Intro to CPT, Surgery Guidelines, HCPCS Level II and Modifiers – Flashcards
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Pyloroplasty.
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43800. Rationale: in the CPT Index, look for Pyloroplasty
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Deep biopsy of soft tissue of the ankle.
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27614. Rationale: in the CPT Index, look for Biopsy/Ankle or for Ankle/Biopsy and you are directed to 27613, 27614 and 27620. 27620 is for an arthrotomy. 27613-27614 are both for biopsies; but, one is superficial and the other is deep.
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Osteotomy, humerus, with internal fixation.
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24400. Rational: in the CPT Index, look for Osteotomy/Humerus and you are directed to 24400-24410. Code 24400 indicates "with or without internal fixation".
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Renal biopsy, percutaneous, needle.
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50200. Rationale: renal means kidney. In the CPT Index, look for Kidney/Biopsys and you are directed to 50200, 50205. You may also look for Biopsy/Kidney and you are directed to code range 50200-50205. Code 50205 is for an open surgical procedure biopsys. 50200 is for a needle or trocar biopsy. A trocar is a surgical instrument with a sharp point which is used to create a hole in the body which can be used to introduce surgical tools. Because the biopsy utilizes a needle percutaneously, or through the skin, the correct code selection is 50200.
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Destruction of a malignant lesion on the face with a lesion diameter of 1.2 cm.
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17282. Rationale: In the CPT Index, look for Destruction/Lesion/Skin/Malignant and you are directed to 17260-17286, 96567. Code range 17260-17286 is for the destruction of a malignant lesion by any method. The codes are further subdivided based on anatomical site. Code range 17280-17286 is used for lesions on the face. Code selection is then based on the size of the lesion. Code 17282 is used for a lesion with a diameter of 1.1 to 2.0 cm.
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Emergency endotracheal intubation.
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31500. Rationale: in the CPT Index, look for Intubation/Endotracheal Tube and you are directed to code 31500. Verification of 31500 confirms it is for an emergency procedure.
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Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age.
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94012. Rationale: In the CPT Index, look for Spirometry and you are directed to code range 94010-94070. Reading the description will help you determine the correct code selection.
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An electrolyte panel is performed on an 86-year-old for dizziness.
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80051. In the CPT Index, look for panel and you are directed to see Blood Tests; Organ or Disease-Oriented Panel. An electrolyte panel is a blood test that measures the levels of electrolytes and carbon dioxide in the blood. Look for Blood Tests and there is a sub-term for Panels/Electrolyte which directs you to code 80051.
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A frontal and lateral chest X-ray is performed in the office for a patient with chest pain.
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71020. Rationale: in the CPT Index, look for X-ray/Chest and you are directed to code range 71010-71035. Viewing the descriptors, code 71020 is for two views, frontal and lateral chest X-ray.
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The performance measure code for history obtained regarding new or changing moles.
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1050F. Rationale: in the CPT Index, look for Performance Measures/Melanoma/History/Moles and you are directed to code 1050F.
