A laparoscopic helped complete hysterectomy is made arrangements for an extreme intramural
patient fibroids. In the wake of embedding the laparoscope, broad attachments are noted to
the degree that the tendons supporting the uterus can't be imagined. The doctor chooses to
change the technique over completely to an open stomach hysterectomy where the uterus and
cervix are taken out. What CPT code(s) ought to be accounted for?
A. 58262, 58570-53
B. 58150
C. 58260, 58550-22
D. 58570 - ANSWER>>B. 58150
An infusion is performed to anesthetize a nerve situated between two ribs to impede chest wall
torment.
A. 64415
B. 64421
C. 64413
D. 64420 - ANSWER>>D. 64420
The left bosom was prepared and hung in a sterile design. A cut from the 3 around to the 9
o'clock position on the areolar boundary on its mediocre perspective was made in the skin and
stretched out to the subcutaneous tissue. The bosom mass was extracted by sharp analyzation.
The mass was viewed as around 1.5-2 cm in greatest aspect. Hemostasis was made satisfactory
utilizing electrocautery and the Argon shaft coagulator. After this was achieved, the skin edges
were reapproximated w/running transformed 3-0 Vicryl subcuticular stitch. Select system and
finding codes.
A. 19120, N63
B. 19301, D49.3
,C. 19125, N60.82
D. 19101, N64.51 - ANSWER>>A. 19120,
N63
A 36-year-old male presents to have different injuries obliterated. Three harmless injuries all
over are annihilated and five actinic keratoses to his left side arm are obliterated.
A. 17000, 17003
B. 17000, 17003 x 4, 17110
C. 17110
D. 17260 x 5, 17110 x 3 - ANSWER>>B.
17000, 17003 x 4, 17110
Sign: Patient has a hypertrophic scar on the back side of the left leg, at the level of the knee.
This has started to limit his versatility. His non-intrusive treatment preliminary was ineffective.
Method: After the appropriate enlistment of sedation, the subcutaneous tissue of the patient's
left leg underneath the scar was penetrated with crystalloid arrangement containing
epinephrine to limit blood misfortune. The scar was then extracted down to practical dermis.
Hemostasis was gotten with epinephrine splashed cushions. Skin was made by the medical
procedure. The join was gotten with skin staples, and afterward dressed with fine lattice guaze
followed by drug doused bandage.
The giver site was dressed with network followed by Adaptic followed by a dry dressing and a
Pro wrap.
A. 15110-52, 15002
B. 15100, 11406
C. 15100, 15002
D. 15110, 15002 - ANSWER>>C. 15100,
15002
,Signs: 15-yr-old kid was scorched in a fire and surveyed to have gotten consumes to 75% of his
all out body surface region. He was moved to a consume community for conclusive treatment.
When stable, he was brought to the OR. Methodology: Because of degree of the patients
consumes and absence of adequate contributor destinations, his full-thickness consumes will
be extracted and covered with xenograft (skin substitute join), and a split-thickness skin biopsy
will be gathered for planning of autologous unions to be applied before very long, when
accessible. After enlistment of sedation, broad debridement of the full-thickness consumes was
embraced. Consideration was first coordinated to the patients face, neck, and scalp. A sum of
500 sq cm in this space got full-thickness consumes. The eschar including this region was
extracted down to practical tissue. Hemostasis was accomplished utilizing electrocautery.
Consideration was then gone to the storage compartment. A sum of 950 sq -
ANSWER>>C. 15277, 15278 x 7, 15272, 15274 x16, 15004, 15005 x7, 15002, 15003 x 16, 15040
The doctor is brought in to perform fixes for a 17-year-old young lady engaged with an engine
vehicle mishap. She supported a 8.6 cm gash to her brow, a 5.5 cm slash to her right cheek, a 4
cm cut on her left side cheek, a 4 cm cut across her jawline, and a 12.5 cm cut to her chest. The
injury on her jaw required a layered nearer. Any remaining injuries required complex
conclusion.
A. 13132, 13133 x 4, 13101, 12052
B. 13132, 13133 x 3, 13133-52, 13101,
13102, 12052
C. 13132, 13133 x 3, 13101, 13102,
12052
D. 13131, 13132, 13133 x 3, 13101,
13102, 12052 - ANSWER>>C. 13132, 13133 x 3,13101, 13102, 12052
Signs: 55-yr-old female had a sizeable 1.5 cm basal cell carcinoma on the right upper lip. She
had a 2 cm deformity. After extraction, it was reproduced in a first stage with a nasolabial cheek
fold. The edges were clear and she anticipated the subsequent stage. Employable System:
Under intravenous sedation, patient in prostrate position, the expert was prepared and hung.
Division performed to the scaffold between the foundation of the fold of the upper lip. Spread
out the foundation of the fold that was extracted until it was delicate and malleable. It is
defatted and easygoing onto the cheek with hindered 5-0 Monocryl and running 6-0 plain
, catgut. Comparable system was performed on the repetitive part of the fold and for all time set
into the upper lip. Steri-strips applied.
A. 15758-79
B. 15630-58
C. 15758-76
D. 15630-78 - ANSWER>>B. 15630-58
Patient is having progressing back and hip agony. The doctor chooses to play out a sacroiliac
infusion at a wandering a medical procedure place. After sterile prep, the patient is set inclined
position. A needle is set under fluoroscopic direction into the SI joint and a combination of 20
mg of Celestone and Marcaine is infused for help with discomfort.
A. 27096, 77003-26
B. 20611
C. 20552
D. 27096 - ANSWER>>D. 27096
25-yr-old male has a burst distal biceps ligament at the proximal finish of the span. An entry
point is made overlying the antecubital fossa. The biceps ligament was labeled utilizing #1
Vicryl-stitch. The subsequent cut made on the predominant line of the ulna. The supinator was
chiseled profound to uncover the outspread tuberosity. Drill openings are made at the
outspread tuberosity wherein stitches and the distal biceps ligament are put worse than broke
of the spiral tuberosity. Two stitches are put in the biceps ligament in level sleeping cushion
type style pulled tight and got. The distal biceps ligament is reattached to the range to
reestablish elbow capability. Conclusion was then achieved with stitches and staples. What is
the right code for this system?
A. 24342
B. 24340
C. 23430
D. 23440 - ANSWER>>B. 24340
