CPT Coding Ch. 24-25 Quiz Review – Flashcards

A nephrectomy with a total ureterectomy and bladder cuff, through different incisions. CPT Code:

Complex cystometrogram with calibrated electronic equipment. CPT Code:

Excision or fulguration of a urethral prolapse. CPT Code:

Radical orchiectomy by inguinal approach due to a tumor. CPT Code:

Bilateral vasectomy. CPT Code:

A radical retropubic prostatectomy with nerve sparing. CPT Code:

The patient had a 3.8 cm testicular laceration repair from a baseball injury. CPT Code:

Cystourethroscopy with insertion of permanent urethral stent. CPT Code:

Urethromeatoplasty with mucosal advancement. CPT Code:

Location: Inpatient Hospital OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Right staghorn calculus. POSTOPERATIVE DIAGNOSIS: Same. OPERATIVE PROCEDURE: Right ESWL (extracorporeal shock wave lithotripsy). CLINICAL NOTE: This gentleman had a failed percutaneous nephrolithotripsy. He now is stented. The procedure was unsuccessful because of inability to access the kidney because of the stone. I decided to proceed with lithotripsy to see if we can create some more room, and maybe we will get lucky, but I told the patient he will likely require either multiple ESWLs or secondary attempt at PCN. PROCEDURE NOTE: The patient was given a general laryngeal mask anesthetic, prepped and draped in the supine position on lithotripsy table, stone targeted, shock had engaged. Unfortunately, we had to do the procedure without the simulator. Therefore, it took a longer time, but the patient tolerated it well. A total of 3,000 shocks at a maximum kv of 24 were administered to the stone. Some fragmentation was noted. We will see the patient early next year to see how he is doing, to schedule further treatment as required. CPT Code:

Location: Inpatient Hospital OPERATIVE REPORT PRE/POSTOPERATIVE DIAGNOSIS: Recurrent balanitis and phimosis. PROCEDURE PERFORMED: Circumcision. PROCEDURE: The child was given general mask anesthetic as well as caudal block for postoperative pain control. He was prepped and draped in the supine position, foreskin retracted, prepucial adhesions broken down. Circumcision was then performed using a ring block technique. Hemostasis was achieved with judicious use of electrocautery and chromic ties. Prepuce was re-anastomosed to the penile skin using 5-0 chromic catgut. Vaseline gauze dressing was applied. The patient tolerated the procedure well and transferred to the recovery room in good condition. CPT Code:

Colposcopy of the vulva with biopsy. CPT Code:

Total abdominal hysterectomy with an anterior/posterior colporrhaphy and an enterocele repair. Hysterectomy is the most resource intensive procedure. (Hint: one code requires a modifier.) (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.) CPT Codes:

Partial removal of the vaginal wall, vaginectomy. CPT Code:

External cephalic version without tocolysis. CPT Code:

Treatment of an incomplete abortion that was treated surgically during the second trimester. CPT Code:

Assign a code for a cesarean delivery with postpartum care and a ligation of fallopian tubes performed at the same operative session. (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.) CPT Codes:

The patient is undergoing clinical brachytherapy with insertion of Heyman capsules. CPT Code:

Surgical hysteroscopy with lysis of multiple intrauterine adhesions. CPT Code:

Vaginal delivery with episiotomy and use of forceps. CPT Code:

The physician performs a surgical ovarian/oviduct laparoscopy with fimbrioplasty. CPT Code: