Code a diagnostic bronchoscopy and a repeat therapeutic bronchoscopy with aspiration of tracheobronchial tree.
A 43-year-old female was seen in the emergency room with severe epistaxis. She said this is a common occurrence for her during the really cold dry months of winter. Extensive bilateral anterior cautery and packing is required to control the hemorrhage. What code is reported for the procedure (do not code the E/M).
Patient’s nose was hit with a baseball during a high school baseball game. At that time reconstruction was performed, with local grafts. Patient returns now as an adult, discontent with bony prominence along the bony pyramid and flat look of the tip of the nose. Patient underwent major repair with osteotomies and nasal tip work. Choose the correct CPT code(s) to report the procedure(s) performed.
Patient underwent bilateral nasal/sinus diagnostic endoscopy. Finding the airway obstructed the physician fractures the middle turbinates and performs surgical endoscopy with the total ethmoidectomy and bilateral nasal septoplasty. Choose the correct CPT code(s) to report the procedure(s) performed.
A patient with recurrent pneumothoraces presents for chemopleurodesis. A thoracoscope is inserted between the ribs and into the pleural space between the parietal and pleural viscera 5g of sterile asbestos-free talc was inserted. What is the correct code for this service?
Procedure codes related to the ethmoid sinus would be found under which of these CPT ranges?
Patient is 40-year-old male who was involved in a motor vehicle crash. He is having some pulmonary insufficiency. Procedure: Bronchoscope was inserted through the accessory point on the end of the ET tube and was then advanced through the ET tube. The ET tube came pretty close down to the carina. We selectively intubated the right, main stem bronchus with the bronchoscope. There were some secretions here, and these were aspirated. We then advances this selectively into first the lower and then the middle and upper lobes. Secretions were present, more so in the middle and lower lobes. No mucous plug was identified. We then went into the left main stem and looked at the upper and lowerlobes.There was really not much in the way of secretions present. We did inject some saline and aspirated this out. We then removed the bronchoscope and put the patient back on the supplemental O2, we waited a few minutes. The oxygen level actually stayed pretty good during this time. We then reinserted the bronchoscope and went down to the right side again. We aspirated out all secretions and made sure everything was clear. We then removed the bronchoscope and pulled back on the ET tube about 1.5 cm. We then again placed the patient on supplemental oxygenation. Findings: No mucous plug was identified. Secretions were found mainly in the right lung and were aspirated. The left side looked pretty clear.
Performed: Fiberoptic bronchoscopy with brushings and cell washings Procedure: The patient was already sedated, on a ventilator, and intubated; so his bronchoscopy was done through the ET tube. It was passed easily down to the carina. About 2 to 2.5 cm above the carina, we could see the trachea, which appeared good, as was the carina. In the right lung, however, had petechial ecchymotic areas scattered throughout the airways. The tissue was friable and swollen, but no mucous plugs were noted & all the airways were open ,just somewhat swollen .No abnormal secretions were noted at all. Brushings were taken as well as washings including some with mucomyst to see whether we could get some distal mucous plug ,but nothing was returned. The specimens were sent to appropriate cytological & bacteriological studies
Roger had a rhinoplasty to correct damage caused by a broken nose. One year later he had a secondary rhinoplasty with major revisions. At the end of the second surgery the incisions were closed with a single layer technique. How would you report the second procedure?
A surgeon started with a diagnostic thoracoscopy. During the same surgical session she completed a surgical thoracoscopy to control a hemorrhage. How would you report this procedure?
A patient is brought from an MVA to the ER with multiple fractured ribs, labored breathing, and complaints of chest pain and palpitations. In the ER the thoracic surgeon performs a tube thoracostomy with some relief of the patient’s most severe symptoms. Several tests are run and radiographs taken. What is the correct code?
A sinus endoscopy with tissue removal from the sphenoid sinus and dilation of sphenoid sinus ostium on the same side were performed.
Ruth was having difficulty taking a deep breath, and her chest x-ray showed accumulation of fluid in her pleural spaces. Dr. Smith ordered ---- to relieve the pressure on her lungs.
