A nursing facility patient develops an acute illness and is…

A nursing facility patient develops an acute illness and is seen by her attending physician.  He performs a detailed interval history and a detailed physical examination and performs medical decision making of moderate complexity.  What code should the physician use to report these services?

A 46 year old female had a previous biopsy that indicated po…

A 46 year old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck.  A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion.  Layered closure was performed after the removal.  The specimen was sent for permanent histopathologic examination.  What are the CPT code(s) for this procedure?

A patient presents to the ER with intractable nausea and vom…

A patient presents to the ER with intractable nausea and vomiting, along with abdominal pain that radiates into her pelvis.  the physician orders a CT scan of the abdomen, first without contrast and then followed by contrast, and a CT of the pelvis, without contrast.

The patient was brought to the suite.  After oral sedation,…

The patient was brought to the suite.  After oral sedation, the scrotum was prepped and draped.  1% lidocaine was used for local anesthesia.  The vas was identified, skin was incised, and no scalpel instruments were used to dissect out the vas.  A segment about 3cm in length was dissected out.  It was clipped proximally and distally, and then the ends were cauterized after excising the segment.  Minimal bleeding was encountered and the scrotal skin was closed with 3-0 chromic.  The identical procedure was performed on the contralateral side.  The patient tolerated the procedure well.  He was discharged from the surgical center in good condition with Tylenol with Codeine for pain.

A 79 year old male with symptomatic bradycardia and syncope…

A 79 year old male with symptomatic bradycardia and syncope is taken to the Operating Suite where an insertion of a DDD pacemaker will be performed.  After the anesthesiologist provided moderate sedation, the cardiologist performed a left subclavian venipuncture.  A guide wire was passed through the needle, and the needle was withdrawn.  A second subclavian venipuncture was performed, a second guide wire was passed and the second needle was withdrawn.  An oblique incision in the deltopectoral area incorporating the wire exit sites.  A subcutaneous pocket was created with the cautery on the pectoralis fascia.  An introducer dilator was passed over the first wire and the wire and dilator were withdrawn.  A ventricular lead was passed through the introducer, and the introducer was broken away in the routine fashion.  A second introducer dilator was passed over the second guide wire and the wire and dilator were withdrawn.  An atrial lead was passed through the introducer and the introducer was broken away in the routine fashion.  Each of the leads were sutured down to the chest wall with two 2-0 silk sutures each, connected the leads to the generator, curled the leads, and the generator was placed in the pocket.  We assured hemostasis.  We assured good position with the fluoroscopy.  What CPT code(s) is (are) reported by the cardiologist?