STUVIA 2024/2025
1. Science
2. Medicine
3. Surgery
Coding 3 Ch. 12 CPT Surgery 2
20005 - ✔✔The physician treated a soft tissue abscess that was due to osteomyelitis by making an
incision and examining, debriding, and draining the subfascia; the physician also irrigated the affected
area, examined underlying tissue and bone for signs of infection, and closed the site.
20100 - ✔✔Patient sustained a stab wound to the neck during a domestic dispute and underwent
wound exploration. The stab wound was extended, and examination of surrounding bones,
connective tissue, muscles, and nerves revealed normal findings. No foreign bodies were found. The
area was debrided and irrigated. Coagulation of minor subcutaneous and muscular blood vessels
was achieved with electrocautery. The wound was cleaned and closed with 3-0 Vicryl.
20101 - ✔✔Patient underwent exploration of a penetrating wound of the chest, which involved
surgical exploration and enlargement of the wound, debridement, removal of a foreign body, and
ligation of subcutaneous tissue.
%
20206 - ✔✔Needle biopsy, soft tissue, thorax.
20240 - ✔✔Open bone biopsy, superficial, left femur.
20553 - ✔✔Patient received a cortisone injection to a single trigger point, which consisted of the
trapezius, deltoid, and latissimus dorsi muscles.
20605-LT, 77002 - ✔✔Under fluoroscopic guidance, arthrocentesis was performed for injection of
medication, left acromioclavicular joint, for pain relief. Select the proper code(s).
a. 23130-LT, 77002
b. 20600-LT, 77002
c. 20605-LT, 77002
d. 23044-LT, 77002
20612-RT - ✔✔Patient underwent aspiration of ganglion cyst, right wrist.
20692-RT - ✔✔A patient diagnosed with joint contracture of the right ankle underwent application of
a multiplane external fixation device.
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20805-LT - ✔✔A patient suffered a traumatic complete amputation of the left forearm in an accident
and underwent replantation surgery. Which CPT code is reported?
a. 20805-LT
b. 20838-LT
c. 20808-LT
d. 20802-LT
20816-F6 - ✔✔A patient severed his right index finger while using a chain saw. He underwent
successful replantation of the index finger, which included metacarpophalangeal (MCP) joint to
insertion of flexor sublimis tendon.
20920 - ✔✔Fascia lata graft was harvested using a stripper.
20975 - ✔✔Electrical stimulation procedure was performed to aid bone healing, invasive type.
21010-50 - ✔✔Arthrotomy of temporomandibular joint, right and left sides.
21026 - ✔✔Excision of two facial bones (due to bone abscesses).
21084 - ✔✔Impression and custom preparation of speech aid prosthesis.
%
21089 - ✔✔Unlisted maxillofacial prosthetic procedure. Which CPT code is assigned?
a. 21299
b. 22899
c. 21089
d. 23929
21121 - ✔✔Sliding osteotomy genioplasty, single piece.
21150 - ✔✔Reconstruction midface, Lefort II with anterior intrusion.
21179 - ✔✔Patient underwent reconstruction of the entire forehead and supraorbital rims, requiring
grafts, to correct a congenital skeletal deformity. After administration of general anesthesia, scalp and
upper eyelid incisions were made to access the surgical site. The forehead bones were reshaped and
repositioned, and bone allografts were inserted to augment the forehead and supraorbital rims.
Incisions were closed after wires were inserted as fixation devices to maintain the proper shape of the
facial bones.
21198 - ✔✔Osteotomy of mandible, segmental.
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21270 - ✔✔Malar augmentation with prosthetic material.
21401 - ✔✔Closed treatment of orbit fracture, with manipulation.
21440 - ✔✔Closed treatment of maxillary alveolar ridge fracture.
21465 - ✔✔Open treatment of mandibular condylar fracture.
21510 - ✔✔Deep incision with opening of bone cortex, thorax.
21600 - ✔✔Partial excision of rib.
21627 - ✔✔Sternal debridement.
21685 - ✔✔Hyoid myotomy and suspension.
21820 - ✔✔Closed treatment of sternum fracture.
21920 - ✔✔Patient underwent biopsy of superficial soft tissues of the back.
%
21925 - ✔✔Biopsy, soft tissue of flank, deep.
21930 - ✔✔Excision of tumor, subcutaneous soft tissue of back, 2.5 cm.
21935, 13101-51 - ✔✔The physician removed a 4-cm malignant soft tissue tumor, including adjacent
tissue, from the patient's flank. Radical resection was performed to remove the tumor and adjacent
tissue. The 5-cm surgical wound was repaired with complex closure.
22220 - ✔✔Patient underwent osteotomy and discectomy of a single cervical spine vertebral
segment. Anterior approach was used.
22505 - ✔✔Physician performed "spinal manipulation under anesthesia," cervical, thoracic, and
lumbar spine.
22554-62 - ✔✔C3-C4 anterior discectomy performed by two primary surgeons. Which CPT code(s)
are reported by Surgeon A?
a. 22554-62, 22585-62
b. 22554-62
c. 22554-62, 22585-51
d. 22554, 22585-51
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