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PathologySpecimen site: Cervical biopsyPre-operative Diagnosis: Severe squamous dysplasia, consistent with CIN III (high-grade dysplasia)Gross description: Cervical biopsy: One fragment of gray-white tissue, measuring 0.5 centimeters in diameter. Totally submitted with a request for levels. Submitted request for stains.Microscopic description: Sections of the cervical biopsy show high-grade dysplasia, consistent with CIN III. No evidence of invasive malignancy is present.Select the appropriate ICD-10-CM and CPT code(s):

Urinary, Male/Female Reproductive Systems, Maternity/DeliveryGregory underwent a prostatomy for drainage of a complicated prostatic abscess. Select the appropriate ICD-10-CM and CPT code(s):

MedicineJim Jones is a 32-year-old from Maryland who was in town last week with ESRD. He was seen for four dialysis treatments this month. Select the appropriate ICD-10-CM and CPT code(s):

Urinary, Male/Female Reproductive Systems, Maternity/DeliveryA surgeon performs a ritualistic surgical circumcision on a 30 day old male. Select the appropriate ICD-10-CM and CPT code(s):

Integumentary SystemMrs. Jones is seen today for puncture aspiration of three cysts on the left breast and one on the right. The pathology report revealed cystic breast disease. Select the appropriate ICD-10-CM and CPT code(s):

Integumentary SystemPreoperative diagnosis: Morbid obesityPostoperative diagnoisis: Morbid obesityProcedure performed: Abdominal panniculectomyEstimated blood loss: Throughout the procedure, approximately 20 MlAnesthesia: General endotracheal anesthesiaIndications for procedure: This is a 49-year-old female who previously underwent gastric bypass surgery and has lost 120 pounds, leaving a large lower pannus of the abdomen. This pannus needs to be resected. The nonoperative versus operative management options were discussed with the patient. The operative risks included bleeding, infection, hematoma, chance for further surgery as well as pain, and a resulting scar. The patient accepted the risks and consented to surgery.Procedure in detail: The patient was placed under general endotracheal anesthesia. The patient was draped in the proper manner, and the lower abdominal pannus was identified. It was preoperatively marked prior to going to the OR. The lower incision was made from the superior iliac crest with the middle being the pubic tubercle. That lower incision was then made. The pass was then elevated at the level of the anterior abdominal fascia and was elevated superiorly to the level of the inferior umbilicus. Then incisions were made on the umbilicus to the superior iliac crest, and the skin and subcutaneous pannus was passed off table as a specimen. The wound was then made hemostatic with the use of electrocautery. JP drains were placed. The abdominal skin flap was then brought to the inferior skin flap and sutured in place with 2-0 Vicryl sutures at the dermal level. The drains were then secured, and then the skin was closed with running 3-0 Monocryl suture. The wound was further dressed with Steri-strips, gauze, and abdominal binder. The patient tolerated the procedure well. All needle and instrument counts at the end of the procedure were correct, and the patient was taken to PACU in good condition.Select the appropriate ICD-10-CM and CPT code(s):

DigestiveMrs. Jones presented with pain in the right upper quadrant. Upon a CT of the abdomen and an ultrasound of the gallbladder, a diagnosis of cholelithiasis and acute cholecystitis was confirmed, and the patient was taken to the operating room. The patient underwent a laparoscopic cholecystectomy with a normal intraoperative cholangiogram to remove the gallstones. Select the appropriate ICD-10-CM and CPT code(s):

Respiratory/CardiovascularPreoperative diagnosis: Left perihilar massPostoperative diagnosis: Left perihilar mass, mucosal abnormality in the posterior subsegment of the left upper lobeProcedure performed: Bronchoscopy, transbronchial lung biopsy and bronchial lung biopsy, brushing and washingAssistant: NoneAnesthesia: MACDescription of procedure: With the patient in the supine position, under monitored anesthesia care, the scope was introduced through the mouth, and the larynx and the laryngeal area were inspected. All of them were normal. The scope was then inserted through the trachea into the carina, which was sharp and clear. There was a moderate amount of thick-thin secretions that were suctioned through both right and left main bronchi. The scope was then directed into the right main bronchus, and then the right upper-lobe bronchus with its subsegments was inspected. All of them were normal. Right middle-lobe and right lower-lobe bronchi with their subsegments were also inspected and were normal. The scope was then directed into the left side, where the left main bronchus was normal. Left lower-lobe and middle-lobe bronchi with their subsegments were normal. The left upper-lobe bronchus, anterosuperior segment, showed an anterior subsegment to have a bulging in one of its subbronchi. Under fluoroscopy, biopsy forceps were inserted, and several pieces of lung tissue were obtained from the area of the left perihilar lesion. Then brushing was done in the same area. Washing was also done in the same area. Then, in a separate container, several pieces of bronchial tissue were taken from the area that was bulging, anterosuperior subsegment of the left upper-lobe bronchus. All specimens were submitted for cytology, pathology, and/or culture. The patient tolerated the procedure well, with no apparent complications. Chest x-ray is pending.Select the appropriate ICD-10-CM and CPT code(s):

Coding Guidelines/Compliance/Practice ManagementThe time associated with coding sequelae (late effects) is:

DigestiveA 45-year-old male with pancreatic cancer presents with a distended abdomen. The ultrasound reveals fluid in the peritoneal cavity. The patient undergoes a therapeutic paracentesis with ultrasound imaging guidance to drain the fluid. Select the appropriate ICD-10-CM and CPT code(s):