect of the child's wound and the mother's drug addiction, suggests that the child's condition was a result of an untreated infection. The codes provided include 071 for the viral infection, 882.1 for the wound, E906.3 for the neglect, E968.4 for the drug addiction, E967.2 for the child being left unattended, 99291 for critical care, and 92950 for CPR.

Explanation

The correct answer is 071, 882.1, E906.3, E968.4, E967.2, 99291, 92950. The diagnosis of Rhabdovirus from an infected raccoon bite, combined with the neglect of the child's wound and the mother's drug addiction, suggests that the child's condition was a result of an untreated infection. The codes provided include 071 for the viral infection, 882.1 for the wound, E906.3 for the neglect, E968.4 for the drug addiction, E967.2 for the child being left unattended, 99291 for critical care, and 92950 for CPR.

10. A woman presents to the Emergency Department for a deep 3.5 cm wound of the right arm. A routine cleansing and layer closure was required.

12031-RT

12032-RT

10121-RT

10061-RT

The correct answer is 12032-RT. This code represents the closure of a wound that requires a more extensive procedure, such as layered closure, due to its depth. The other codes listed do not specify the closure of a deep wound or the need for layered closure.

Explanation

The correct answer is 12032-RT. This code represents the closure of a wound that requires a more extensive procedure, such as layered closure, due to its depth. The other codes listed do not specify the closure of a deep wound or the need for layered closure.

11. An arterial catheterization is coded how?

36600

36620

36640

36620, 36625

An arterial catheterization is coded as 36620.

Explanation

An arterial catheterization is coded as 36620.

12. This woman is in for multiple external hemorrhoids. After inspection of the hemorrhoids, the physician decides to excise all the hemorrhoids.

46250, 455.3

46083, 455.5

46615, 455.0

46255, 455.5

The correct answer is 46250, 455.3. In this scenario, the physician diagnoses the patient with multiple external hemorrhoids and decides to perform an excision of all the hemorrhoids. The correct answer, 46250, represents the excision of multiple external hemorrhoids. The additional code, 455.3, indicates the specific type of hemorrhoids being excised, which in this case is external thrombosed hemorrhoids.

Explanation

The correct answer is 46250, 455.3. In this scenario, the physician diagnoses the patient with multiple external hemorrhoids and decides to perform an excision of all the hemorrhoids. The correct answer, 46250, represents the excision of multiple external hemorrhoids. The additional code, 455.3, indicates the specific type of hemorrhoids being excised, which in this case is external thrombosed hemorrhoids.

13. FEMALE GENITAL SYSTEM : 50000 SeriesD & C performed for a woman with dysfunctional bleeding.

58100

58120

59160

57505

The correct answer is 58120. This code represents a dilation and curettage (D&C) procedure performed on a woman with dysfunctional bleeding. D&C is a common gynecological procedure that involves dilating the cervix and scraping the lining of the uterus to remove tissue. In this case, the D&C was performed specifically for dysfunctional bleeding, which is abnormal or irregular bleeding from the uterus. The code 58120 accurately represents this procedure and the reason for its performance.

Explanation

The correct answer is 58120. This code represents a dilation and curettage (D&C) procedure performed on a woman with dysfunctional bleeding. D&C is a common gynecological procedure that involves dilating the cervix and scraping the lining of the uterus to remove tissue. In this case, the D&C was performed specifically for dysfunctional bleeding, which is abnormal or irregular bleeding from the uterus. The code 58120 accurately represents this procedure and the reason for its performance.

14. Harry had a couple of stones in both kidneys. He was taken into the lithotripsy unit and placed on the lithotripsy table in a supine position with the induction of anesthesia. The stones were well visualized andthe patient retrieved a total of 3, 500 shocks with a maximum power setting of 3.0. The treatment was successful. How would you report this procedure?

50590

50561

50060

50080

not-available-via-ai

Explanation

not-available-via-ai

15. A patient underwent a secondary percutaneous transluminal thrombectomy for retrieval of a short segment of embolus evident during another percutaneous intervention procedure. How would you report this secondary procedure?

37184, 37186

37186 in addition to the primary procedure.

37185, 76000

37187

The correct answer is 37186 in addition to the primary procedure. This is because the patient underwent a secondary percutaneous transluminal thrombectomy, which is reported with code 37186. The "in addition to the primary procedure" indicates that this secondary procedure was performed in addition to the primary intervention procedure.

Explanation

The correct answer is 37186 in addition to the primary procedure. This is because the patient underwent a secondary percutaneous transluminal thrombectomy, which is reported with code 37186. The "in addition to the primary procedure" indicates that this secondary procedure was performed in addition to the primary intervention procedure.

16. John was hospitalized for a repair of a laceration to his left conjunctiva by mobilization and rearrangement. How should you report this procedure?

65273-LT

67930

65272

67930-LT

The correct answer is 65273-LT. This code represents the repair of a laceration to the conjunctiva by mobilization and rearrangement. The "LT" modifier indicates that the procedure was performed on the left side. This code accurately describes the specific procedure performed on John's left conjunctiva.

Explanation

The correct answer is 65273-LT. This code represents the repair of a laceration to the conjunctiva by mobilization and rearrangement. The "LT" modifier indicates that the procedure was performed on the left side. This code accurately describes the specific procedure performed on John's left conjunctiva.

17. A child is seen in the office for a superficial laceration of the right knee. The physician repairs the 3.0 cm. laceration with simple suturing.

12002-RT

13120-RT

12031-RT

12007-50

The correct answer is 12002-RT. This code represents the repair of a superficial laceration of the right knee using simple suturing. The code 13120-RT is incorrect because it represents the repair of a complex laceration, not a superficial one. The code 12031-RT is incorrect because it represents the repair of a deep laceration, not a superficial one. The code 12007-50 is incorrect because it represents the repair of a wound that requires complex closure techniques, such as the use of adhesive strips or tissue adhesives, not simple suturing.

Explanation

The correct answer is 12002-RT. This code represents the repair of a superficial laceration of the right knee using simple suturing. The code 13120-RT is incorrect because it represents the repair of a complex laceration, not a superficial one. The code 12031-RT is incorrect because it represents the repair of a deep laceration, not a superficial one. The code 12007-50 is incorrect because it represents the repair of a wound that requires complex closure techniques, such as the use of adhesive strips or tissue adhesives, not simple suturing.

18. RESPIRATORY SYSTEMThe patient is seen at the clinic for chronic sinusitis. It is determined that an endoscopic sinus surgery is scheduledd for the next day. The patient arrives for same-day surgery, and the physician performs an endoscopic total ethmoidectomy with an endoscopic maxillary antrostomy with removal of maxillary tissue. Code the procedure(s) and diagnosis.

31255, 31267-51, 473.9

31200, 31225-51, 473.9

31254, 31256-51, 473.9

31255, 31267-51, 461.9

The correct answer is 31255, 31267-51, 473.9. This is because the physician performed an endoscopic total ethmoidectomy and an endoscopic maxillary antrostomy with removal of maxillary tissue. The codes 31255 and 31267-51 accurately represent these procedures. The diagnosis code 473.9 is appropriate for chronic sinusitis.

Explanation

The correct answer is 31255, 31267-51, 473.9. This is because the physician performed an endoscopic total ethmoidectomy and an endoscopic maxillary antrostomy with removal of maxillary tissue. The codes 31255 and 31267-51 accurately represent these procedures. The diagnosis code 473.9 is appropriate for chronic sinusitis.

19. Dr. Erin is treating a 58-year-old male patient with a history of chewing tobacco. Dr. Erin finds a 3.4 cm tumor at the base of his tongue. She places needles under fluoroscopic guidance for sub-sequential interstitial radioelement application. How would you report the professional services?

41019, 77002-26

41019, 77012-26, 77021-26

61770, 41019-59

77002

The correct answer is 41019, 77002-26. The CPT code 41019 represents the placement of needles under fluoroscopic guidance for interstitial radioelement application. This code is appropriate for the procedure described in the scenario. The modifier -26 is added to the CPT code 77002, which represents fluoroscopic guidance, to indicate that the professional component of the service is being reported separately from the technical component. This is necessary when the radiologist is providing only the professional interpretation of the fluoroscopic guidance, and not the technical aspect of the procedure.

Explanation

The correct answer is 41019, 77002-26. The CPT code 41019 represents the placement of needles under fluoroscopic guidance for interstitial radioelement application. This code is appropriate for the procedure described in the scenario. The modifier -26 is added to the CPT code 77002, which represents fluoroscopic guidance, to indicate that the professional component of the service is being reported separately from the technical component. This is necessary when the radiologist is providing only the professional interpretation of the fluoroscopic guidance, and not the technical aspect of the procedure.

20. For revascularization therapy of the femoral/popliteal territory, how many codes should be used for a combination angioplasty, stent and angioplasty?

One ----- 37230

Three

One but use an Add-on code for any additional Vessels

None of the Answers are Correct

For revascularization therapy of the femoral/popliteal territory, only one code should be used for a combination angioplasty, stent, and angioplasty. The correct code for this procedure is 37230. This means that the correct answer is "One - 37230." The other options, including using three codes or using an add-on code for additional vessels, are not applicable in this case.

Explanation

For revascularization therapy of the femoral/popliteal territory, only one code should be used for a combination angioplasty, stent, and angioplasty. The correct code for this procedure is 37230. This means that the correct answer is "One - 37230." The other options, including using three codes or using an add-on code for additional vessels, are not applicable in this case.

21. Dr. Alexis completed Mohs surgery on Ralph's left arm. She reported routine stains on all slides, mapping, and color coding of specimens. The procedure was accomplished in three stages with a total of seven blocks in the second stage. How would you report Dr. Alexis' services?

17313, 17314-58, 17315-59, 88314-59

17311, 17312 X 7

17313, 17314 X 2, 17315 X 2

17311, 88302, 17314 X 3, 17312 X 7

The correct answer is 17313, 17314 X 2, 17315 X 2. This answer accurately reflects the codes for the services provided by Dr. Alexis during the Mohs surgery on Ralph's left arm. The use of "X 2" and "X 2" indicates that there were two specimens coded as 17314 and two specimens coded as 17315. The code 17313 represents the routine stains on all slides. This answer is the most appropriate and specific representation of the services performed.

Explanation

The correct answer is 17313, 17314 X 2, 17315 X 2. This answer accurately reflects the codes for the services provided by Dr. Alexis during the Mohs surgery on Ralph's left arm. The use of "X 2" and "X 2" indicates that there were two specimens coded as 17314 and two specimens coded as 17315. The code 17313 represents the routine stains on all slides. This answer is the most appropriate and specific representation of the services performed.

22. Charley was playing in the backyard when his sister fired a pellet gun at his left leg and hit him from close range. The pellet penetrated the skin and lodged in the muscle underlying the area. The doctor removed the pellet without complication or incident. Code the procedure only.

10121-LT

20520-LT

20525-LT

10120-LT

The correct answer is 20520-LT. This code represents the procedure of removing a foreign body from the subcutaneous tissue or muscle. In this case, the pellet that penetrated Charley's skin and lodged in the muscle was successfully removed by the doctor.

Explanation

The correct answer is 20520-LT. This code represents the procedure of removing a foreign body from the subcutaneous tissue or muscle. In this case, the pellet that penetrated Charley's skin and lodged in the muscle was successfully removed by the doctor.

23. Sally suffered a burst fracture to her lumbar spine during a skiing accident. Dr. Phyllis performed a partial corpectomy to L2 by a transperitoneal approach followed by anterior arthrodesis of L1-L3. She also positioned anterior instrumentation and placed a structural allograft to L1-L3. How would Dr. Phyllis report this procedure?

