Chapter 15 Worksheet Code It

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1 Class: Date: Chapter 15 Worksheet Code It True/False Indicate whether the statement is true or false. 1. A varicocele is an abnormal dilation of the veins of the spermatic cord in the scrotum. 2. A LEEP electrodissection conization is a deep dissection of the cervix. 3. The endocrine system includes 13 glands. 4. The carotid body is tissue that contains many lymphatic vessels, and it is located at the point where the carotid branches in the neck. 5. CPT code is assigned to report a resection of the female genital system due to malignancy. 6. Normal antepartum care includes monthly office visits up to 36 weeks of gestation. 7. Postpartum care begins with the first office visit after the delivery. 8. CPT codes for procedures on the pituitary and pineal glands are located in the Endocrine section. 9. CPT code is assigned when a patient undergoes total thyroidectomy due to thyroiditis. 10. CPT code is assigned for vaginal delivery only. 11. CPT codes and are assigned for total obstetrical care. 12. The external ear includes the pinna. 13. A myringotomy is the surgical incision of the tympanic membrane, and it is usually performed to release pressure or fluid. 14. The middle ear includes the acoustic nerve. 15. The lacrimal apparatus is a mucous membrane that lines the underside of each eyelid and forms a protective covering over the exposed surface of the eyeball. 16. An ECCE can be performed to treat a condition of the ear. 17. Neuroplasty is the freeing or decompression of an intact nerve from scar tissue. 18. A diskectomy is the removal of a portion of the vertebra and adjacent intervertebral disks. 19. A craniotomy provides access to the brain's intracranial contents. 20. An epidural administered during labor would not be coded separately. Completion Complete each statement. 21. Nephrostomy, nephrotomy with drainage. Assign code(s). 22. Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation, arterial anastomosis, each. Assign code(s). 1

2 23. Ablation, one or more renal tumor(s), percutaneous, bilateral, radiofrequency. Assign code(s). 24. Ureterotomy for insertion of indwelling stent, all types. Assign code(s). 25. Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging. Assign code(s). 26. Cystourethroscopy with transurethral resection or incision of ejaculatory ducts. Assign code(s). 27. Irrigation of corpora cavernosa for priapism with radiological supervision and interpretation. Assign code(s). 28. Marsupialization of Bartholin's gland cyst. Assign code(s). 29. Combined anteroposterior colporrhaphy with enterocele repair. Assign code(s). 30. Insertion of Heyman capsules for clinical brachytherapy. Assign code(s). 31. Follicle puncture for oocyte retrieval, any method. Assign code(s). 32. Treatment of septic abortion, completed surgically. Assign code(s). 33. Excision of recurrent thyroglossal duct cyst or sinus. Assign code(s). 34. Resection or excision of neoplastic, vascular, or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex, intradural, including dural repair, with or without graft. Assign code(s). 35. Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion. Assign code(s). 36. Laminoplasty, cervical, with decompression of the spinal cord, two or more vertebral segments. Assign code(s). 37. Repair of meningocele, less than 5 cm diameter in newborn less than 4 kgs. Assign code(s). 38. Three nerve grafts (includes obtaining graft), single strand, hand or foot more than 4 cm in length. Assign code(s). 39. Removal of previously implanted intrathecal or epidural catheter. Assign code(s). 40. Vaginal delivery only (with or without episiotomy and/or forceps) including postpartum care. Assign code(s). Short Answer 41. What are the three types of prostate biopsies? 42. What is the abbreviation for transurethral resection of the prostate? 43. When a laminectomy is coded, the record is reviewed to determine what three components to ensure correct code assignment? 44. CPT code is assigned for a thyroidectomy due to what disease or condition? 45. CPT code is assigned for a tubal resection due to what disease or condition? 46. What are the three categories for surgery of the skull base? 47. CPT code is reported for an injection of what type of agent into the phrenic nerve? 2

