Deck 19: Urinary and Male Genital Systems

Question 1

Within the Male Genital System, the greatest numbers of codes fall under what category?

A)prostate
B)epididymis
C)testis
D)penis

Answer 1

penis

Question 2

The term that describes the study of the motion and flow of urine is:

A)urology
B)urinology
C)urodynamics
D)urofunction

Answer 2

urodynamics

Question 3

When urodynamics are performed and the physician only interprets the results, the correct modifier would be:

A)-79
B)-26
C)-TC
D)-54

Answer 3

-26

Question 4

To report the cystourethroscopic removal of a self-retaining indwelling ureteral stent, the correct codes would be 52310 or 52315. What modifier would be applied?

A)-25
B)-57
C)-58
D)none of the above

Question 5

An instillation procedure of the bladder is performed for treatment of:

A)obstruction
B)BPH
C)bladder cancer
D)pain

Question 6

The type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate.

A)vaporization
B)prostatic stents
C)prostatotomy
D)brachytherapy

Question 7

The Urinary System subsection is first arranged anatomically.

Question 8

One of the most common conditions of the prostate is BPH.

Question 9

Endoscopic procedures within the Urinary subsection, Kidney subheading, are often divided based on this unique factor:

A)patient condition
B)urgency of procedure
C)existence of a stoma
D)recurrence of condition

Question 10

A nephrectomy is the excision of the renal pelvis.

Question 11

Urethral dilation codes are often divided based on this factor:

A)initial or subsequent
B)new or established
C)patient status
D)none of the above

Question 12

A cystourethroscope is passed through the urethra to the bladder to view the urinary collecting system.

Question 13

A vasectomy is performed for the purpose of sterilization.

Question 14

Code 54699 is the correct code to report an unlisted procedure of the male genital system.

Question 15

Priapism is when a male cannot obtain an erection.

Question 16

What do the letters in UPP stand for?

A)urethral positive positioning
B)urodynamic penetrating pressure
C)urethral pressure positioning
D)urethral pressure profile

Question 17

When lithotripsy is performed, the patient may be surrounded by:

A)people
B)liquid
C)stones
D)gel

Question 18

When coding 51797 it is necessary to add a modifier -51.

Question 19

The insertion and removal of a temporary stent during diagnostic or therapeutic cystourethroscopic interventions is included in 52320-52355 and not reported separately.

Question 20

A common abbreviation for a transurethral electrosurgery of the prostate is TURP.

Question 21

The patient requires the lysis of post-circumcision penile adhesions.
CPT Code: ____________________

Question 22

Match each term with the correct phrase below.

Removal of urine from the bladder

A) Prostatectomy
B) Retroperitoneal
C) Nephrectomy
D) Manometric study
E) Bladder aspiration
F) Calculus

Question 23

Location: Inpatient Hospital
OPERATIVE REPORT
PREOPERATIVE DIAGNOSIS: Right staghorn calculus.
POSTOPERATIVE DIAGNOSIS: Same.
OPERATIVE PROCEDURE: Right ESWL (electric shock wave lithotripsy).
CLINICAL NOTE: This gentleman had a failed percutaneous nephrolithotripsy. He now is stented. The procedure was unsuccessful because of inability to access the kidney because of the stone. I decided to proceed with lithotripsy to see if we can create some more room, and maybe we will get lucky, but I told the patient he will likely require either multiple ESWLs or secondary attempt at PCN.
PROCEDURE NOTE: The patient was given a general laryngeal mask anesthetic, prepped and draped in the supine position on lithotripsy table, stone targeted, shock had engaged. Unfortunately, we had to do the procedure without the simulator. Therefore, it took a longer time, but the patient tolerated it well. A total of 3,000 shocks at a maximum kv of 24 were administered to the stone. Some fragmentation was noted. We will see the patient early next year to see how he is doing, to schedule further treatment as required.
CPT Code: ____________________

