Surgery Section ----- All Subsections

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| Attempts: 225 | Questions: 163 | Updated: Mar 19, 2025
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1. The kidneys, bladder, and urethra make up what system?

Explanation

The kidneys, bladder, and urethra are all organs involved in the process of excretion and waste removal in the body. They work together to filter waste products from the blood, produce urine, and eliminate it from the body. This system is known as the urinary system.

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About This Quiz
Surgery Quizzes & Trivia

INTEGUMENTARY SYSTEM,  MUSCULOSKELETAL SYSTEM, RESPIRATORY SYSTEM, CARDIOVASCULAR SYSTEM, HEMIC AND LYMPHATIC SYSTEMS, MEDIASTINUM, AND DIAPHRAGM, DIGESTIVE SYSTEM, URINARY SYSTEM, MALE GENITAL SYSTEM, FEMALE GENITAL SYSTEM, MATERNITY CARE AND DELIVERY, ENDOCRINE SYSTEM, NERVOUS SYSTEM, EYE AND OCULAR ADNEXA, AUDITORY SYSTEM. ALSO QUESTIONS FROM LAST CPC EXAM.  

2.

What first name or nickname would you like us to use?

You may optionally provide this to label your report, leaderboard, or certificate.

2. The small intestine is divided into what parts :

Explanation

The small intestine is divided into three parts: the duodenum, jejunum, and ileum. The duodenum is the first part of the small intestine, where the majority of digestion occurs. The jejunum is the middle part of the small intestine, responsible for absorbing nutrients from digested food. The ileum is the final part of the small intestine, where further absorption of nutrients takes place before they are transported to the large intestine.

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3. A Cochlear implant is placed in the  :

Explanation

A cochlear implant is a medical device that is surgically placed in the inner ear. It is specifically designed to provide sound perception and improve hearing for individuals with severe to profound hearing loss. The implant bypasses the damaged parts of the inner ear and directly stimulates the auditory nerve, allowing the person to perceive sound signals. The cornea is the transparent front part of the eye, the heart is a vital organ responsible for pumping blood, and the spine is the backbone. None of these locations are related to the placement of a cochlear implant.

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4. Patient is admitted for a blepharoplasty of the left lower eyelid and a repair for a tarsal strip of the left upper lid.

Explanation

The correct answer is 67917-E1; 15820-E2. The reason for this is that the patient is admitted for a blepharoplasty of the left lower eyelid, which is represented by code 67917-E1. Additionally, they are also undergoing a repair for a tarsal strip of the left upper lid, which is represented by code 15820-E2.

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5. Patient presents to the hospital with a right index trigger finger. Release of the trigger finger was performed.

Explanation

The correct answer is 26055-F6. This code represents the release of a trigger finger, which is a condition where the finger gets stuck in a bent position and then suddenly pops straight. The code specifically includes the release of the right index finger, which matches the patient's presentation. The -F6 modifier indicates that the procedure was performed under local anesthesia.

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6. Patient with laryngeal cancer has a tracheoesophageal fistula created and has a voicebox inserted.

Explanation

The correct answer is 31611. This code represents the creation of a tracheoesophageal fistula and the insertion of a voicebox in a patient with laryngeal cancer. This procedure is commonly performed to restore speech in patients who have had their larynx removed. The code accurately describes the specific intervention and is the most appropriate choice for this scenario.

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7. Patient is admitted with alcohol cirrhosis and has a TIPS procedure performed.

Explanation

The TIPS procedure (Transjugular Intrahepatic Portosystemic Shunt) is a minimally invasive procedure used to treat complications of liver cirrhosis, such as portal hypertension. During the procedure, a shunt is created between the portal vein and the hepatic vein, which helps to divert blood flow and reduce pressure in the portal vein. Therefore, the correct answer, 37182, is most likely the code for the TIPS procedure performed on the patient with alcohol cirrhosis.

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8. Patient presents to the emergency room following a fall. X-rays were ordered for the lower leg and results showed a fracture of the proximal left tibia. The emergency room physician performed a closed manipulation of the fracture with skeletal traction.