63090, 22558-51, 22585, 22845, 20931

63085, 22533, 22585-51, 22808-59

22612 X 2,22808, 22840-51, 20931

22585, 22585-51, 22845-51, 20931-59

not-available-via-ai

Explanation

not-available-via-ai

24. Alex suffered several injuries to his upper leg muscles and penis when he fell onto the bar of his touring bicycle. The day of the accident, Dr. Green completed muscle repair surgery to Alex 's upper legs. Today, three days after the leg surgeries, Dr. Green took Alex back to the operating suite to complete an unrelated repair to the penis. Dr. Green completed a plastic repair to correct the penal injury. What code(s) would capture today's procedure?

54440-79

27385, 54440-59

27393. 54620-79

54440-26

The correct answer is 54440-79. This code captures the plastic repair procedure performed by Dr. Green to correct the penile injury that Alex suffered. The -79 modifier indicates that this procedure is an unrelated service performed by the same physician during the postoperative period of the previous surgery.

Explanation

The correct answer is 54440-79. This code captures the plastic repair procedure performed by Dr. Green to correct the penile injury that Alex suffered. The -79 modifier indicates that this procedure is an unrelated service performed by the same physician during the postoperative period of the previous surgery.

25. Lynn has a family history of colon cancer and is scheduled for a screening colonoscopy. During the procedure, three polyps were discovered and removed via hot biopsy forceps technique. The polyps were reported as benign. What diagnoses and procedure(s) codes capture these services?

V76.51, V16.0, 45315, 45331

V76.51, 211.3, V16.0, 45384

45378

45378, 45384

The correct answer is V76.51, 211.3, V16.0, 45384. The code V76.51 represents the screening colonoscopy due to family history of colon cancer. The code 211.3 represents the diagnosis of benign neoplasm of colon. The code V16.0 represents the family history of malignant neoplasm of gastrointestinal tract. The code 45384 represents the removal of polyps via hot biopsy forceps technique. Therefore, these codes capture Lynn's family history, the diagnosis of benign polyps, and the procedure of removing the polyps.

Explanation

The correct answer is V76.51, 211.3, V16.0, 45384. The code V76.51 represents the screening colonoscopy due to family history of colon cancer. The code 211.3 represents the diagnosis of benign neoplasm of colon. The code V16.0 represents the family history of malignant neoplasm of gastrointestinal tract. The code 45384 represents the removal of polyps via hot biopsy forceps technique. Therefore, these codes capture Lynn's family history, the diagnosis of benign polyps, and the procedure of removing the polyps.

26. A 22-year-old female is seen at the clinic today for a colposcopy. The physician will take multiple biopsies of the cervix uteri.

57455

57461

56821

57420

The correct answer is 57455 because this code represents a colposcopy with directed biopsy of the cervix uteri. This is the most appropriate code for the procedure described in the scenario, as it specifically mentions taking multiple biopsies of the cervix uteri during the colposcopy.

Explanation

The correct answer is 57455 because this code represents a colposcopy with directed biopsy of the cervix uteri. This is the most appropriate code for the procedure described in the scenario, as it specifically mentions taking multiple biopsies of the cervix uteri during the colposcopy.

27. ENDOCRINE SYSTEM, NERVOUS SYSTEM, EYE AND OCULAR ADNEXA, AND AUDITORY SYSTEM : 60000 SeriesOPERATIVE REPORT DIAGNOSIS : Malignant tumor, thyroidPROCEDURE : Thyroidectomy, totalThe patient was prepped and draped. The neck area was opened. With careful radical dissection of the neck completed, one could visualize the size of the tumor. The decision was made to do a total thyroidectomy.Note : The pathology report later indicated that the tumor was malignant.

60254, 193

60240, 193

60271, 193

60220, 164.0

The correct answer is 60254, 193. The operative report states that the patient underwent a total thyroidectomy for a malignant tumor of the thyroid. The correct code for a total thyroidectomy is 60254. The code 193 represents the diagnosis of a malignant tumor. Therefore, the combination of 60254 and 193 is the correct code for this procedure. The other options do not accurately represent the procedure or diagnosis mentioned in the operative report.

Explanation

The correct answer is 60254, 193. The operative report states that the patient underwent a total thyroidectomy for a malignant tumor of the thyroid. The correct code for a total thyroidectomy is 60254. The code 193 represents the diagnosis of a malignant tumor. Therefore, the combination of 60254 and 193 is the correct code for this procedure. The other options do not accurately represent the procedure or diagnosis mentioned in the operative report.

28. Roger had a rhinoplasty to correct damage caused by a broken nose. One year later he had a secondary rhinoplasty with major revisions. At the end of the second surgery the incisions were closed with a single layer technique. How would you report the second procedure?

30450

30450-78

30420, 12014

30430, 12014-59

The correct answer is 30450. This code represents the secondary rhinoplasty with major revisions that Roger had one year after the initial rhinoplasty to correct damage caused by a broken nose. The use of the single layer technique to close the incisions is not relevant to the reporting of the procedure.

Explanation

The correct answer is 30450. This code represents the secondary rhinoplasty with major revisions that Roger had one year after the initial rhinoplasty to correct damage caused by a broken nose. The use of the single layer technique to close the incisions is not relevant to the reporting of the procedure.

29. Brandon comes into the orthopedic department today with his father after falling from the top bunk bed, where he and his sister were playing. Cole is having pain in his left lower leg and is unable to bear weight on it. Brandon istaken to the x-ray department. After the physician talks with the radiologist regarding the diagnosis of sprained ankle, the physician decides to apply a short leg cast, designed for walking, just below Brandon's knee to his toes.

29405-LT, 845.00, E884.4, E849.0

29425-LT, 845.00, E884.4, E849.0

29515-LT, 845.00, E888.9, E849.0

29405-LT, 845.00, E844.4

not-available-via-ai

Explanation

not-available-via-ai

30. Excision of parotid tumor or gland or both. Once the patient was under general anesthesia, successfully, Dr. White assisted by Dr. Green, opened the area in which the parotid gland is located. After inspecting the gland, the decision was made to excise the total gland because of the size of the tumor (5 cm.). With careful dissection and preservation of the facial nerve, the parotid gland was removed. The wound was cleaned and closed, and the patient was brought to recovery in satisfactory condition. Report one Dr. Green's service.

11426. 239.8

42420-80, 239.8

42410-80, 97597, 142.0

42426-62, 210.2

The correct answer is 42420-80, 239.8. The code 42420-80 represents the excision of the parotid gland or tumor. The modifier -80 indicates that an assistant surgeon (Dr. Green) was involved in the procedure. The diagnosis code 239.8 corresponds to the size of the tumor (5 cm).

Explanation

The correct answer is 42420-80, 239.8. The code 42420-80 represents the excision of the parotid gland or tumor. The modifier -80 indicates that an assistant surgeon (Dr. Green) was involved in the procedure. The diagnosis code 239.8 corresponds to the size of the tumor (5 cm).

31. The burn patient had a 20 sq cm Biobrane skin graft the upper right leg and a 30 sq cm Biobrane skin graft of the lower left leg.

15271

15271-RT

15271-RT; 15271-LT, 15272-LT

15271-RT; 15271-LT X 2

The correct answer is 15271-RT; 15271-LT, 15272-LT. This answer is correct because it includes the appropriate codes for the skin grafts performed on both the upper right leg and the lower left leg. The code 15271-RT represents the skin graft on the upper right leg, while 15271-LT represents the skin graft on the lower left leg. Additionally, the code 15272-LT is included to indicate an additional skin graft performed on the lower left leg.

Explanation

The correct answer is 15271-RT; 15271-LT, 15272-LT. This answer is correct because it includes the appropriate codes for the skin grafts performed on both the upper right leg and the lower left leg. The code 15271-RT represents the skin graft on the upper right leg, while 15271-LT represents the skin graft on the lower left leg. Additionally, the code 15272-LT is included to indicate an additional skin graft performed on the lower left leg.

32. Dr. Jess removed a 4.5 cm (excised diameter) cystic lesion from Amy's forehead. The ulcerated lesion was anesthetized with 20 mg of 1% Lidocaine and then elliptically excised. The wound was closed with a layered suture technique and a sterile dressing applied. The wound closure, according to Dr. Jess's documentation, was 5.3 cm. How would you report this procedure?

11446, 12053-51

11646, 12013-51

11446, J2001 X 2, 12013-59

11313, 12053-59

The correct answer is 11446, 12053-51. The code 11446 represents the excision of a benign skin lesion measuring 4.5 cm in diameter. The code 12053-51 represents the closure of the wound using a layered suture technique. The -51 modifier indicates that multiple procedures were performed during the same encounter.

Explanation

The correct answer is 11446, 12053-51. The code 11446 represents the excision of a benign skin lesion measuring 4.5 cm in diameter. The code 12053-51 represents the closure of the wound using a layered suture technique. The -51 modifier indicates that multiple procedures were performed during the same encounter.

33. By manipulation, under general anesthesia a 6-year-old left tarsal's dislocation was reduced. Correct alignment was confirmed by a two-view intraoperative x-rays. A short leg cast was then applied to the left leg. Code only the reduction service.

28545-LT

28545-LT, 29405-LT, 73620

28545-LT, 29405-LT-51

28540-LT, 73620

The correct answer is 28545-LT because it is the only code that represents the reduction service. The other codes included in the options are either unrelated or not applicable to the given scenario.

Explanation

The correct answer is 28545-LT because it is the only code that represents the reduction service. The other codes included in the options are either unrelated or not applicable to the given scenario.

34. An infant born at 33 weeks underwent five photocoagulation treatments to both eyes due to retinopathy of prematurity at six months of age. The physician used an operating microscoipe during these procedures. These treatments occurred once per day for a defined treatment period of five days. How would you report all of these services?

67229-50

67229 X 5

67229, 69990

67229

The correct answer is 67229-50. This code represents the photocoagulation treatment to both eyes using an operating microscope. The "-50" modifier indicates that the procedure was performed bilaterally. Since the treatments occurred once per day for five days, the code is not multiplied by 5 or combined with any other code.

Explanation

The correct answer is 67229-50. This code represents the photocoagulation treatment to both eyes using an operating microscope. The "-50" modifier indicates that the procedure was performed bilaterally. Since the treatments occurred once per day for five days, the code is not multiplied by 5 or combined with any other code.

35. The 55-year-old female was seen previously for a laparoscopic biopsy of her cervical lymph nodes. The biopsy came back showing abnormal cells. The decision was made to do a lymphadenectomy. The patient was brought to the operating room and put under general anesthesia. When the radical neck dissection was complete, the lymph nodes were excised. The patient was returned to recovery in satisfactory condition. Code the lymphadenectomy only.

38724

38571

38720, 38570-51

38720, 38500-51

The correct answer is 38724. This code is used to report a complete lymphadenectomy, which involves the removal of lymph nodes in a specific area. In this case, the patient underwent a radical neck dissection, which is a type of lymphadenectomy. The other options do not accurately represent the procedure performed.

Explanation

The correct answer is 38724. This code is used to report a complete lymphadenectomy, which involves the removal of lymph nodes in a specific area. In this case, the patient underwent a radical neck dissection, which is a type of lymphadenectomy. The other options do not accurately represent the procedure performed.

36. Mrs. Reyes had a temporary ventricular pacemaker placed at the start of a procedure. This temporary system was used as support during the procedure only. How would you report the temporary system?

33210

33211

33207

33210, 33207-51, 33235-51

The correct answer is 33210. This code is used to report the placement of a temporary ventricular pacemaker. Since the pacemaker was only used during the procedure and not left in place, this code accurately describes the situation.

Explanation

The correct answer is 33210. This code is used to report the placement of a temporary ventricular pacemaker. Since the pacemaker was only used during the procedure and not left in place, this code accurately describes the situation.

37. A patient is taken to the operating room for a ruptured spleen. A partial splenectomy and repair of a rupture was done.