Dr. Wong used her stethoscope to perform ----- on the patient’s chest.
Before making a decision to perform surgery on Mrs. Hope, an 80-year-old woman with lung cancer, her physician ordered ----- to determine the functioning of her lungs
Sylvia produced yellow-colored sputum and had a high fever. Her physician told her that she probably had ------ and needed antibiotics.
The night before her thoracotomy for lung biopsy, Mrs. White was told by her anesthesiologist that her would place a/an ----- down her throat to keep her airways open during surgery.
This symptom means that a patient has difficulty breathing and becomes short of breath when exercising.
Substance used in the test for tuberculosis
Visual examination of the chest via endoscope and a video monitor.
A spirometer is used for these respiratory tests.
Lung or a portion of a lung is collapsed -----
Outer fold of pleura lying closer to the ribs ------
The surgeon performs a high thoracotomy with resection of a single lung segment on a 57-year-old heavy smoker who had presented with a six-month history of right shoulder pain. An apical lung biopsy confirmed lung cancer. Code the encounter for surgery.
Region between the lungs in the chest cavity is called -----
Thin hairs attached to the mucous membrane lining the respiratory tract ------
Midline region of the lungs where bronchi, blood vessels and nerves enter and exit the lungs ----
Collection of fluid in the thoracic cavity,
Abnormal condition caused by dust in the lungs, with chronic inflammation , infection and bronchitis is called----
Hyperinflation of air sacs with destruction of alveolar walls is called ----
Nose bleed is also called ----
Strained high pitched sound heard on inspiration caused by obstruction in the pharynx or larynx---
This is NOT a part of lower respiratory tract:
Another name for voice box is:
Interior of nose is divided by the:
This combining form means incomplete:
This combining form means breath:
This abbreviation refers to a syndrome that involves difficulty in breathing:
This abbreviation refers to amount of air patient can expel from the lungs in 1 second:
This suffix means breathing:
Acute injury to alveolocapillary membrane that results in edema and atelectasis:
Condition in which pus is in pleural space and is often a complication of pneumonia:
Which of the following is NOT is of the most common types of atelectasis?
This condition is a result of accumulation of dust particles in lung:
An irreversible airway obstructive disease in which symptoms are bronchial spasm, dyspnea, and wheezing:
Cylindrical, varicose, and secular/cystic are examples of:
Condition is which there is a loss of elasticity and enlargement of alveoli:
Definition of a chronic cough is one that lasts for over this number of weeks:
A condition marked by an increase in carbon dioxide in arterial blood and decreased ability to breathe that can result in respiratory acidosis:
This condition often follows a viral infection and occurs in children under 2 years of age. Examples of various types of this condition are constrictive proliferating and obliterative.
During inspiration, the diaphragm:
The diaphragm is said to be this shape:
This separates the abdominal cavity from the thoracic cavity:
This is an esophageal hernia:
A diaphragmatic hernia is also known as:
The diaphragm assists in:
This is the area between the lungs:
Surgeon performed a complete removal of frontal sinus by packing it with fat by making an incision over the eyebrows.
Patient with congenital cleft palate underwent rhinoplasty with columellar lengthening, including the septum and tip.
A patient underwent single-lung transplant with heart lung machine employed during the procedure.
Select the codes for exploration with a flexible fiberoptic bronchoscope with transbronchial lung biopsy and washing from a LUL mass and bronchial brushings from a RLL mass.
What is/are the CPT code(s) for a segmentectomy of the right lung and a wedge resection of the left lung due to bacterial infection?
A patient suffering from chronic inflammation of the maxillary sinus underwent a surgical endoscopic transnasal balloon dilation procedure to restore normal sinus function. During this procedure, maxillary antrostomy with polyp removal was completed. How should you report these procedures?
Dr. Walters performed a subsequent thoracocentesis of the pleural cavity for aspiration with needle fluoroscopic guidance. Which codes should Dr. Walters report for his professional services?
