WK 5 LESSON A
WK 5 LESSON B
WK 5 LESSON C
WK 5 LESSON D
Procedural Coding
100

Neuroplasty is the:

Select one:

a. all of the above

b. decompression of intact nerves

c. destruction of a nerve

d. injection of an anesthetic agent into a nerve

WHAT IS DECOMPRESSION OF INTACT NERVES

100

Shunts are devices used to:

Select one:

a. relieve pressure in the brain caused by fluid buildup

b. monitor currents emanating from the brain

c. none of the above

d. decompress spinal nerves

WHAT IS a. relieve pressure in the brain caused by fluid buildup

100

The peripheral nervous system refers to the nervous structures outside of the:

Select one:

a. spine

b. central nervous system

c. extremities

d. brain

WHAT IS B CENTRAL NERVOUS SYSTEM?
100

In the Surgery of Skull Base, the ____ procedure is the method used to obtain exposure of the lesion.

Select one:

a. definitive

b. intubation

c. radical

d. approach

WHAT IS d. approach

100


Using your CPT manual, code the following.

The physician resects an easily accessible arteriovenous malformation (AVM) in the infratentorial region of the brain.

WHAT IS 61684?

200

The Endocrine subsection of the CPT manual contains codes for ____ endocrine glands.

Select one:

a. 5

b. 6

c. 3

d. 4

WHAT IS 4 ?

200

The initials that indicate a shunting procedure are:

Select one:

a. SFP

b. SCP

c. CPC

d. CSF

WHAT IS CSF?

200

What procedure is often performed with a laminectomy?

Select one:

a. creation of a shunt

b. discectomy

c. corpectomy

d. arthrodesis

WHAT IS D ARTHRODESIS?

200

In the Surgery of Skull Base, the ____ procedure is what is done to the lesion.

Select one:

a. definitive

b. approach

c. intubation

d. radical

WHAT IS a. definitive

200

Using your CPT manual, code the following. 


The physician irrigates an existing ventricular catheter.


WHAT IS 62225

300

There are ____ glands in the endocrine system of the body.

Select one:

a. 9

b. 5

c. 8

d. 4

WHAT IS a 9?

300

This is the most commonly known neuroplastic procedure.

Select one:

a. cisternal cervical puncture

b. surgery of skull base

c. carpal tunnel

d. craniectomy

WHAT IS c CARPAL TUNNEL?

300

Select the four glands represented in the Endocrine subsection.

Select one or more:

a. pineal

b. parathyroid

c. adrenal

d. thymus

e. thyroid

f. pituitary

WHAT IS parathyroid, adrenal, thymus, thyroid?

300

During skull-based surgery, if one surgeon performs the approach and a second physician performs the definitive procedure and a third physician performs the closure, what modifier is appended to the definitive procedure code?

Select one:

a. -62 co-surgeons

b. no modifier is used

c. -66 team surgeons

d. -80 assistant surgeon

What is b. no modifier is used

300

Using your CPT manual, code the following.

The physician removes the entire thyroid.


WHAT IS 60240

400

Within the Endocrine System description, the terms subtotal and ____ mean something less than the total.

Select one:

a. limited

b. radical

c. segmental

d. partial

WHAT IS D PARTIAL?

400

When reporting skull base surgery, select the three types of procedures the coder should report.

Select one or more:

a. ventricular procedure

b. cerebral procedure

c. definitive procedure

d. approach procedure

e. vertebral procedure

f. neoplastic procedure

g. repair/reconstruction procedure

WHAT IS DEFINITIVE PROCEDURE, APPROACH PROCEDURE, REPAIR/RECONSTRUCTION PROCEDURE

400

Using your CPT manual, code the following.

Location: Inpatient Hospital

OPERATIVE REPORT

PRE/POSTOPERATIVE DIAGNOSIS: Herniated disc L4-5 on the left.

PROCEDURE PERFORMED: Laminotomy, foraminotomy, and removal of disc at L4-5 on the left.

ANESTHESIA: General.

DESCRIPTION OF PROCEDURE: Under general anesthesia the patient was placed in the prone position. The back was prepped and draped in the usual manner. Incision was made in the skin and extended through subcutaneous tissue. The lumbodorsal fascia was divided. The erector spinae muscles were bluntly dissected from the lamina of L4-5. The interspace was localized via x-ray. We then performed a generous laminectomy/foraminotomy and saw the problem. There was sequestered disc on the body of L4-L5. I entered the disc space and removed much degenerating material both medially and laterally. Having cleaned out the disc space, I was satisfied the root was decompressed. We passed a hockey stick down the foramen and laterally there were no free fragments. We then irrigated the wound and closed the wound in layers utilizing double knotted 0 Chromic on the lumbodorsal fascia with 0 Vicryl, 2-0 plain in the subcutaneous tissue, and surgical staples on the skin. A dressing was applied. The patient was discharged to the recovery room in stable condition.


What is 63030-LT?

400

When reporting a craniectomy/craniotomy procedure, it is common that additional ____ is required.

Select one:

a. grafting

b. catheterization

c. intubation

d. excision

WHAT IS A GRAFTING?
400

Using your CPT manual, code the following. (Separate multiple codes with a comma and then a space in your response. XXXXX, XXXXX. Make sure to include a dash in front of your modifier answers.

The physician drills a burr hole in the cranium to drain a subdural hematoma.




WHAT IS 61154

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