An established patient presents to the office with a recurre…

An established patient presents to the office with a recurrence of bursitis in both shoulders. Previous injections have been given which provided relief. Examination is limited only to the shoulders in which range of motion is good and full, but he has tenderness in the subdeltoid bursa. Both shoulders injected in the deltoid bursa with 120mg Depo-Medrol. What CPT® code(s) is/are reported for this visit?

A 65-year-old male with a history of chronic glaucoma has pr…

A 65-year-old male with a history of chronic glaucoma has progressive optic nerve damage and elevated intraocular pressure. A clear corneal incision is made and viscoelastic material is injected into the anterior chamber over the lens to increase and maintain anterior chamber depth. The endoscope is inserted through the temporal incision to view the nasal ciliary processes, which is coagulated with the endpoint of shrinkage and whitening. The endoscope is moved in an arc, allowing treatment of the processes over an arc of 180° and a second corneal incision is made 90° away and 180° of ciliary processes are destroyed with laser therapy. The surgeon has completed coagulation of 270° of angle. The eye is reformed with balanced salt solution. Wounds are checked for leakage and sutures are placed to seal the wound. What CPT® code is reported?

A 45-year-old patient is scheduled to have an INFUSAID pump…

A 45-year-old patient is scheduled to have an INFUSAID pump installed. He has primary liver cancer and the pump is being inserted for continuous administration of 5-FU. A pocket is created just under the skin and the pump is placed in the pocket. A catheter is attached to the pump and to the subclavian vein. The pump is filled with a chemotherapy agent provided by the hospital and the patient is given his first treatment and observed for adverse reaction and discharged to home. What ICD-10-CM codes are reported?

A 4-year-old child is brought to the emergency department by…

A 4-year-old child is brought to the emergency department by his parents due to recurring stomach pain. The child’s pediatrician comes to the ED and decides he will perform a diagnostic procedure to identify the cause of the pain. The child is anxious and uncooperative, so the pediatrician decides to use moderate sedation to keep the child calm and still during the procedure. The pediatrician administers the sedation, and a nurse monitors the child’s vital signs throughout the procedure. The sedation lasts for 30 minutes. What CPT® coding is reported for the moderate sedation?

A 14-year-old status post injury over one year ago to her le…

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?