SAMPLE CPC MODEL TEST - 002

1. A healthy 11-month-old patient with bilateral cleft lip and palate undergoes surgery. The surgeon performs a bilateral cleft lip repair, single stage. Code the anesthesia service.

A. 00170-P1, 99100

B. 00102-P1

C. 00102-P1, 99100

D. 00170-P1

2. A very large lipoma is removed from the chest measuring 8 sq cm and the defect is 12.2 cm requiring a layered closure with extensive undermining. MAC is performed by a medically directed Certified Registered Nurse Anesthetist (CRNA). Code the anesthesia service.

A. 00400-QS-QX

B. 00400-QS

C. 00300-QS

D. 00300-QS-QX

3. If the anesthesia service were provided to a patient who had severe systemic disease, what would the physical status modifier be?

A. P1

B. P2

C. P3

D. P4

4. The patient a five month old child was rushed to the hospital for emergency repair of a strangulated, recurrent ventral hernia. Code the hernia and the anesthesia for repair.

a) 49566, 00834, 99140

b) 49566, 00832, 99140, 99100

c) 49566, 00830, 99140, 99100

d) 49566, 00834, 99140, 99100

5. Meredith has breast cancer on the left side, diagnosed by an excisional biopsy performed last week. Today she is having a radical mastectomy, Urban type, and concurrently a single pedicle TRAM flap reconstruction with supercharging. What CPT® codes are reported?

a. 19367-LT, 19302-51-LT

b. 19368-LT, 19305-51-LT

c. 19368-LT, 19306-51-LT

d. 19367-LT, 19307-51-LT

6. Patient is an 81 year-old male with a biopsy-proven basal cell carcinoma of the posterior neck just near his hairline; additionally, the patient had two other areas of concern on his cheek. Informed consent was obtained and the areas were prepped and draped in the usual sterile fashion. Attention was first directed to the basal cell carcinoma of the neck. I excised the lesion measuring 2.6 cm as drawn down to the subcutaneous fat. With extensive undermining of the wound I closed it in layers using 4.0 Monocryl, 5.0 Prolene and 6.0 Prolene; the wound measured 4.5cm. Attention was then directed to the other two suspicious lesions on his cheek. After administering local anesthesia, I proceeded to take a 3mm punch biopsy of each lesion and was able to close with 5.0 Prolene. The patient tolerated the procedures well. Pathology later showed the basal cell carcinoma was completely removed and the biopsies indicated actinic keratosis. What CPT® codes should be reported?

a. 13131, 11622-51, 11100-59, 11100-59

b. 12042, 11623-51, 11100-59, 11101

c. 13132, 11623-51, 11100-59, 11101

d. 13132, 11623-51, 11440-51, 11440-51

7. The patient is a 17 year-old male who was struck on the elbow by another player’s stick while playing hockey. He is found to have a fracture of the olecranon process. The patient was brought to the OR, anesthetized and intubated. The right upper extremity was prepped with Betadine scrub and draped free in the usual sterile orthopedic manner. The arm was then elevated and exsanguinated and the tourniquet inflated to 250 mm/Hg. A five-inch incision was made with the scalpel on the extensor side of the elbow, beginning distally and proceeding in an oblique fashion up the proximal forearm. Dissection was carried through subcutaneous tissue and fascia, and bleeding was controlled with electrocautery. We then subperiosteally exposed the proximal ulna and olecranon to visualize the fracture site. The fracture could be seen at the base of the olecranon process. We irrigated the site thoroughly and reduced the fracture fragments without difficulty. Extending the elbow, we inserted two smooth K-wires across the fracture site. Through a drill hole in the proximal ulnar shaft, we threaded an 18-gauge wire through it and wrapped it around the K-wires in a figure-of-eight manner to further stabilize the fixation. Wires were then twisted and placed into soft tissues. The K-wires in the olecranon were advanced slightly after being bent and cut. Sterile dressing was applied and the patient was placed in a splint. What CPT® code is reported?

a. 24586-RT

b. 24685-RT

c. 24635-RT

d. 24675-RT

8. A patient had a renal auto-transplantation extracorporeal surgery, re-implantation of a kidney, and a partial nephrectomy. How would you report this procedure?

a) 50340, 50380, 50240-51

b) 50543, 50370-52

c) 50380, 50240-51

d) 50380, 50240

9. A pregnant patient is diagnosed with an incompetent cervix. The physician performs a cervical cerclage to prevent a missed abortion. After inserting a speculum into the vagina to view the cervix, the physician threads heavy suture material around the cervix using purse-string sutures. The sutures are pulled tight to make the opening smaller and prevent spontaneous abortion. What are the procedure and diagnosis codes?

