CPT Flashcards
When can you NOT charge for splinting?
If the dislocation or fracture is treated (e.g manipulation or reduction)
Who develops and updates HCPCS?
Cms
Which level of three, is Cpt?
One
Who developed CPT?
The AMA
When coding an EGD through which anatomical location must the scope pass to bill for the full code?
Duodenum
During a colonoscopy, to which anatomical location must the scope advance to bill the full code?
The cecum
To report combined arterial venous graphs how many codes are necessary to report?
Two, the appropriate arterial graft code and the appropriate combined arterial venous graft code
True or false, procurement of the artery for grafting is included in the description of the work for code 33533 through 33536
True
When can the harvesting of an artery be reported separately?
When the artery is procured from an upper extremity
When a second consult as requested by the insurance or required what type of code is billed?
E/m. Consults are only billable when referred by physician
-add 32 mod
What is a missed abortion?
Loss of pregnancy in first trimester
What is PTCA
Percutaneous transluminal coronary angioplasty
When is PTCA not coded?
During stent placement; PTCA is included
What two things must be determined to code angioplasty
Site and whether open or Percutaneous
Another term for simple mastectomy
Transmastoid antrotomy
When is the application of casting or traction devices not separately billable?
During the first application
Also, when the fracture or dislocation is reduced
When is a diagnostic endoscopy coded?
Only if a surgical procedure was not done (no excision or ablation)
What is always included in a surgical endoscopy?
A diagnostic endoscopy
What must be determined first before coding a colonoscopy?
The route: colostomy, colotomy, or rectum
What should never be coded in conjunction with Cataract surgery?
Medication injections used with the surgery are always considered part of the procedure
True or false most cystourethroscopies are unilateral and require a 50 mod for bilateral
True
Codes 52320-52355 include the insertion and removal of what during cystourethroscopy intervention
A temporary stent
Where is the urethra located?
From the bladder to the outside of the body
Where is the ureter located?
Between the kidneys to the bladder
How would you code GI biopsy if a single lesion is biopsied but not excised?
Code only the biopsy
How many GI biopsies Are coded is multiple biopsies are taken from multiple lesions without excision?
Code 1 biopsy
When might you code for a biopsy and an excision during a G.I. procedure?
If a biopsy is taken from one site and the lesion is excised from another and the excision code does not indicate with or without biopsy
When might you use modifier 59 well coding a GI biopsy?
When coding both a biopsy and removal of a different lesion
Name four categories for coding hernias
Type (inguinal, femoral)
Initial or recurrent
Age
Clinical presentation (strangulated , reducible)
Superficial wound involving skin and or subcutaneous tissue and requiring simple suturing
Simple repair
Wound involving skin, subcutaneous tissues, and fascia and requiring layered closure or a single closure which requires intensive cleaning
Intermediate repair
Wound requiring reconstructive surgery or time-consuming or complicated closures
Complex
When is debridement coded separately?
When gross contamination requires cleaning
When appreciable amount of divide allies are contaminated tissue are removed
With debridement is carried out separately without primary closure
Where is lesion size best found?
The operative report
What is included in an adjacent tissue transfer?
Excision of tissue including lesions
What are the seven ways you can locate terms in the CPT indexed
Service/procedure, anatomic site/body organ, condition/disease/problem, synonym, eponym, abbreviation or acronym
True of false cholangiogram and cholangiography both refer to use of X-ray and dye
True
When coding a free skin graft what is the defect
The recipient site
What must be identified to cut a free skin graft
The size and location of the defect a.k.a. recipient area
What is an autograft?
When skin is harvested from a place on your own body called the donor site and transplanted to a recipient site
What is a homograft
The tissue graft from a donor of the same species as the recipient
What is an allograft
A tissue graft from a donor of the same species as the recipient but not genetically identical
What is a xenograft
A skin graft from one species to another
When is it excisional biopsy coated?
With the entire lesion with her benign or malignant is removed
What is Gyneomastia
In enlarged male breast due to endocrine disorder
Name the major deciding factor between a lumpectomy /mastectomy and an open excision of a breast lesion
Attention to surgical margins
True or false the open excision of a breast lesion without attention to adequate surgical margins is coded as a lesion excision
True
Excision of a lesion or mess with adequate attention paid to the surgical margins surrounding the mass or lesion would be considered and coded as what?
Partial mastectomy
More than one breast biopsies performed using the same imaging modality how would you code
Using an add on for the additional service even if in the contralateral breast
How should you code if an additional breast biopsy is performed using different imaging modalities
Report another primary code for each additional modality
True or false code 69990 , Operating microscope,should be added to a laryngoscopy
False operating microscope is included
What type of parking is used for a posterior nasal hemorrhage
Nasal stands, tampons, balloon catheters, or posterior packing
The use of gauze packing or interior packing or cauterization are signs of what type of nasal hemorrhage
Anterior
When might the wound exploration code 20100 through 20103 the used
Repair of a penetrating wound requires enlargement of the existing defect for exploration, cleaning, and repair
If a wound does not need to be enlarged to be repaired what series of codes would you use
Repair codes for integumentary system
What is STEMI
ST elevated myocardial infarction
What is the ST segment
From the end of the QRS complex to the beginning of the T-wave, I selected. Of time after ventricle contracts when the heart is without an electrical current
It is sometimes elevated on an ECG tracing during acute myocardial infarction
When a malignant or benign lesion is excised and requires an adjacent tissue transfer how do you code
Code only the adjacent tissue transfer the excision is not separately reportable