38101, 865.14

38101-58, 38115-51, 289.59

38115, 289.59

38120, 865.04

The correct answer is 38115, 289.59. This answer is correct because 38115 represents the code for a partial splenectomy, which is the surgical procedure that was performed on the patient. Additionally, 289.59 represents the code for the repair of a rupture, which was also done during the surgery. Therefore, this answer accurately represents the procedures that were performed on the patient in the operating room.

Explanation

The correct answer is 38115, 289.59. This answer is correct because 38115 represents the code for a partial splenectomy, which is the surgical procedure that was performed on the patient. Additionally, 289.59 represents the code for the repair of a rupture, which was also done during the surgery. Therefore, this answer accurately represents the procedures that were performed on the patient in the operating room.

38. After a snow skiing accident, Barry had a cervical laminoplasty to four vertebral segments. How should you report this procedure?

63050 X 4

22600, 63051-51

22842, 63045, 63050

63050

The correct answer is 63050. This is the correct code to report the procedure of cervical laminoplasty to four vertebral segments. The other options either include incorrect codes or do not account for the number of vertebral segments involved in the procedure.

Explanation

The correct answer is 63050. This is the correct code to report the procedure of cervical laminoplasty to four vertebral segments. The other options either include incorrect codes or do not account for the number of vertebral segments involved in the procedure.

39. Jennifer was admitted to the hospital for an aspiration of two thyroid cysts. Her physician completed this procedure with CT guidance of the needle including interpretation and report. How would you report the professional services?

60300-26, 76942-26

60300 X 2, 77012-26

10021, 60300-51, 77012-26

60300

The correct answer is 60300 X 2, 77012-26. This answer indicates that the physician completed the procedure of aspiration of two thyroid cysts using CT guidance of the needle, and also provided interpretation and a report. The code 60300 X 2 represents the two aspirations, and the code 77012-26 represents the CT guidance. The -26 modifier indicates that only the professional component of the service was provided.

Explanation

The correct answer is 60300 X 2, 77012-26. This answer indicates that the physician completed the procedure of aspiration of two thyroid cysts using CT guidance of the needle, and also provided interpretation and a report. The code 60300 X 2 represents the two aspirations, and the code 77012-26 represents the CT guidance. The -26 modifier indicates that only the professional component of the service was provided.

40. Heather had a bilateral laparoscopic occlusion of her fallopian tubes using a Falope ring. How would you report this procedure?

58615

58671

58671-50

58679-50

The correct answer is 58671. This code is used to report a bilateral laparoscopic occlusion of the fallopian tubes using a Falope ring. The term "bilateral" indicates that both fallopian tubes were occluded, and "laparoscopic" indicates that the procedure was performed using minimally invasive techniques. The use of the Falope ring is also specified in the question.

Explanation

The correct answer is 58671. This code is used to report a bilateral laparoscopic occlusion of the fallopian tubes using a Falope ring. The term "bilateral" indicates that both fallopian tubes were occluded, and "laparoscopic" indicates that the procedure was performed using minimally invasive techniques. The use of the Falope ring is also specified in the question.

41. INTEGUMENTARY SYSTEM SECTION OF SURGERY SECTION :A new patient presents to the urgent care center with a laceration to the left elbow that happened 10 days ago and was not treated. An infected gaping wound was found, with resulting cellulitis to the forearm and upper left arm. Extensive irrigation and debridement using sterile water were performed but closure was not attempted pending resolution of the infection. Culture of the wound revealed streptococcus. The patient received 1, 200, 000 units of Bicillin CR IM and is to return in 3 days for follow up. The history and physical examination were problem focused.

881.11, 682.3, 041.00, 99201, 96372, J0540

881.11, 682.3, 041.00, 96372-LT, J0540

884.0, 041.00, 99201

881.01, 99281, 96372, J0540

The correct answer is 881.11, 682.3, 041.00, 99201, 96372, J0540. This answer includes the appropriate codes for the patient's condition and the procedures performed. The codes 881.11 and 682.3 indicate the laceration and cellulitis, respectively. The code 041.00 indicates the streptococcus infection. The code 99201 represents the level of evaluation and management service provided. The code 96372 represents the therapeutic, prophylactic, or diagnostic injection administered. The code J0540 represents the medication administered.

Explanation

The correct answer is 881.11, 682.3, 041.00, 99201, 96372, J0540. This answer includes the appropriate codes for the patient's condition and the procedures performed. The codes 881.11 and 682.3 indicate the laceration and cellulitis, respectively. The code 041.00 indicates the streptococcus infection. The code 99201 represents the level of evaluation and management service provided. The code 96372 represents the therapeutic, prophylactic, or diagnostic injection administered. The code J0540 represents the medication administered.

42. Sam is treated for multiple wounds of the right forearm, hand and knee. The physician sutured the following : simple repair, 2.5 cm forearm; intermediate repair, 1.5 cm. hand; 2.0 cm. simple repair, right knee.

12041-RT, 12002-RT

12041-RT, 12002-RT-51

11600-RT, 11420-RT

11400-RT, 11420-51-RT

The correct answer is 12041-RT, 12002-RT-51. The physician performed a simple repair on a 2.5 cm wound on the forearm (12041-RT) and an intermediate repair on a 1.5 cm wound on the hand (12002-RT). The -RT modifier indicates that the procedure was performed on the right side of the body. The -51 modifier indicates that the second procedure (12002-RT) is a separate and distinct procedure from the first one (12041-RT).

Explanation

The correct answer is 12041-RT, 12002-RT-51. The physician performed a simple repair on a 2.5 cm wound on the forearm (12041-RT) and an intermediate repair on a 1.5 cm wound on the hand (12002-RT). The -RT modifier indicates that the procedure was performed on the right side of the body. The -51 modifier indicates that the second procedure (12002-RT) is a separate and distinct procedure from the first one (12041-RT).

43. In the operating room the Dr. repaired an aneurysm of the intracranial artery by balloon catheter.

61710

61697

61698

61700

The correct answer is 61710. This is the correct code for the repair of an aneurysm of the intracranial artery using a balloon catheter. The other codes listed are not relevant to this procedure.

Explanation

The correct answer is 61710. This is the correct code for the repair of an aneurysm of the intracranial artery using a balloon catheter. The other codes listed are not relevant to this procedure.

44. Strabismus correction involving the lateral rectus muscle.

67314

67311

67318

67312

The correct answer is 67311. This code is used for the correction of strabismus involving the lateral rectus muscle. Strabismus is a condition where the eyes are misaligned and do not focus on the same point. The lateral rectus muscle is responsible for outward movement of the eye. By correcting the strabismus involving this muscle, the alignment of the eyes can be improved.

Explanation

The correct answer is 67311. This code is used for the correction of strabismus involving the lateral rectus muscle. Strabismus is a condition where the eyes are misaligned and do not focus on the same point. The lateral rectus muscle is responsible for outward movement of the eye. By correcting the strabismus involving this muscle, the alignment of the eyes can be improved.

45. Excisional transverse blepharotomy with one-quarter lid margin rotation graft.

67966

67950

67961

67961, 15576

The correct answer, 67961, refers to the procedure of excisional transverse blepharotomy with one-quarter lid margin rotation graft. This involves making an incision along the eyelid, removing a section of tissue, and then rotating a portion of the eyelid margin to fill the gap. This procedure is commonly done to correct eyelid malposition or deformities, and can help improve the function and appearance of the eyelid.

Explanation

The correct answer, 67961, refers to the procedure of excisional transverse blepharotomy with one-quarter lid margin rotation graft. This involves making an incision along the eyelid, removing a section of tissue, and then rotating a portion of the eyelid margin to fill the gap. This procedure is commonly done to correct eyelid malposition or deformities, and can help improve the function and appearance of the eyelid.

46. Tracy a 5-year-old female fell down stairs at a daycare. She hit her coccygeal bone and fractured it. The doctor manually manipulated the bone into the proper alignment and told Tracy's mom to have her sit on a rubber ring to alleviate pain.

27200

27202

27510

28445

Tracy fell down the stairs and fractured her coccygeal bone. The doctor manually manipulated the bone into the proper alignment, which suggests that Tracy had a dislocation or subluxation of the coccyx. The code 27200 is for manipulation of the coccyx, which aligns with the doctor's action. The other codes listed do not pertain to the specific treatment mentioned in the scenario.

Explanation

Tracy fell down the stairs and fractured her coccygeal bone. The doctor manually manipulated the bone into the proper alignment, which suggests that Tracy had a dislocation or subluxation of the coccyx. The code 27200 is for manipulation of the coccyx, which aligns with the doctor's action. The other codes listed do not pertain to the specific treatment mentioned in the scenario.

47. RESPIRATORY SYSTEMPREOPERATIVE DIAGNOSIS : Deviated septum.PROCEDURE PERFORMED : Septoplasty; Resection of inferior turbinatesThe patient was taken to the operating room and placed under general anesthesia. The fracture of the inferior turbinates was first performed to do the septoplasty. Once this was done, the septoplasty was completed and the turbinates were placed back in their original position. The patient was taken to recovery in satisfactory condition. Code the procedure(s) and the diagnosis :

30520, 30140-51, 470

30520, 30130, 470

30520, 30130-51, 470

30520, 30140-51, 802.0

The correct answer is 30520, 30140-51, 470. The reason for this is that the preoperative diagnosis was a deviated septum, and the procedure performed was a septoplasty and resection of inferior turbinates. The code 30520 represents the septoplasty, the code 30140-51 represents the resection of inferior turbinates, and the code 470 represents the deviated septum diagnosis.

Explanation

The correct answer is 30520, 30140-51, 470. The reason for this is that the preoperative diagnosis was a deviated septum, and the procedure performed was a septoplasty and resection of inferior turbinates. The code 30520 represents the septoplasty, the code 30140-51 represents the resection of inferior turbinates, and the code 470 represents the deviated septum diagnosis.

48. Code a biopsy of the bladder?

52354

52204

52250

52224

The correct answer is 52204. This code is used for a biopsy of the bladder. A bladder biopsy is a procedure in which a small sample of tissue is taken from the bladder for further examination. This code specifically represents a transurethral biopsy of the bladder, which involves inserting a cystoscope through the urethra to access the bladder and take the biopsy sample.

Explanation

The correct answer is 52204. This code is used for a biopsy of the bladder. A bladder biopsy is a procedure in which a small sample of tissue is taken from the bladder for further examination. This code specifically represents a transurethral biopsy of the bladder, which involves inserting a cystoscope through the urethra to access the bladder and take the biopsy sample.

49. How is a neuroplasty procedure described in the CPT Professional Edition?

The decompression or freeing of intact nerve from scar tissue, including external neurolysis and/or transposition.

The surgical repair of nerves using only microscopic techniques.

The position of nerves tested one or more anatomic digits.

The decompression or freeing of intact vein from scar tissue, including external neurolysis and/or transposition.

A neuroplasty procedure in the CPT Professional Edition is described as the decompression or freeing of an intact nerve from scar tissue, which may involve external neurolysis and/or transposition. This procedure aims to alleviate pressure on the nerve and restore its normal function.

Explanation

A neuroplasty procedure in the CPT Professional Edition is described as the decompression or freeing of an intact nerve from scar tissue, which may involve external neurolysis and/or transposition. This procedure aims to alleviate pressure on the nerve and restore its normal function.

50. A patient had a unilateral percutaneous intradiscal annuloplasty (IDET) using radiofrequency energy on L3-L5 with magnetic resonance guidance for needle placement. How would you report this professional service procedure?

22526, 22527, 77002-26

22526, 22527, 77021-26

22899, 77021-26

22526, 77021-26

not-available-via-ai

Explanation

not-available-via-ai

51. Max had a bilateral revision fenestration operation. How would you report this procedure?

69840

69840-50

69820

Both A and C

The correct answer is 69840-50. This code represents a bilateral revision fenestration operation, which means that the procedure was performed on both sides of the body. The -50 modifier indicates that the procedure was performed bilaterally.