A. 57700, O34.30

B. 59320, O34.30

C. 59325, N88.3

D. 59899, N88.3

10. 67-year-old female having urinary incontinence with intrinsic sphincter deficiency is having a cystoscopy performed with a placement of a sling. An incision was made over the mid urethra dissected laterally to urethropelvic ligament. Cystoscopy revealed no penetration of the bladder. The edges of the sling were weaved around the junction of the urethra and brought up to the suprapubic incision. A hemostat was then placed between the sling and the urethra, ensuring no tension. What code should be used for this procedure?

A. 57288

B. 57287

C. 52000, 57288

D. 52000, 51992

11. Alex suffered several injuries to his upper leg muscles and penis when he fell onto the bar of his touring bicycle. The day of the accident, Dr. Green completed muscle repair surgery to Alex’s upper legs. Today, three days after the leg surgeries, Dr. Green took Alex back to the operating suite to complete an unrelated repair to the penis. Dr. Green completed a plastic repair to correct the penal injury. What code(s) would capture today’s procedure?

a. 54440-79

b. 27385, 54440-59

c. 27393, 54620-79

d. 54440-26

12. A 30-year-old disabled Medicare patient is scheduled for surgery due to the finding of what looks like an ovarian mass on the right ovary. On entering the abdomen, the surgeon finds an enlarged ovarian cyst on the right, but the ovary is otherwise normal. The left ovary is necrotic looking. The decision is made, based on the patient’s age, to remove the cyst from the right ovary, but performs a left salpingo-oophorectomy. Code this encounter.

A. 58720-RT, 58925-LT

B. 58925-RT, 58720-51-LT

C. 58925, 58720-50

D. 58720, 58925-51

13. A 98-year-old Medicare patient diagnosed with prostate cancer is seen in the OR for a retropubic radical prostatectomy. What are the correct procedure, anesthesia, and diagnosis codes for this scenario?

a) 55831, 00865, 99100, C61

b) 55831, 00865, D49.519

c) 55840, 00865, 99100, D49.519

d) 55840, 00865, 99100, C61

14. Diagnosis:  Bulbar urethral strictures
Procedure:  Cystoscopy and dilation of urethral stricture.
Medical Necessity:  A very pleasant 36 year-old male with post void hematuria.
Description:  A 17 French cystoscope was introduced in the patient's urethra up to the level of the stricture, but I was unable to pass the urethral stricture with a Super Stiff wire, so I first passed over the Glidewire, removed the cystoscope, placed a Pollock catheter over the Glidewire, and exchanged the Glidewire for a Super Stiff wire. We then removed the Pollock catheter leaving the Super Stiff wire in place as our safety wire. I dilated the patient's urethra to 26 French without difficulty. We reintroduced the cystoscope and noted ablation of the stricture.  No masses were noted within the bladder. What CPT® code(s) is/are reported for this service?

a) 53605

b) 53620

c) 52281

d) 52000, 53605

15. Patient is a 67 year-old male with chronic orchialgia following a right inguinal hernia repair. He is admitted for scrotal exploration and simple orchiectomy. The patient is brought to the operating room and placed supine on the operating table in.  After adequate anesthesia was accomplished, he was prepped and draped in the usual sterile fashion; 0.25% Marcaine plain was infused in the skin along his median rhaphe and a 4cm median rhaphe incision was made. We dissected into his right hemiscrotum and identified his right testis which was small and atrophic. The spermatic cord was identified and separated into 2 sections each section was double tied with #1 silk suture. The testis was then transected from the spermatic cord, distal to the sutures and no bleeding was noted from the stump of the spermatic cord. Scrotal skin was closed in two layers, the first layer with a running stitch of 3-0 Monocryl and the second was a 3-0 chromic in the horizontal mattress.  Dermabond was applied over the incision. He was extubated and taken to the recovery room in good condition. What CPT® code(s) is/are reported for this service?

