1. A surgeon
started with a diagnostic thoracoscopy. During the same surgical session she
completed a surgical thoracoscopy to control a hemorrhage. How would you report
this procedure?
a. 32601
b. 32601,
32654-59
c. 32505
d. 32654
2. A patient is
brought from an MVA to the ER with multiple fractured ribs, labored breathing,
and complaints of chest pain and palpitations. In the ER the thoracic surgeon
performs a tube thoracostomy with some relief of the patient’s most severe
symptoms. Several tests are run and radiographs taken. What is the correct
code?
A. 32100
B. 32555
C. 32554
D. 32551
3. A sinus
endoscopy with tissue removal from the sphenoid sinus was performed. The
correct CPT® code is:
A. 31287
B. 31288
C. 31235
D. 31050
4. Surgeon
performed radical maxillary sinusotomy with removal of antrochoanal polyps,
bilaterally. The correct CPT code is,
a) 31020-50
b) 31030-50
c) 31032-50
d) 31050-58
5. Patient with
congenital cleft palate underwent rhinoplasty with columellar lengthening,
including the septum and tip.
a) 30410
b) 30462-50
c) 30462
d) 30460-50
6. A patient with
diagnosis of larynx fracture. The physician did operative laryngoscopy with
removal of chicken bone fragment with the help of operating microscope.
a) 31531
b) 31531, 69990
c) 31531-22
d) 31530, 69990
7. A patient
underwent single-lung transplant with cardiopulmonary bypass employed during
the procedure.
a) 32852
b) 32854
c) 32853
d) 32851
8. Select the
codes for exploration with a flexible fiberoptic bronchoscope with
transbronchial lung biopsy and washing from a LUL mass and bronchial brushings
from a RLL mass.
a) 31622,
31623-50, 31628-51
b) 31628,
31623-51
c) 31625
d) 31625-50
9. What is the
CPT code(s) for a segmentectomy of the right lung and a wedge resection of the
left lung due to bacterial infection?
a) 32484-50
b) 32505-LT,
32484-RT
c) 32440-RT,
32484-LT
d) 32486-RT,
32505-LT
10. A patient
suffering from chronic inflammation of the maxillary sinus underwent a surgical
endoscopic transnasal balloon dilation procedure to restore normal sinus
function. During this procedure, maxillary antrostomy with removal of tissue
was completed. How should you report these procedures?
a) 31295
b) 31267,
31295-59
c) 31295,
31256-59, 31267-59
d) 31297
11. Dr. Walters
performed a subsequent thoracocentesis of the pleural cavity for aspiration
with needle fluoroscopic guidance. Which codes should Dr. Walters report for
his professional services?
a) 32554
b) 32555
c) 32556
d) 32557
12. Alicia is 20
months old and suffering from chronic inflammation of the trachea, which is
causing difficulty in breathing. Dr. Marion inserted a planned incisional
tracheal trachea for Alicia. This procedure was completed under general endotracheal
anesthesia. The patient tolerated the procedure well and was returned to the
recovery room in stable condition. How should Dr. Marion report this procedure?
a) 31610
b) 31601
c) 31830
d) 31615
13. A patient
underwent a recurrent destruction of the laryngeal nerve for therapeutic
purposes. How would you report this procedure?
a) 31595
b) 31599
c) 31595,
64681-59
d) 64642,
31599-59
14. A patient
underwent anterior and posterior ethmoidectomy and sphenoidotomy with removal
of polyp.
a) 31254, 31287
b) 31255, 31287
c) 31254, 31288
d) 31255, 31288
15. What would
you report for anterior and posterior ethmoidectomy and sphenoidotomy with
removal of polyps, with frontal sinus exploration and antrostomy?
a) 31255, 31256,
31287
b) 31255, 31256,
31288, 31276
c) 31254, 31256,
31287, 31276
d) 31255, 31256,
31276
16. The surgeon
performs a high thoracotomy with resection of a single lung segment on a
57-year-old heavy smoker who had presented with a six-month history of right
shoulder pain. An apical lung biopsy confirmed lung cancer. Code the encounter
for surgery.
a) 32100
b) 32484
c) 32503
d) 19271, 32551
17. Code a
diagnostic bronchoscopy and a repeat therapeutic bronchoscopy with aspiration
of tracheobronchial tree.
a) 31622,
31646-51
b) 31645
c) 31622,
31629-51
d) 31645,
31622-51
18. A 43-year-old
female was seen in the emergency room with severe epistaxis. She said this is a
common occurrence for her during the really cold dry months of winter.
