CPC Chapter 8- Musculoskeletal System

Question 1

Discectomy: Patient presents for a C4-C5 anterior cervical discectomy with artifical disc replacement using a Synthes Prodisco-C large 5 mm inplant. Code all services

A. 22861
B. 63075
C. 22554
D. 22856

Answer 1

D. 22856

Question 2

Lipoma Excision: Patient presents with a neck mass to be excised. The neck mass was palpated and an incision was then made and carried down through the dermis with electrocautery. The subcutaneous tissue of the skin was opened encountering an organized mass with a benign appearance of a lipoma. Using careful blunt and sharp dissection, the mass measuring 4 cm was completely excised around its entire circumference leaving the capsule intact. The mass was removed from its posterior attachments using electrocautery.

A. 11626
B. 21552
C. 11426
D. 21555

Answer 2

B. 21552

Question 3

Removal of Implant: A patient presents with a healed fracture of the right ankle. A small incision about 1 cm long was made in the previous incision that placed the screws all the way to the bone, The lower screws were removed. Another small incision was made just lateral about 1 cm long. The upper screws were removed from the plate. Both wounds were thoroughly irrigated with copious amounts of antibiotic containing saline. Skin was closed in a layered fashion and steril dressing applied. Code all services.

A. 20670- RT
B. 20680-RT
C. 20680-RT, 20670-59-RT
D. 20680-RT, 20680-59-RT

Answer 3

B. 20680-RT

Question 4

Trigger Point Injection: Patient presents with right-sided thoracic myofascial pain. A 25 gauge 1.5 inch needle on a 10 cc controlled syring with 0.25% bupivacaine was used. After negative aspiration, 2 cc were injected into each trigger point. A total of four trigger points were injected. A total of 8 cc of bupivacaine was used on the rhomboid major and rhomboid minor muscles. Code all services.

A. 20553
B. 20552, 20553-51
C. 20550 x 4
D. 20552

Answer 4

D. 20552

Question 5

Vertebroplasty: Patient present for fluoroscopically-guided percutaneous unipedicular vertebroplasty of subacute T6 vertebral body compression fracture and subacute T11 vertebral body compression fracture.

A. 22513
B. 22510, 22512
C. 22101
D. 22532, 22534

Answer 5

B. 22510, 22512

Question 6

Patient presents for a muscle biopsy. After a local anesthetic a small bore needle is then inroduced through the skin into the muscle, about 3 inches deep, and a muscle biopsy is taken. What is the correct CPT code?

A. 20205
B. 20206
C. 20225
D. 27324

Answer 6

B. 20206

Question 7

A 4 year-old is seen in the ER as she cannot bend her right arm after her older brother pulled on her arm while playing. The physician looks at the X-rays and makes a diagnosis of dislocated nursemaids elbow. The ER physician reduces the elbow successfully. The patient is able to move her arm again. What CPT code is reported?

A. 24565-54
B. 24600-54
C. 24640-54
D. 24560-54

Answer 7

C. 24640-54

Question 8

Patient is having a right index trigger finger repair. An incision was made over the A1 pulley in the right distal transverse palmar crease, about an inch in length. This is taken through the skin and subcutaneous tissue. the A1 pulley is identified and released in its entirety. The wound is irrigated with antibiotic saline solution. The subcutaneous tissue is injected with Marcaine without epinephrine. The skin is closed with 4-0 Ethilon sutures. Clean dressing is applied. What is the correct CPT code?

A. 26055-F6
B. 20553-F6
C. 20552-F6
D. 26020-F6

Answer 8

A. 26055-F6