a) 54520

b) 54530

c) 54522

d) 54520, 12044

16. The patient is a 68 year-old male with a recent history of urethral stenting.  He had a catheter placed and had subsequent bleeding. His catheter has become clogged off multiple times and CT scan shows a large clot within the urinary bladder. Informed consent was obtained. Preoperative antibiotics were administered. The patient was brought to the operating room, given a general anesthetic and prepped in the usual fashion. His urethra was intubated with a resectoscope sheath.  He had a normal urethra, extremely large prostate gland. His bladder was full of clots. These were evacuated. Approximately 250mL of thick dark old clot was evacuated. After the clot was cleared there was apparently a normal bladder with no evidence of any tumors. The prostate was extremely large, and there was some bleeding from the surface. A large Coude tip 24 French hematuria catheter was then placed for continuous irrigation and there was a light pink result. The patient did well throughout the procedure. What CPT® code is reported for this service?

a) 52214

b) 52005

c) 52001

d) 52400

17. A 58 year-old man with an enlarging right hydrocele is here for surgical repair. He is taken to the operating room where the hydrocele was enucleated from the skin in dartos fashion and delivered into the wound. It was skeletonized at the equator and then was opened and drained. Excess hydrocele sac tissue was excised with electrocautery. It was then wrapped backward around the spermatic cord and sewn there so it would not reform. There were a few pockets also opened up and skeletonized. The testicle was replaced in the scrotum. What CPT® code is reported for this service?

a) 55040-RT

b) 55041-RT

c) 55100-RT

d) 55000-RT

18. Removal of a malfunctioning AMS 700 inflatable penile prosthesis and all components and implantation of an inflatable multi-component AMS Tambocor 14 mm diameter 15 mm length with 2 cm rear tip extender bilaterally in the same surgery session. What CPT® code is reported for this service?

a) 54408

b) 54411

c) 54410

d) 54406

19. Patient is a sweet 2¹/₂^- year-old boy with meatal stenosis. Patient is brought to the operating room and placed supine on the operating room table.  After adequate general endotracheal anesthesia was accomplished, he was prepped and draped in the usual sterile fashion.  A clamp was placed just inferior ventrally to his stenotic meatus after the dorsal penile block had been administered. We then cut the clamped area to allow for a widely spatulated urethral meatus. Skin edges were approximated and patient was sent to the recovery room in good condition. What CPT® code is reported for this service?

a) 54161

b) 53400

c) 53020

d) 53410

20. Patient is a 68 year-old male admitted for left flank nephrectomy with partial ureterectomy. He has left renal atrophy and chronic renal inflammation. The pathology report reveals marked glomerulosclerosis, chronic inflammation of the kidney, renal pelvis and ureter. What CPT® and ICD-10-CM codes are reported for this service?

a) 50220-LT, N26.9, N28.89

b) 50230-LT, N03.9, N26.9

c) 50220-LT, N05.1, N29

d) 50230-LT, N00.9, N26.9

21. Preoperative Diagnosis: Lower left inguinal pain Postoperative Diagnosis: Inguinal hernia Procedure: This 30-year-old patient presented with lower left inguinal pain and on examination was found to have a left inguinal hernia. The decision to perform a left inguinal hernia repair was made. The procedure was performed in the outpatient hospital surgery center. Risks and benefits of the surgery were discussed with the patient and the patient decided to proceed with the surgery. A skin incision was placed at the umbilicus where the left rectus fascia was incised anteriorly. The rectus muscle was retracted laterally. Balloon dissector was passed below the muscle and above the peritoneum. Insufflation and deinsufflation were done with the balloon removed. The structural balloon was placed in the preperitoneal space and insufflated to 10 mm Hg carbon dioxide. The other trocars were placed in the lower midline times two. The hernia sac was easily identified and was well-defined. It was dissected off the cord anteromedially. It was an indirect sac. It was taken back down and reduced into the peritoneal cavity. Mesh was then tailored and placed overlying the defect, covering the femoral, indirect, and direct spaces, tacked into place. After this was completed, there was good hemostasis. The cord, structures, and vas were left intact. The trocars were removed. The wounds were closed with 0 Vicryl for the fascia, 4-0 for the skin. Steri-Strips were applied. The patient was awakened and carried to the recovery room in good condition, having tolerated the procedure well. What are the correct procedure and diagnostic codes?