Extensive bilateral anterior cautery and packing is required to control the
hemorrhage.
What code is
reported for the procedure (do not code the E/M).
a) 30901-22
b) 30903-50
c) 30905
d) 30903
19. Patient’s
nose was hit with a baseball during a high school baseball game. At that time
reconstruction was performed, with local grafts. Patient returns now as an
adult, discontent with bony prominence along the bony pyramid and flat look of
the tip of the nose. Patient underwent major repair with osteotomies and nasal
tip work. Choose the correct CPT code(s) to report the procedure(s) performed.
a) 30410
b) 30435
c) 30450
d) 30462
20. Patient
underwent bilateral nasal/sinus diagnostic endoscopy. Finding the airway
obstructed the physician fractures the middle turbinates and performs surgical
endoscopy with the total ethmoidectomy and bilateral nasal septoplasty.Choose
the correct CPT code(s) to report the
procedure(s) performed.
a) 30930, 31255,
30520-51
b) 31255-50,
30520-50-51
c) 31231, 30130,
31255-50
d) 31255, 30520
21. A patient
with recurrent pneumothoraces presents for chemopleurodesis. A thoracoscope is
inserted between the ribs and into the pleural space between the parietal and
pleural viscera 5g of sterile asbestos free talc was inserted. What is the
correct code for this service?
a) 32650
b) 32560
c) 32601, 32560
d) 32650, 32560
22. Procedure
codes related to the ethmoid sinus would be found under which of these CPT
ranges?
a) 30000-30999
b) 31000 – 31299
c) 31300 – 31599
d) 31600 – 31899
23. Patient is
40-year-old male who was involved in a motor vehicle crash. He is having some
pulmonary insufficiency. Procedure: Bronchoscope was inserted through the
accessory point on the end of the ET tube and was then advanced through the ET
tube. The ET tube came pretty close down to the carina. We selectively
intubated the right, main stem bronchus with the bronchoscope. There were some
secretions here, and these were aspirated. We then advances this selectively
into first the lower and then the middle and upper lobes. Secretions were
present, more so in the middle and lower lobes. No mucous plug was identified.
We then went into the left main stem and looked at the upper and
lowerlobes.There was really not much in the way of secretions present. We did
inject some saline and aspirated this out. We then removed the bronchoscope and
put the patient back on the supplemental O2, we waited a few minutes. The
oxygen level actually stayed pretty good during this time. We then reinserted
the bronchoscope and went down to the right side again. We aspirated out all
secretions and made sure everything was clear. We then removed the bronchoscope
and pulled back on the ET tube about 1.5 cm. We then again placed the patient
on supplemental oxygenation. Findings: No mucous plug was identified.
Secretions were found mainly in the right lung and were aspirated. The left
side looked pretty clear.
a) 31645, J98,
V87.7XXA
b) 32654, J98.4,
V87.7XXA
c) 31645, J98.4,
V89.2XXA
d) 31646, J98,
V89.2XXA
24. Performed:
Fiberoptic bronchoscopy with brushings and cell washings.Procedure: The patient
was already sedated, on a ventilator, and intubated; so his bronchoscopy was
done through the ET tube. It was passed easily down to the carina. About 2 to
2.5 cm above the carina, we could see the trachea, which appeared good, as was
the carina. In the right lung, however, had petechial ecchymotic areas
scattered throughout the airways. The tissue was friable and swollen, but no
mucous plugs were noted & all the airways were open ,just somewhat swollen
.No abnormal secretions were noted
at all. Brushings
were taken as well as washings including some with mucomyst to see whether we
could get some distal mucous plug ,but nothing was returned. The specimens were
sent to appropriate cytological & bacteriological studies.
a) 31622,31623-51
b) 31622
c) 31623
d) 31624
25. Roger had a
rhinoplasty to correct damage caused by a broken nose. One year later he had a
secondary rhinoplasty with major revisions. At the end of the second surgery
the incisions were closed with a single layer technique. How would you report
the second procedure?
a. 30450
b. 30450-78
c. 30420, 12014
d. 30430,
12014-59
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