A 63-year-old patient arrives for skin tag removal. As previ…

A 63-year-old patient arrives for skin tag removal. As previously noted at her last visit, she has 3 located on her face, 4 on her shoulder and 15 on her back. The physician removes all the skin tags with no complications. What CPT® code(s) is/are reported for this encounter?

A 40-year-old patient was complaining of continued shortness…

A 40-year-old patient was complaining of continued shortness of breath. A biopsy was performed on a mass located on his left lung and sent to pathology. Results from pathology revealed that she has lung cancer. Patient is scheduled today to remove the cancer. A VATS is performed in removing a wedge section of the lung. The What CPT® code is reported?

A patient with bone marrow cancer is coming in for chemother…

A patient with bone marrow cancer is coming in for chemotherapy. The following infusions are given concurrently: Medication Ordered Administered Route Start Date Start Time Stop Date Stop Time Duration Normal Saline 500 mL 500 mL 500 mL IV 3/25/XX 8:55 AM 3/25/XX 9:50 AM :55 min Azacitidine 170 mg 170 mg IV 3/25/XX 9:00 AM 3/25/XX 9:45 AM :45 min What CPT® coding is reported?

A qualified genetics counselor is working with a child who h…

A qualified genetics counselor is working with a child who has been diagnosed with fragile X syndrome. After extensive research about the condition, she meets with the parents to discuss the features of the disease and the child’s prognosis. The session lasted 45 minutes. What CPT® and ICD-10-CM codes are reported?

Margaret has a cholecystoenterostomy with a Roux-en-Y. Five…

Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for the subsequent services on this date of service? (The same surgeon took her back to the OR as the one who performed the original operation.)

Operative ReportPREOPERATIVE DIAGNOSIS: Squamous cell carcin…

Operative ReportPREOPERATIVE DIAGNOSIS: Squamous cell carcinoma, scalp.POSTOPERATIVE DIAGNOSIS: Squamous carcinoma, scalp.PROCEDURE PERFORMED: Excision of Squamous cell carcinoma, scalp with Yin-Yang flap repairANESTHESIA: Local, using 4 cc of 1% lidocaine with epinephrine.COMPLICATIONS: None.ESTIMATED BLOOD LOSS: Less than 5 cc.SPECIMENS: Squamous cell carcinoma, scalp sutured at 12 o’clock, anterior tipINDICATIONS FOR SURGERY: The patient is a 43-year-old male patient with a biopsy proven squamous cell carcinoma of his scalp measuring 2.1 cm. I marked the area for excision with gross normal margins of 4 mm and I drew my planned Yin-Yang flap closure. The patient observed these markings in two mirrors, to understand the surgery and he agreed on the location. We proceeded with the procedure.DESCRIPTION OF PROCEDURE: The area was infiltrated with local anesthetic. The patient was placed prone, his scalp and face were prepped and draped in sterile fashion. I excised the lesion as drawn to include the galea. Hemostasis was achieved with the Bovie cautery. Pathologic analysis showed the margins to be clear. I incised the Yin-Yang flaps and elevated them with the underlying galea. Hemostasis was achieved in the donor site using Bovie cautery. The flap rotated into the defect with total measurements of 2.9 cm x 3.2 cm. The donor sites were closed and the flaps inset in layers using 4-0 Monocryl and the skin stapler. Loupe magnification was used. The patient tolerated the procedure well.What CPT® and ICD-10-CM codes are reported?