Question 24

A nephrectomy with a total ureterectomy and bladder cuff, through different incisions.
CPT Code: ____________________

Question 25

Radical orchiectomy by inguinal approach due to a tumor.
CPT Code: ____________________

Question 26

Complex cystometrogram with calibrated electronic equipment.
CPT Code: ____________________

Question 27

The patient had a 3.8 cm testicular laceration repair from a baseball injury.
CPT Code: ____________________

Question 28

Location: Inpatient Hospital
OPERATIVE REPORT
PRE/POSTOPERATIVE DIAGNOSIS: Recurrent balanitis and phimosis.
PROCEDURE PERFORMED: Circumcision.
PROCEDURE: The child was given general mask anesthetic as well as caudal block for postoperative pain control. He was prepped and draped in the supine position, foreskin retracted, prepucial adhesions broken down. Circumcision was then performed using a dorsal slit technique. Hemostasis was achieved with judicious use of electrocautery and chromic ties. Prepuce was re-anastomosed to the penile skin using 5-0 chromic catgut. Vaseline gauze dressing was applied. The patient tolerated the procedure well and transferred to the recovery room in good condition.
CPT Code: ____________________

Question 29

Match each term with the correct phrase below.

Removal of a kidney

A) Prostatectomy
B) Retroperitoneal
C) Nephrectomy
D) Manometric study
E) Bladder aspiration
F) Calculus

Question 30

Fulguration of a urethral prolapse.
CPT Code: ____________________

Question 31

Ureteral endoscopy through an established ureterostomy with irrigation and the removal of a foreign body.
CPT Code: ____________________

Question 32

Cystourethroscopy with insertion of permanent urethral stent.
CPT Code: ____________________

Question 33

Location: Outpatient Hospital
OPERATIVE REPORT
PREOPERATIVE DIAGNOSIS: Minimal change disease
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE PERFORMED: Native kidney biopsy.
PROCEDURE: After providing consent, the patient was taken to ultrasound room. She was put in the prone position. Both kidneys were difficult to visualize. The right kidney was chosen. Skin was prepped in the usual fashion. Lidocaine was used for local anesthesia.
Using real-time ultrasound guidance, the right kidney was accessed multiple times. At least six core biopsies were obtained and were sent for light and electromicroscopy in addition to immune fluorescence. Postbiopsy ultrasound showed no evidence of hematoma.
The patient tolerated the procedure well without immediate complication. She was sent back to the procedure area.
CPT Codes: ____________________, ____________________

Question 34

Urethromeatoplasty with mucosal advancement.
CPT Code: ____________________

Question 35

A radical retropubic prostatectomy with nerve sparing.
CPT Code: ____________________

Question 36

The semen analysis following a bilateral vasectomy.
CPT Code: ____________________

Question 37

Bilateral vasectomy.
CPT Code: ____________________

Question 38

Match each term with the correct phrase below.

Test to measure kidney and ureter flow and pressure

A) Prostatectomy
B) Retroperitoneal
C) Nephrectomy
D) Manometric study
E) Bladder aspiration
F) Calculus

Question 39

A complete transurethral electrosurgical resection of the prostate.
CPT Code: ___________________

Question 40

Urethral biopsy.
CPT Code: ____________________

Question 41

Match each term with the correct phrase below.

Removal of the prostate

A) Prostatectomy
B) Retroperitoneal
C) Nephrectomy
D) Manometric study
E) Bladder aspiration
F) Calculus

Question 42

Match each term with the correct phrase below.

Area located behind the abdominal cavity

A) Prostatectomy
B) Retroperitoneal
C) Nephrectomy
D) Manometric study
E) Bladder aspiration
F) Calculus

Question 43

Match each term with the correct phrase below.

Kidney stone

A) Prostatectomy
B) Retroperitoneal
C) Nephrectomy
D) Manometric study
E) Bladder aspiration
F) Calculus