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Exam 2: Series

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Question 31

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A 15-year-old boy was pushed during a basketball game and landed face down, hitting the bottom bleacher with his nose. There was immediate swelling and bruising and the nose was displaced to the left. In the ER, the left nasal passage was not patent and the septum was deviated. The patient was taken to the operating room and closed treatment of the nasal fracture with stabilization was performed. Which code is correct for this procedure?

A) 21310
B) 21315
C) 21320
D) 21325

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Question 32

Multiple Choice

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The physician performed an arthroscopy of TMJ with biopsy of soft tissue. What is the appropriate CPT code?

A) 29800
B) 29804
C) 2970
D) 21010

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Question 33

Multiple Choice

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A pediatrician performed a lumbar puncture on a 2-day-old premature infant weighing 2.3 kg with possible meningitis. What is the correct code for this service?

A young man is undergoing a surgical laparoscopy to ligate the spermatic veins for a varicocele. What CPT code should be used for this procedure?

A 78-year-old woman fell going up her steps and landed on her outstretched right hand. She fractured her proximal humerus. Unfortunately, this was a displaced fracture requiring open reduction and fixation. What is the correct code for this procedure?

A 10-year-old girl comes to her pediatrician's office after smashing the nail of her right 2nd digit in the car door the previous night. This morning, the tip of her finger is edematous, there is a large amount of ecchymosis present, and the pain is worse than when the injury initially occurred. The pediatrician uses a disposable Bovie high-temperature cautery pen to cauterize a hole in the nail to allow the subungual hematoma to drain. A small amount of serosanguineous fluid is removed and pain rapidly decreased. Which of the following codes should you use?

A patient in cardiac arrest had to be intubated with an endotracheal tube (ET) during advanced cardiac life support treatment. What procedure code would you use for an emergency ET tube intubation?

A 48-year-old woman is scheduled for a total abdominal hysterectomy with removal of tubes and without removal of ovaries. What CPT code is appropriate for this procedure?

A 54-year-old female with degenerative disc disease at L4-L5 undergoes surgical repair with anterior approach for discectomy and fusion to try to prevent further discomfort. What CPT code would you use for this procedure?

A physician performed a thromboendarterectomy with a patch graft on the common femoral artery of a 63-year-old female with advanced lower arterial plaque. What is the correct code for this procedure?

A 3-year-old male presented to the pediatrician's office after the patient's mother discovered that the boy had inserted a jelly bean into his nose. The mother, when trying to remove the jelly bean, ended up pushing the bean further into the patient's nose to the point that it is no longer visible. Upon presentation, the patient was extremely agitated and anxious, and was experiencing pain and swelling in the left nasal sinus. The pediatrician determined that due to the patient's emotional state and the depth of the jelly bean, the patient would have to be anesthetized in order to remove it. The pediatrician admitted the patient into the hospital and performed the removal of the foreign body under general anesthesia. At one point, a lateral rhinotomy was considered but ruled out, as the physician was finally able to grasp the foreign body. How should the pediatrician code for this service?

A 23-year-old male has been having recurrent epistaxis of the right naris. The last nose bleed was prolonged, lasting more than 10 minutes. He sees his otolaryngologist and is offered cautery in the office to stop the nose bleeds from recurring. He agrees to the procedure and cautery is performed in the office of the anterior right nares. This was considered a simple procedure. What is the correct CPT code for this procedure?

A young woman has an abscess in her Bartholin's gland. She is able to have this incised and drained at her gynecologist's office. What CPT code can be used for this procedure?

What term is used for the two-layered protective membrane that surrounds the heart and the roots of the great vessels?

A 10-year-old boy was running through his house and ran into a sliding glass door, breaking the glass and suffering severe lacerations on his trunk and arms and minor lacerations on his face and legs. The emergency department physician performed the simple closure of one 2 cm laceration on the boy's cheek and two 2.3 cm lacerations on the boy's left leg. The physician performed the simple closure of one 4 cm laceration on the right arm and the layered closure of two lacerations on the left arm, which were 1.5 and 3 cm, respectively. The physician treated the 5 cm laceration on the boy's chest, which required the removal of particulate glass and a single layer closure. What are the correct codes for the wound repair performed by the emergency department physician?

A 25-year-old man decides that he wants to be circumcised for religious reasons and for increasing discomfort. He sees urology, who agrees to perform the procedure, and is set up for a circumcision as an outpatient. What CPT code should be used for this procedure?

A 64-year-old woman has a sublingual salivary cyst that needs to be removed. What CPT code should be used for this procedure?

A patient with Bartholin's gland cyst presents to the clinic for incision and drainage of the cyst. Due to the size and area of the cyst, the physician decides to incise the cyst and suture the lateral sides, leaving one side open for drainage. Which of the following codes would represent the physician's work?

A 67-year-old man is scheduled for a radical perineal prostatectomy with bilateral pelvic lymphadenectomy including external iliac, hypogastric and obturator nodes all occurring during the same procedure.

A middle-age man needs to have a complete adrenalectomy with excision of an adjacent retroperitoneal tumor. His surgeon plans to use a transabdominal approach to perform this procedure and will take biopsies of the surrounding tissue.