COMPLETE ALL QUESTIONS
WK2 QUESTIONS3 HP-216
Instructions: Select the most correct response.
Question
1) The patient, an 85-year-old female, presents with the complaint of foreign body being stuck in her throat. After application of a local anesthetic, the patient is examined by using direct laryngoscope with use of an operating microscope. Upon examination, a small bone is seen and removed. Report CPT code ____________.
· 31530
· 31511
· 31536
2) A 70-year-old man with the diagnosis of emphysema presents for lung volume reduction (LVR) surgery. The physician removes a portion of the patient’s right upper lung via a transthoracic approach. Report CPT code(s) ____________.
· 32440
· 32491
· 32501, 32491-51
3) The patient presented for a procedure. The physician punctured the patient’s pleural space with a needle and drained fluid. The fluid was sent to pathology for analysis. This procedure is known as a
· pneumocentesis.
· pleurectomy.
· pneumonectomy.
4) A patient with the diagnosis of lung carcinoma presents for a surgical procedure. The physician, after accessing the patient’s lungs, removes a portion of the right upper lobe that measures approximately 7.0 × 6.0 cm in size. On the left side, the physician removes a portion of the left upper lobe that is 1.5 × 1.0 cm in size. The portion of the lung that was removed on the right side is classified as a
· pneumonectomy.
· segment.
· wedge.
5) Thoracentesis, with aspiration of pleura. Report CPT code ____________.
· 32098
· 32554
· 32408
6) The patient presented for a diagnostic laryngoscopy. The flexible fiberoptic scope was advanced, and a biopsy of the larynx was done due to redness and inflammation that was found. Report CPT code(s) ____________.
· 31575, 31576-51
· 31578, 31535-51
· 31535
7)Dr. Watson performed a pneumonectomy from a donor whose lung was to be transplanted into a patient in Florida. The donor was an 18-year-old male killed in a traffic accident. Dr. Watson did this procedure in Texas, and the organ was flown to the patient at a Florida hospital. Report CPT code(s) ____________.
· 32850, 32852-51, 32855-51
· 32850, 32855-51
· 32850, 32852-51
8) Diagnostic thoracoscopy with biopsy of pericardial sac. Report CPT code(s) ____________.
· 32659
· 32601, 32604-51
· 32604
9) PREOPERATIVE DIAGNOSIS: Nosebleed
POSTOPERATIVE DIAGNOSIS: Nosebleed
OPERATION PERFORMED: Nasal packing
The patient’s nasal cavity was examined and noted to be bleeding anteriorly on the right and posteriorly on the left. There was extensive bleeding. First, the patient’s right nasopharynx was cauterized in an attempt to stop the bleeding. After four minutes, this side of the patient’s nose was still bleeding; therefore, a more extensive anterior packing was done. The patient’s left nasopharynx was bleeding posteriorly; this was cauterized and also packed since the cautery did not arrest the bleeding totally.
Report CPT code(s) __________.
· 30903-50
· 30905-LT, 30903-RT
· 30905-50
10) Wedge resection via thoracotomy of left upper lobe of lung and left lower lobe of lung. Report CPT code(s) ____________.
· 32482
· 32505, 32505-51
· 32440