3 48. What approach is used when a midline incision is made in the area of the vertebral segment and the incision is curved out to the lateral plane? 49. What are the mechanical components of a spinal neurostimulator system? 50. What voluntary nerves control walking? 51. What involuntary nerves control a person's heartbeat? 52. A patient was administered an anesthetic agent, which was injected into the brachial plexus. Code is assigned. What is the name of the procedure that would be documented in the patient's record for this type of injection? 53. What are the commonly used abbreviations for cataract removal surgery? 54. What are the two methods used to correct eye muscle alignment conditions? 55. A 27-year-old female patient is diagnosed with an abnormal Pap smear. She is scheduled for what type of endoscopic procedure to evaluate her cervix? 56. What components are included in cervix conization codes? 57. What are the two types of surgical approaches for a vaginal hysterectomy? 58. CPT code is assigned when ovaries are removed and biopsies are done due to what disease? 59. What are the clinical subdivisions of pregnancy? 60. Which component of obstetrical care begins with conception and ends with delivery? Multiple Choice Identify the choice that best completes the statement or answers the question. 61. Left tympanostomy with insertion of a ventilating tube, under local anesthesia. Report code a LT c LT b LT d LT 62. Removal of foreign body from the left external auditory canal, under general anesthesia. Report code a LT c LT b LT d LT 63. Liza Moore has normal antepartum care, vagina provided by Dr. Thomas. Report code(s) a b A 75-year-old female diagnosed with a cataract correct this problem. Report code(s) a RT b RT 1 delivery, episiotomy, and normal postpartum care, all c , d , in the right eye undergoes ECCE one-stage procedure to c RT, RT d RT 65. A patient diagnosed with an ectopic pregnancy undergoes laparoscopic treatment of this condition that also requires removal of the fallopian tube. Report code a c b d

4 66. LEEP electrodissection conization. Report code a c b d Epidural injection of phenol into C5. Report code a c b d A patient is diagnosed with a ventral hernia 2 months after having undergone a hysterectomy via abdominal approach. A hernia repair is done using tension-free mesh implantation technique. Report code(s) a c , b , d , Ms. Gomez presents to the emergency department (ED) of her local hospital, complaining of body aches, fever, and headache. The ED physician performs a spinal puncture to rule out meningitis. Report code a c b d A patient underwent decompression of the spinal cord and nerve roots via transpedicular approach for herniated intervertebral disk, T1, T2, and T3. The patient tolerated the procedure well. Report code(s) a c , , b , 63055, d , 63057, Carl is a 6-year-old male who is admitted to the ambulatory surgical unit of a local hospital on May 4 and who undergoes removal of bilateral ventilating tubes. Dr. White had inserted the tubes in November of the previous year. Dr. White removed them after administering general anesthesia to the patient. Report code(s) a c b d A patient diagnosed with meningioma undergoes craniectomy to remove the tumor. Report code a c b d Transabdominal biopsy, left adrenal gland, via open approach. Report code a LT c LT b LT d LT 74. Complete removal of thyroid gland with radical dissection due to thyroid cancer. Report code a c b d A child has a small metal toy lodged in her right ear. After multiple unsuccessful attempts are made to remove the object, the patient is taken to the ambulatory unit for removal. After discussion with the patient's parents, an informed consent is signed. The patient undergoes removal of the object, which is performed in the operating room after administration of general anesthesia. Report code a RT c RT b RT d RT 76. Repair of strabismus by strengthening the superior rectus muscle and the inferior rectus muscle, left eye. Report code a LT c LT b LT d LT 77. Clamp circumcision of a 2-day-old infant. Report code a c b d

5 78. Initial subdural tap of a skull suture of a 15-day-old infant. The operating microscope was used during the procedure. Report code(s) a c , b d , Reduction of two fetuses, with three fetuses left intact. Report code a c b d Photocoagulation destruction of corneal lesion, right eye. Report code a RT c RT b RT d RT Matching Match each GYN or OB procedure with its code below. a e b f c g d h vaginal delivery 82. tubal ligation performed after delivery 83. open lysis of fallopian or ovarian adhesions 84. pelvic exam under anesthesia 85. delivery after previous cesarean section 86. loop or LEEP 87. oophorectomy 88. delivery of the placenta Match each procedure to its code below. a e b f c g d h excision of carotid body tumor without excision of carotid artery 90. repair of laceration conjunctiva with or without non-perforating laceration sclera, direct closure 91. eustachian tube inflation transversal with catheterization 92. destruction of lesion conjunctiva 93. subdural tap through fontanelle or suture infant unilateral subsequent taps 94. nerve block of facial nerve 95. twist drill hole for subdural or ventricular puncture 96. evisceration of ocular content without implant of the eye 5