10.

16 9:16 PM
1 Percutaneous RF ablation of a renal tumor is defined by CPT code (surgical):

50250
50592
50593
49200

2 A patient underwent a complex cystometogram with bladder voiding pressure study

and a urethral EMG. What codes should you use to report the service?

51728, 51784-51
51725, 51785-51
51726, 51797-59
51728, 51784-59

3 Newborn male is scheduled for a circumcision. He is sterilely prepped and draped;

a penile nerve block is performed. The circumcision is performed by a ring device.
Hemostasis is achieved. Vaseline Gauze dressing applied. Patient tolerated the
procedure well. How would this encounter be coded?

54160
54150
54161, 64450
54150, 64450

4 Patient presents to the hospital with right urethral calculus. Patient is taken
to the operating room where a cystoscopy with ureteroscopy is performed to remove
the calculus

52353
52310
51065
52352

5 25-year-old female in the OR for ectopic pregnancy. Once the trocars were place a
pneumoperitoneum was created and the laparoscope introduced. The left fallopian
tube was dilated and was bleeding. The left ovary was normal. The uterus was of
normal size, shape and contour. The right ovary and tube were normal. Due to the
patient’s body habitus the adnexa could not be visualized to start the surgery. At
this point the laparoscopic approach was terminated. The pneumoperitoneum was
deflated, and trocar sites were sutured closed. The trocars and laparoscopic
instruments had been removed. Open surgery was performed incising a previous
transverse scar from a cesarean section. The gestation site was bleeding and all
products of conception and clots were removed. The left tube was grasped, clamped
and removed in its entirety and passed off to pathology. What code(s) should be
used for this procedure?

59150, 59120
59151
59121
59120

6 A patient with Bell’s palsy is unable to squint, blink, or close her left eyelid.
To protect the eye, Dr. Risser completes a temporary tarsorrhaphy with a Frost
suture technique. How would you report this procedure

67875-LT
67710-LT
67840-LT
67950-LT

7 The physician performs a right thyroid lobectomy. The patient was prepped and
draped. After adequate general anesthesia, the neck was incised on the right side
and sharp dissection was then used to cut down onto the strap muscles and
sternodcleidomastoid muscles. The strap muscles were separated and transected on
the right side. A small thyroid lobe was visualized and dissected free. There was
no evidence of a tumor. The wound was closed with 3-0 interrupted Vicryl for the
platysma, 4-0 Vicryl for the deep tissues and 6-0 fast absorbing gut for the skin.
Code the encounter

60252-RT
60210-RT
60220-RT
60260-RT

8 A four-year-old with chronic otitis media and fluid buildup in both ears was
admitted by her otolaryngologist for a bilateral tympanostomy. The procedure was
performed with placement of ventilating tubes. The procedure required general
anesthetic due to the patient’s age. Select the procedure code for this procedure

69420-50
69421-50
69433-50
69436-50

9 A 6-month-old patient required a bilateral subdural tap through a suture. How

would this initial procedure be reported?

61000
61001-63
61000-50
61020-63, 61000-50

10 Dr. Adams completed an anterior discectomy with decompression including

osteophytectomy to levels C3–C5.During the same session, he stabilized C3–C5 with
anterior cervical interbody fusion. For proper visualization, Dr. Adams used an
operating microscope during all phases of the procedure.How should Dr. Adams report
this procedure?

63075, 63078-51, 22551, 22554 x 2, 69990-51

63075, 63078-51, 22551 x 2, 69990-51
63075, 63076, 22554 x 2
63075, 63076, 22551, 22552