Question

1. Mrs. Jones brings her 7-year-old son Jason, an established patient, to the office today because he stepped on a nail. A problem-focused history and examination is performed. The puncture in his heel is not very deep; we cleaned and bandaged it. A shot of tetanus and diphtheria was given intramuscularly.

2. Sam Goliath, a 42-year-old male established patient, presents today for a routine physical examination. At the end of the examination the patient noted he had a good-sized growth on his back that has been present for several months. A problem-focused history and examination reveals a 1-cm-diameter wart-type growth that is an actinic keratosis. A diagnostic shave biopsy of the growth was performed.

3. A patient presents to the Emergency Department with a severe burn on the left upper arm. Level I E/M reveals a third-degree burn. Debridement of the small area was performed and dressings were applied.

4. A 62-year-old male patient presents today for a lumbar puncture to determine the cause of his vascular headaches. The patient was prepped and draped in the normal fashion and local anesthesia was administered. A 20-gauge needle was introduced into the subarachnoid space of the lumbar region. Five centimeters of crystal-clear fluid was obtained and sent to the laboratory for diagnostic studies. The patient tolerated the procedure well. Provide a CPT code and an ICD-9-CM Volume III procedure code for this procedure. Select a code for a surgical tray.

5. Mrs. Hartenshogan arrived today for a scheduled colonoscopy. The patient has been experiencing severe abdominal pain and nausea after eating. A flexible scope inserted for visualization proximal to the splenic flexure revealed inflammation and infection of the peritoneal cavity. Sacs of mucous membrane are protruding through the muscular wall of the colon. The scope was withdrawn and the patient was moved to recovery. Select the appropriate CPT code(s).

6. A 67-year-old male was admitted to the hospital for a pancreatectomy due to severe abdominal pain. A CT scan revealed a mass in the tail and body of the pancreas involving the left kidney and spleen. A pancreatectomy, distal was performed. A splenectomy and left nephrectomy were also performed. During the procedure the patient went into cardiac arrest due to the adverse effect of the general anesthetic.

List the ICD-9,Volume III, procedure code that describes the Principal procedure.

7. A 67-year-old male was admitted to the hospital for a pancreatectomy due to severe abdominal pain. A CT scan revealed a mass in the tail and body of the pancreas involving the left kidney and spleen. A pancreatectomy, distal was performed. A splenectomy and left nephrectomy were also performed. During the procedure the patient went into cardiac arrest due to the adverse effect of the general anesthetic.

List the ICD-9, Volume III, procedure code(s) for other significant procedures.

List CPT procedure codes for these questions and also whatever elese the question ask.

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1. Mrs. Jones brings her 7-year-old son Jason, an established patient, to the office today because he stepped on a nail. A problem-focused history and examination is performed. The puncture in his heel is not very deep; we cleaned and bandaged it. A shot of tetanus and diphtheria was given intramuscularly.
CPT Code for problem focused examination: 99212,
CPT code for simple wound repair 12001, and
CPT code for vaccination 90718

2. Sam Goliath, a 42-year-old male established patient, presents today for a routine physical examination. At the end of the examination the patient noted he had a good-sized growth on his back that has been present for several months. A problem-focused history and examination reveals a 1-cm-diameter wart-type growth that is an actinic keratosis. A diagnostic shave biopsy of the growth was performed.
CPT code for routine examination: 99396,
CPT code for diagnostic biopsy: 11100...

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