BODY SYSTEM FOR WEB - KEY
INTRODUCTION TO THE SURGERY SECTION
AND
INTEGUMENTARY SYSTEM
1.
Removal and reinsertion of Norplants contraceptive capsule
Code(s)_
_________(Contraceptive Capsules, Implantable; Removal, with
Reinsertion)/1
11977 _______
2.
Suzanne Osterland, a 40year-old, is brought to the office by her father.
Suzanne was playing on the swing set in the back yard when she fell from the
top step of the play set, approximately 5 feet. When she fell, she struck her
leg on a birdbath rim and then on a pail with several garden tools protruding
over the rim, sustaining 12.9-cm, 3.1-cm, and 2.1-cm lacerations of the right
leg, requiring deep-layered closure accomplished after partial thickness
debridement
Code(s)____1
12035 for the 18.1-cm leg repair (Wound, Repair, Intemediate);
& 11040-51 (Debridement, Skin, Benign)________
3.
Excision of 4-cm benign lesions of face (most resource intensive) and
excision of 3-cm benign lesion of neck
Code(s)_1
11444 for 4-cm of face
& 11423-51 for 3 c, of neck (Skin, Excision, Lesion,
Benign)_____________________________
4.
Destruction of three benign facial lesions
Code(s)_______1
17000 for first lesion
& 17003x2 for second & third
5.
Biopsy of three lesions of mucous membrane with simple closure
Code(s)__1
11100, 11101 x 2 (Debridement, skin,
Exzematous)____________________________
1
N:\MEDICAL CODING\Code Assignment_Body Systems/Body Systems for Web_Key
MUSCULOSKELETAL SYSTEM
1.
Julie Mason is coming in today to have her long-arm cast removed and
replaced with a short-arm cast.
Code(s)______29075 (Case, Short Arm)
2.
Open treatment of patellar fracture with complete patellectomy and soft tissue
repair.
Code(s)_______27524 (Patella Fracture)_
3.
Repair of a tibial shaft fracture with fibular fracture, percutaneous skeletal
fixation
Code(s)________27756 (Fracture, Tibia, Percutaneous Fixation)
4.
Replantation of index finger including tendon insertion following a compete
traumatic amputation. Code only the replantation service.
Code(s)___20822 ( Replantation, Digit)_
5.
Shoulder arthroscopy with resection of multiple adhesions and manipulation.
Code(s)____29825 (Arthroscopy, Surgical \, Shoulder_
2
N:\MEDICAL CODING\Code Assignment_Body Systems/Body Systems for Web_Key
Respiratory, Cardiovascular, Hemic & Lymphatic Systems
(30000-39999)
Medical Coding II/In-Class Exercise
1. Carl, a 58-year-old male, is taken to the operating room to remove his permanent
pacemaker after successfully getting his heart back to normal sinus rhythm.
a.
b.
c.
d.
2.
a.
b.
c.
d.
33236
B.33238
33243
33233
What code(s) would be used to report an arterial catheterization?
36600
36620, 36625
36620
36640
3. This 60-year-old female was seen previously for a laparoscopic biopsy of her
cervical lymph nodes. The biopsy came back showing abnormal cells. The decision
was made to do a lymphadenectomy. The patient was brought to the operating room
and put under general anesthesia. After completing a radical neck dissection, the
lymph nodes were excised. The patient was returned to recovery in satisfactory
condition. Code the lymphadenectomy only.
a.
b.
c.
d.
38720,38570-51
38720,38500-51
38571
38724
4. Connie is brought to the operating room for a diaphragmatic hernia. Transthoracic
repair will be done to fix the hernia.
a.
b.
c.
d.
39520
39503
39530
39540
3
N:\MEDICAL CODING\Code Assignment_Body Systems/Body Systems for Web_Key
Digestive System
(40000-49999)
Medical Coding II/In-Class Exercise
1. What code would you use to report a rigid proctosigmoidoscopy with guide wire?
a.
b.
c.
d.
52260
45386
45339
45303
2
How would you code an excision of a ruptured appendix with generalized
peritonitis?
a.
b.
c.
d.
3.
44970
44950
44960
44960-22
Kevin is admitted to same-day surgery today for a laparscopic cholecystectomy.
a.
b.
c.
d.
47600
47562, 47550
47560
47562
4
N:\MEDICAL CODING\Code Assignment_Body Systems/Body Systems for Web_Key
Urinary, Male Genital & Female Genital Systems
(50000-59999)
Medical Coding II/In-Class Exercise
1.
What code(s) would you use to report a biopsy of the bladder?
a.
b.
c.
d.