Explanation

The correct answer is 27532-LT. This code represents a closed manipulation of a fracture with skeletal traction. In this scenario, the patient presented to the emergency room with a fracture of the proximal left tibia after a fall. The physician performed a closed manipulation, which means they manipulated the fracture without making an incision. Additionally, skeletal traction was used to stabilize the fracture. Therefore, the correct code for this procedure is 27532-LT.

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9. Trauma patient was rushed to the operating room with multiple injuries. Open reduction with internal fixation of intertrochanteric femoral fracture; open reduction of the tibial and fibula shaft with internal fixation was performed.

Explanation

not-available-via-ai

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10. Patient has a history of PVD for many years and experiences chest pains. The patient underwent Doppler evaluation, which showed a common femoral DVT. Patient is now admitted for thromboendarterectomy.

Explanation

The correct answer is 35371. This code represents a thromboendarterectomy, which is the surgical removal of a blood clot and the inner lining of an artery. In this case, the patient has a history of peripheral vascular disease (PVD) and is experiencing chest pains. The Doppler evaluation revealed a deep vein thrombosis (DVT) in the common femoral artery. Therefore, the patient is admitted for a thromboendarterectomy to remove the clot and restore blood flow in the affected artery.

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11. HEMIC AND LYMPHATIC SYSTEMS, MEDIASTINUM, AND DIAPHRAGMPatient has breast carcinoma and is now undergoing sentinel node biopsy. Patient was injected for sentinel node identification and two deep axillary lymph nodes showed up intensely. These two lymph nodes were completely excised. Path report was positive for metastatic carcinoma.

Explanation

The correct answer is 38525; 38792. The patient underwent a sentinel node biopsy for breast carcinoma. Two deep axillary lymph nodes were identified and completely removed. The pathology report confirmed the presence of metastatic carcinoma in these lymph nodes. CPT code 38525 is used for the excision of axillary lymph nodes, and 38792 is used for the identification of sentinel lymph nodes.

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12. Excision of mediastinal cyst.

Explanation

The correct answer is 39200. This code represents the excision of a mediastinal cyst. The term "excision" refers to the surgical removal of a cyst, and "mediastinal" indicates that the cyst is located in the mediastinum, which is the central area of the chest. This procedure involves removing the cyst to alleviate symptoms or prevent complications.

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13. Cannulation of thoracic duct.

Explanation

not-available-via-ai

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14. DIGESTIVE SYSTEM:Laparoscopic gastric banding.

Explanation

Laparoscopic gastric banding is a surgical procedure used to treat obesity by placing an adjustable band around the upper part of the stomach. The purpose of this procedure is to restrict the amount of food the stomach can hold, leading to weight loss. The given answer, 43770, is likely a medical billing code or a procedure code specific to laparoscopic gastric banding.

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15. Morbidly obese patient comes in for vertical banding of the stomach.

Explanation

The correct answer is 43842. This code represents vertical banded gastroplasty, which is a surgical procedure used to treat morbid obesity. The other codes listed are not specific to this procedure and do not accurately represent the treatment being performed.

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16. Young child presents with cleft lip and cleft palate. This is the first attempt of repair, which includes major revisions of the cleft palate and unilateral cleft lip repair.

Explanation

The correct answer is 42215; 40700. The patient has both a cleft lip and a cleft palate, and this is their first attempt at repair. The code 42215 represents the major revision of the cleft palate, while the code 40700 represents the unilateral cleft lip repair.

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17. Myringoplasty.

Explanation

not-available-via-ai

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18. Peritonitis is a condition that occurs in which system?

Explanation

Peritonitis is a condition that occurs in the digestive system. It is the inflammation of the peritoneum, which is the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. This condition is usually caused by infection, such as a ruptured appendix or a perforated stomach ulcer, and it can lead to severe abdominal pain, fever, and other complications. Prompt medical attention is necessary to treat peritonitis and prevent further complications.

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19. Complete the series : Frontal, Ethmoid, Maxillary, -------------------------------

Explanation

The given series consists of the names of different sinuses in the human skull. The frontal sinus is located in the forehead, followed by the ethmoid sinus between the eyes, and then the maxillary sinus in the cheekbones. The next sinus in the series is the sphenoid sinus, which is located behind the nose and between the eyes. Therefore, "Sphenoid" is the correct answer to complete the series.

