Question 1

A pregnant patient has an incompetent cervix which was repaired using a vaginal cerclage.

Accepted Answer

The correct code for a vaginal cerclage procedure to repair an incompetent cervix during pregnancy is 59320.

Question 2

Patient with Parkinson's disease is admitted for insertion of a brain neurostimulator pulse generator with one electrode array.

Accepted Answer

The answer of Patient with Parkinson's disease is admitted for...

Question 3

Patient is 24 weeks' pregnant and arrives in the emergency room following an automobile accident. No fetal movement or heartbeat noted. Patient is taken to the OB ward where prostaglandin is given to induce abortion.

Accepted Answer

This code represents the induction of labor for a fetal death in the second trimester, which is what occurred in this scenario. Code A) 59200 is for a dilation and curettage, which is not appropriate in this case as the fetus is too large for this procedure. Code C) 59821 is for a missed abortion that requires surgical management, and code D) 59410 is for a routine antepartum visit, which is also not appropriate in this scenario.

Question 4

A DandC is performed for postpartum hemorrhage.

Accepted Answer

59160 is the correct code for a Dilation and Curettage (D&C) performed for postpartum hemorrhage.

Question 5

Attempted vaginal delivery in a previous cesarean section patient, which resulted in a repeat cesarean section.

Accepted Answer

59620 is the correct code for a cesarean delivery following a failed attempt at vaginal delivery after a previous cesarean section.

Question 6

Patient in late stages of labor arrives at the hospital. Her OB physician is not able to make the delivery and the house physician delivers the baby vaginally. Primary care physician resumes care after delivery. Code the delivery.

Accepted Answer

The code 59409 is used for vaginal delivery only, which is appropriate in this scenario as the house physician delivered the baby vaginally.

Question 7

Patient is 6 weeks' pregnant and complains of left-sided abdominal pains. Patient is suspected of having an ectopic pregnancy. Patient has a laparoscopic salpingectomy with removal of the ectopic tubal pregnancy.

Accepted Answer

The answer of Patient is 6 weeks' pregnant and complains...

Question 8

Patient comes in through the emergency room with a wound that was caused by an electric saw. Patient is taken to the operating room where two ulna nerves are sutured.

Accepted Answer

Code 64836 is used for exploration of a nerve and code 64837 is used for repair or suture of a nerve. In this scenario, two ulna nerves were sutured, so the best choice is 64836 and 64837.

Question 9

Cesarean delivery with antepartum and postpartum care

Accepted Answer

The answer of Cesarean delivery with antepartum and postpartum care
...

Question 10

Hysterotomy for hydatidifom mole and tubal ligation

Accepted Answer

59100 is the CPT code for hysterotomy for hydatidiform mole, and 58611 is the CPT code for tubal ligation.

Question 11

Patient undergoes total thyroidectomy with parathyroid autotransplantation.

Accepted Answer

The correct codes for a total thyroidectomy with parathyroid autotransplantation are 60240 for the thyroidectomy and 60512 for the parathyroid autotransplantation.

Question 12

Patient comes in for a percutaneous needle biopsy of the thyroid gland.

Accepted Answer

The correct code for a percutaneous needle biopsy of the thyroid gland is 60100.

Question 13

Laminectomy and excision of intradural lumbar lesion

Accepted Answer

Laminectomy and excision of intradural lumbar lesion is coded as 63272.

Question 14

D and C performed for patient with diagnosis of incomplete abortion at 8 weeks.

Accepted Answer

The correct code for dilation and curettage (D and C) performed for an incomplete abortion is 59812.

Question 15

Laparoscopic adrenalectomy, complete

Accepted Answer

Laparoscopic adrenalectomy, complete is coded with 60650.

Question 16

Patient comes in for steroid injection for lumbar herniated disk. Marcaine and Aristocort were injected into the L2-L3 space.

Accepted Answer

The answer of Patient comes in for steroid injection for...

Question 17

Unilateral partial thyroidectomy

Accepted Answer

60210 is the correct code for unilateral partial thyroidectomy as it specifically describes the removal of a portion of the thyroid gland on one side. Codes 60252 and 60220 are not appropriate for this procedure, as 60252 describes a biopsy of a lesion, and 60220 describes the removal of the entire thyroid gland. Code 60520 describes a total thyroidectomy with or without resection of adjacent structures, which is a more extensive procedure than a unilateral partial thyroidectomy.

Question 18

Patient is admitted to the hospital following an ultrasound at 25 weeks which revealed fetal pleural effusion. A fetal thoracentesis was performed.

Accepted Answer

Fetal thoracentesis is a procedure to remove fluid from the chest cavity of a fetus. Code 59074 is the correct code for this procedure.

Question 19

Left carotid artery excision for tumor of carotid body

Accepted Answer

CPT code 60605 is used for excision of a carotid body tumor, which involves the removal of the tumor from the carotid artery.

Question 20

Patient undergoes hysteroscopy with excision uterine fibroids

Accepted Answer

The correct code for hysteroscopic resection or removal of fibroids is 58561.

Exam 1: Registered Health Information Administrator