CPT Coding

This 10 month-old baby is diagnosed with severe laryngomalacia. The surgeon is performing a laser supraglottoplasty to remove lesions from the larynx. Dr. Smith (anesthesiologist) was call to administer the anesthesia. Dr. Smith noted the patient had severe systemic disease. How would the anesthesia be reported for this procedure?

• 31572, 00326-P3, 99100

• 31572, 00326-P3

• 00326-P3, 99100

• 00326-P3

Physician performa a bronchoscopy with two transbronchial lung biopies from a single (same) lobe. What is the correct CPT code(s) for this procedure?

• 31632

• 31628, 31628-51

• 31628

• 31628, 31632

This 28 year-old patient was brought into the office for severe dehydration from vomiting. The nurse started the IV and the patient was given 2 units or 1000 ml of normal saline for 1 hour and 40 minutes. What CPT code(s) would be used to report this encounter?

• 96360, 96361, J7040 x 2

• 96365, 96360, 96361, J7040 x 2

• 96360, 96361

• 96365, 96366

Patient comes into the office for a 0.2 wound on their face. Physician closed the wound using adhesive strips. How is this encounter coded?

• 12011

• Appropriate E/M code for office visit

• 12020

• 12001

Patient is diagnosed with a lung mass. The surgeon performs a biopsy and sends the specimen to pathology for a microscopic examination. The pathology report identifies the mass as a malignant, wedge biopsy. How is this coded by the pathologist?

• 88307

• 88305

• 32096, 88307

• 32096, 88305

Patient is admitted to the hospital on Sunday for chest pain and is discharged on Wednesday.

Sunday - Physician perform a comprehensive history, comprehensive exam with high medical decision making.

Monday - Physician performs a expanded problem focused history, detailed exam and medical decision making is high

Tuesday - Physician performs a problem focused history, expanded problem focused exam and medical decision making is moderate

Wednesday - Physician performs a problem focused history, expanded problem focused exam and medical decision making is low. He documented 40 minutes of discharge services.

How would these hosptial visits be charge by the physician.

• 99220, 99226, 99225,99224, 99239

• 99223, 99233, 99232, 99239

• 99223, 99232, 99232, 99231, 99239

• 99223, 99233, 99231, 99239

Physician is performing a therapeutic colonoscopy on a 62 year-old male patient. He was able to obtain a biopsy in the splenix flexure but unable to advance the scope to the cecum. What is the correct CPT code for this procedure?

• 45380 - 52

• 45331 - 52

• 45380 - 53

• 45331 - 53

Patient is seen by dermatologist for Mohs Micrographic Surgery for removal of complex skin cancer on their face. During this encounter the dermatologist removes a total of 4 blocks in the first stage and 3 blocks in the second stage. A pathologist (in the same office) assesses the pathology of each lesion/block that is removed. How would the Dermatiologist bill for the Mohs surgery?

• 17311, 17312

• 17311, 17312, 88314

• 17311-TC, 17312-TC

• Mohs cannot be billed by the dermatologist

This 5 year-old child comes into the office for a routine follow-up of their asthma. The physician recommend the child have a flu shot due to their history of asthma, and is also due for second MMRV. The physician answered all the questions of the mother and the decision was made to perform both vaccines. The mother also requested the flu vaccine by given intranasal (LAIV). How would these vaccines administered be coded?

• 90471, 90472 x 2, 90664, 90707

• 90471, 90472, 90473, 90664, 90713

• 90460, 90461, 90473, 90664, 90710

• 90460, 90461 x 4, 90664, 90710

Patient had a spinal tap performed in the am by his surgeon. That evening they presented to the Emergency Department with a severe headache. The ED doctor diagnosed them with a leak from the spinal puncture and an epidural injection of a blood patch was performed. What is the code(s) for this procedure?

• 62273

• 62272, 62320

• 62270, 62273, 62320

• 62273, 62320