Category: Uncategorized

A 70-year-old male presents with localized edema in his legs. He has a history of hypertension and congestive heart failure and is currently on medication for both conditions. The provider ordered a complete venous duplex scan of his lower extremities. The femoral, superficial femoral, posterior tibial and popliteal veins were assessed. There was no evidence of thrombus. The study was normal. What CPT® and ICD-10-CM codes are reported?

A 60-year-old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initial visit. The patient has a constant cough due to smoking and some shortness of breath. No night sweats, weight loss, night fever, CP, headache or dizziness. She has tried patches and nicotine gum which has not helped. Patient has been smoking for 40 years and smokes 2 packs per day. She has a family history of emphysema. A limited three system exam was performed. Dr Lung discussed in detail the pros and cons of medications used to quit smoking. Total time spent with the patient was 32 minutes. Prescriptions for Chantix and Tetracycline were given. The patient to follow up in 1 month. A chest X-ray and cardiac work up was ordered. Select the appropriate CPT code(s) for this visit.

A patient’s mother and sister have been treated for breast cancer. She has blood drawn for cancer gene analysis with molecular pathology testing. She has previously received genetic counseling. Blood will be tested for full sequence analysis and common duplication or deletion variants (mutations) in BRCA1, BRCA2 (breast cancer 1 and 2). What CPT® code(s) is (are) reported for this molecular pathology procedure?

Patient has a suspicious lesion of the right axilla. The area was infiltrated with local anesthetic prepped and draped in a sterile fashion. With the use of a scalpel the 0.3 cm lesion that included the margins was excised and closed with 5.0 Prolene suture. Pathology report indicated this was a seborrheic keratosis. What CPT® and ICD-10-CM codes are reported?

A patient is positioned on the scanning table headfirst with arms at the side for an MRI of the thoracic spine and spinal canal. A contrast agent is used to improve the quality of the images. The scan confirms the size and depth of a previously biopsied leiomyosarcoma metastasized to the thoracic spinal cord. What CPT® and ICD-10-CM codes are reported?

A 50-year-old female presents to her provider with symptoms of insomnia and upset stomach. The provider suspects she is premenopausal. She is diagnosed with impending menopause. What diagnosis code(s) should be reported?

A patient with aphakia and anisometropia in the right eye undergoes surgery to implant a lens. An incision is made in the corneal-scleral juncture and a scleral tunnel is made. A partial vitrectomy is performed and the provider guides the intraocular implant into the eye pulling it into position by Prolene sutures. What CPT® code is reported?

MAZE procedure is performed on a patient with atrial fibrillation. The physician isolates and ablates the electric paths of the pulmonary veins in the left atrium, the right atrium and the atrioventricular annulus while on cardiopulmonary bypass. What CPT® code is reported?

After intravenous administration of 5.1 millicuries Tc-99m DTPA, flow imaging of the kidneys was performed for approximately 30 minutes. Flow imaging demonstrated markedly reduced flow to the kidneys bilaterally. What CPT® code is reported?

Mrs. Jones, G1P0, is diagnosed with polyhydramnios and is scheduled for amniocentesis to aspirate some of the excessive fluid from the amniotic sac. The amniocentesis is performed under ultrasound guidance. What is/are the code(s) for the procedure performed?