Musculoskeletal System Guidelines 1. Patient underwent replantation of thumb after complete amputation from the distal tip to the MP jointa) 20822b) 20824c) 20827d) 20816 Loading... 2. A patient was seen in the office for trigger point injection involving the trapezius and lattismus muscle groups.a) 20551b) 20552c) 64614d) 64613 Loading... 3. Surgeon performed open repair of femoral neck fracture with internal fixation.a) 27230b) 27235c) 27236d) 27244 Loading... 4. A young man with left tibial shaft fracture is provided open treatment without intramedullary implant. After the procedure the leg was placed in a short leg cast. Give the appropriate CPT codes.a) 27758b) 27758, 29425c) 27758, 29405d) 27759, 29425 Loading... 5. The type of fracture determines the type of treatmenta) Trueb) False Loading... 6. Re-reduction of fracture during the postoperative period by the same physician is identified using modifiera) 58b) 78c) 76d) 79 Loading... 7. Codes for external fixationa) can be used always when it is mentionedb) should not be billed separatelyc) can be billed if it is part of the basic procedured) can be billed if it is not part of the basic procedure Loading... 8. Codes 20100 – 20103 do not include which of the following procedures?a) exploration and enlargement of the woundb) extension of dissectionc) debridement, removal of foreign bodyd) thoracotomy / laparotomy Loading... 9. Ultrasound guided trigger point injection in the deltoid, biceps and trapezius.a) 20553b) 20552c) 20553, 76942d) 20552, 76942 Loading... 10. Ultrasound guided arthrocentesis of the acromioclavicular joint with permanent record.a) 20604b) 20606c) 20606, 76942d) 20611, 76942 Loading... 11. Replantation of foot that was amputated incompletely.a) 20838b) 20838-52c) 20838-53d) 20802 Loading... 12. Hemiarthoplasty of the femoral head for a complete femoral neck fracture in a 75-year-old female patient.a) 27125b)27130c)27236d)27137 Loading... 13. What is the appropriate CPT code to report replacement of a forearm cast on a date other than the initial application?a) 29085b) None, as the cast application is part of the global fracture care codec) 29805x2d) 99024 Loading... 14. A surgeon performs a midfoot capsulotomy, medial tendon release and tendon lengthening, Select the appropriate code,a) 28250b) 28260c) 28261d) 28262 Loading... 15. The physician performs a surgical procedure for the release of a trigger finger condition on the right middle finger. At the same operative session, the surgeon excises a bone cyst on the left fourth metacarpal of the hand (no graft necessary). Select the correct codes,a) 26210-F6, 26070-F8b) 26200-F2, 26210-F3c) 26200-F3, 26055-F7d) 26210-F3, 26055-F8 Loading... 16. A surgeon performs a diagnostic knee arthroscopy without synovial biopsy that revealed tears of the medial and lateral menisci. He proceeded with menisectomies of both medial and lateral menisci along with shaving of the surrounding tissue/bone. Select the correct code(s).a) 29880-RTb) 29880, 29870-51c) 29881-RT, 29871-51d) 29870-51, 29871-51 Loading... 17. Total hip replacement is performed for aseptic necrosis of the head and neck of the femur. What are the correct CPT and ICD-9-CM codes for this procedure?a) 27130b) 26392c) 28238d) 29901 Loading... 18. What is the type of fracture treatment? Dx: Femoral shaft fracture Procedure: The femur is opened in the trochanter (remote) and a Intramedullary Nail is inserted across the femoral shaft fracture.OpenClosedPercutaneousManipulation Loading... 19. What is the type of fracture treatment? Dx: Intertrochanteric fracture Procedure: The fracture is fixed with pins using fluoroscopic guidance, the fracture fragments were not visualised.OpenClosedPercutaneousManipulative Loading... 20. Code for trigger finger releasea) 20551b) 26055c) 26060d) 26037 Loading... 21. Match the bones with the common namesShoulder blade TibiaUnselectScapulaUnselectClavicleUnselectSternumUnselectFemurUnselectBreast bone TibiaUnselectScapulaUnselectClavicleUnselectSternumUnselectFemurUnselectThigh bone TibiaUnselectScapulaUnselectClavicleUnselectSternumUnselectFemurUnselectShin bone TibiaUnselectScapulaUnselectClavicleUnselectSternumUnselectFemurUnselectCollar bone TibiaUnselectScapulaUnselectClavicleUnselectSternumUnselectFemurUnselect Loading... 