A 71yearold male patient comes to the hospital after having

A 71-year-old male patient comes to the hospital after having been previously diagnosed with benign prostatic hypertrophy with urinary obstruction. Due to this condition, the patient is experiencing increased urination, straining during urination, and a continual feeling of fullness after the bladder has Intermediate Medical Coding 2 Intermediate Medical Coding been emptied. The physician performs a cystourethroscopy to examine the condition of the bladder and urethra, and then subsequently performs a UroLift transprostatic implant procedure using three adjustable implants. Only CPT code(s):

An established patient comes to the office complaining of migraine headaches. The physician performs an expanded problem-focused history and exam. The physician’s medical decision making is of low complexity. During the office visit, the physician also removes a benign 0.5 cm lesion from the back of the patient’s left hand. CPT code(s)

A physician removes a foreign body from the anterior chamber of the patient’s eye. An allergy statement in the patient’s medical record indicates that the patient is allergic to local anesthesia. As a result, general anesthesia is administered. CPT code(s):

. A surgeon performs a total abdominal hysterectomy with partial removal of the vagina, lymph node sampling, and removal of the ovary. The coder assigns code 58200-51. Is this code correct or incorrect? Why or why not?

A patient with chronic venous insufficiency comes to the doctor’s office complaining of leg pain. The physician prescribes two thigh-length gradient compression stockings, 45 mmHg each. HCPCS code(s):

Assign the CPT code(s) for only the wound repair. A patient comes to the emergency room after sustaining a 12.2-cm wound to the left side of her face. She was cut with a piece of glass during a physical altercation with her husband. The physician performs a detailed history and examination. Medical decision making was of moderate complexity. The physician repairs the facial wound without difficulty; however, the wound requires exten- sive cleaning to remove the glass particles beforehand. The physician also repaired a superficial 2.5-cm wound to the left ear. Both wounds were closed using 4-0 Vicryl. CPT code(s):

I need compelete codes, as I did assign some codes and apparently they were not complete codes. TY

Solution

American Medical Association has published Current Procedural Terminology, this is an expansive, important code set. Through this use we can (medical coders) describe tests, surgeries, evaluation and other type od medical procedures.

I) For this answer of 71 year old patient looks like Urinary incontinence, so CPT code(s) should be 52441, as there is Urolift is also associated.

II) CPT code(s) is 17110.

III) This one deals with General anesthesia for head and eye so the CPT code(s) should be eaxctly 00140 (between 00100-00222).

IV) Correct, Preferebly CPT code(s) should be 58200-51- As there is a Abdominal Hysterectomy was performed with partial removal of Vagina, also there is lymph node sampling and removal of ovary. In case of corpus and cervix (total Hyterectomy) removal, with or without tube and ovary sums to 58200-51, so there is significancy to have that CPT code.

V) Chronic Venous Insufficiency HCPCS code(s) of A6533.

VI) The CPT code is 12001-12021 and G0168.