Question 1

Patient undergoes Iaparoscopic orchiopexy for intra-abdominal testes.

Accepted Answer

This code is specifically for laparoscopic orchiopexy for intra-abdominal testes, making it the most accurate option. Code 54650 is for an open orchiopexy and 54699 and 55899 are both unspecified codes that do not provide enough detail about the procedure performed.

Question 2

Patient has been followed by his primary care physician for elevated PSA . Patient underwet prostate needle biopsy in the physician office 2 weeks ago and final pathology was positive 10 carcinoma. Patient is admitted for prostatectomy. Frozen section of the prostate and one lymp node is positive for prostate cancer with metastatic disease to the lymph node. Prostatectom became a radical perineal with bilateral pelvic lymphadenectomy.

Accepted Answer

The answer of Patient has been followed by his primary...

Question 3

Patient has a Bartholin's gland cyst that was marsupialized.

Accepted Answer

Marsupialization of a Bartholin's gland cyst is specifically coded with CPT code 56440.

Question 4

Hysteroscopy with D&C and polypectomy

Accepted Answer

The correct code for hysteroscopy with D&C and polypectomy is 58558, which includes all three procedures. However, it is important to note that if a cervical dilation is performed, it should be reported separately with code 58301. Codes 58120 and 58100 are not appropriate for this specific procedure with polypectomy. Code 58563 is also not appropriate as it is for removal of adhesions involving the hysteroscope.

Question 5

Patient was admitted with a cystocele and rectocele. An anterior colporrhaphy was performed.

Accepted Answer

The answer of Patient was admitted with a cystocele and...

Question 6

Closure of ureterocutaneous fistula

Accepted Answer

The answer of Closure of ureterocutaneous fistula
...

Question 7

Scrotal wall abscess drainage

Accepted Answer

CPT code 55100 is used for the drainage of a scrotal wall abscess.

Question 8

Laparoscopic tubal ligation utilizing Endoloop

Accepted Answer

CPT code 58671 is the correct code for laparoscopic tubal ligation using a mechanical device such as Endoloop. A is incorrect as it is for laparoscopic total hysterectomy. B is incorrect as it is for laparoscopic lysis of adhesions. D is incorrect as it is for laparoscopy with biopsy of ovary.

Question 9

Patient is at a fertility clinic and undergoes intrauterine embryo transplant.

Accepted Answer

The answer of Patient is at a fertility clinic and...

Question 10

Patient was admitted to the hospital with. sharp pelvic pains. A pelvic ultrasound was ordered { and the results showed a possible ovarian cyst. The patient was taken to the operating room where a laparoscopic destruction of two corpus luteum cysts was performed.

Accepted Answer

The answer of Patient was admitted to the hospital with....

Question 11

Laser destruction extensive herpetic lesions of the vulva

Accepted Answer

Code 56515 is the correct choice for destruction of extensive herpetic lesions of the vulva using laser. Codes 17106 and 17004 are both for destruction of skin lesions, but not specific to herpetic lesions or the vulva. Code 56501 is for biopsy of the vulva, not destruction of lesions.

Question 12

Priapism operation with spongiosum shunt

Accepted Answer

The answer of Priapism operation with spongiosum shunt
...

Question 13

Laser destruction of penile condylomas

Accepted Answer

Laser destruction of penile condylomas is reported with code 54057.

Question 14

Patient has been diagnosed with carcinoma of the vagina and she has a radical vaginectomy with complete removal of the vaginal wall.

Accepted Answer

The answer of Patient has been diagnosed with carcinoma of...

Question 15

Hydrocelectomy of spermatic cord

Accepted Answer

The correct code for hydrocelectomy of the spermatic cord is 55500, which is the CPT code for excision of a hydrocele of the spermatic cord.

Question 16

Male presented to operating room for sterilization by bilateral vasectomy.

Accepted Answer

The answer of Male presented to operating room for sterilization...

Question 17

Patient has been diagnosed with uterine fibroids and undergoes a total abdominal hysterectomy with bilateral salpingo-oophorectomy.

Accepted Answer

The most appropriate code for this procedure is 58150 for total abdominal hysterectomy, which includes removal of the uterus and cervix. Bilateral salpingo-oophorectomy is also performed, which is separately reported with code 58720. Therefore, the correct code(s) to report for this procedure is 58150 and 58720. However, option D includes both codes but is not the best choice as it also includes an incorrect code for laparoscopic oophorectomy (58661).

Question 18

First-stage repair for hypospadias with skin flaps

Accepted Answer

CPT code 54304 is the correct code for the first-stage repair of hypospadias with skin flaps. CPT code 54300 is for the first-stage repair without skin flaps, 54308 is for second-stage repair, and 54322 is for a more complex repair involving grafts or flaps.

Question 19

Removal of nephrostomy tube with fluoroscopic guidance

Accepted Answer

The correct code for removal of nephrostomy tube with fluoroscopic guidance is 50389. Codes 50387, 99212, and 99213 do not apply to this specific procedure.

Question 20

Patient has been diagnosed with prostate cancer. Patient arrived in the operating room where a therapeutic orchiectomy is performed.

Accepted Answer

The answer of Patient has been diagnosed with prostate cancer....

Exam 1: Registered Health Information Administrator