Preoperative Diagnosis: Cleft palate
Postoperative Diagnosis: Cleft palate
Operation: Repair of cleft palate
Anesthesia: General
Operation Description: A 3-year-old patient was diagnosed with cleft palate and was advised by the surgeon to complete the surgical procedure repairing the cleft palate. The risks were discussed and identified with the family. Consent was obtained and the operation performed.
Select the appropriate CPT and ICD-10-CM codes for the anesthesia service for the procedure.

Question

Quizplus · Accepted Answer

The correct CPT code for anesthesia services for a cleft palate repair is 00172, and the appropriate ICD-10-CM code for cleft palate is Q35.9. The modifier P1 indicates a normal, healthy patient, which is appropriate for the described scenario.

Preoperative Diagnosis: Cleft Palate