Question 1

patient with chronic lumbago is seen by the physician to have an epidural injection at the sacral level

Accepted Answer

62311

Question 2

hemangioma in an intra-cranial structure

Accepted Answer

228.02

Question 3

physician removes thymus gland in a 27 yr old female with myasthenia gravis. using transcervical approach, the blood supply to the thymus is divided and the thymus is dissected free from the percardium and the thymus is removed

Accepted Answer

60520

Question 4

intractable Grand Mal Seizures

Accepted Answer

345.11

Question 5

patient receiving pain mgmnt treatment for chronic cervical pain caused by a motor vehicle accident

Accepted Answer

338.21, 723.1

Question 6

under general anesthesia the physician excises the lower1/3 portion of the right lobe of the thyroid as well as the lower 1/3 of the left lobe. the isthmus is also removed

Accepted Answer

60212

Question 7

50 yr old male diagnosed with tumor of skull base just below occipital tonsils. neurosurgeon performs a transpetrosal approach to the posterior cranial fossa. he then performs an intradural removal of the tumor of the midline skull base. dural repair is done and the area is closed with neurolon

Accepted Answer

61598, 61608

Question 8

patient has a right thyroid lobectomy for a thyroid follicular lesion. an incision is made two cm above the sternal notch and carried through the platysma. the right thyroid was dissected free form the surrounding tissues. the isthmus was divided from the left thyroid lobe. the left thyroid lobe was explored revealing a single nodule. the right thyroid lobe was completely removed from the trachea and surrounding tissues. it was marked and sent off the table as a specimen

Accepted Answer

60220

Question 9

hemiplegia affecting the dominant side

Accepted Answer

342.91

Question 10

total thyroidectomy for malignancy, with total removal of all the lymph nodes on both sides of the neck

Accepted Answer

60254-50

Question 11

patient having a decompression of the nerve root involving two segments of the lumbar spine via transpedicular approach

Accepted Answer

63056, 63057

Question 12

spinal meningitis

Accepted Answer

322.9

Question 13

patient has a subtotal thyroidectomy to remove thyroid cancer. one lymph node is removed

Accepted Answer

60252, 193

Question 14

patient with MEN1 has surgery to remove three of her parathyroid glands and part of the fourth parathyroid gland

Accepted Answer

60500, 258.01

Question 15

patient with a status post lumbar puncture headache receives an epidural space; this blood forms a clot sealing the leak of CSF from the lumbar puncture

Accepted Answer

62273, 349.0

Question 16

ataxia-telangiectasia

Accepted Answer

334.8

Question 17

physician is performing an experimental cervical sympathectomy on a patient with Reynauds syndrome

Accepted Answer

64802, 443.0

Question 18

neurorrhaphy with autogenous vein graft for one nerve

Accepted Answer

64911

Question 19

patient has programmable pump implanted for chemotherapy administration. she has a neoplasm of the spinal meninges

Accepted Answer

62362, 192.3

Question 20

patient with herniated cervical disc undergoes a cervical laminotomy with a partial facetectomy and excision of the herniated disc for cervical interspace C3-C4

Accepted Answer

63020, 722.0

Question 21

patient with a benign adrenal adenoma has a laparoscopic adrenalectomy

Accepted Answer

60650, 227.0

Question 22

patient receives a paravertebral facet joint injection at three levels on both sides of the lumbar spine using fluoroscopic guidance for lumbar pain

Accepted Answer

66493-50, 64494-50, 724.2

Question 23

patient had an abcess in the external auditory canal, which was drained in the office

Accepted Answer

69020

Question 24

placement of 2 adjustable sutures during strabismus surgery involving the horizontal muscles

Accepted Answer

67312, 67335

Question 25

removal of foreign body from the external auditory canal w/o general anesthesia

Accepted Answer

69200

Question 26

michael has bilateral lazy eyes and undergoes strabismus surgery of the superior oblique muscle for both eyes

Accepted Answer

67318-50

Question 27

ENT performs a patch repair on the lft eardrum of a 10 yr old patient

Accepted Answer

69610-LT

Question 28

89 yr old patient who has significant partial opacities in the lens of the lft eye presented for phacoemulsification and lens implantation

