Test Bank For Understanding Current
Procedural Terminology and HCPCS Coding
Systems 2025 Edition 11th Edition Chapter 1-
23
Procedure: Replacement of pacemaker generatorThe patient was brought to the
operating room and was prepped and draped in the usual fashion. The patient was
consciously sedated. The previous subcutaneous right infraclavicular skin pocket was
identified, and an incision was made in this area to remove the previously inserted
generator. The atrial and ventricular leads were checked. Since the pocket was clean, it
was determined that the same pocket could be used for the reinsertion of a new
generator. A pulse generator was placed and tested. Noting no complications, the
physician sutured the site. The patient was found to be in stable condition and was
returned to the recovery room in satisfactory condition. - answers 33228
Preoperative diagnosis: Leukemia, in remission Postoperative diagnosis: Same
Procedure: Tunneled venous access port removal Reason for procedure: This 8-year-
old male completed chemotherapy.The patient was prepped and draped in the normal
sterile fashion. His right side was anesthetized, and an incision was made above the
port area. The port was a tunneled device with a subcutaneous port that was
peripherally inserted. The incision was taken down to the device, which was freed. The
retention sutures were identified and cut. After confirmation that the device was free, it
was removed. Hemostasis was obtained, and the wound was closed in layers using 3-0
nylon. A sterile dressing was applied to the area. Patient vitals were taken, and the
patient was noted to be stable. He was sent to the recovery room in stable condition. -
answers 36590
Preoperative and postoperative diagnosis: Excessive fluid in pericardial sac Procedure:
Initial removal of fluid from pericardial sacAfter the patient was prepped and draped in
the usual fashion, general anesthesia was administered. Using the sternum as an
anatomical landmark, a long needle was placed below the sternum. The needle was
advanced into the pericardial sac, and 5 cc of fluid were removed and sent to pathology
for review. The patient was stable, and the wound was dressed. The patient was sent to
the recovery area in satisfactory condition - answers 33010
Preoperative diagnosis: Malignant carcinoma of breast Postoperative diagnosis:
SameThis 39-year-old female presents today for insertion of catheter for central venous
access for chemotherapy.The patient was placed in the supine position and sterile prep
occurred. Lidocaine was injected into the right clavicular area. A needle was inserted
into the right subclavain vein, and a J-wire was then passed into place. A tunnel was
created from the area over the clavicle to the venotomy site, and a dilator was placed
, over the wire and then dilated. The catheter was then placed into the subclavian vein
and secured. The area was flushed, and incisions were sutured. There was minimal
blood loss, and the patient was stable and sent to the recovery area. - answers 36558
Preoperative diagnosis: Possible hemorrhage Postoperative diagnosis: Abdominal
hemorrhage of previous operative areaThis patient underwent abdominal surgery 36
hours ago. An exploration of the abdominal incision site is planned.After being placed
under general anesthesia, the original abdominal incision site was reopened. A small
bleeding site was noted, and electrocautery was used. The wound was closed. The
patient tolerated the procedure and was sent to the recovery area. - answers 35840
Preoperative diagnosis: Chest wound Postoperative diagnosis: Foreign body on the
surface of the heart Anesthesia: General Procedure: Exploratory cardiotomyThis 59-
year-old patient sustained an injury to his chest while loading logs onto a truck at work.
He was brought to the ER, and imaging showed a chest wound with a possible foreign
body on the surface of the heart. He was then taken to the operating room for
exploration of the area. An incision was made in the sternum, and the heart was
exposed. A foreign body was visualized on the heart and was removed. There were no
penetrating cardiac wounds to be sutured. The operative wound was closed, and the
patient was sent to the recovery area in stable condition. - answers 33310
Preoperative and postoperative diagnosis: Cardiac ischemia Procedure: Thoracotomy
for transmyocardial laser revascularization Anesthesia: GeneralThe patient was
prepped and draped in the usual sterile fashion and placed under general anesthesia. A
12-cm incision was made on the left side of the chest. The incision was made between
the ribs and was carried down to expose the heart's surface. An ischemia was
visualized on the right side of the heart. The laser was inserted into the cardiac area,
and between heartbeats, 15 channels were made and pressure was applied to close the
opened areas. Prior to closure of the incision, there was no significant bleeding from the
cardiac tissue. The laser was removed, the incision was closed, and dressings were
placed on the wound. The patient tolerated the procedure with no complications and
was sent to the recovery area in stable condition. - answers 33140
Preoperative and postperative diagnosis: Bleeding from pacemaker site Procedure:
Relocation of skin pocket for pacemakerWith the patient under general anesthesia, the
previous skin pocket was opened, and the generator was removed. The skin pocket
was explored and bleeding stopped in the area. The generator was then relocated, and
the pocket was closed with sutures. A sterile dressing was applied. The patient was in
stable condition. - answers 33222
Preoperative and postoperative diagnosis: Thrombus and atherosclerosis of iliac artery
Procedure: Iliac thromboendarterectomyThe patient was prepped and draped in the
usual sterile fashion and placed under general anesthesia. An abdominal incision was
made, and dissection past the large and small bowel occurred to expose the iliac artery.
