Question 1

Patient undergoes enucleation of left eye and muscles were reattached to an implant.

Accepted Answer

The answer of Patient undergoes enucleation of left eye and...

Question 2

Patient with chronic otitis media requiring eustachian tube catheterization

Accepted Answer

The answer of Patient with chronic otitis media requiring eustachian...

Question 3

Patient has rhinorrhea which requires repair of the CSF leak with craniotomy.

Accepted Answer

CPT code 62100 is used for the repair of a cerebrospinal fluid (CSF) leak with a craniotomy.

Question 4

Patient suffers from strabismus and requires surgery. Recession of the lateral rectus (horizontal), muscle with adjustable sutures was performed.

Accepted Answer

The answer of Patient suffers from strabismus and requires surgery....

Question 5

Lagophthalmos correction with implantation using gold weight

Accepted Answer

The correct CPT code for lagophthalmos correction with implantation using a gold weight is 67912.

Question 6

Correction of trichiasis by incision of lid margin

Accepted Answer

The correct code for correction of trichiasis by incision of the lid margin is 67830. Code 67840 is for excision of a lesion of the eyelid margin, which is not the same procedure as incision for trichiasis. Code 67835 is for removal of a lesion on the inner eyelid, so it is not applicable for this procedure. Code 67850 is for eyelid retraction repair, which is not the same procedure as incision for trichiasis.

Question 7

Aphakia penetrating corneal transplant

Accepted Answer

65750 is the correct code for a penetrating keratoplasty (corneal transplant) for aphakia.

Question 8

Modified radical mastoidectomy

Accepted Answer

The answer of Modified radical mastoidectomy
...

Question 9

Patient undergoes ocular resurfacing construction utilizing stem cell allograft from a cadaver.

Accepted Answer

The answer of Patient undergoes ocular resurfacing construction utilizing stem...

Question 10

Patient has metastatic brain lesions. Patient undergoes stereotactic radiosurgery gamma knife of two lesions.

Accepted Answer

CPT codes 61796 and 61797 are the codes for stereotactic radiosurgery of brain lesions using gamma knife. Since the patient undergoes the procedure for two lesions, both the codes should be used. Code 61533 is for stereotactic radiosurgery of brain lesion(s) without gamma knife and does not apply to this scenario. Code 61500 is for stereotactic radiosurgery of spine lesion(s) and is also not applicable in this case. Code 61796 alone is not sufficient as it is specific to the initial intracranial lesion and does not encompass additional lesions.

Question 11

Patient requires repair of a 6 cm meningocele.

Accepted Answer

CPT code 63702 is used for the repair of a meningocele, which is a congenital defect, and the size of 6 cm fits within the typical range for this procedure.

Question 12

Radial keratotomy

Accepted Answer

The answer of Radial keratotomy
...

Question 13

Patient comes in through the emergency room with a laceration of the posterior tibial nerve. Patient is taken to the operating room where the nerve requires transposition and suture.

Accepted Answer

The answer of Patient comes in through the emergency room...

Question 14

Patient came in for excision of a middle ear lesion.

Accepted Answer

The answer of Patient came in for excision of a...

Question 15

Lacrimal fistula closure

Accepted Answer

The answer of Lacrimal fistula closure
...

Question 16

Patient comes into the office for removal of impacted earwax.

Accepted Answer

The correct code for removal of impacted earwax is 69210, which is used for removal of impacted cerumen requiring instrumentation.

Question 17

Decompression internal auditory canal

Accepted Answer

The answer of Decompression internal auditory canal
...

Question 18

Patient has right sacroiliac joint dysfunction and requires a right S2-S3 paravertebral facet joint] anesthetic nerve block.

Accepted Answer

Code 64475 is the correct code for a paravertebral facet joint nerve block injection, which is used to treat sacroiliac joint dysfunction. The injection is given at the S2-S3 level, making it the appropriate code for this scenario. Codes 62311, 64483, and 64520 are not applicable to this specific procedure.

Question 19

Patient returns to the physician's office complaining of obscured vision. Patient has had cataract surgery 6 months prior. Patient requires laser discission of secondary cataract.

Accepted Answer

CPT code 66821 is used for laser discission of secondary cataract which is the correct procedure code for the given scenario. CPT code 64831 is used for aspiration of lens material; CPT code 67835 is used for removal of implanted material from the eye; CPT code 66830 is used for after-cataract with YAG laser.

Question 20

Patient with a traumatic rupture of the eardrum. Repaired with tympanoplasty with incision of the mastoid. Repair of ossicular chain not required.

Accepted Answer

The answer of Patient with a traumatic rupture of the...

Exam 1: Registered Health Information Administrator