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20. Patient comes to the hospital with a history of right flank pain. Urine tests are negative. Radiology examination reveals that the patient has renal cysts. Patient is now admitted for laparoscopic ablation of the cysts.

Explanation

The correct answer is 50541. This code represents the laparoscopic ablation of renal cysts. The patient presented with right flank pain and radiology examination confirmed the presence of renal cysts. Laparoscopic ablation is a minimally invasive surgical procedure used to remove or destroy the cysts. This code accurately reflects the treatment provided to the patient.

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21. Patient undergoes laparoscopic orchiopexy for intra-abdominal testes.

Explanation

not-available-via-ai

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22. Hysteroscopy with D & C and polypectomy.

Explanation

The correct answer is 58558 because it is the only code that includes both hysteroscopy and D&C (dilation and curettage) procedures. The other codes listed either do not include both procedures or do not specifically mention hysteroscopy. Therefore, 58558 is the most appropriate code for hysteroscopy with D&C and polypectomy.

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23. Patient is admitted to the hospital following an ultrasound at 25 weeks, which revealed fetal pleural effusion. A fetal thoracentesis was performed.

Explanation

The correct answer is 59074. This code represents the fetal thoracentesis procedure that was performed on the patient. Fetal thoracentesis is a procedure where a needle is inserted into the fetal chest to remove fluid from the pleural cavity. In this case, the patient was admitted to the hospital following an ultrasound that showed fetal pleural effusion, which is an abnormal accumulation of fluid in the chest cavity. The fetal thoracentesis was performed to drain the fluid and alleviate any potential complications.

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24. The patient presents with a laceration on the auricle pinna that needs a wound repair. What part of the body will the physician repair?

Explanation

The physician will repair the laceration on the auricle pinna. The auricle pinna is a part of the ear, specifically the visible external part of the ear. Therefore, the correct answer is "Ear."

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25. Adrenal glands are part of which anatomical system?

Explanation

The adrenal glands are part of the endocrine system. The endocrine system is responsible for producing and releasing hormones into the bloodstream to regulate various bodily functions. The adrenal glands, located on top of the kidneys, produce hormones such as cortisol, adrenaline, and aldosterone, which play important roles in regulating metabolism, immune response, and stress response. Therefore, the correct answer is Endocrine.

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26. Which of the code book volumes are used in a physician's office?

Explanation

In a physician's office, the code book volumes used are Volume 1 and Volume 2. Volume 1 contains codes for diagnoses, while Volume 2 contains codes for procedures. Volume 3 is used for hospital inpatient procedures and is not typically used in a physician's office setting. Therefore, the correct answer is that only Volume 1 and Volume 2 are used in a physician's office.

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27. Ten-square-centimeters epidermal autograft to the face from the back.

Explanation

The correct answer is 15115. This code is used for the application of a skin graft to the face, specifically using a ten-square-centimeters epidermal autograft taken from the back. This code accurately describes the procedure being performed and the area of the body involved.

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28. RESPIRATORY SYSTEM SECTION :Patient has a bronchoscopy with endobronchial biopsies of three sites

Explanation

The correct answer is 31625. This code represents a bronchoscopy with endobronchial biopsies of three sites. The other codes listed either do not include the endobronchial biopsies or do not specify the number of sites. Therefore, they are not the correct answer.

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29. Patient has been diagnosed with metastatic laryngeal carcinoma. Patient underwent subtotal supraglottic laryngectomy with radical neck dissection.

Explanation

The correct answer is 31368 because this code represents a subtotal supraglottic laryngectomy with radical neck dissection. This procedure involves the removal of a portion of the supraglottis (the area above the vocal cords) and the surrounding lymph nodes in the neck. The code accurately describes the specific surgical procedure performed on the patient.

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30. Patient with a deviated nasal septum that was repaired by septoplasty.

Explanation

The correct answer is 30520. This code represents the repair of a deviated nasal septum through septoplasty. Septoplasty is a surgical procedure performed to correct a deviated nasal septum, which is the cartilage and bone that divides the two nostrils. This code accurately reflects the specific procedure performed on the patient.

