CPT Coding Problems SBS Chapters 19-30

closed treatment of a pelvic rim fracture; without manipulation (19)

open treatment of a closed traumatic anterior hip dislocation without fixation (19)

application of a shoulder-to-hip body cast (19)

closed treatment of a closed tarsal bone dislocation without anesthesia (19)

open treatment of a Le Fort I maxillary fracture (19)

removal of deep screws from a repaired fracture. (The screws are fization devices.) (19)

Costochondral cartilage graft (19)

aspiration of a shoulder joint (19)

Sunsequent removal of a short-arm cast by the physician who applied the cast (19)

surgical arthroscopy with lateral meniscus repair of the knee (19)

bronchoscopy with transbronchial biopsies of two lobes of the right lung (20)

Intranasal biopsy (20)

extensive bilateral removal of nasal polyps, performed in the hospital outpatient department (20)

excision dermoid cyst of the nose, complex (20)

instillation, via a catheter, of an agent for pleurodesis for malignant pleural effusion due to ovarian cancer (20)

carinal reconstruction for lung cancer, primary, malignant (20)

extrapleural resection of the ribs, all stages for deformed ribs, congenital (20)

total pneumonectomy due to occupational asbestos (20)

sinusotomy, sphenoid, without biopsy for acute sinusitis (20)

double lung transplant with cardiopulmonary bypass (20)

replacement aortic valve, with cardiopulmonary bypass, with prosthetic valve (21)

repair of a coronary arteriovenous fistula, without cardioulmonary bypass (21)

external electrical cardioversion (21)

CPR (Cardiopulmonary resuscitation) (21)

bypass graft of the common carotid-ipsilateral internal carotid artery using synthetic vein (21)

ligation of common iliac vein (21)

coronary artery bypass, single artery, for coronary atherosclerosis of native coronary artery in a transplanted heart (21)

repair of injury to intra-abdominal blood vessel, inferior vena cava, hepatic vein, with a vein graft (21)

repair of a traumatic arteriovenous fistula of a lower extremity (21)

repair of a patent ductus arteriosus by division on a 16- year -old patient (21)

drainage of an extensive lymphnode abcess. Pathology report indicated Staphylococcus (22)

Autologus bone marrow transplantation for a patient who has acute myelogenous leukemia that has not shown any signs remission (22)

partial splenectomy for a 3-year-old with sickle cell disease, Hb-C with crisis (22)

Harvesting of bone marrow for transplantation from a fathe for subsequent transplantation into the daughter. Report only the harvesting service. (22)

repair of laceration of diaphragm by means of abdominal approach (22)

excision of mediastinal cyst (22)

resection of diaphragm with simple repair (22)

preparation of stem (hematopoietic progenitor) cells for transplantation that included thawing of previously frozen cells and washing on the cells (22)

laparoscopic removal of the spleen (22)

A radiologist performs lymphoscintigraphy in the radiology department. A few hours later, the patient is taken into the operating room where the general surgeon injects blue dye into the internal mammary lymph node and then excises a sentinel lymph node. (22)

rigid esophagoscopy with removal of a foreign body (23)

ligation of an intraoral salivary duct (23)

transection of esophagus with repair of esophageal varices (23)

enterotomy of the small intestine for removal of a foreign body (23)

complicated revision of a colostomy (23)

frenotomy, labial (23)

removal of a foreign body from the pharynx (23)

partial colectomy with colostomy (23)

diagnostic abdominal laparoscopy (23)

biopsy of stomach by laparotomy (23)

endoscopy for resection of primary malignant renal pelvis tumor through an established stoma (24)

aspiration of a solitary, non-congenital renal cyst through percutaneous needle (24)

ureteroureterostomy performed for urinary tract obstruction (24)

transurethral incision of the prostate to treat benign hypertrophic prostatitis (24)

cystourethroscopy due to intermittent hematuria (24)

abdominal orchiopexy to release undescended intra-abdominal testes (24)

vasovasorrhaphy (24)

excision of Skene’s glands (24)

circumcision using clamp; routine (24)

a steroid injection for urethral stricture using a cystourethroscope (24)

dilation of the vagina under anesthesia (25)

plastic repair of a urethrocele (25)

labial adhesions lysis (25)

therapeutic amniocentesis with amniotic fluid reduction (25)

simple complete vulvectomy (25)

drainage of a cyst of the left ovary using the vaginal approach (25)

transposition of th eleft ovary (25)

cesarean deliver only (25)

bilateral wedge resection of ovaries (25)

marsupialization of Bartholin’s gland cyst (25)

incision and drainage of an infected thyroglossal duct cyst (26)

removal of a complete cerebrospinal fluid shunt system; without replacement (26)

suture of posterior tibial nerve (26)

lumbar sympathetic block (left) (26)

microdisection, microrepair ulnar digital nerve left middle finger (26)

placement of a dorsal column stimulator with implanted generator, with stereotactic stimulation of spinal cord (26)

epidural injection of a steroid, caudal (26)

craniotomy for drainage of an intracranial abscess; infratentorial (26)

re-operation, skull base surgery, repair of dura mater due to leak of CSF of middle cranial fossa; myocutaneous flap graft (26)

insertion of a cerebrospinal fluid ventriculoperitoneal shunt for hydrocephalus (26)

what is the add- on code for the coronary artery transcatheter placement during coronary intravascular brachytherapy for delivery of the radiation device? (28)

the modifier to indicate only the technical component was provided (28)

radiological examination of the eye for foreign body (28)

computed tomography of the thoracic spine (28)

complete four-view radiological examination of the wrist (28)

an established patient is seen in the clinic office complaining of severe headaches. To diagnose and treat the patient, the physician needs to identify a cause for these headaches. He performs an expanded problem focused history and examination and orders a CT scan of the head. The clinic radiologist performed the x-ray in which contrast was used. (28)

unilateral selective pulmonary angiography, supervision and interpretation. Report radiology service only. (28)

TMJ x-ray with mouth open and closed on one side of the mouth (28)

magnetic resonance spectroscopy for temporal meningioma, benign (28)

venography of unilateral extremity; radiological supervision and interpretation in a patient with end-stage renal disease on hemodialysis. Report radiology service only (28)

Bun (29)

Creatinine (29)

Sodium (29)

Potassium (29)

Uric Acid (29)

An 84 -year- old monitored for diagnoses of renal failure, anemia, and hypertension. Labs include Magnesium, Iron, Phosphorus, and Total Protein Serum. (29)

aA 48-year-old female patient with hyperlipidemia, currently on Lipitor. Labs include Hepatic Function and Lipid Panel (29)

A 20-year-old male in for labs due to chronic asthma. Labs include Theophylline (29)

A 55-year-old male in for labs, digoxin level for chronicle atrial fibrillation. Labs include Digoxin. (29)

CARDIAC ENZYMES in a patient newly diagnosed with an acute inferior myocardial infarction. CPK total, CKMB (creatine kinase, cardiac fraction), and Troponin-quantitative (29)

Three injections of allergen with the provision of the extract and professional service (30)

Two photo patch tests (30)

replacement of contact lenses (30)

patient is fitted for bifocal spectacles (30)

electro-oculography with interpretation and report (30)

optokinetic nystagmus test (30)

peritoneal dialysis with two (repeated) physician evaluations (30)

hypnotherapy (30)

training of a prosthetic arm, 45 minutes (30)

Administration of two vaccines (30)