AC210615_Full Answer Key 2017.docx

1 a patient is suspected of a lesion on the vocal

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1. A patient is suspected of a lesion on the vocal cord. The physician would most likely perform a _____________ for further diagnosis and/or treatment ( laryngoscopy , bronchoscopy).
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Instructor's Guide AC210614: Basic CPT/HCPCS Exercises Page 29 of 100 2. The patient is experiencing sinus blockages in the area between the eye sockets. These sinuses are called _______________ (frontal, ethmoid ). 3. The patient has pleural fluid that must be removed. The physician would most likely perform a __________ to remove the fluid ( pneumocentesis , pneumonectomy). 4. A piece of candy is lodged in the back of the patient’s throat. The physician would make the diagnosis of foreign body in the _______________ ( pharynx , trachea). 5. A patient is seen in the Emergency Department for epistaxis, and the physician performs cautery. The purpose of this procedure is to ________________________ (remove the nasal blockage , control nasal hemorrhage ). Exercise 4.11: Respiratory System Coding Drill Review the documentation and underline key term(s). Identify the terms used to look up the code selection in the Alphabetic Index. Assign CPT codes to the following cases. If applicable, assign CPT/HCPCS Level II modifiers. 1. Surgeon performs an endoscopic anterior ethmoidectomy. Index: Endoscopy, Nose, Surgical Code(s): 31254 Endoscopy with partial ethmoidectomy 2. Physician removes an indwelling tunneled pleural catheter with cuff. Index: Removal, Catheter, Pleural Cavity Code(s): 32552 Removal of indwelling tunneled pleural catheter with cuff 3. A patient is seen in the Emergency Department for epistaxis. Physician performs an anterior packing of left nasal passage. Index: Hemorrhage, Control, Nasal, Simple Code(s): 30901-LT Control nasal hemorrhage, anterior, simple 4. A physician performs a bilateral nasal endoscopy with polypectomy. Index: Endoscopy, Nose, Surgical Code(s): 31237-50 Nasal/sinus endoscopy, surgical, with polypectomy
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Instructor's Guide AC210614: Basic CPT/HCPCS Exercises Page 30 of 100 5. A patient is seen with difficulty breathing due to deviated nasal septum. The surgeon performs a submucous resection of the septum. Index: Nasal Septum, Submucous Resection (Resection directs coder to see Nasal Septum. ) Code(s): 30520 Septoplasty or submucous resection 6. The surgeon performs a thoracentesis by placing a needle under fluoroscopic guidance through the chest wall into the pleural space to withdraw fluid, which will be sent to the lab for analysis. Index: Thoracentesis Code(s): 32555 Thoracentesis, needle or catheter, aspiration of pleural space, with imaging guidance 7. A patient was diagnosed with squamous cell carcinoma of the larynx. The surgeon performed a supraglottic laryngectomy with radical neck dissection to remove the metastasis to the lymph nodes. Index: Laryngectomy, Subtotal (Supraglottic procedure preserves part of the voice box.) Code(s): 31368 Laryngectomy; subtotal supraglottic, with radical neck dissection 8. The surgeon performed a thoracoscopy for a therapeutic wedge resection of the lung.
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