Advanced CPT Coding GU Assignment – Flashcards

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question
Endoscopy codes specify type of instrument used, purpose of the endoscopy, and site of application.
answer
True
question
An unlisted laparoscopy code should be assigned when a specific procedure is not available for the applicable anatomic site.
answer
True
question
Which of the following CPT codes describes the surgical removal of kidney stones through an incision in the body of the kidney?
answer
50060
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The patient undergoes the closure of a nephrocutaneous fistula. How is this coded?
answer
50520
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The patient provides a kidney to a sibling who has renal failure. An open procedure is performed. How is this coded?
answer
50320
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The physician destroys a kidney stone by directing shock waves through a liquid surrounding the patient. This is coded as:
answer
50590
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An uncomplicated Marshall-Marchetti-Krantz procedure, (without the performance of a hysterectomy) is coded as:
answer
51840
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The urologist performs a fine needle aspiration of the kidney with ultrasound guidance provided by the radiologist. How are the urologist's services coded?
answer
10022
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The documentation states that a cystourethroscopy was performed on a 53-year-old female and included a urethrotomy procedure. The coder assigned code 52270. The coding manager reviewed the documentation and the coding and had the following findings:
answer
The coding is correct
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Cystourethroscopy with ureteroscopy and resection of ureteral tumor is coded as:
answer
52355
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The patient is a kidney transplant recipient who began to display systemic symptoms of rejection. To eliminate the systemic rejection response, the surgeon performs a nephrectomy of the transplanted kidney. How is this coded?
answer
50370
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The physician performs a change of a cystostomy tube that is described as complicated in the documentation. The coder assigned code 51705. Is this correct?
answer
False
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Transurethral resection of the prostate, including internal urethrotomy and urethral calibration.
answer
52601
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Office note: The patient is unable to void independently. A catheter is placed to extract urine from the bladder and then removed.
answer
51701
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Renal cyst aspirated by percutaneous needle
answer
50390
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Measurement of residual urine after emptying of the bladder
answer
51798
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The patient undergoes a bilateral ovarian cystectomy. How is this coded?
answer
58925
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A 55-year-old man with chronic balanitis being circumcised using a clamp. Regional dorsal penile block used for anesthesia. What is the CPT code?
answer
54150
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Assign the CPT code for a colposcopy with loop electrode biopsy.
answer
57460
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Assign the CPT code for a vaginal hysterectomy (weight of uterus is 283 g) with bilateral salpingo-oophorectomy.
answer
58291
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What is the correct CPT code for Excision of hydrocele, left spermatic cord.
answer
55500
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Cystourethroscopy with insertion of permanent urethral stent. What is the CPT code?
answer
52282
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The correct CPT code assignment for hysteroscopy with lysis of intrauterine adhesions is 58559 and 58740.
answer
False
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Laparoscopic sterilization procedure with fulguration of tubes, bilateral. What is the CPT code?
answer
58670
question
A retropubic prostatectomy uses a scope inserted through the urethra to remove prostate tissue piece by piece.
answer
False
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