Weekly Assignment 6

A  When the mesh implantation is an open procedure.

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

C  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.

D  When an additional procedure(s) is identified.

A  The hernia has been previously surgically reduced.

B  The blood supply to the herniated part is impaired.

C  The hernial contents are fixed in the hernial sac.

D  The hernia cannot be reduced by manipulation.

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

B  To diagnose the underlying pathology.

C  To alleviate the problems associated with the hernia.

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

A  To report placement of an endoscopic stent

B  To report flexible sigmoidoscopy with band ligation of hemorrhoids

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

D  To report flexible sigmoidoscopy with endoscopic ultrasound examination

A  45378-45399

B  45330-45350

C  45341-45342

D  45380-45382

A  Examination of the entire small intestine proximal to an anastomosis

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

C  Examination of the entire large intestine proximal to an anastomosis

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

A  43233

B  44360-44373

C  95980

D  44376-44379

A  64590

B  43881

C  43882

D  43659

A  Moderate sedation

B  Examination of the nasal cavity

C  Single or multiple biopsies

D  Specimen collection by brushing or washing

A  Only the code for biopsy

B  None of the choices

C  Both the code for biopsy and the code for removal

D  Only the code for removal

A  Both procedure codes should be reported without any modifier

B  The second procedure code should not be reported

C  Only the primary procedure code should be reported

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

A  Only when bleeding is a result of operative intervention

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

C  Only when bleeding is iatrogenic

D  Both when bleeding is spontaneous and iatrogenic

A  Based on the anatomical location of the procedure

B  Based on the specific technique used during the procedure

C  Based on the type of sedation used during the procedure

D  Based on the type of scope used during the procedure

A  Always

B  Only if necessary to report

C  Never

D  Only if specifically requested by the patient

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

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

C  Ligation of bile duct and mesenteric vessels

D  All of these

A  Reduction of the tongue base using submucosal radiofrequency

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

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

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

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

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 reported once per procedure, while code 43260 can be reported multiple times

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

A  Based on the patient’s age

B  Based on the type of anesthesia used

C  Based on the complexity of the procedure

D  Based on the surgeon’s preference

A  42820-42836

B  42820-42826

C  42830-42831, 42835-42836

D  42820-42821, 42825-42836

A  41500

B  41000-41019

C  41530

D  41512