a) 49505-LT, K40.90

b) 49505-LT, 49568, K40.91

c) 49507-LT, K40.11

d) 49501-LT, 49568, K40.90

22. A 22 year-old female has a retained Kirschner wire in the left little finger. Using local anesthesia, the left upper extremity was thoroughly cleansed with Betadine. The end portion of the little finger was opened with a transverse incision through the subcutaneous tissue to the bone. The retained Kirschner wire was located within the distal phalanx. It was removed and the skin was closed with sutures.  What CPT® code is reported?

a. 20670-F4

b. 20680-F4

c. 10121-F4

d. 10120-F4

23. A 14 year-old status post injury over one year ago to her left wrist presented with recurrent wrist pain. The patient was taken to the operating room and placed under general anesthesia. She was placed in wrist traction. The radiocarpal joint was entered endoscopically through sharp skin incisions and blunt dissection into the joint. There was found to be mild synovitis in the dorsal ulnar aspect of the wrist. This was debrided arthroscopically with a shaver. There was a peripheral tear of the triangular fibrocartilage. This area was shaved to promote healing. Using outside-in technique, a PDS suture was placed across the TFCC and into the capsule. There was synovitis within the midcarpal joint, but there was no articular injury. All instruments were removed and the wounds were closed with interrupted nylon sutures. What CPT® code(s) is /are reported?

a. 29847-LT

b. 29846-LT

c. 29846-LT, 29844-LT

d. 29846-LT, 29845-LT

24.A patient presents for esophageal dilation. The physician begins dilation by using a bougie. This attempt was unsuccessful. The physician then dilates the esophagus transendoscopically using a balloon (25mm). What CPT® code(s) is/are reported?

a. 43220

b. 43450-53, 43220

c. 43450, 43220

d. 43220, 43450-52

25. A 52-year-old patient had a right breast reconstruction with free flap. The surgeon used a microsurgical technique requiring an operating microscope. How would you report this procedure?

a. 19364-RT, 69990

b. 19357

c. 19361, 69990

d. 19364-RT

26. Report the appropriate anesthesia code(s) for a patient who had general anesthesia for a total shoulder replacement. At the surgeon's request, the anesthesiologist placed a brachial plexus continuous catheter for postoperative pain management. The day after surgery, the patient was seen by the anesthesiologist for follow up care. What are the correct codes for this encounter?

a. 01630, 64416-59, 01996

b. 01638, 64415-59

c. 01638, 64415-59, 01996

d. 01638, 64416-59

27. Code proximal subtotal pancreatectomy, with total duodenectomy, partial gastrectomy, choledochoenterostomy, and gastrojejunostomy, with pancreatojejunostomy. What CPT® code is reported?

a. 48150

b. 48152

c. 48153

d. 48154

28. A 43-year-old male has a chronic posterior anal fissure. The posterior anal fissure was excised down to the internal sphincter muscle. Which CPT® code is reported?

a. 46200

b. 46261

c. 46270

d. 46275

29. A 55-year-old patient underwent a repair of an initial left inguinal hernia. An incision was made at the groin. A hernia sac was readily identified and cleared from the surrounding tissue, inverted into the preperitoneal space, and plugged. Mesh was tacked to the surrounding muscle layers and then placed over the entire floor. What CPT® code(s) is/are reported?

a. 49500-LT

b. 49505-LT

c. 49505-LT, 49568

d. 49650-LT, 49568

30. A patient with a third-degree burn of 54% of his body is being treated under anesthesia for excision, debridement, and extensive skin grafting. The patient’s condition is listed as severe, and he is not expected to survive without the operation. The operation is further complicated by the emergency condition of the patient, and delaying this procedure could lead to loss of body parts. How should the anesthesiologist report her services with this procedure?  

a) 01952-P5, 01953-P5 x 4, 99140

b) 01952-P5, 01953-P5

c) 01951, 01952, 01953 x 4

d) 01951, 01952, 01953 x 5, 99140-51

31. Code for the anesthesia portion of both the harvesting and the moribund (near-death) recipient of a liver.

a) 01990, 00796

b) 01990-P6, 00796-P5

c) 00794, 01190

d) 01199-P5, 00794-P6

32. A 38-week-pregnant woman presents to the hospital in labor. She is dilated four centimeters, is 50 percent effaced, and wants to have the baby vaginally. The woman is given an epidural for the pain.Twenty hours later she is still only dilated to six centimeters. The physician decides that a cesarean delivery is now necessary. She is taken to the OR, given anesthesia for the cesarean, and delivers a healthy baby boy. Which CPT code(s) should be reported for the anesthesia administered?

