A 45-year-old woman scheduled to retrieve a tissue sample from a lesion to test for cancer. The tissue samples were retrieved using a sharp blade to retrieve a full-thickness tissue sample. A simple closure was performed.

What CPT code should the provider document?

A physician performs an arthrodesis procedure for a patient with lumbar spinal stenosis. The procedure was performed on 3 interspaces in the lumbar region.

Which CPT and ICD-10 code should the physician report?

A 2-year-old girl born with cleft palate is scheduled for a surgery to improve the appearance of her nose. Her physician recommended she undergo a complete rhinoplasty to elevate her nasal tip. In addition, the physician performed a major septal repair.

What CPT code should the physician report?

4. A physician decides to perform a paraoesophageal hernia repair. The patient was experiencing abdominal pain, gastrointestinal bleeding and reflux. Surgery was recommended to prevent a strangulated hernia. During the procedure, the physician pushed the stomach and other protrusions back into place. The surgeon utilized mesh materials to prevent another hernia.

Which CPT code should be reported?

A 71-year-old male reports to his physician with pain in the testes. His physician decided to perform an ultrasound on the testes. The radiologist interpreted the results and found well-defined epididymal cystic lesions, with low-level fine internal echoes. The cystic lesions measured 1-2 cm with posterior acoustic enhancement. The patient was diagnosed with an epididymal cyst and the physician will conduct an excision of the of the spermatocele with an epididymectomy.

Which ICD-10 and CPT code should be reported?

The physician diagnosed a 38-year-old male patient with cubital tunnel syndrome. The patient has been experiencing pain and decided to undergo surgery. The physician conducted an ulnar nerve release operation, in which he divided the overlying ligament (Osborne’s ligament), increasing the size of the tunnel and reducing pressure on the ulnar nerve.

Which CPT code should be reported?

A patient comes into her doctor’s office for her weekly blood sugar check. Her blood is drawn by the LPN on staff, and the visit takes approximately 5 minutes.

What E/M code should be assigned?

8. When does anesthesia time begin?

A patient was in an MVA in which his face struck the steering wheel. He had multiple contusions and facial swelling. The physician suspected a zygomatic-malar or maxilla fracture. The radiologist took an oblique anterior-posterior projection, which showed the facial complex clearly. Anterior-posterior and lateral views were also taken.

What CPT code should the physician utilize?

Physician orders a patient’s blood to be tested for levels of urea nitrogen, sodium, potassium, transferase alanine, and aspartate amino, total protein, ionized calcium, carbon dioxide, chloride, creatinine, glucose, and TSH.

What CPT code should the physician utilize?