WORKSHEET 27 DIGESTIVE SYSTEM CPT CODES This system covers procedures on the mouth, salivary glands, pharynx, adenoids, tonsils, esophagus, stomach, intestines, appendix, rectum and anus, liver, biliary tract, pancreas, abdomen, peritoneum, omentum, and hernia repair. Digestive System (40490-49999) 1. Plastic repair of pharynx _____________ 2. Partial left lobe hepatectomy _____________ 3. I &D peritonsillar abscess _____________ 4. Total arch vestibuloplasty _____________ 5. Commando glossectomy _____________ URINARY SYSTEM This section includes the procedures on the kidney, ureter, bladder, and urethra; also transplant services, including the harvesting of the kidney. Urinary System (50010-53899) 1. Excision of Cowper’s gland ______________ 2. Exploratory nephrotomy ______________ 3. Plastic repair of ureter for stricture ______________ 4. Infant meatotomy ______________ 5. Closure of traumatic kidney wound ______________ ENDOCRINE AND NERVOUS SYSTEM Procedures on the thyroid, parathyroid, thymus and adrenal glands, carotid body, skull, meninges and brain, spine and spinal cord, extracranial and peripheral nerves, and autonomic nervous system. Endocrine and Nervous System (60000-64999) 1. Excision of the thyroid adenoma _______________ 2. Single nerve graft, left arm, 4.5 cm. _______________ 3. Exploratory burr hole, supratentorial _______________ 4. Craniectomy for posterior fossa tumor ________________ 5. Cranioplasty for 6.5 cm. skull lesion _______________ EYE AND OCULAR ADNEXA This section lists procedures on the eyeball, cornea, iris, ciliary body, lens, vitreous, retina, eye muscles, bony orbit, eyelids, conjunctiva, and lacrimal system. Eye and Ocular Adnexa (65091-68899) 1. Iridectomy for glaucoma, left ______________ 2. Laser trabeculoplasty, right _______________ 3. Removal of the right dacryolith _______________ 4. Total reconstruction, right upper lid _______________ 5. Removal of posterior FB with magnet, left eye ______________ AUDITORY SYSTEM This section includes procedures on the external, middle, and inner ear, and the temporal bone. Auditory System (69000-69990) 1. Excision biopsy external ear ______________ 2. Complete mastoidectomy, right ______________ 3. Cochlear implant, right ______________ 4. Myringotomy, right ______________ 5. Excision of right external ear cyst (partial) ______________ RADIOLOGY This section covers diagnostic radiology and imaging. Radiology – I (70010-73725) 1. Chest x-ray, 1 view ______________ 2. Complete study left hip ______________ 3. Cervical MRI, no contrast ______________ 4. Pelvis, 2 views ______________ 5. X-ray of right knee, 4 views ______________ PATHOLOGY AND LABORATORY This covers lab panels, drug testing, therapeutic drug assays, evocative/suppression testing, clinical pathology consultations, urinalysis, and ends with chemistry tests. Pathology and Laboratory –I (80048-83887) 1. Blood ethanol levels (any specimen) _______________ 2. Glucose tolerance test, 4 specimens _______________ 3. Creatinine clearance _______________ 4. Obstetric panel of tests _______________ 5. Cocaine drug screening _______________ MEDICINE Medicine – III (96100-0140T) 2007 CPT Codes 1. Acupuncture, 4 needles s electrical stimulation 2. IM chemotherapy administration 3. Home visit for newborn born at home _______________ ________________ _______________ 4. Chiropractic treatment, 2 spinal areas _______________ 5. Poisoning treatment with Ipecac, observation _______________ RESPIRATORY SYSTEM Respiratory System (30000-32999) From nosebleed and tonsillectomy to removal of a lung, this section covers procedures associated with the nose, sinuses, larynx, trachea, bronchi, lungs, and pleura. In this system we are introduced to endoscopy. Note that when a surgical or therapeutic endoscopy f performed, the appropriate sinusotomy, diagnostic endoscopy, and inspecting all sinuses is included. This is another example of correct coding, or bundling of services. 1. 2. 3. 4. 5. Partial removal, left inferior turbinate Endoscopy with A & P ethmoidectomy Removal of toy from nose, 2 y/o male, in office Puncture aspiration, left lung Empyemectomy MUSCULOSKELETAL SYSTEM The musculoskeletal system covers the largest unit in the surgery section. It describes procedures on the supporting structures of the body such as bone, muscle, and tendon. Also includes trauma, excision/removal, replantation, grafting, the head, neck and thorax, spine, abdomen, and shoulder. Then, the arm, hand and fingers, and pelvis and hip joint. Last the femur, knee, leg, ankle, and foot, and concludes with casting, strapping, and arthroscopy. Muculoskeletal System – 1 (20000-23929) 1. Care of simple nasal fracture 2. Partial acromionectomy 3. Exploration of fusion, lumbar spine 4. Right total shoulder 5. Four segment kyphectomy CARDIOVASCULAR SYSTEM This section lists the surgical procedures on the vascular and cardiac systems: heart, veins, and arteries. 1. Needle placement, left jugular vein 2. Repair lacerated aorta with bypass 3. Diagnostic arterial puncture 4. Revision of pacemaker pocket 5. Intrauterine fetal transfusion