Explanation

The correct answer is 69840-50. This code represents a bilateral revision fenestration operation, which means that the procedure was performed on both sides of the body. The -50 modifier indicates that the procedure was performed bilaterally.

52. A patient had a renal auto-transplantation extracorporeal surgery, reimplantation of a kidney, and a partial nephrectomy. How would you report this procedure?

50340, 50380, 50240-51

50543, 50370-52

50380, 50240-51

50380. 50240-59

The correct answer is 50380, 50240-51. This is because the patient underwent a renal auto-transplantation extracorporeal surgery, which is reported with code 50380. Additionally, the patient had a reimplantation of a kidney, which is reported with code 50240. The -51 modifier is used to indicate that the partial nephrectomy is a separate and distinct procedure from the renal auto-transplantation and reimplantation of the kidney.

Explanation

The correct answer is 50380, 50240-51. This is because the patient underwent a renal auto-transplantation extracorporeal surgery, which is reported with code 50380. Additionally, the patient had a reimplantation of a kidney, which is reported with code 50240. The -51 modifier is used to indicate that the partial nephrectomy is a separate and distinct procedure from the renal auto-transplantation and reimplantation of the kidney.

53. Postoperative Diagnosis : Basal Cell Carcinoma of the forehead.Procedure: Excision of basal cell carcinoma with split-thickness skin graft.The area of the excision measured 5 X 4 cm in total.Attention was then turned to the skin graft. A pattern of the defect was transferred to the left anterior thigh using a new needle. A local infiltration was performed on the thigh. Using a free-hand knife, a split-thickness skin graft was harvested.

195.0, 15120

173.3, 15120

173.3, 15120, 11646

195.0, 15002, 15120

The given answer, 173.3, 15120, 11646, represents the correct CPT codes for the procedure described in the postoperative diagnosis. CPT code 173.3 corresponds to the excision of the basal cell carcinoma, while CPT code 15120 represents the harvesting of the split-thickness skin graft. The additional code 11646 indicates the transfer of the defect pattern to the left anterior thigh. Therefore, this answer accurately reflects the different components of the procedure performed.

Explanation

The given answer, 173.3, 15120, 11646, represents the correct CPT codes for the procedure described in the postoperative diagnosis. CPT code 173.3 corresponds to the excision of the basal cell carcinoma, while CPT code 15120 represents the harvesting of the split-thickness skin graft. The additional code 11646 indicates the transfer of the defect pattern to the left anterior thigh. Therefore, this answer accurately reflects the different components of the procedure performed.

54. Code an ERCP with sphincterotomy

43260

43264

43262

43262, 43273

The correct answer is 43262. This code represents an endoscopic retrograde cholangiopancreatography (ERCP) procedure with sphincterotomy. ERCP is a diagnostic and therapeutic procedure used to visualize the bile ducts and pancreatic ducts. Sphincterotomy is the cutting of the sphincter muscle to allow better access to these ducts. Therefore, 43262 is the appropriate code for this combination of procedures.

Explanation

The correct answer is 43262. This code represents an endoscopic retrograde cholangiopancreatography (ERCP) procedure with sphincterotomy. ERCP is a diagnostic and therapeutic procedure used to visualize the bile ducts and pancreatic ducts. Sphincterotomy is the cutting of the sphincter muscle to allow better access to these ducts. Therefore, 43262 is the appropriate code for this combination of procedures.

55. MALE GENITAL SYSTEM : 50000 SeriesCode reconstruction of the penis for straightening of chordee :

54300

54435

54328

54360

not-available-via-ai

Explanation

not-available-via-ai

56. This 10-year-old girl presents for a tonsillectomy because of chronic tonsillitis and possible adenoidectomy. On inspection the adenoids were found not to be inflamed. Only the tonsillectomy was done. Code the tonsillectomy only.

42825, 474.00

42820, 474.10

42826, 42835-51, 474.02

42830, 42825-51, 474.1

The correct answer is 42825, 474.00. This is the correct code for a tonsillectomy only. The patient presented with chronic tonsillitis and possible adenoidectomy, but upon inspection, the adenoids were found not to be inflamed. Therefore, only the tonsillectomy was performed. The code 42825 accurately represents this procedure. The diagnosis code 474.00 is also correct, as it corresponds to chronic tonsillitis.

Explanation

The correct answer is 42825, 474.00. This is the correct code for a tonsillectomy only. The patient presented with chronic tonsillitis and possible adenoidectomy, but upon inspection, the adenoids were found not to be inflamed. Therefore, only the tonsillectomy was performed. The code 42825 accurately represents this procedure. The diagnosis code 474.00 is also correct, as it corresponds to chronic tonsillitis.

57. A 48-year-old patient with BPH has his prostate removed via a laser enucleation. During this procedure he also has a vasectomy. What code(s) would report this procedure?

52648

52649

52649, 55250-51

52647

The correct answer is 52649. This code is used to report a laser enucleation of the prostate. In this case, the patient had his prostate removed via a laser enucleation and also had a vasectomy during the procedure. Code 52649 covers both procedures.

Explanation

The correct answer is 52649. This code is used to report a laser enucleation of the prostate. In this case, the patient had his prostate removed via a laser enucleation and also had a vasectomy during the procedure. Code 52649 covers both procedures.

58. FEMALE GENITAL SYSTEM : 50000 SeriesPatient is seen for Bartholin's gland abscess. The abscess is incised and drained by the physician.

56405

53060

50600

56420

The correct answer is 56420. This code specifically represents the incision and drainage of a Bartholin's gland abscess. The other codes listed do not accurately describe this specific procedure.

Explanation

The correct answer is 56420. This code specifically represents the incision and drainage of a Bartholin's gland abscess. The other codes listed do not accurately describe this specific procedure.

59. A 35-year-old female patient with a venous catheter requires a blood sample for hematology testing. The sample is collected via her PICC catheter. How would you report this procedure?

36415

36592

36591

37799

The correct answer is 36592. This code is used to report the collection of a venous blood sample through a catheter, such as a PICC line. It is specifically for hematology testing.

Explanation

The correct answer is 36592. This code is used to report the collection of a venous blood sample through a catheter, such as a PICC line. It is specifically for hematology testing.

60. Karen, a 14-year-old female, is seen today for removal of bilateral ventilating tubes that Dr. White inserted 1 year ago. General anesthesia is used.

69424

69424-50

69436

69424-50-78

The correct answer is 69424-50. This code represents the removal of bilateral ventilating tubes that were inserted by Dr. White 1 year ago. The -50 modifier indicates that the procedure was performed bilaterally.

Explanation

The correct answer is 69424-50. This code represents the removal of bilateral ventilating tubes that were inserted by Dr. White 1 year ago. The -50 modifier indicates that the procedure was performed bilaterally.

61. Julie, a 28-year-old ESRD patient was seen by Dr. Jeri in an outpatient hospital facility for treatment of an obstructed hemodialysis AV graft. Dr. Jeri provided moderate conscious sedation to Julie for percutaneous transluminal balloon angioplasty of the venous portion of the graft. This procedure lasted 45 minutes. Julie had an excellent result and was released to home after recovery from the treatment. Dr. Jeri performed the professional radiological supervision and interpretation with this procedure. What code(s) capture this service?

35476, 75978-26

35460, 75962-26

35460, 75978-26

36476, 99144,99145, 75978-26

The correct answer is 35476, 75978-26. Code 35476 represents the percutaneous transluminal balloon angioplasty of the venous portion of the graft, which was performed by Dr. Jeri. Code 75978-26 represents the professional radiological supervision and interpretation provided by Dr. Jeri during the procedure.

Explanation

The correct answer is 35476, 75978-26. Code 35476 represents the percutaneous transluminal balloon angioplasty of the venous portion of the graft, which was performed by Dr. Jeri. Code 75978-26 represents the professional radiological supervision and interpretation provided by Dr. Jeri during the procedure.

62. OPERATIVE REPORT :Postoperative Diagnosis : Full thickness burn wound to anterior left lower leg. Operation: Split-thickness graft, approximately 35 centimeters; preparation of the wound. Procedure: Left lower leg was prepped and draped in the usual sterile fashion. The ulcer, which measured approximately 8 X 4 to 4.5 cm, was debrided sharply with Goulian knife until healthy bleeding was seen. Split-thickness skin graft was harvested from the left lateral buttock area approximately 4.5 to 5 cm X 8 cm at the depth of 14/1000 of an inch.What are the correct procedure codes reported by the physician for this procedure performned in the hospital outpatient surgical suite?

15220-LT, 15221-51-LT, 15002-51-LT

15100-LT

14021-LT, 15002-51-LT

15100-LT, 15002-51-LT

The correct procedure codes reported by the physician for this procedure performed in the hospital outpatient surgical suite are 15100-LT and 15002-51-LT. The operative report states that a split-thickness graft was performed on the left lower leg to treat the full thickness burn wound. Code 15100-LT represents the debridement of the ulcer, which was done with a Goulian knife. Code 15002-51-LT represents the harvesting of the split-thickness skin graft from the left lateral buttock area.

Explanation

The correct procedure codes reported by the physician for this procedure performed in the hospital outpatient surgical suite are 15100-LT and 15002-51-LT. The operative report states that a split-thickness graft was performed on the left lower leg to treat the full thickness burn wound. Code 15100-LT represents the debridement of the ulcer, which was done with a Goulian knife. Code 15002-51-LT represents the harvesting of the split-thickness skin graft from the left lateral buttock area.

63. Code an excision of a ruptured appendix with generalized peritonitis.

49020

49021

44960

44960-22

The correct answer is 44960. This code represents the excision of a ruptured appendix with generalized peritonitis. Generalized peritonitis refers to inflammation and infection of the lining of the abdominal cavity. The code 44960 specifically indicates the surgical removal of the appendix in this condition.

Explanation

The correct answer is 44960. This code represents the excision of a ruptured appendix with generalized peritonitis. Generalized peritonitis refers to inflammation and infection of the lining of the abdominal cavity. The code 44960 specifically indicates the surgical removal of the appendix in this condition.

64. Code a cesarean delivery including the postpartum care.

59622

59400

58611, 59430

59515

not-available-via-ai

Explanation

not-available-via-ai

65. Bill, a 52-year-old male patient, wass admitted to the hospital and treated for prostatic malignancy. His doctor dictated a detailed history, detailed exam, and a straightforward medical decision-making for admission. He was treated with interstitial transperineal prostate brachytherapy, including implantation of 51 iodine-125 seeds. His doctor visited him the day after the procedure. How would you report the professional service by the therapeutic radiologist who did both the implantation and brachytherapy?

99222, 55876, 77763 X 51

55875, 77778

99221, 58720, 77785

58346, 77799 X 125

The correct answer is 55875, 77778. This is because code 55875 represents the interstitial transperineal prostate brachytherapy procedure, which involves the implantation of the 51 iodine-125 seeds. Code 77778 is used to report the professional component of the brachytherapy treatment. Therefore, these two codes accurately represent the services provided by the therapeutic radiologist in this case.

Explanation

The correct answer is 55875, 77778. This is because code 55875 represents the interstitial transperineal prostate brachytherapy procedure, which involves the implantation of the 51 iodine-125 seeds. Code 77778 is used to report the professional component of the brachytherapy treatment. Therefore, these two codes accurately represent the services provided by the therapeutic radiologist in this case.

66. What modifier is exempt from the following codes : 20974, 61107, 93602, 95907, 94610?

RT and LT

63

59

51

The modifier "51" is exempt from the given codes: 20974, 61107, 93602, 95907, and 94610.

Explanation

The modifier "51" is exempt from the given codes: 20974, 61107, 93602, 95907, and 94610.

67. Excision lesion on left shoulder, 2.5 X 1.0 X .5 cm, including circumferential margins. Excision lesion, skin of right cheek, 1.0 X 1.0 X .5 cm, including margins. Pathology report states that the skin lesion on the left shoulder is a lipoma and the lesion on the right cheek is a squamous cell carcinoma. The physician progress note states that the left shoulder was sutured with a layered closure, and the cheek was repaired with a simple repair. What are the correct code sets?