a) 01960,

b) 01960, 01961

c) 01967, 01968

d) 01968

33. An 88-year-old male patient suffering from dementia accidentally pulled out his gastrostomy tube during the night. Dr. Keys, an interventional radiologist, takes him into an angiography suite, administers moderate sedation (an independent observer was present during the procedure), probes the site with a catheter and injects contrast medium for assessment and tube placement. Dr. Keys finds that the entry site remains open and replaced the tube into the proper position. The intra-service time for the procedure took 45 minutes. How would Dr. Keys report his services?

a) 49440, 99156, 99157

b) 49440, 49450-59            

c) 49450, 99152, 99153*2

d) 49450

34. Preoperative Diagnosis: Chronic tonsillitis. Chronic adenoiditis. Postoperative Diagnosis: Same.

Procedure: Tonsillectomy and adenoidectomy. Patient is a 24-year old male who was taken to the operating room and put under IV sedation by the anesthesia department. An initial curettage of adenoids was done and packing was placed. The left tonsil was then identified and dissected out extracapsular and removed with scissors. Hemostasis was maintained by packing the left tonsil. Next, the right tonsil was identified and incision was made. Dissection was done extracapsular and the right tonsil was then removed. Both the right and left tonsil were sent as specimens as well as adenoid tissue. What are the procedure and diagnosis codes.

a) 42826, 42831-59, J35.02

b) 42826, 42831-51-59, 42809, J35.03

c) 42821-50, 42809-59, J35.02

d) 42821, J35.03

35. A patient underwent a laparoscopic repair of a paraesophageal hernia with fundoplasty with

implantation of mesh. During the procedure, a laparoscopic esophageal lengthening was completed. Which codes capture this procedure?

a) 43327, 43282-59

b) 43333, 43283-51

c) 43281, 43282-59, 43283-51

d) 43282, 43283

36. Patient is going into the OR for an appendectomy with a ruptured appendicitis with gentralized peritonitis. Right lower quadrant transverse incision was made upon entry to the abdomen. In the right lower quadrant there was a large amount of pus consistent with a right lower quadrant abscess. Intraoperative cultures anaerobic and aerobic were taken and sent to microbiology for evaluation. Irrigation of the pus was performed until clear. The base of the appendix right at the margin of the cecum was perforated. The mesoappendix was taken down and tied using 0-Vicryl ties and the appendix fell off completely since it was already ruptured with tissue paper thin membrane at the base. There was no appendiceal stump to close or to tie, just an opening into the cecum; therefore, the appendiceal opening area into the cecum was tied twice usingfigure of 8 vicryl sutures. Omentum was tacked over this area and anchored in place using interrupted 3-0 Vicryl sutures to secure the repair. What CPT and ICD-10-CM codes should be reported?

a) 44950, K35.3

b) 44960, 49905, K35.2

c) 44950, 49905, K35.2

d) 44970, K37

37. Incidental appendectomy during an intra-abdominal surgery does not usually warrant a separate identification. If it is necessary to report a separate identification, what modifier should you add?

a) 52

b) 59

c) 51

d) 57

38. What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y reconstruction with vagotomy?

A. 43634, 43635

B. 43633, 43635

C. 43633, 43640-51

D. 43621, 43635

39. What CPT® and ICD-10-CM codes represent the creation of an opening into the stomach to insert a feeding tube for nutritional support in an adult patient with proximal esophageal carcinoma due to alcohol dependence?  A gastric tube was not created.

A. 43831, D49.0, F10.10

B. 43653, C15.9, F10.20

C. 43870, C15.8, F10.99

D. 43830, C15.3, F10.20

40. A patient is seen in the gastroenterologist’s clinic for a diagnostic colonoscopy. When performing the service, the physician notes suspicious looking polyps and removes three using a snare technique to send to pathology for further testing.  What is/are the correct CPT® code(s) to report?

A. 45378, 45380-51

B. 45378, 45385-51

C. 45385

D. 45380

41. A 45 year-old patient with liver cancer is scheduled for a liver transplant. The patient’s brother is a perfect match and will be donating a portion of his liver for a graft.  Segments II and III will be taken from the brother and then the backbench reconstruction of the graft will be performed, both a venous and arterial anastomosis. The orthotopic allotransplantation will then be performed on the patient. 

What CPT® codes are reported?

