Question
1) The patient presented with the complaint of severe photophobia. The patient stated that this was present in the left eye only. After the surface of the corneal defect was scraped with a spatula, it was taken for culture to determine the diagnosis. Assign CPT code(s): FILL IN BLANK
2) The patient presents with a traumatic subperiosteal hematoma of the left eyeball. A fine needle was inserted directly into the eyeball area and aspirated blood. No incision was made, and no repair was required. (Initial encounter)
Assign CPT codeFILL IN BLANK
3) Patient presents for removal of ventilating tubes (myringotomy devices) due to resolution of right and left middle and inner ear problems. With the patient under general mask anesthesia, the left ear was examined and the tube was removed. No abnormalities in the ear structure were visualized. The same procedure was repeated on the right ear. Estimated blood loss was nil. No complications. Assign CPT code(s)FILL IN BLANK
4) Epidural injection, blood patch. Which code is assigned?
Responses
· 62263
· 62272
· 62273
· 62281
5) Laser surgery correction of ingrown eyelash of the right eye. Which code is assigned?
Responses
· 67820-RT
· 67825-RT
· 67830-RT
· 67840-RT
6)Complete removal of right adrenal gland using a laparoscope. Which code is assigned?
Responses
· 60540-RT
· 60545-RT
· 60650-RT
· 60659-RT
7) Decompression internal auditory canal, middle fossa approach left ear. Which code is assigned?
Responses
· 61591-LT
· 69420-LT
· 69440-LT
· 69960-LT
8) A patient with Bell's palsy undergoes total facial nerve decompression. Which code is assigned?
Responses
· 64742
· 64771
· 64864
· 69955
9) A patient suffers from strabismus. Resection of the right lateral rectus horizontal muscle was done with absorbable sutures. Which code(s) are assigned?
Responses
· 67311-RT
· 67311-RT, 67335-51-RT
· 67311-RT, 67335-RT
· 67314-RT, 67335-RT
10) Patient underwent complete removal of right thyroid lobe on October 13. Patient had right partial thyroid lobe removed five years ago. Which code is assigned?
Responses
· 60220-RT
· 60240
· 60260-RT
· 60270
62273: An epidural injection for a blood patch is assigned code 62273. This procedure is specifically used to treat a post-dural puncture headache.
67820-RT: The laser surgery correction of an ingrown eyelash is coded as 67820. This code is for "Correction of trichiasis; epilation, by other than forceps." The modifier -RT is used to specify that the procedure was performed on the right eye.
60650-RT: The code for a complete removal of the right adrenal gland using a laparoscope is 60650. The modifier -RT indicates the right side.
69960-LT: The decompression of the internal auditory canal via a middle fossa approach is coded as 69960. The modifier -LT specifies the left ear.
69955: The total facial nerve decompression for a patient with Bell's palsy is coded as 69955. This code is for the total decompression of the facial nerve, from the internal auditory canal to the stylomastoid foramen.
67311-RT: The procedure described is a resection of a single horizontal rectus muscle. The CPT code for this procedure is 67311. The modifier -RT specifies the right eye. No other codes are necessary as this is the only procedure described.
60260-RT: The patient underwent a complete removal of the right thyroid lobe, having previously had a partial thyroid lobe removed. This is considered a thyroidectomy for a reoperative procedure. The correct code for a thyroidectomy, reoperative, is 60260. The modifier -RT indicates the right side.
Sample Answer
65435: The physician scraped the surface of the corneal defect and took a culture to determine the diagnosis. The CPT code for scraping of corneal epithelium for diagnostic purposes is 65435.
67015: The aspiration of blood from a subperiosteal hematoma of the eyeball using a fine needle is coded as 67015. This code specifically covers decompression of an eyeball or orbit for a hematoma. No incision or repair was required, so this is the correct code.
69424-50: The patient had ventilating tubes removed from both the right and left ears under general anesthesia. The CPT code for removal of a ventilating tube under general anesthesia is 69424. Since the procedure was performed bilaterally, the modifier -50 should be appended to indicate a bilateral procedure