22. Which of the following is coded separately with wound exploration?Enlargement of the wound Debridement of the wound Ligation of blood vessels in the wound Foreign body removal from the wound Skin grafting required to closed the wound Loading... 23. Injections in 2 trigger points of deltiod, biceps, triceps, pectoralis major and minor under MRI guidance.20552 2055320553, 7702120552, 77021 Loading... 24. Aspiration of wrist joint using fluoroscopic guidance20606 20606, 770022060520605, 77002 Loading... 25. A cranial halo is placed on the head of the child whose skull is unusually thin due to congenital problems.20661206642066220661-52 Loading... 26. Which of the following statements are correct?Code only grafts obtained through separate incisionCode only grafts obtained through same incisionWhen the basic procedure code mentions includes obtaining graftWhen the basic procedure code does not mention includes obtaining graft Loading... 27. The Radiology Report revealed that the fracture was not aligned correctly during the healing process. This fracture would be referred to as _______________ . The repair of this fracture is coded to the category ---------------------------.Malunion, Repair, Revision & ReconstructionNonunion, Repair, Revision & ReconstructionMalunion, Fracture & DislocationNonunion, Fracture & Dislocation Loading... 28. L1-S1 - How many interspaces & segments?Interspace - 6 Segement - 5Interspace - 5 Segement - 6Interspace - 5 Segement - 5Interspace - 6 Segement - 6 Loading... 29. What are the modifiers we cannot use for spine instrumentation and graft codes?51, 5951, 6251, 6651, 63 Loading... 30. Which of the following statements are correct?Add mod 51 to secondary arthrodesis procedures Add mod 51 to spine bone grafts and instrumentation Fixation at the ends without intervening attachments is segmental instrumentation Fixation at the ends with intervening attachment is segmental instrumentation Loading... 31. Match the bones with the descriptionsFinger bones CalcaneusUnselectMandibleUnselectLateral MalleolusUnselectMaxillaUnselectPhalangesUnselectPatellaUnselectMedial MalleolusUnselectLower jaw CalcaneusUnselectMandibleUnselectLateral MalleolusUnselectMaxillaUnselectPhalangesUnselectPatellaUnselectMedial MalleolusUnselectUpper jaw CalcaneusUnselectMandibleUnselectLateral MalleolusUnselectMaxillaUnselectPhalangesUnselectPatellaUnselectMedial MalleolusUnselectLower part of tibia CalcaneusUnselectMandibleUnselectLateral MalleolusUnselectMaxillaUnselectPhalangesUnselectPatellaUnselectMedial MalleolusUnselectLower part of fibula CalcaneusUnselectMandibleUnselectLateral MalleolusUnselectMaxillaUnselectPhalangesUnselectPatellaUnselectMedial MalleolusUnselectHeel bone CalcaneusUnselectMandibleUnselectLateral MalleolusUnselectMaxillaUnselectPhalangesUnselectPatellaUnselectMedial MalleolusUnselectKnee cap CalcaneusUnselectMandibleUnselectLateral MalleolusUnselectMaxillaUnselectPhalangesUnselectPatellaUnselectMedial MalleolusUnselect Loading... 32. Fracture reduction + Casting =Only fracture reductionOnly castingBoth fracture reduction and castingNeither fracture reduction or casting Loading... 33. What are the billable services?Cast removal by the physician who applied the cast Initial cast applied by the physician repairing the fracture Subsequent cast applied by the physician during the healing phase Initial cast applied by a physician who is not treating the conditionCast removal by a different physician Loading... 34. Chondroplasty of lateral compartment (29877)+ medial menisectomy(29881) =298772988129881, 29877-5929877, 29881-59 Loading... 35. Medial meniscus repair of the RT Knee (29882) + Lateral meniscus removal of the RT knee (29881) =298812988229882, 2988129882, 29881-59 Loading... Loading... Back Prev Next Submit a Comment Cancel replyYou must be logged in to post a comment.