A. 47141, 47146, 47399

B. 47141, 47146, 47135

C. 47140, 47147, 47146, 47399

D. 47140, 47146, 47147, 47135

42. Operative Report: Excision lesion on right shoulder, 2.5 x 1.0 x .5 cm. The 3 cm defect was closed in layers. Excision, skin of left cheek, 1.0 x 1.0 x .5. 1.5 cm laceration was closed primarily. Pathology report states that the skin lesion on the right shoulder is a lipoma and the lesion on the left cheek is a squamous cell carcinoma.

a) 11641, 11403-51, 12032-51

b) 11403, 11441-51

c) 11603, 11641-51, 12031-51

d) 11643, 12031-51

43.A patient had a unilateral percutaneous intradiscal electrothermal annuloplasty on L3-L5 with fluoroscopic guidance for needle placement. How would you report this professional service procedure?

a) 22526, 22527

b) 77002-26

c) 22899, 77002-51

d) 22526, 22527, 77003-26

44.Postoperative Diagnosis: Calculi of the gallbladder Procedure: Removal of gallbladder Indications: The patient is a 40-year-old woman who has a six month history of RUQ pain, which ultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder. Procedure: The patient was brought to the OR and prepped and draped in a normal sterile fashion. After adequate general endotracheal anesthesia was obtained, a trocar was placed and CO2 was insufflated into the abdomen until an adequate pneumoperitoneum was achieved. A camera was placed at the umbilicus and the gallbladder and liver bed were visualized. The gallbladder was enlarged and thickened, and there was evidence of chronic inflammatory changes. Two additional ports were placed and graspers were used to free the gallbladder from the liver bed with a combination of sharp dissection and electrocautery. Several attempts were made before it was decided that additional exposure was needed and I converted to an open approach. The trocars were removed and a midline incision was made. At this time, it was clear that there were multiple adhesions in the area, and once these were carefully taken down, we were able to grasp the gallbladder. The cystic duct was carefully ligated and the gallbladder carefully removed from the field. The area was copiously irrigated, and a needle biopsy of the liver was taken. Then the skin was reapproximated in layers. Sponges and needle counts were correct, and the patient was taken to the recovery room in good condition.

A. 47600-22

B. 47600-22, 47001

C. 47562, 47600-22, 47001

D. 47562-22, 47000

45. A patient with rectal bleeding undergoes a proctosigmoidoscopy. During the proctosigmoidoscopy, the physician identifies internal hemorrhoids. The proctoscope was withdrawn, and the anus was prepped and draped. A field block with Marcaine 0.25% was then placed. Anoscope was inserted. There was a prolapsing hemorrhoid in the anterior midline. This was rubber band ligated by applying two bands. In the posterior midline, there was another hemorrhoid that was banded in the same manner. Code the procedures.

a) 46221, 45300-51, 46600-51

b) 46221, 45300-51

c) 46945, 45300

d) 45300-51, 46600-51

46. A patient underwent an EGD with transendoscopic ultrasound-guided transmural fine needle aspiration. How should you code this procedure?

a) 43242, 76942-26

b) 43242

c) 43235, 43238-59

d) 43235, 43242-51, 76942-26

47.A patient underwent an enterectomy in the small intestine with four resections and anastomoses. How should you report this type of procedure?

a) 44130

b) 44120 x 4

c) 44111

d) 44120, 44121 x 3

48. A doctor performs an open procedure of ankle arthrodesis for a patient with ankle arthritis. After arthrodesis, the doctor fits a small bone graft obtained from the fibula into the ankle. Code this procedure.

a. 27870, 20900

b. 27870, 20900-51

c. 27860

d. 27860, 20900

49. Anesthesia is performed for a laryngoplasty with open reduction of fracture of a 45 day old infant. Because of the child’s age and small size, the procedure took more time than on older child.

a. 31584, 00326

b. 31584, 00326, 99100

c. 31584, 00326-22

d. 31584, 00320, 99100

50. A healthy 45-year-old is having a needle thyroid biopsy. The anesthesiologist begins to prepare the patient for surgery at 09.00. The surgery begins at 09.15 and ends at 09.45. The anesthesiologist turns over the care of the patient to the recovery room nurse at 10.00. What is the appropriate anesthesia code and what is the anesthesia time?

A. 00320, one hour

B. 00320, 45 minutes

C. 00322, 45 minutes

D. 00322, one hour