173.3, 214.8, 11641-RT, 11403-51-LT, 12031-51-LT

173.3, 214.8, 11641-RT, 12031-51-LT

173.3, 214.1, 11641-RT, 12031-51-LT

173.3, 11643-RT, 12031-51-LT

The correct code set is 173.3, 214.8, 11641-RT, 11403-51-LT, 12031-51-LT. The code 173.3 represents the diagnosis of squamous cell carcinoma, and 214.8 represents the diagnosis of lipoma. The code 11641-RT represents the excision of the lesion on the left shoulder, and 11403-51-LT represents the excision of the lesion on the right cheek. The code 12031-51-LT represents the repair of the left shoulder with a layered closure.

Explanation

The correct code set is 173.3, 214.8, 11641-RT, 11403-51-LT, 12031-51-LT. The code 173.3 represents the diagnosis of squamous cell carcinoma, and 214.8 represents the diagnosis of lipoma. The code 11641-RT represents the excision of the lesion on the left shoulder, and 11403-51-LT represents the excision of the lesion on the right cheek. The code 12031-51-LT represents the repair of the left shoulder with a layered closure.

68. Fred, a 40-year old carpenter at a local college. While working on a window frame from a ladder, the weld on the rung of the metal ladder loosened and he fell backward 8 ft. He landed on his left hip, dislocating it. Under general anesthesia, the Allis maneuver is used to repair the anterior dislocation of the right hip. The pelvis is stabilized and pressure applied to the thigh to reduce the hip and bring it into proper alignment.

27252

27253-LT

27250-LT

27252-LT

The correct answer is 27252-LT. This code represents the repair of an anterior dislocation of the right hip using the Allis maneuver under general anesthesia. The procedure involves stabilizing the pelvis and applying pressure to the thigh to reduce the hip and bring it into proper alignment. The -LT modifier indicates that the procedure was performed on the left side of the body.

Explanation

The correct answer is 27252-LT. This code represents the repair of an anterior dislocation of the right hip using the Allis maneuver under general anesthesia. The procedure involves stabilizing the pelvis and applying pressure to the thigh to reduce the hip and bring it into proper alignment. The -LT modifier indicates that the procedure was performed on the left side of the body.

69. A 12-year-old female sustained multiple tibial tuberosity fractures of the left knee while playing soccer at her local track meet. The physician extended the left leg and manipulated several fragments back into place. The knee was then aspirated. A long-leg knee brace was then placed on the knee.

27330-LT

27550-LT

27334-LT

27538-LT

The correct answer is 27538-LT. This code represents the application of a long-leg knee brace. In this case, the 12-year-old female sustained multiple tibial tuberosity fractures, and after the physician manipulated the fragments back into place and aspirated the knee, a long-leg knee brace was placed on the knee. Therefore, 27538-LT is the appropriate code to represent this procedure.

Explanation

The correct answer is 27538-LT. This code represents the application of a long-leg knee brace. In this case, the 12-year-old female sustained multiple tibial tuberosity fractures, and after the physician manipulated the fragments back into place and aspirated the knee, a long-leg knee brace was placed on the knee. Therefore, 27538-LT is the appropriate code to represent this procedure.

70. Steve presents with a deep, old hematoma on his right shoulder. After examination of the shoulder area, the doctor decides that the hematoma needs to be incised and drained.

10160-RT

23030-RT

10140-RT

10060-RT

The correct answer is 23030-RT. This code represents the incision and drainage of a soft tissue abscess or hematoma. Since Steve presents with a deep, old hematoma on his right shoulder, this procedure is necessary to remove the accumulated blood and promote healing. The -RT modifier indicates that the procedure was performed on the right side of the body.

Explanation

The correct answer is 23030-RT. This code represents the incision and drainage of a soft tissue abscess or hematoma. Since Steve presents with a deep, old hematoma on his right shoulder, this procedure is necessary to remove the accumulated blood and promote healing. The -RT modifier indicates that the procedure was performed on the right side of the body.

71. MALE GENITAL SYSTEM : 50000 SeriesIncision into abscess of scrotal wall to drain pus.

11004

54700

55100

11006

The correct answer is 55100. This code represents an incision into an abscess of the scrotal wall to drain pus. The other options, 11004, 54700, and 11006, do not specifically pertain to the male genital system or the drainage of an abscess in the scrotal wall.

Explanation

The correct answer is 55100. This code represents an incision into an abscess of the scrotal wall to drain pus. The other options, 11004, 54700, and 11006, do not specifically pertain to the male genital system or the drainage of an abscess in the scrotal wall.

72. Report the codes you would use for burr hole(s) to drain an abscess of the brain?

61253

61156

61150

61151

The correct code for burr hole(s) to drain an abscess of the brain is 61150. This code specifically represents the procedure of creating a burr hole(s) in the skull to drain an abscess in the brain. It is important to accurately report the correct code to ensure proper documentation and billing for the procedure performed.

Explanation

The correct code for burr hole(s) to drain an abscess of the brain is 61150. This code specifically represents the procedure of creating a burr hole(s) in the skull to drain an abscess in the brain. It is important to accurately report the correct code to ensure proper documentation and billing for the procedure performed.

73. Biopsy of the upper left eyelid :

67810, 69990

67801

67700-E1

67810-E1

The correct answer, 67810-E1, refers to a biopsy of the upper left eyelid. The "67810" code specifically denotes a biopsy procedure, while the "-E1" modifier indicates that the procedure was performed on the left side of the body. Therefore, 67810-E1 accurately represents a biopsy procedure performed on the upper left eyelid.

Explanation

The correct answer, 67810-E1, refers to a biopsy of the upper left eyelid. The "67810" code specifically denotes a biopsy procedure, while the "-E1" modifier indicates that the procedure was performed on the left side of the body. Therefore, 67810-E1 accurately represents a biopsy procedure performed on the upper left eyelid.

74. James suffered a severe crushing injury to his left upper leg. Two days after surgery, Dr. Barnes completed a dressing change under general anesthesia. How would you report this service?

16020-LT

15852, 01232, J2060

01232-P6

15852-LT

The correct answer is 15852-LT. This code represents a dressing change for a wound on the left upper leg. The "LT" modifier indicates that the procedure was performed on the left side of the body. The other options either do not specify the location of the wound or do not accurately represent a dressing change procedure.

Explanation

The correct answer is 15852-LT. This code represents a dressing change for a wound on the left upper leg. The "LT" modifier indicates that the procedure was performed on the left side of the body. The other options either do not specify the location of the wound or do not accurately represent a dressing change procedure.

75. Dr. Sacra performed a CABG surgery on Fred five months ago. Today, Dr. Sacra completed another coronary artery bypass using three venous grafts with harvesting of a femoropopliteal vein segment. How would Dr. Sacra report her work for the current surgery?

33512, 33530-51, 35572-51

33535, 35500-51, 33519

33512, 33530, 35572

33535, 33519, 33530-51, 35500

not-available-via-ai

Explanation

not-available-via-ai

76. Removal of a foreign body embedded in the eyelid.

67830

67801

67413

67938

The correct answer is 67938. This code represents the removal of a foreign body embedded in the eyelid. It is the most appropriate code for this procedure as it specifically addresses the removal of a foreign body from the eyelid. The other codes listed do not specifically mention the eyelid or the removal of a foreign body.

Explanation

The correct answer is 67938. This code represents the removal of a foreign body embedded in the eyelid. It is the most appropriate code for this procedure as it specifically addresses the removal of a foreign body from the eyelid. The other codes listed do not specifically mention the eyelid or the removal of a foreign body.

77. Code for a revision of total shoulder arthroplasty, including allograft when performed; humeral AND glenoid component.

23472

23473

23474

29827

The correct answer, 23474, is for a revision of total shoulder arthroplasty that includes both the humeral and glenoid components, as well as the use of allograft when performed. This code specifically identifies the procedure being performed and distinguishes it from the other codes listed, which may be for different components or variations of the surgery.

Explanation

The correct answer, 23474, is for a revision of total shoulder arthroplasty that includes both the humeral and glenoid components, as well as the use of allograft when performed. This code specifically identifies the procedure being performed and distinguishes it from the other codes listed, which may be for different components or variations of the surgery.

78. Baby smith was diagnosed with meningitis. His physician placed a needle through the fontanel at the suture line to obtain a spinal fluid sample on Monday. The needle was withdrawn and the area bandaged. The baby required another subdural tap bilaterally on Wednesday. How would you report Wednesday's service?

61001

61000, 61001

61070

61001-50

The correct answer is 61001. This code represents the service of a subdural tap, which was performed on Wednesday. The previous procedure on Monday (needle placement through the fontanel) is not relevant to Wednesday's service and does not need to be reported.

Explanation

The correct answer is 61001. This code represents the service of a subdural tap, which was performed on Wednesday. The previous procedure on Monday (needle placement through the fontanel) is not relevant to Wednesday's service and does not need to be reported.

79. A skilled nursing home patient with an indwelling Foley catheter is diagnosed with a serious urinary tract infection due to E. coli caused by the catheter. The catheter is removed, and a urine culture and sensitivity is performed. A temporary catheter is placed through the urethra, and aggressive antibiotic therapy is begun in the emergency room of the hospital. Which of the following code sets will be reported by the ER physician? No medical evaluation was performed because the patient was evaluated by her primary care physician via telephone with the nursing home staff, and orders were called into the hospital.

599.0, 041.4, 51701

996.64, E879.6, 51703, 99281

996.64, 599.0, 041.4, E879.6, 51702

599.0, 996.64, E878.8, 51020

The ER physician will report the code set 996.64, 599.0, 041.4, E879.6, 51702. The code 996.64 represents the complication of infection and inflammation due to the indwelling catheter. The code 599.0 represents the urinary tract infection. The code 041.4 represents the infection due to E. coli. The code E879.6 represents the adverse effect of the antibiotic therapy. The code 51702 represents the placement of a temporary catheter through the urethra.

Explanation

The ER physician will report the code set 996.64, 599.0, 041.4, E879.6, 51702. The code 996.64 represents the complication of infection and inflammation due to the indwelling catheter. The code 599.0 represents the urinary tract infection. The code 041.4 represents the infection due to E. coli. The code E879.6 represents the adverse effect of the antibiotic therapy. The code 51702 represents the placement of a temporary catheter through the urethra.

80. A 49-year-old female sustained injuries to the forehead, 1.5 cm. And a 1 cm wound to the eyebrow when she hit her steering wheel with her head. The closure was layered. Code the service only.

12001

12011

13131

12051

The correct answer is 12051. This code is used for the repair of a wound on the forehead and eyebrow, which were both closed using a layered closure technique. The size of the wounds (1.5 cm and 1 cm) is not relevant for coding purposes in this case.

Explanation

The correct answer is 12051. This code is used for the repair of a wound on the forehead and eyebrow, which were both closed using a layered closure technique. The size of the wounds (1.5 cm and 1 cm) is not relevant for coding purposes in this case.

81. The ER doctor performed peritoneal lavage, an abdominal X-ray (single view) and an EPF History and Exam and Moderate MDM encounter.

99283, 43753, 74000

99284, 44701, 74000

99283, 49084, 74000

99284, 49329, 74000

The correct answer is 99283, 49084, 74000. This is because the given encounter includes peritoneal lavage (49084), an abdominal X-ray (74000), and an EPF History and Exam and Moderate MDM encounter (99283). The other options either include incorrect codes or do not include all the procedures and encounters mentioned in the question.

Explanation

The correct answer is 99283, 49084, 74000. This is because the given encounter includes peritoneal lavage (49084), an abdominal X-ray (74000), and an EPF History and Exam and Moderate MDM encounter (99283). The other options either include incorrect codes or do not include all the procedures and encounters mentioned in the question.

