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The patient is a 64 year-old female who is undergoing a removal of a previously
implanted Medtronic pain pump and catheter due to a possible infection. The back was
incised; dissection was carried down to the previously placed catheter. There was
evidence of infection with some fat necrosis in which cultures were taken. The
intrathecal portion of the catheter was removed. Next the pump pocket was incised
and the pump was dissected from the anterior fascia. A 7-mm Blake drain was placed
in the pump pocket through a stab incision and secured to the skin with interrupted
Prolene. The pump pocket was copiously irrigated with saline and closed in two layers.
What are the CPT® and ICD-10-CM codes for this procedure?
A. 62365, 62350-51, T85.898A, Z46.2
B. 62360, 62355-51, T85.79XA
,C. 62365, 62355-51, T85.79XA
D. 36590, I97.42, T85.898A - correct answer C. 62365, 62355-51, T85.79XA
The patient is a 73 year-old gentleman who was noted to have progressive gait
instability over the past several months. Magnetic resonance imaging demonstrated a
ventriculomegaly. It was recommended that the patient proceed forward with right
frontal ventriculoperitoneal shunt placement with Codman® programmable valve.
What is the correct code for this surgery?
A. 62220
B. 62223
C. 62190
D. 62192 - correct answer B. 62223
What is the CPT® code for the decompression of the median nerve found in the space
in the wrist on the palmar side?
,A. 64704
B. 64713
C. 64721
D. 64719 - correct answer C. 64721
A 2-year-old male has a chalazion on both upper and lower lid of the right eye. He was
placed under general anesthesia. With a #11 blade the chalazion was incised and a
small curette was then used to retrieve any granulomatous material on both lids. What
CPT® code should be used for this procedure?
A. 67801
B. 67805
C. 67800
D. 67808 - correct answer D. 67808
, An 80-year-old patient is returning to the gynecologist's office for pessary cleaning.
Patient offers no complaints. The nurse removes and cleans the pessary, vagina is
swabbed with betadine, and pessary replaced. For F/U in 4 months. What CPT® and
ICD-10-CM codes are reported for this service?
A. 99201, Z46.89
B. 99211, Z46.89
C. 99202, Z46.9
D. 99212, Z46.9 - correct answer B. 99211, Z46.89
Patient was in the ER complaining of constipation with nausea and vomiting when
taking Zovirax for his herpes zoster and Percocet for pain. His primary care physician
came to the ER and admitted him to the hospital for intravenous therapy and
management of this problem. His physician documented a detailed history,
comprehensive examination and a medical decision making of moderate complexity.
Which E/M service is reported?