52354
52204
2224
52250
2
What code(s) would you use to code reconstruction of the penis for straightening of
chordee?
a.
b.
c.
d.
54435
54328
54360
54300
3.
Jim is a 42-year-old male in for a bilateral vasectomy that will include three postoperative
semen examinations:
a.
b.
c.
d.
52347 x 3
52648
55250
55250 x 3
4.
Sarah is a 37-year-old female diagnosed with an ectopic pregnancy. The patient was
taken to the operating room for treatment of a tubal ectopic pregnancy, abdominal approach.
a.
b.
c.
d.
5.
59130
59150
59120
59121
What code(s) do you use to report a cesarean delivery including the postpartum care?
a.
b.
c.
d.
58611, 59430
59400
59515
59622
5
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Endocrine, Nervous, Eye & Ocular Adnexa/Auditory Systems
(60000-69999)
Medical Coding II/In-Class Exercise
1.
What code(s) would you use to report burr hole(s) to drain an abscess of the
brain?
a.
b.
c.
d.
61253
61150
61156
61151
2
This patient was brought to the operating room to repair an aneurysm of the
intracranial artery by balloon catheter.
a.
b.
c.
d.
61698
61697
61710
61700
3.
Delores, a 67-year-old female, is seen today for destruction of a lesion of her
cornea. The lesion is removed by thermocauterization.
a.
b.
c.
d.
65400
65450
65435
65410
4.
What code(s) would you use to code the removal of a foreign body embedded in
the eyelid.
a.
b.
c.
d.
67830
67413
67801
67938
5.
Kristie, a 15-year-old female, is seen today for removal of bilateral ventilating
tubes that Dr. White inserted 1 year ago.
a.
b.
c.
d.
69205-50
69424-79
69424-50
694424-50-78
6
N:\MEDICAL CODING\Code Assignment_Body Systems/Body Systems for Web_Key
Radiology Systems
(70000-79999)
Medical Coding II/In-Class Exercise
1.
A patient is in for an MRI (magnetic resonance imaging) of the pelvis with
contrast material(s):
a.
b.
c.
d.
72125
72198
72196
72159
2
What code(s) would you use for an endoscopies catheterization of the biliary
ductal system for the professional radiology component only?
a.
b.
c.
d.
43241, 74328
74328-26
74300-26
74330-26
3.
Jennifer is a 29-year-old pregnant female in for a follow-up ultrasound with image
documentation of the uterus.
a.
b.
c.
d.
74740
76816
74710
76856
4.
Therapeutic radiology treatment planning is the “prescription” for a patient who
will start radiation therapy for a cancerous neoplasm of the adrenal gland. What code
would you use for a complex treatment planning?
a.
b.
c.
d.
60540
77315
77263
77401
5.
Because of the number of headaches this 50-year-old female had been
experiencing, her physician ordered a CT of her head, without contrast materials.
a.
b.
c.
d.
70450
70460
70470
70496
7
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Pathology & Laboratory Systems
(80000-89999)
Medical Coding II/In-Class Exercise
1.
A patient presents to the laboratory at the clinic for the following tests: thyroid
stimulating hormone, comprehensive metabolic panel, and an automated hemogram with
manual differential WBC count (CBC). How would you code this lab?
a.
b.
c.
d.
84443, 80053, 85027. 85007
80050 ( panel code)
84443
84445, 80051, 85025
2
A 70-year-old male who suffers from atrial fibrillation has been on long-term use
of digoxin. He comes into the lab today to have a quantitative drug assay performed for
digoxin.
a.
b.
c.
d.
80100
80102
80299
80162
3.
An 80-year-old female patient presented to the laboratory for a lipid panel that
includes measurement of total serum cholesterol, lipoprotein (direct measurement, HDL),
and triglycerides.
a.
b.
c.
d.
82465, 83718, 84478
82465-52, 83718, 84478
80061-52
80061
8
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Medicine Systems
(90000-99199)
Medical Coding II/In-Class Exercise
1..
Code the substance of DTP given intramuscularly:
a.
b.
c.
d.
90700, 90471
90702
90701, 90471
90701
2.
Katie is a 9-year-old female who comes into the clinic to have her first
opthalmological exam. The exam was intermediate.
a.
b.
c.
d.
99203
92002
92002, 99203
92004
3.
The patient is taken to the operating room for insertion of a Swan-Ganz catheter.
The physician inserts the catheter for monitoring cardiac output measurements and blood
gases.
a.
b.
c.
d.
36013, 93503
36013
93508
93503
9
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