82. Katherine had a hernioplasty to repair a recurrent ventral incarcerated hernia with implantation of mesh for closure. The surgeon completed debridement for necrotizing soft tissue due to infection. How would you report this procedure?

49566, 11005-51, 49568

49565, 11005-51, 49568

49565

49525, 11006, 49568-51

not-available-via-ai

Explanation

not-available-via-ai

83. Stacey a 35-year-old female presents for biopsies of both breasts. The biopsies were done using fine-needle aspiration with imaging guidance.

19103-50

19102-50

10022-50

10021

The correct answer is 10022-50. This code represents a biopsy procedure that was done on both breasts using fine-needle aspiration with imaging guidance. The "-50" modifier indicates that the procedure was performed bilaterally. The other codes listed do not accurately describe the specific procedure and circumstances mentioned in the question.

Explanation

The correct answer is 10022-50. This code represents a biopsy procedure that was done on both breasts using fine-needle aspiration with imaging guidance. The "-50" modifier indicates that the procedure was performed bilaterally. The other codes listed do not accurately describe the specific procedure and circumstances mentioned in the question.

84. CARDIOVASCULAR SYSTEM : 30000 SeriesA 69-year-old male is admitted for coronary ASHD. A prior cardiac catheterization showed numerous native vessels to be 70% to 100% blocked. The patient was then taken to the operating room. After opening the chest and separating the rib cage, a coronary artery bypass was performed using five venous grafts and four coronary arterial grafts. Code the graft procedure(s) and the diagnosis :

33514, 414

33536, 33517-51, 414.9

33533, 33522, 414.05

33536, 33522, 414.01

The correct answer is 33536, 33522, 414.01. The code 33536 represents the coronary artery bypass procedure using five venous grafts, and the code 33522 represents the coronary artery bypass procedure using four arterial grafts. The diagnosis code 414.01 represents coronary atherosclerosis of native coronary artery with angina pectoris. Therefore, this answer accurately represents the graft procedure(s) performed and the diagnosis of the patient.

Explanation

The correct answer is 33536, 33522, 414.01. The code 33536 represents the coronary artery bypass procedure using five venous grafts, and the code 33522 represents the coronary artery bypass procedure using four arterial grafts. The diagnosis code 414.01 represents coronary atherosclerosis of native coronary artery with angina pectoris. Therefore, this answer accurately represents the graft procedure(s) performed and the diagnosis of the patient.

85. MATERNITY CARE AND DELIVERY : 50000 SeriesSara is a 36-year-old female diagnosed with an ectopic pregnancy. The patient was taken to the operating room for treatment of a tubal ectopic pregnancy, abdominal approach.

59121

59120

59150

59130

The correct answer is 59121. This code represents the treatment of a tubal ectopic pregnancy using an abdominal approach. The other options are not applicable in this case. 59120 is for treatment of a tubal ectopic pregnancy using a vaginal approach, 59150 is for treatment of a tubal ectopic pregnancy using a laparoscopic approach, and 59130 is for treatment of an ovarian pregnancy.

Explanation

The correct answer is 59121. This code represents the treatment of a tubal ectopic pregnancy using an abdominal approach. The other options are not applicable in this case. 59120 is for treatment of a tubal ectopic pregnancy using a vaginal approach, 59150 is for treatment of a tubal ectopic pregnancy using a laparoscopic approach, and 59130 is for treatment of an ovarian pregnancy.

86. A patient had a chest wall tumor excised. The procedure involved the ribs with plastic reconstruction, and mediastinal lymphadenectomy. How would you report this procedure?

19272, 32503-59

19272

32503, 19271-59, 21632-59

32674, 19260-51

The correct answer is 19272. This code is used to report the excision of a chest wall tumor that involved the ribs with plastic reconstruction, as well as mediastinal lymphadenectomy.

Explanation

The correct answer is 19272. This code is used to report the excision of a chest wall tumor that involved the ribs with plastic reconstruction, as well as mediastinal lymphadenectomy.

87. MUSCULOSKELETAL SYSTEM ----- 20000 SeriesDon a 36-year-old male, fell 4 feet off scaffolding and hit his left heel on the bottom rung of the support, fracturing his calcaneal bone in several locations. The surgeon manipulated the bone pieces back in to position and secured the fracture sites with percutaneous fixation.

28456-LT

28415-LT

28405-LT

28406-LT

The correct answer is 28406-LT. This code represents an open treatment of a complicated calcaneal fracture, which involves manipulation of the bone pieces and securing the fracture sites with percutaneous fixation. The other codes listed do not accurately describe the specific treatment performed in this case.

Explanation

The correct answer is 28406-LT. This code represents an open treatment of a complicated calcaneal fracture, which involves manipulation of the bone pieces and securing the fracture sites with percutaneous fixation. The other codes listed do not accurately describe the specific treatment performed in this case.

88. A 63-year-old male present to Acute Surgical Care for a sigmoidoscopy. The physician inserts a flexible scope into the patient's rectum and determines the rectum is clear of polyps. The scope is advanced to the sigmoid colon, and a total of three polyps are found. Using the snare technique, the polyps are removed. The remainder of the colon is free of polyps. The flexible scope is withdrawn.

44110, 153.9

44111, 153.3

45383, 211.3

45338, 211.3

The correct answer is 45338, 211.3. The given scenario describes a sigmoidoscopy procedure where three polyps are found and removed using the snare technique. The code 45338 represents the removal of polyps by snare technique in the sigmoid colon. The diagnosis code 211.3 corresponds to benign neoplasm of the colon. Therefore, the correct answer represents the correct CPT code for the procedure performed and the corresponding ICD-10 code for the diagnosis.

Explanation

The correct answer is 45338, 211.3. The given scenario describes a sigmoidoscopy procedure where three polyps are found and removed using the snare technique. The code 45338 represents the removal of polyps by snare technique in the sigmoid colon. The diagnosis code 211.3 corresponds to benign neoplasm of the colon. Therefore, the correct answer represents the correct CPT code for the procedure performed and the corresponding ICD-10 code for the diagnosis.

89. Dr. Blue provided interpretation and results for a needle electromyography for anal sphincter function. How would you report this service?

51784

51784, 51785-51

55875

51785-26

The correct answer is 51785-26. This code represents the service of needle electromyography for anal sphincter function with interpretation and report provided by Dr. Blue. The -26 modifier indicates that the physician is providing only the professional component of the service, while the -26 modifier indicates that the physician is not providing the technical component.

Explanation

The correct answer is 51785-26. This code represents the service of needle electromyography for anal sphincter function with interpretation and report provided by Dr. Blue. The -26 modifier indicates that the physician is providing only the professional component of the service, while the -26 modifier indicates that the physician is not providing the technical component.

90. A 28-year-old patient underwent a proctosigmoidoscopy with ablation of five tumors under moderate sedation. The same provider performed the procedure and the sedation. The intra-service time for the procedure was 30 minutes. How would you report this procedure?

45320-P1

45320 X 5

45320

45320, 99144

The correct answer is 45320. This code represents a proctosigmoidoscopy with ablation of tumors. In this case, the provider performed the procedure and the sedation, and there were five tumors ablated. The intra-service time for the procedure was 30 minutes. Therefore, code 45320 accurately reflects the details of the procedure performed.

Explanation

The correct answer is 45320. This code represents a proctosigmoidoscopy with ablation of tumors. In this case, the provider performed the procedure and the sedation, and there were five tumors ablated. The intra-service time for the procedure was 30 minutes. Therefore, code 45320 accurately reflects the details of the procedure performed.

91. Dr. Devine applied a cranial halo to Gary to stabilize the cervical spine in preparation for x-rays and subsequent surgery. The scalp was sterilized and local anesthesia injected over the pin insertion sites. Posterior and anterior cranial pins are inserted and the halo device attached.

20664

20664, 96372

20661

20661, 96372

The correct answer is 20661. This code represents the insertion of cranial pins for a halo device. In the given scenario, Dr. Devine applied a cranial halo to stabilize the cervical spine. The procedure involved sterilizing the scalp, injecting local anesthesia, and inserting posterior and anterior cranial pins. Therefore, the correct code to represent this procedure is 20661.

Explanation

The correct answer is 20661. This code represents the insertion of cranial pins for a halo device. In the given scenario, Dr. Devine applied a cranial halo to stabilize the cervical spine. The procedure involved sterilizing the scalp, injecting local anesthesia, and inserting posterior and anterior cranial pins. Therefore, the correct code to represent this procedure is 20661.

92. Sam is a 40-year-old male in for a bilateral vasectomy that will include three postoperative semen examinations.

55250 X 3

52648

55250

52402 X 3

The answer 55250 is most likely the cost or fee associated with the bilateral vasectomy procedure. The statement mentions that Sam is a 40-year-old male undergoing this procedure, and it also states that three postoperative semen examinations will be included. Therefore, the number 55250 could be the amount that Sam will need to pay for the vasectomy and the subsequent semen examinations.

Explanation

The answer 55250 is most likely the cost or fee associated with the bilateral vasectomy procedure. The statement mentions that Sam is a 40-year-old male undergoing this procedure, and it also states that three postoperative semen examinations will be included. Therefore, the number 55250 could be the amount that Sam will need to pay for the vasectomy and the subsequent semen examinations.

93. Tom was placed under general anesthesia (by an anesthesiologist) for an excision of a local lesion of the epididymis. How would you report the surgeon's services?

54861-50

54860-47

54830, 00920-51

54830

The correct answer is 54830. This code represents the surgeon's services for the excision of the local lesion of the epididymis. The other options are not applicable in this scenario. 54861-50 is for a bilateral procedure, 54860-47 is for a different procedure, and 00920-51 is for anesthesia services.

Explanation

The correct answer is 54830. This code represents the surgeon's services for the excision of the local lesion of the epididymis. The other options are not applicable in this scenario. 54861-50 is for a bilateral procedure, 54860-47 is for a different procedure, and 00920-51 is for anesthesia services.

94. Todd had a tumor removed from his left temporal bone. How would you report this service?

61563

61500

69979, 69990-51

69970

The correct answer is 69970. This code represents the service of removing a tumor from the temporal bone.

Explanation

The correct answer is 69970. This code represents the service of removing a tumor from the temporal bone.

95. James had a malignant lesion removed from his right arm (excised diameter 4.6 cm). During the same visit the dermatologist noticed a new growth on James' left arm. Dr. Terry took a biopsy of the new lesion and sent it in for pathology. The biopsy site required a simple closure. How would Dr. Terry report the biopsy procedure (assuming two procedures were reported)?

The biopsy is included in the primary procedure and not reported

11100-59

11406, 11100-59

11100, 12001, 11406-51

Dr. Terry would report the biopsy procedure as 11100-59. The -59 modifier indicates that the biopsy is a separate and distinct procedure from the primary procedure, which in this case is the excision of the malignant lesion from James' right arm. Therefore, the biopsy is not included in the primary procedure and should be reported separately using the 11100 code.

Explanation

Dr. Terry would report the biopsy procedure as 11100-59. The -59 modifier indicates that the biopsy is a separate and distinct procedure from the primary procedure, which in this case is the excision of the malignant lesion from James' right arm. Therefore, the biopsy is not included in the primary procedure and should be reported separately using the 11100 code.

96. When the physician does not specify the method used to remove a lesion during an endoscopy, what is the appropriate procedure?

Assign the removal by snare technique code as a default.

Assign the removal by hot biopsy forceps code

Assign the ablation code

Query the physician as to the method used.

When the physician does not specify the method used to remove a lesion during an endoscopy, the appropriate procedure is to query the physician as to the method used. This is necessary because accurate coding requires specific information about the procedure performed. Without knowing the method used, it is not possible to assign the correct code for the removal of the lesion. Therefore, it is important to communicate with the physician to obtain the necessary information for accurate coding.

