Category: Uncategorized

ABN stands for _____.

Mr. Flintstone is seen by his oncologist just two days after undergoing extensive testing for a sudden onset of petechiae, night sweats, swollen glands and weakness. After a brief review of history, Dr. B. Marrow re-examines Mr. Flintstone. The exam is documented and the medical decision making is of moderate complexity and takes 11 minutes. The oncologist spends an additional 45 minutes discussing Mr. Flintstone’s new diagnosis of Hodgkin’s lymphoma, treatment options and prognosis.What CPT® coding is reported?

A provider is performing an experimental cervical sympathectomy on a patient with Raynaud’s Syndrome. What CPT® and ICD-10-CM codes are reported?

In the ED, a 50-year-old male complains of severe bloating and stomach cramps, some nausea, vomiting, and diarrhea for the past four months. In the last three weeks, he has had pain in middle right side of his back which radiates around his rib cage as well as stomach gurgling with massive pain. After examination, the provider determines he has irritable bowel syndrome with diarrhea. What diagnosis code(s) is/are reported?

Sialography is an X-ray of the:

A patient is diagnosed with nuclear sclerotic cataract, right eye. She is taken to the operating room and a phacoemulsification with intraocular lens, right eye is performed. What CPT® code(s) is/are reported?

What is the correct HCPCS Level II code for parenteral nutrition solution amino acid, 3.5%?

What is the ICD-10-CM code for eyestrain?

PREOPERATIVE & POSTOPERATIVE DIAGNOSES:1. Macromastia.2. Back pain.3. Neck pain.4. Shoulder pain.5. Shoulder grooving.6. Intertrigo.NAME OF PROCEDURE:1. Right breast reduction of 1950 g.2. Right free-nipple graft.3. Left breast reduction of 1915 g.4. Left free-nipple graft.INDICATIONS FOR SURGERY: The patient is a 43-year-old female with macromastia and associated back pain, neck pain, shoulder pain, shoulder grooving and intertrigo. She desired a breast reduction. Because of the extreme ptotic nature of her breasts, we felt she would need a free-nipple graft technique. In the preoperative holding area, we marked her for this free-nipple graft technique of breast reduction. The patient observed these markings so she could understand the surgery and agree on the location, and we proceeded. The patient also was morbidly obese with a body mass index of 54. Because of this, we felt she met the criteria for DVT prophylaxis, which included Lovenox injection. The patient understood this would increase her risk of bleeding. She also made it known she is a Jehovah’s Witness and refused blood products, but she did understand her risk of bleeding would significantly increase and we proceeded.DESCRIPTION OF PROCEDURE: The patient was given 40 mg of subcutaneous Lovenox in the preoperative holding area. She was then taken to the operating room. Bilateral thigh-high TED hose, in addition to bilateral pneumatic compression stockings were used throughout the procedure. IV Ancef 1 g was given. Anesthesia was induced. Both arms were secured on padded arm boards using Kerlix rolls. A similar body Bair Hugger was placed. The chest and abdomen were prepped and draped in sterile fashion. I began by circumscribing around each nipple-areolar complex using a 42 mm areolar marker. On each side the free-nipple grafts were harvested. They were marked to be side specific and were stored on the back table in moistened lap sponges. Meticulous hemostasis was achieved using Bovie cautery. The tail of the apex of each breast was de-epithelialized using the scalpel. I amputated the inferior portion of the breast from the right side. Again, meticulous hemostasis was achieved using the Bovie cautery. There were also large feeder vessels divided and ligated using either a medium Ligaclip or 3-0 silk tie sutures. I then moved to the left and again amputated the inferior portion of the breast. Meticulous hemostasis was achieved using the Bovie cautery. Each of these wounds were temporarily closed using the skin stapler. The patient was then sat up. I felt we had achieved a very symmetrical result. The new positions for the nipple-areolar complexes were marked with a 42-mm areolar marker and methylene blue. The patient was then placed in the supine position and the new positions for the nipple-areolar complexes were de-epithelialized using the scalpel. Meticulous hemostasis was then achieved again using the Bovie cautery. The free-nipple grafts were then retrieved from the back table. They were each defatted using scissors and were placed in an on-lay fashion on the appropriate side, and each was inset using 5-0 plain sutures. Vents were made in the skin graft to allow for the egress of fluid on each side. A vertical mattress suture was used, tied over a piece of Xeroform in critical areas of each of the nipple-areolar complexes. A Xeroform bolster wrapped over a mineral oil-moistened sponge was affixed to each of the nipple-areolar complexes using 5-0 nylon suture. The vertical and transverse incisions were closed using 3-0 Monocryl, both interrupted and running suture, and 5-0 Prolene. The patient tolerated the procedure well. Again, meticulous hemostasis was achieved using the Bovie cautery. She was given another 1 g of Ancef at the 2-hour mark by our anesthesiologist, and was taken to the recovery room in good condition.What CPT® code is reported?

What type of print indicates new additions and revisions in the CPT® code book each year?