WK 5 LESSON A
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
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
The peripheral nervous system refers to the nervous structures outside of the:
Select one:
a. spine
b. central nervous system
c. extremities
d. brain
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
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?
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 ?
The initials that indicate a shunting procedure are:
Select one:
a. SFP
b. SCP
c. CPC
d. CSF
WHAT IS CSF?
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?
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
Using your CPT manual, code the following.
The physician irrigates an existing ventricular catheter.
WHAT IS 62225
There are ____ glands in the endocrine system of the body.
Select one:
a. 9
b. 5
c. 8
d. 4
WHAT IS a 9?
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?
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?
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
Using your CPT manual, code the following.
The physician removes the entire thyroid.
WHAT IS 60240
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?
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
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?
When reporting a craniectomy/craniotomy procedure, it is common that additional ____ is required.
Select one:
a. grafting
b. catheterization
c. intubation
d. excision
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