Alicia is 20 months old and suffering from chronic inflammation of the trachea, which is causing difficulty in breathing. Dr. Marion inserted a planned incisional tracheostomy for Alicia. This procedure was completed under general endotracheal anesthesia. The patient tolerated the procedure well and was returned to the recovery room in stable condition. How should Dr. Marion report this procedure?
A patient with narrowing of the nasal inlet, underwent the repair procedure in the right side, how will you report the procedure?
A 10-year-old patient with laryngeal narrowing underwent a surgical repair with thyroid cartilage graft, the procedure is reported as......
A patient underwent left maxillary sinus dilation and left maxillary antrostomy, this should be coded as,
What would you report for left maxillary antrostomy and right maxillary sinus ostium dilation?
When a wedge resection of right upper lobe is followed by lobectomy, this should be coded as,
When a thoracoscopic wedge resection is performed in the left upper lobe of the lung, this should be coded as,
When a wedge resection of the RUL is done along with a lobectomy of the RLL, this should be coded as,
Thoracocentesis of the right lung is done under ultrasound guidance, this should be coded as,
Thoracoscopic biopsy of the lung nodule was performed in the right lung, this should be coded as,
Which of the following is not part of the lung transplantation?
Thoracoscopic pleurodesis should be coded as
5 transbronchial lung biopsies of the RUL was done in the same session this should be coded as,
Biopsy of the larynx is done using micro laryngoscopy technique, this should be coded as,
Anterovertical hemilaryngectomy is coded as
Laryngoscopic biopsy using mirror reflection is coded to,
Which of the following sites are examined during laryngoscopy?
Codes 31231-31235 refers to evaluation of which of the following (choose 3) areas?
Incision was made into the frontal, ethmoid and sphenoid sinus in the same session, this should be coded as,
Which of the following procedures are included in the surgical sinus endoscopy (any 2)?
Can we use modifier 50 with the CPTs 31233-31297 (when appropriate)?
Total lung lavage is coded as
Removal of bronchopulmonary segment is coded as
Wedge resection of the RUL and RLL is coded as
Submucous resection of the middle turbinates is coded as
Fracturing the inferior turbinates during endoscopic sinus surgery to clear the passage is coded as
A patient comes to the hospital outpatient surgery department for removal of nasal polyp which is performed the same day.
Repairing the nasal deformity in a patient with congenital cleft lip with osteotomies is coded as
Patient is a mouth breather. He is diagnosed with inflamed inferior turbinates and a superficial ablation is performed.
Which code(s) describe(s) bilateral endoscopic nasal procedure to diagnose breathing problems?
An indirect endoscopic procedure of the larynx means the larynx is viewed:
Can bronchoscopy codes be coded together by a physician, and if yes how? Are multiple procedures reported with modifier 51?
A thoracotomy procedure was performed for repair of hemorrhage and lung tear. What CPT code is reported?
Which CPT code describes a pneumonectomy?
Can diagnostic VATS be billed with a surgical VATS under certain circumstances?
Which CPT code(s) describes VATS wedge resection of the left upper lobe followed by left upper lobectomy?
A patient has a mass in her left axilla that is suspected to be a recurrent of lymphoma. She has a left axillary node excisional biopsy. The lymph node is biopsied under the pectoralix minor. What CPT code is reported?
A patient with adenocarcinoma of the larynx has developed cervical adenopathy and is undergoing an excisional biopsy of the right cervical node. An incision is made above the clavicle and dissection taken down into the muscle. Blunt dissection was used to work the way down to the node, which was firm and white. The entire node was taked and the wound was closed. What CPT code is reported?
Where does the exchange of oxygen and carbondioxide take place within the lungs?
What protects the trachea from food or liquid entering
How many lobes are in both lungs combined?
What is the major muscle used during respiration?
What is also referred to as the “Windpipe”?
Which of the following is not one of the four organs of the lymph system?
What is the term for removal of part of the lymph system?
Where is the mediastinum located?
What portion of the thoracic cavity lies between the lungs and contains the heart?
What is the another name for the larynx?
A patient with diagnosis of larynx fracture. The physician did operative laryngoscopy with removal of chicken bone fragment with the help of operating microscope.
