Deck 22: Endocrine and Nervous Systems

Question 1

The physician drills a burr hole in the cranium to drain a subdural hematoma.
CPT Code: ____________________

Answer 1

61154

Question 2

The physician resects an easily accessible arteriovenous malformation (AVM) in the infratentorial region of the brain.
CPT Code: ____________________

Answer 2

61684

Question 3

This is the most commonly known neuroplastic procedure.

A)surgery of skull base
B)craniectomy
C)cisternal cervical puncture
D)carpal tunnel

Answer 3

carpal tunnel

Question 4

In the Surgery of Skull Base, the ____ procedure is what is done to the lesion.

A)radical
B)definitive
C)approach
D)intubation

Question 5

Shunts are devices used to:

A)relieve pressure in the brain caused by fluid buildup
B)monitor currents emanating from the brain
C)decompress spinal nerves
D)none of the above

Question 6

There are ____ glands in the endocrine system of the body.

A)4
B)5
C)8
D)9

Question 7

The physician anesthetizes the vagus nerve.
CPT Code: ____________________

Question 8

In the Surgery of Skull Base, the ____ procedure is the method used to obtain exposure of the lesion.

A)radical
B)definitive
C)approach
D)intubation

Question 9

The initials that indicate a shunting procedure are:

A)CPC
B)SCP
C)CSF
D)SFP

Question 10

When reporting a craniectomy/craniotomy procedure, it is common that additional ____ is required.

A)grafting
B)catheterization
C)intubation
D)excision

Question 11

The Endocrine subsection of the CPT manual contains codes for ____ endocrine glands.

A)3
B)4
C)5
D)6

Question 12

The physician irrigates an existing ventricular catheter.
CPT Code: ____________________

Question 13

The peripheral nervous system refers to the nervous structures outside of the:

A)brain
B)central nervous system
C)spine
D)extremities

Question 14

Posterior hemilaminectomy with herniated discectomy L2 thru L4. (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.)
CPT Codes: ____________________, ____________________

Question 15

Neuroplasty is the:

A)injection of an anesthetic agent into a nerve
B)decompression of intact nerves
C)destruction of a nerve
D)all of the above

Question 16

Within the Endocrine System description, the terms subtotal and ____ mean something less than the total.

A)radical
B)partial
C)segmental
D)limited

Question 17

During skull-based surgery, if one surgeon performs the approach and a second physician performs the definitive procedure and a third physician performs the closure, what modifier is appended to the definitive procedure code?

A)-62 co-surgeons
B)-66 team surgeons
C)-80 assistant surgeon
D)no modifier is used

Question 18

The physician biopsies an intracranial lesion using stereotaxis.
CPT Code: ____________________

Question 19

What procedure is often performed with a laminectomy?

A)discectomy
B)corpectomy
C)arthrodesis
D)creation of a shunt

Question 20

The physician removes the entire thyroid.
CPT Code: ____________________

Question 21

Anesthetic injection of sphenopalatine ganglion.
CPT Code: ____________________

Question 22

Location: Inpatient Hospital
OPERATIVE REPORT
PRE/POSTOPERATIVE DIAGNOSIS: Herniated disc L4-5 on the left.
PROCEDURE PERFORMED: Laminotomy, foraminotomy, and removal of disc at L4-5 on the left.
ANESTHESIA: General.
DESCRIPTION OF PROCEDURE: Under general anesthesia the patient was placed in the prone position. The back was prepped and draped in the usual manner. Incision was made in the skin and extended through subcutaneous tissue. The lumbodorsal fascia was divided. The erector spinae muscles were bluntly dissected from the lamina of L4-5. The interspace was localized via x-ray. We then performed a generous laminectomy/foraminotomy and saw the problem. There was sequestered disc on the body of L4-L5. I entered the disc space and removed much degenerating material both medially and laterally. Having cleaned out the disc space, I was satisfied the root was decompressed. We passed a hockey stick down the foramen and laterally there were no free fragments. We then irrigated the wound and closed the wound in layers utilizing double knotted 0 Chromic on the lumbodorsal fascia with 0 Vicryl, 2-0 plain in the subcutaneous tissue, and surgical staples on the skin. A dressing was applied. The patient was discharged to the recovery room in stable condition.
CPT Code: ____________________

Question 23

Diagnostic lumbar spinal puncture.
CPT Code: ____________________

Question 24

Incision and drainage of an infected thyroglossal duct cyst.
CPT Code: ____________________

Question 25

Match each term with the correct phrase below.
Stereotaxis

A) method of identifying a specific area or point in the brain
B) removal of a portion of the skull
C) a small opening in the skull
D) an incision of the skull

Question 26

Match each term with the correct phrase below.
Craniectomy

A) method of identifying a specific area or point in the brain
B) removal of a portion of the skull
C) a small opening in the skull
D) an incision of the skull

Question 27

Complex repair of intracranial arteriovenous malformation, supratentorial.
CPT Code: ____________________

Question 28

Destruction of infraorbital nerve with neurolytic agent.
CPT Code: ____________________

Question 29

Match each term with the correct phrase below.
Craniotomy

A) method of identifying a specific area or point in the brain
B) removal of a portion of the skull
C) a small opening in the skull
D) an incision of the skull

Question 30

When reporting skull base surgery, what are the three types of procedures the coder should report?

Question 31

Name the four glands represented in the Endocrine subsection.

Question 32

Laminectomy for excision of intraspinal lesion, extradural, lumbar.
CPT Code: ____________________

Question 33

Match each term with the correct phrase below.
Burr hole

A) method of identifying a specific area or point in the brain
B) removal of a portion of the skull
C) a small opening in the skull
D) an incision of the skull