Weekly Assignment 6

A  When the hernia repair is performed with or without a hydrocelectomy.

B  When the excision or repair of strangulated organs or structures is reported with a separate code(s) in addition to the code for the hernia repair.

C  When an additional procedure(s) is identified.

D  When the mesh implantation is an open procedure.

A  The blood supply to the herniated part is impaired.

B  The hernia cannot be reduced by manipulation.

C  The hernial contents are fixed in the hernial sac.

D  The hernia has been previously surgically reduced.

A  To alleviate the problems associated with the hernia.

B  To diagnose the underlying pathology.

C  To temporarily close off the orifice through which the organs protrude.

D  To permanently close off the orifice through which the organs protrude.

A  To report flexible colonoscopy proximal to the splenic flexure, with directed submucosal injection(s) of any substance

B  To report flexible sigmoidoscopy with endoscopic ultrasound examination

C  To report flexible sigmoidoscopy with band ligation of hemorrhoids

D  To report placement of an endoscopic stent

A  45330-45350

B  45341-45342

C  45378-45399

D  45380-45382

A  Examination of the entire rectum and sigmoid colon and may include examination of a portion of the descending colon

B  Examination of the entire large intestine proximal to an anastomosis

C  Examination of the entire colon from the rectum to the cecum

D  Examination of the entire small intestine proximal to an anastomosis

A  44360-44373

B  95980

C  43233

D  44376-44379

A  43881

B  43882

C  64590

D  43659

A  Moderate sedation

B  Specimen collection by brushing or washing

C  Examination of the nasal cavity

D  Single or multiple biopsies

A  None of the choices

B  Both the code for biopsy and the code for removal

C  Only the code for biopsy

D  Only the code for removal

A  Both procedure codes should be reported with modifier 59 appended to the second procedure code

B  Both procedure codes should be reported without any modifier

C  Only the primary procedure code should be reported

D  The second procedure code should not be reported

A  Both when bleeding is spontaneous and iatrogenic

B  Only when bleeding is spontaneous or as a result of traumatic injury

C  Only when bleeding is iatrogenic

D  Only when bleeding is a result of operative intervention

A  Based on the type of sedation used during the procedure

B  Based on the specific technique used during the procedure

C  Based on the type of scope used during the procedure

D  Based on the anatomical location of the procedure

A  Only if specifically requested by the patient

B  Never

C  Always

D  Only if necessary to report

A  Y-graft arterial anastomoses from the iliac artery to the superior mesenteric artery and to the splenic artery

B  Reconstruction of the graft with venous and/or arterial anastomosis(es)

C  All of these

D  Ligation of bile duct and mesenteric vessels

A  Nonsuture (eg, K-wire) tongue base suspension

B  Reduction of the tongue base using submucosal radiofrequency

C  Repair of the vermilion (“pink lip”) only

D  Tongue base suspension using a permanent suture technique for treating snoring and obstructive sleep apnea

A  Code 43273 is reported once per procedure, while code 43260 can be reported multiple times

B  Code 43273 is performed in the interventional endoscopy or radiology suite, while code 43260 can only be performed in conjunction with other codes

C  Code 43273 is used to report endoscopic cannulation of the papilla of Vater, while code 43260 is used for endoscopic retrograde cholangiopancreatography

D  Code 43273 involves fluoroscopic images of the papilla and common bile ducts, while code 43260 does not

A  Based on the surgeon’s preference

B  Based on the complexity of the procedure

C  Based on the type of anesthesia used

D  Based on the patient’s age

A  42820-42836

B  42820-42821, 42825-42836

C  42830-42831, 42835-42836

D  42820-42826

A  41000-41019

B  41530

C  41512

D  41500