Accepted Answer

366.9

Question 29

6 yr old female with prominent ears undergoes a bilateral otoplasty. under conscious sedation, the surgeon makes an incision just behind the ear in the natural fold where the ear is joined to head exposing the cartilage. cartilage is trimmed and shaped and the incision is closed. temporary sutures are placed to secure the ear until healing accomplished. procedure repeated on other ear

Accepted Answer

69300-50

Question 30

patient has heavy skin and muscle hooding down and blocking his vision due to ptosis of upper masculare eyelid defect. physician performed a bilateral upper blepharoplasty

Accepted Answer

374.30

Question 31

65 yr old patient presented with ectropion of rt lower eyelid. repair with tarsal wedge excision is performed for correction. attention was then directed to lft eye. patient also had an ectropion of the lft lower lid, which was repaired by suture repair

Accepted Answer

67916-E4, 67914-E2

Question 32

patient had a re-recession strabismus procedure of the lateral rectus muscle. this muscle had previously been recessed during an operative session, six mths ago which resulted in scarring of the extraocular muscle

Accepted Answer

67311, 67332

Question 33

patient was diagnosed with nuclear sclerotic cataract, rt eye. she was taken to the OR and phacoemulsification with intraocular lens, rt eye was performed

Accepted Answer

66982-RT

Question 34

12 yr old male patient has an abscess located at the external auditory meatus. the ENT incises the abscess and packs it to absorb the drainage

Accepted Answer

69020

Question 35

patient was taken to the OR the physician everts the upper eyelid and places clamps across the averted undersurface of the upper lid. the tissue distal to the clamps is excised or resected. this tissue includes conjunctiva, tarsus, Mullers muscle and the distal insertion of the levator aponeurosis. the remaining tissue is reattached and sutured

Accepted Answer

67908

Question 36

patient with aphakia and anisometropia in the rt eye underwent surgery to implant a lens. an incision is made in the corneal-scleral juncture and a scleral tunnel was made. a partial vitrectomy was performed and the physician guides the intraocular implant into the eye pulling it into position by Prolene sutures

Accepted Answer

66985-RT

Question 37

patient with a cyst like mass jon his lft external auditory canal was visualized under the microscope and a microcup forceps was used to obtain a biopsy of tissue along the posterior superior canal wall

Accepted Answer

69105-LT

Question 38

tympanoplasty with mastoidotomy and with ossicular chain construction

Accepted Answer

69636

Question 39

patient with rt and lft prominent ears has an otoplasty

Accepted Answer

69300-50, 744.29

Question 40

2 yr old with chronic serous otitis media has ventilation tubes placed in her ears using general anesthesia

Accepted Answer

69436-50, 381.10

Question 41

physician uses Politzer bag through the nostril to inflate the Eustachian tube in a patient with acute Eustachian salpingitis

Accepted Answer

69401, 381.52

Question 42

patient presents to emergency room with a severly damaged eye. the injury was sustained when the patient was a passenger in a multi car accident. the patient sustained a large open wound to the lft eye. the posterior chamber was ruptured and significant vitreous and some intraocular tissue was lost. the eyeball was not repairable and so was removed, en mass. a permanent implant was inserted. the patient was released with an occlusive eye patch

Accepted Answer

65103-LT, 871.2, E812.1

Question 43

xenon laser photocoagulation for prophylaxis of a recent retinal detachment with giant tear is performed for and accidental injury sustained from a baseball to the eye at fastball practice

Accepted Answer

67145, 361.03, E917.0

Question 44

26 yr old female with a one yr history of lft tympanic membrane perforation has consented to have it repaired. a postauricular incision was made under general anesthesia. dissection was carried down to the temporalis fascia and 3x3 cm segment of fascia was harvested and satisfactorily desiccated. the tympanic membrane was excised. using a high speed drill a canaloplasty was performed until the entire annulus could be seen. the ossicular chain was examined it was found to be freely mobile. the previously harvested skin was trimmed and placed in the anterior canal angle with a slight overlapping over the temporalis fascia. packing is placed in the ear canal, external incisions are closed, and dressings are applied

Accepted Answer

69631-LT

Question 45

physician receives chemodenervation with botulinum toxin injections to stop blepharospasms of the rt eye

Accepted Answer

64612-RT, 333.81

Question 46

surgeon performed an insertion of an intraocular lens prosthesis discussed with the patient before the six wk earlier cataract removal by same surgeon