Explanation

When the physician does not specify the method used to remove a lesion during an endoscopy, the appropriate procedure is to query the physician as to the method used. This is necessary because accurate coding requires specific information about the procedure performed. Without knowing the method used, it is not possible to assign the correct code for the removal of the lesion. Therefore, it is important to communicate with the physician to obtain the necessary information for accurate coding.

97. New born clamp circumcision.

54161

54162

54150

54150-52

not-available-via-ai

Explanation

not-available-via-ai

98. A patient suffered a penetrating knife wound to his back. A surgeon performed wound exploration with enlargement of the site, debridement, and removal of gravel from the site. The surgeon decided a laparotomy procedure was not necessary at this time. How would you report this procedure?

This procedure is bundled with the laparotomy.

49000, 97602-51, 20100-59

49000, 20102-59

20102

not-available-via-ai

Explanation

not-available-via-ai

99. Sharon had a laparoscopic cholecystectomy with cholangiography. How would you report this procedure?

47605, 47570-59

47605

47563

47579

The correct answer is 47563. A laparoscopic cholecystectomy with cholangiography is the removal of the gallbladder using minimally invasive techniques, with the additional step of injecting a contrast dye into the bile ducts to visualize them during the procedure. CPT code 47563 specifically describes this combination of procedures. The other codes listed do not accurately represent the specific procedure performed.

Explanation

The correct answer is 47563. A laparoscopic cholecystectomy with cholangiography is the removal of the gallbladder using minimally invasive techniques, with the additional step of injecting a contrast dye into the bile ducts to visualize them during the procedure. CPT code 47563 specifically describes this combination of procedures. The other codes listed do not accurately represent the specific procedure performed.

100. 12-year-old female was chasing her friend when she fell through a sliding glass door sustaining three lacerations. Left knee 5.5 cm laceration, involving deep subcutaneous tissue and fascia, was repaired with layered closure using 1% lidocaine anesthetic. Right knee: 7.2 cm laceration was repaired under local anesthetic with a single-layer closure. Right hand: 2.5 cm laceration of the dermis was repaired with simple closure using Dermabond tissue adhesive.What are the correct ICD-9-CM and CPT procedure codes? Do not code anesthesia administration.

891.0, 882.0, E920.8, E849.0, 12005

891.1, 882.0, 12002-RT, 12032-51-LT, 17999-51-LT

894.0, 12032, 12002-LT, E/M code for Dermabond adhesive

891.0, 882.0, E920.8, E849.0, 12032-LT, 12004-51-RT

The correct ICD-9-CM code for the left knee laceration is 891.0, which represents an open wound of the knee. The correct ICD-9-CM code for the right knee laceration is 882.0, which represents an open wound of the lower leg. The E codes E920.8 and E849.0 indicate the external causes of the injuries, with E920.8 representing an accident occurring in a place for recreation and sport, and E849.0 representing an accident occurring in a residential institution. The CPT procedure code 12032-LT represents the repair of a superficial wound of the lower leg, and the CPT procedure code 12004-51-RT represents the repair of a superficial wound of the hand.

Explanation

The correct ICD-9-CM code for the left knee laceration is 891.0, which represents an open wound of the knee. The correct ICD-9-CM code for the right knee laceration is 882.0, which represents an open wound of the lower leg. The E codes E920.8 and E849.0 indicate the external causes of the injuries, with E920.8 representing an accident occurring in a place for recreation and sport, and E849.0 representing an accident occurring in a residential institution. The CPT procedure code 12032-LT represents the repair of a superficial wound of the lower leg, and the CPT procedure code 12004-51-RT represents the repair of a superficial wound of the hand.

101. Karen a 13-year-old with chronic otitis media. The patient was taken to same-day surgery andd placed under general anesthesia. Dr. White performed a bilateral tympanostomy with the insertion of ventilating tubes. The patient tolerated the procedure well.

69421-50, 69433-51, 382.1

69420-50, 382.4

69436-50, 382.9

69436-50, 382.02

The correct answer, 69436-50, 382.9, indicates that the procedure performed was a bilateral tympanostomy with the insertion of ventilating tubes. The code 69436 represents the bilateral procedure, and the modifier -50 indicates that it was performed on both ears. The code 382.9 represents the diagnosis of chronic otitis media, which is the reason for the procedure.

Explanation

The correct answer, 69436-50, 382.9, indicates that the procedure performed was a bilateral tympanostomy with the insertion of ventilating tubes. The code 69436 represents the bilateral procedure, and the modifier -50 indicates that it was performed on both ears. The code 382.9 represents the diagnosis of chronic otitis media, which is the reason for the procedure.

102. A 65-year-old male patient has an indwelling nephroureteral double-J stent tube replaced to treat a ureteral obstruction caused by a stricture from postoperative scarring. His stent tube is exchanged every two months to prevent occlusion in the stent, UTI, and loss of kidney function. Dr. Mott did this procedure via a transurethral approach under conscious sedation and provided the radiological supervision and interpretation. How would you report this procedure?

50605, 50382

50385, 52283, 99143

50385

S0385

The correct answer is 50385. This code represents the exchange of an indwelling nephroureteral double-J stent tube, which was done to treat a ureteral obstruction caused by scarring. The procedure was performed via a transurethral approach under conscious sedation, and radiological supervision and interpretation were provided. This code accurately captures all the key elements of the procedure.

Explanation

The correct answer is 50385. This code represents the exchange of an indwelling nephroureteral double-J stent tube, which was done to treat a ureteral obstruction caused by scarring. The procedure was performed via a transurethral approach under conscious sedation, and radiological supervision and interpretation were provided. This code accurately captures all the key elements of the procedure.

103. A 50-year-old patient has a PICC line with a port placed for chemotherapy infusion. Fluoroscopic guidance was used to gain access to check placement.

35651, 77001

36568, 76937

36571, 76937

36571, 77001

The correct answer is 36571, 77001. The first code, 36571, represents the placement of a central venous catheter, which includes fluoroscopic guidance. This code is appropriate for the insertion of the PICC line with a port. The second code, 77001, represents fluoroscopic guidance for needle placement, which is used to confirm the correct positioning of the PICC line. Together, these codes accurately describe the procedure performed on the 50-year-old patient with a PICC line and port for chemotherapy infusion.

Explanation

The correct answer is 36571, 77001. The first code, 36571, represents the placement of a central venous catheter, which includes fluoroscopic guidance. This code is appropriate for the insertion of the PICC line with a port. The second code, 77001, represents fluoroscopic guidance for needle placement, which is used to confirm the correct positioning of the PICC line. Together, these codes accurately describe the procedure performed on the 50-year-old patient with a PICC line and port for chemotherapy infusion.

104. While playing at home, Riley dislocated his patella, when he fell from a tree. The surgeon documented an open dislocation. Riley underwent a closed treatment under anesthesia. How would you report the treatment and diagnoses?

27420, 836.3

27562, 836.4, E884.9, E849.0

27840, 27562-51, 836.3, E884.9

27562, 836.4

The correct answer is 27562, 836.4, E884.9, E849.0. The code 27562 represents the closed treatment of the dislocated patella, while 836.4 represents the open dislocation. E884.9 is used to indicate the nature of the injury, which is an accident occurring in a residential area, and E849.0 is used to indicate the place where the injury occurred, which is Riley's home.

Explanation

The correct answer is 27562, 836.4, E884.9, E849.0. The code 27562 represents the closed treatment of the dislocated patella, while 836.4 represents the open dislocation. E884.9 is used to indicate the nature of the injury, which is an accident occurring in a residential area, and E849.0 is used to indicate the place where the injury occurred, which is Riley's home.

105. Sarah presented to her primary care physician with pain and swelling in the right elbow. After careful examination he referred her to an orthopedic surgeon for a second opinion. Dr. Femur diagnosed Sarah with acute osteomyelitis of the olecranon process and recommended surgery. Sarah agreed to the surgery and underwent a sequestrectomy, through a posterior incision, with a loose repair over drains ending the procedure. Dr. Femur sent a written report back to Sarah's primary care physician along with the operative report. How would you report the procedure?

99244-57, 24138-RT

99214, 99244-57

24138-RT

99214, 23172-59

The correct answer is 24138-RT. This code represents the procedure performed by Dr. Femur, which is a sequestrectomy of the olecranon process. The -RT modifier indicates that it was performed on the right side. The other codes listed do not accurately describe the procedure performed in this case.

Explanation

The correct answer is 24138-RT. This code represents the procedure performed by Dr. Femur, which is a sequestrectomy of the olecranon process. The -RT modifier indicates that it was performed on the right side. The other codes listed do not accurately describe the procedure performed in this case.

106. Revision mastoidectomy resulting in a radical mastoidectomy

69502

69511

69602

69603

The correct answer is 69603. This code represents a revision mastoidectomy resulting in a radical mastoidectomy. A revision mastoidectomy is a surgical procedure performed to correct complications or problems that arose from a previous mastoidectomy. In this case, the revision mastoidectomy resulted in a radical mastoidectomy, which involves the removal of the entire mastoid bone and adjacent structures. The other codes listed (69502, 69511, 69602) do not accurately describe the specific procedure performed in this scenario.

Explanation

The correct answer is 69603. This code represents a revision mastoidectomy resulting in a radical mastoidectomy. A revision mastoidectomy is a surgical procedure performed to correct complications or problems that arose from a previous mastoidectomy. In this case, the revision mastoidectomy resulted in a radical mastoidectomy, which involves the removal of the entire mastoid bone and adjacent structures. The other codes listed (69502, 69511, 69602) do not accurately describe the specific procedure performed in this scenario.

107. The procedure was a vaginal colpopexy to reposition the patient's vagina. Approach was intra-peritoneal. During the procedure, the vagina was sutured to the sacrospinous ligament to secure it in place.

57283; 57556

57283; 58263; 58292

57283; 58263

None of the Answers are correct.

The correct answer is "None of the Answers are correct" because none of the given answer options accurately describe the procedure that was performed. The procedure described in the question is a vaginal colpopexy, which involves repositioning the patient's vagina and securing it in place by suturing it to the sacrospinous ligament. However, none of the answer options mention this specific procedure or approach. Therefore, none of the answers are correct.

Explanation

The correct answer is "None of the Answers are correct" because none of the given answer options accurately describe the procedure that was performed. The procedure described in the question is a vaginal colpopexy, which involves repositioning the patient's vagina and securing it in place by suturing it to the sacrospinous ligament. However, none of the answer options mention this specific procedure or approach. Therefore, none of the answers are correct.

108. Dr. Martin performed an excision at the middle cranial fossa for a vascular lesion. This procedure was completed in an intradural fashion with dural repair and graft. His partner, Dr. Sutter, performed an infratemporal approach with decompression of the auditory canal. How should Dr. Martin report her services?

61590, 61606-51

61606-62

61606

61601

Dr. Martin should report her services using code 61606. This code represents the excision of a cranial lesion, which is what Dr. Martin performed. The other codes mentioned in the options do not accurately describe the specific procedures performed by Dr. Martin and her partner, Dr. Sutter.

Explanation

Dr. Martin should report her services using code 61606. This code represents the excision of a cranial lesion, which is what Dr. Martin performed. The other codes mentioned in the options do not accurately describe the specific procedures performed by Dr. Martin and her partner, Dr. Sutter.

109. Martha has a non-healing wound on the tip of her nose. After an evaluation by Dr. Martino, a dermatologist, Martha is scheduled for a procedure the following week. Dr. Martino documented an autologous split thickness skin graft to the tip of Martha's nose. A simple debridement of granulated tissues is completed prior to the placement. Using a dermatome, a split thickness skin graft was harvested from the left thigh. The graft is placed onto the nose defect and secured with sutures. The donor site is examined, which confirms good hemostasis. How would you report this procedure?

99213-25, 15050

15050, 15004, 15005-59

15277, 11042-59

15120

The correct answer is 15120 because this code specifically describes the procedure performed in the scenario. The autologous split thickness skin graft to the tip of Martha's nose is accurately reported with this code.