Clamps were placed to isolate the iliac area. A longitudinal incision was made in the
artery, and the thrombus and plaque were removed. Then the area was sutured. The
Procedural Terminology and HCPCS Coding
Systems 2025 Edition 11th Edition Chapter 1-
23
Procedure: Replacement of pacemaker generatorThe patient was brought to the
operating room and was prepped and draped in the usual fashion. The patient was
consciously sedated. The previous subcutaneous right infraclavicular skin pocket was
identified, and an incision was made in this area to remove the previously inserted
generator. The atrial and ventricular leads were checked. Since the pocket was clean, it
was determined that the same pocket could be used for the reinsertion of a new
generator. A pulse generator was placed and tested. Noting no complications, the
physician sutured the site. The patient was found to be in stable condition and was
returned to the recovery room in satisfactory condition. - answers 33228
Preoperative diagnosis: Leukemia, in remission Postoperative diagnosis: Same
Procedure: Tunneled venous access port removal Reason for procedure: This 8-year-
old male completed chemotherapy.The patient was prepped and draped in the normal
sterile fashion. His right side was anesthetized, and an incision was made above the
port area. The port was a tunneled device with a subcutaneous port that was
peripherally inserted. The incision was taken down to the device, which was freed. The
retention sutures were identified and cut. After confirmation that the device was free, it
was removed. Hemostasis was obtained, and the wound was closed in layers using 3-0
nylon. A sterile dressing was applied to the area. Patient vitals were taken, and the
patient was noted to be stable. He was sent to the recovery room in stable condition. -
answers 36590
Preoperative and postoperative diagnosis: Excessive fluid in pericardial sac Procedure:
Initial removal of fluid from pericardial sacAfter the patient was prepped and draped in
the usual fashion, general anesthesia was administered. Using the sternum as an
anatomical landmark, a long needle was placed below the sternum. The needle was
advanced into the pericardial sac, and 5 cc of fluid were removed and sent to pathology
for review. The patient was stable, and the wound was dressed. The patient was sent to
the recovery area in satisfactory condition - answers 33010
Preoperative diagnosis: Malignant carcinoma of breast Postoperative diagnosis:
SameThis 39-year-old female presents today for insertion of catheter for central venous
access for chemotherapy.The patient was placed in the supine position and sterile prep
occurred. Lidocaine was injected into the right clavicular area. A needle was inserted
into the right subclavain vein, and a J-wire was then passed into place. A tunnel was
created from the area over the clavicle to the venotomy site, and a dilator was placed
, over the wire and then dilated. The catheter was then placed into the subclavian vein
and secured. The area was flushed, and incisions were sutured. There was minimal
blood loss, and the patient was stable and sent to the recovery area. - answers 36558
Preoperative diagnosis: Possible hemorrhage Postoperative diagnosis: Abdominal
hemorrhage of previous operative areaThis patient underwent abdominal surgery 36
hours ago. An exploration of the abdominal incision site is planned.After being placed
under general anesthesia, the original abdominal incision site was reopened. A small
bleeding site was noted, and electrocautery was used. The wound was closed. The
patient tolerated the procedure and was sent to the recovery area. - answers 35840
Preoperative diagnosis: Chest wound Postoperative diagnosis: Foreign body on the
surface of the heart Anesthesia: General Procedure: Exploratory cardiotomyThis 59-
year-old patient sustained an injury to his chest while loading logs onto a truck at work.
He was brought to the ER, and imaging showed a chest wound with a possible foreign
body on the surface of the heart. He was then taken to the operating room for
exploration of the area. An incision was made in the sternum, and the heart was
exposed. A foreign body was visualized on the heart and was removed. There were no
penetrating cardiac wounds to be sutured. The operative wound was closed, and the
patient was sent to the recovery area in stable condition. - answers 33310
Preoperative and postoperative diagnosis: Cardiac ischemia Procedure: Thoracotomy
for transmyocardial laser revascularization Anesthesia: GeneralThe patient was
prepped and draped in the usual sterile fashion and placed under general anesthesia. A
12-cm incision was made on the left side of the chest. The incision was made between
the ribs and was carried down to expose the heart's surface. An ischemia was
visualized on the right side of the heart. The laser was inserted into the cardiac area,
and between heartbeats, 15 channels were made and pressure was applied to close the
opened areas. Prior to closure of the incision, there was no significant bleeding from the
cardiac tissue. The laser was removed, the incision was closed, and dressings were
placed on the wound. The patient tolerated the procedure with no complications and
was sent to the recovery area in stable condition. - answers 33140
Preoperative and postperative diagnosis: Bleeding from pacemaker site Procedure:
Relocation of skin pocket for pacemakerWith the patient under general anesthesia, the
previous skin pocket was opened, and the generator was removed. The skin pocket
was explored and bleeding stopped in the area. The generator was then relocated, and
the pocket was closed with sutures. A sterile dressing was applied. The patient was in
stable condition. - answers 33222
Preoperative and postoperative diagnosis: Thrombus and atherosclerosis of iliac artery
Procedure: Iliac thromboendarterectomyThe patient was prepped and draped in the
usual sterile fashion and placed under general anesthesia. An abdominal incision was
made, and dissection past the large and small bowel occurred to expose the iliac artery.
Clamps were placed to isolate the iliac area. A longitudinal incision was made in the
artery, and the thrombus and plaque were removed. Then the area was sutured. The