Accepted Answer

66985-58

Question 47

physician uses cryotherapy for removal trichiasis

Accepted Answer

67825, 374.05

Question 48

60 yr old female with uncontrolled intraocular pressure and early cataracts has been coming in for laser trabeculoplasty. this is her third and last session within the last wk for her treatment series. she will be examined over the next 3 mths to ensure the normal inflammation subside

Accepted Answer

65855

Question 49

70 yr old female has a drooping lft eyelid obstructing her vision and has consented to having the blepharoptosis repaired. a skin marking pencil was used to outline the external proposed skin incision on the lft upper lid. the lower edge of the incision was placed in the prominent lid crease. the skin was excised to the levator aponeurosis. an attenuated area of levator aponeurosis was dehisced from the lower strip. three 6-0 silk sutures were then placed in mattress fashion, attaching this attenuated tissue superiorly to the intact tissue inferiorily. this provided moderate elevation of the lid

Accepted Answer

67904-E1

Question 50

53 yr old woman with scarring of the rt cornea has significant corneal thinning with a high risk of perforation and underwent reconstruction of the ocular surface. the eye is incised and an operating microscope is used with sponges and forceps to debride necrotic corneal epithelium. preserved human amniotic membrane is first removed from the storage medium and transplanted by trimming the membrane to fit the thinning area of the cornea and sutured. this process was repeated three times until the area of thinning is flushed with surrounding normal thickness cornea. all of the knots are buried and a bandage contact lens is placed with topical antibiotic steroid ointment

Accepted Answer

65780

Question 51

physician performs an iridotomy using laser on both eyes for chronic angle closure glaucoma; procedure includes local anesthesia

Accepted Answer

66761-50, 365.23

Question 52

physician extracts a tumor, using a frontal approach, from the lacrimal gland of a 14 yr old patient

Accepted Answer

68540,239.89

Question 53

ENT performs an anterior skull base LeFort I osteotomy approach for the intradural removal of a meningioma by a neurosurgeon

Accepted Answer

61586

Question 54

under general anesthesia a physician excises one chalazion from each upper eyelid

Accepted Answer

67808-E1, E3, 373.02

Question 55

physician creates an opening in the opaque posterior lens capsule of the patients rt eye by cutting an inverted U shape in the tixxue. the cut is made using a laser. the tissue within the inverted U falls down, and out of the patients field of vision. the procedure is done to improve the vision of a patient with a secondary cataract

Accepted Answer

66821-RT

Question 56

26 yr old female with one yr history of lft fyympanic membrane perforation. she has extensive typanosclerosis with a nonhealing perforation. her options, including observation with water precautions or surgery, were discussed. the patient wished to proceed with surgery. with the use of operating microscope, the surgeon performs a lft lateral graft tympanoplasty

Accepted Answer

69631

Question 57

40 yr old presents with vaginal bleeding for several wks unrelated to her menstrual cycle. the gynecologist orders an ultrasound to obtain more information for a diagnosis code

Accepted Answer

626.6

Question 58

mrs. jones G1P0, is diagnosed with polyhydramnios and is scheduled for amniocentesis to aspirate some of the excessive fluid from the amniotic sac. the amniocentesis is performed under ultrasound guidance.

Accepted Answer

59001

Question 59

patient presents with a recurrent infection of the bartholins gland which has previously been treated with antibiotics and I&D. at this visit her gynecologist incises the cyst, draining the material in it and tacks the edges of the cyst open creating an open pouch to prevent recurrence

Accepted Answer

56440

Question 60

patient with genital warts has cryotherapy of an extensive number of lesions on her mons pubis, labia, and perineum

Accepted Answer

56515

Question 61

patient has TAH-BSO

Accepted Answer

58150

Question 62

patient presents in her 15th wk of pregnancy with cramping, cervix dilated to 2 cm and bulging amniotic sac. the physician confirms spontaneous abortion is inevitable and decides to manage the patient expectantly with monitoring

Accepted Answer

an e/m code

Question 63

complete unilateral removal of the vulva and deep subcutaneous tissue

Accepted Answer

56630

Question 64

diabetic woman delivered her child and now returns for follow up. she has type 1 diabetes controlled with insulin for most of her life. her obstetrician will monitor her closely for several wks to be sure her pregnancy does not cause her permanent problems. code used for her visit 2 wks after her delivery

Accepted Answer

648.04, 250.01

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