Explanation

The correct answer is 15120 because this code specifically describes the procedure performed in the scenario. The autologous split thickness skin graft to the tip of Martha's nose is accurately reported with this code.

110. Tina fell from a step ladder while clearing drain gutters at her home. She suffered contusions and multiple lacerations. At the emergency room she received sutures for lacerations to her arm, hand, and foot. The doctor completed the following repairs: superficial repair to the arm of 12.8 cm, a single-layered closure of 7.9 cm that required extensive cleaning and removal of glass from the hand, and a simple repair to the foot of 9.6 cm. How would you report the wound repairs?

12034, 12036, 12046, 12007

12006, 12034-59

12044, 12006-51

12005, 12004 X 2

The correct answer is 12044, 12006-51. The first code, 12044, represents the repair of a superficial wound on the arm measuring 12.8 cm. The second code, 12006-51, represents the repair of a wound on the hand measuring 7.9 cm, which required extensive cleaning and removal of glass. The -51 modifier indicates that this code is a distinct procedural service from the first code. Therefore, this is the most appropriate way to report the wound repairs.

Explanation

The correct answer is 12044, 12006-51. The first code, 12044, represents the repair of a superficial wound on the arm measuring 12.8 cm. The second code, 12006-51, represents the repair of a wound on the hand measuring 7.9 cm, which required extensive cleaning and removal of glass. The -51 modifier indicates that this code is a distinct procedural service from the first code. Therefore, this is the most appropriate way to report the wound repairs.

111. A surgeon started with a diagnostic thoracoscopy. During the same surgical session she completed a surgical thoracoscopy to control a hemorrhage. How would you report this procedure?

32601

32601, 32654-59

32601, 32654-59-51

32654

The correct answer is 32654. This code represents the completion of a surgical thoracoscopy to control a hemorrhage. The surgeon started with a diagnostic thoracoscopy, but since she had to perform an additional surgical procedure to control the hemorrhage, only the code for the completion of the surgical thoracoscopy is reported.

Explanation

The correct answer is 32654. This code represents the completion of a surgical thoracoscopy to control a hemorrhage. The surgeon started with a diagnostic thoracoscopy, but since she had to perform an additional surgical procedure to control the hemorrhage, only the code for the completion of the surgical thoracoscopy is reported.

112. Heather lost her teeth following a motorcycle accident. She underwent a posterior, bilateral vestibuloplasty, which allows her to wear complete dentures. How would you report this procedure?

40845, 15002

40843-50

40844

40843

The correct answer is 40843-50. This code represents a vestibuloplasty procedure that was performed bilaterally (on both sides) and in the posterior region of the mouth. The -50 modifier indicates that the procedure was performed bilaterally. This code accurately describes the procedure that Heather underwent to allow her to wear complete dentures.

Explanation

The correct answer is 40843-50. This code represents a vestibuloplasty procedure that was performed bilaterally (on both sides) and in the posterior region of the mouth. The -50 modifier indicates that the procedure was performed bilaterally. This code accurately describes the procedure that Heather underwent to allow her to wear complete dentures.

113. Phyllis fell down on the ice and fractured her leg. The fall also caused severe injury to the muscles and tore several nerves. Her physician completed suturing of two major peripheral nerves in her leg without transposition and shortened the bone. After the surgery she was seen by a physical therapist for ongoing treatment and gait training. How would you report the surgical procedure?

64857, 64859-51, 64876-51

64856, 64857

64857, 64859. 64876

64858, 64857, 64859, 64876

The correct answer is 64857, 64859, 64876. This is because the physician completed suturing of two major peripheral nerves (64857) and also performed transposition (64859) without shortening the bone. Additionally, the surgeon also shortened the bone (64876). Therefore, all three codes are necessary to accurately report the surgical procedure.

Explanation

The correct answer is 64857, 64859, 64876. This is because the physician completed suturing of two major peripheral nerves (64857) and also performed transposition (64859) without shortening the bone. Additionally, the surgeon also shortened the bone (64876). Therefore, all three codes are necessary to accurately report the surgical procedure.

114. The 18-year old patient presented for an annual well visit and NorPlant implantable contraceptive capsule. The chief complaint was "annual exam." On the form the provider checked detailed Hx, detailed exam and Low Medical Decision Making.

99213

99214, 11981

99395, 11981

11981

The correct answer is 99395, 11981. The patient presented for an annual well visit and NorPlant implantable contraceptive capsule. The provider checked detailed Hx, detailed exam, and Low Medical Decision Making. The code 99395 represents an annual comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of appropriate immunization(s), laboratory/diagnostic procedures, new prescriptions/refills, and/or referrals. The code 11981 represents the insertion, non-biodegradable drug delivery implant.

Explanation

The correct answer is 99395, 11981. The patient presented for an annual well visit and NorPlant implantable contraceptive capsule. The provider checked detailed Hx, detailed exam, and Low Medical Decision Making. The code 99395 represents an annual comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of appropriate immunization(s), laboratory/diagnostic procedures, new prescriptions/refills, and/or referrals. The code 11981 represents the insertion, non-biodegradable drug delivery implant.

115. What do the primary codes 33880 and 33881 include?

Placement of all distal extensions, if required.

Placement of all proximal extensions in the thoracic aorta.

Repair of extensions in the thoracic aorta.

Repositioning of all leads and extensions in the thoracic aorta.

The primary codes 33880 and 33881 include the placement of all distal extensions, if required. These codes are used to describe a surgical procedure where additional extensions are placed in the thoracic aorta, if necessary. The codes do not include the placement of proximal extensions or the repair or repositioning of leads and extensions.

Explanation

The primary codes 33880 and 33881 include the placement of all distal extensions, if required. These codes are used to describe a surgical procedure where additional extensions are placed in the thoracic aorta, if necessary. The codes do not include the placement of proximal extensions or the repair or repositioning of leads and extensions.

116. Dr. Blue performs a secondary closure of the abdominal wall for evisceration (outside the postoperative period). He opens the formerr incision and removes the remaining sutures; necrotic fascia is debrided down to viable tissue. The abdominal wall is then closed with sutures. How would you report the closure?

11043

This is a bundled procedure and not reported

39541

49900

not-available-via-ai

Explanation

not-available-via-ai

117. What code series would you refer to for patients who have had a previous cesarean delivery and now present with the expectation of a vaginal delivery?

59400-59140

59618-59622

59610-59614

59610-59622

The correct answer is 59610-59622. This code series refers to patients who have had a previous cesarean delivery and now present with the expectation of a vaginal delivery. The range of codes covers the different stages and types of vaginal delivery, including induction of labor, delivery of the fetus, and delivery of the placenta.

Explanation

The correct answer is 59610-59622. This code series refers to patients who have had a previous cesarean delivery and now present with the expectation of a vaginal delivery. The range of codes covers the different stages and types of vaginal delivery, including induction of labor, delivery of the fetus, and delivery of the placenta.

118. Harry had a sphincterotomy and an ERCP with a stent placed into the bile duct. How would you report this procedure?

43274, 43262

43262

43260, 43274

43264

The correct answer is 43274, 43262. A sphincterotomy is the surgical cutting of the sphincter muscle to allow easier access to the bile duct. An ERCP (endoscopic retrograde cholangiopancreatography) is a procedure that uses an endoscope to examine the bile ducts and pancreatic ducts. In this case, a stent was also placed into the bile duct. Therefore, the correct way to report this procedure would be to use both codes 43274 for the sphincterotomy and 43262 for the ERCP with stent placement.

Explanation

The correct answer is 43274, 43262. A sphincterotomy is the surgical cutting of the sphincter muscle to allow easier access to the bile duct. An ERCP (endoscopic retrograde cholangiopancreatography) is a procedure that uses an endoscope to examine the bile ducts and pancreatic ducts. In this case, a stent was also placed into the bile duct. Therefore, the correct way to report this procedure would be to use both codes 43274 for the sphincterotomy and 43262 for the ERCP with stent placement.

119. The surgeon performed an arthrodesis, including a laminectomy of the L1 and L2 segments. Approach was posterior with a posterior interbody technique.

22630; 22632

22633 X 2

22634 X 2

22633; 22634

The correct answer is 22633; 22634. The surgeon performed a laminectomy of the L1 and L2 segments, which is coded as 22633. Additionally, they performed an arthrodesis, which is coded as 22634. Since the question states that the approach was posterior with a posterior interbody technique, it suggests that two levels were treated, hence the need for two codes.

Explanation

The correct answer is 22633; 22634. The surgeon performed a laminectomy of the L1 and L2 segments, which is coded as 22633. Additionally, they performed an arthrodesis, which is coded as 22634. Since the question states that the approach was posterior with a posterior interbody technique, it suggests that two levels were treated, hence the need for two codes.

120. An 88-year-old male patient suffering from dementia accidentally pulled out his gastrostomy tube during the night. Dr. Keys, an interventional radiologist, takes him into an angiography suite, administers moderate sedation (an independent observer was present during the procedure), probes the site with a catheter and injects contrast medium for assessment and tube placement. Dr. Keys finds thatthe entry site remains open and replaced the tube into the proper position. The intra-service time for the procedure took 45 minutes. How would Dr. Keys report his services?

49440, 99149, 99150

49440, 49450-59

49450, 99144, 99145

49450

Dr. Keys would report his services using code 49450 to indicate the replacement of the gastrostomy tube. Additionally, he would use codes 99144 and 99145 to indicate the moderate sedation administered during the procedure, as an independent observer was present. These codes accurately reflect the services provided by Dr. Keys and the specific procedures performed during the angiography.

Explanation

Dr. Keys would report his services using code 49450 to indicate the replacement of the gastrostomy tube. Additionally, he would use codes 99144 and 99145 to indicate the moderate sedation administered during the procedure, as an independent observer was present. These codes accurately reflect the services provided by Dr. Keys and the specific procedures performed during the angiography.

121. OPERATIVE REPORTDIAGNOSIS : Large bladder neck obstructionPROCEDURE PERFORMED : Cystoscopy and transurethral resection of the prostate.Code the procedure(s) performed and the diagnosis.

52450, 52001-51, 596.0

52450, 52000, 753.6

52450, 52001, 753.6

52450, 52000-59, 596.0

The correct answer is 52450, 52000-59, 596.0. This is because the operative report states that the procedure performed was a cystoscopy and transurethral resection of the prostate, which is coded as 52450. The diagnosis given is large bladder neck obstruction, which is coded as 596.0. Additionally, the modifier -59 is used with code 52000 to indicate that it is a separate and distinct procedure from the cystoscopy.

Explanation

The correct answer is 52450, 52000-59, 596.0. This is because the operative report states that the procedure performed was a cystoscopy and transurethral resection of the prostate, which is coded as 52450. The diagnosis given is large bladder neck obstruction, which is coded as 596.0. Additionally, the modifier -59 is used with code 52000 to indicate that it is a separate and distinct procedure from the cystoscopy.

122. Mr. Azeri, a 68-year-old patient , has a dual-chamber pacemaker. The leads in this system were recalled. The leads were extracted via transvenous technique, the generator was left in place, and new leads were inserted via transvenous technique. How would you report this procedure?

33214, 33215-51, 33208-51, 33218-51

33215, 33210-51, 33216-51

33208, 33235-51, 33217-51

33235, 33217-51

The correct answer is 33235, 33217-51. This is because the procedure described involves the extraction of leads via transvenous technique (33235) and the insertion of new leads via transvenous technique (33217-51). The -51 modifier is added to indicate that multiple procedures were performed during the same session. The other options do not accurately reflect the described procedure.

Explanation

The correct answer is 33235, 33217-51. This is because the procedure described involves the extraction of leads via transvenous technique (33235) and the insertion of new leads via transvenous technique (33217-51). The -51 modifier is added to indicate that multiple procedures were performed during the same session. The other options do not accurately reflect the described procedure.