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31. Lye burn of the larynx repaired by laryngoplasty.

Explanation

The correct answer is 31588. This number is the most suitable option because it is the only one that is related to the given information about a lye burn of the larynx being repaired by laryngoplasty. The other options do not have any connection to this specific medical procedure or condition.

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32. Patient presents to the emergency room with lacerations sustained in an automobile accident. Repairs of the 3.3 cm skin laceration of the left leg that involved the fascia, 2.5 cm and 3 cm lacerations of the left arm involving the fascia, and 2.7 cm of the left foot, which required simple sutures, were performed. Sterile dressings were applied.

Explanation

The correct answer is 12034; 12002-59. The CPT code 12034 is used for the repair of a wound that involves the subcutaneous tissue and deeper structures such as fascia or muscle, which matches the description of the lacerations in the question. The CPT code 12002-59 is used for the repair of a superficial wound, which matches the description of the laceration on the left foot. The modifier -59 is used to indicate that these procedures are distinct and separate from each other.

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33. Patient was admitted to the hospital for removal of excessive tissue due to massive weight loss. Liposuction of the abdomen and bilateral thighs was performed.

Explanation

The correct answer is 15877; 15879-50. This answer is correct because it includes the correct codes for the procedures performed on the patient. Liposuction of the abdomen and bilateral thighs was performed, which would be coded as 15877. Additionally, the use of modifier -50 indicates that the procedure was performed bilaterally. Modifier -50 is used to indicate a bilateral procedure, so it is appropriate in this case. Modifier -50 should be appended to the primary procedure code, which in this case is 15877. The code 15879 is not applicable in this scenario and should not be included.

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34. Open I & D of a deep abscess of the cervical; spine.

Explanation

not-available-via-ai

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35. Patient presents to the surgical unit and undergoes unilateral nasal endoscopy; partial ethmoidectomy and maxillary antrostomy.

Explanation

The correct answer is 31254; 31256-51. This answer is correct because it includes the codes for the procedures performed during the nasal endoscopy, partial ethmoidectomy, and maxillary antrostomy. Code 31254 represents the nasal endoscopy procedure, and code 31256 represents the partial ethmoidectomy and maxillary antrostomy. The -51 modifier is appended to indicate that multiple procedures were performed during the same surgical session.

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36. Patient has recurrent spontaneous pneumothorax which has resulted in a chemical pleurodesis by thoracoscopy.

Explanation

The correct answer is 32650. This is the correct code for chemical pleurodesis by thoracoscopy. Pleurodesis is a procedure used to treat recurrent spontaneous pneumothorax, which is the condition described in the question. The code 32310 is for thoracentesis, not thoracoscopy. The code 32601 is for thoracoscopy with biopsy, not pleurodesis. The code 32960 is for thoracoscopy with drainage of pleural effusion, which is not the procedure performed in this case.

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37. CARDIOVASCULAR SYSTEM :Patient returns to the operating room following open-heart bypass for exploration of blood vessel to control postoperative bleeding in the chest. 

Explanation

The correct answer is 35820. This code is used for the exploration of blood vessels in the chest to control postoperative bleeding after open-heart bypass surgery. It indicates that the patient had to return to the operating room for this procedure.

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38. Patient presents to the operating room where a CABG X 3 is performed using the mammary artery and two sections of the saphenous vein.

Explanation

The correct answer is 33533; 33518. In this scenario, the patient underwent a coronary artery bypass graft (CABG) procedure using three grafts. The mammary artery was used as one graft, and two sections of the saphenous vein were used as the other two grafts. The codes 33533 and 33518 specifically describe the use of the mammary artery and the saphenous vein in a CABG procedure, respectively.

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39. Patient undergoes percutaneous transluminal iliac artery balloon angioplasty.

Explanation

The correct answer is 37220. Percutaneous transluminal iliac artery balloon angioplasty is a procedure used to open up a blocked or narrowed iliac artery using a balloon catheter. This procedure is coded as 37220. The other options (37228, 37222, 37224) are not appropriate for this specific procedure.

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40. Laparoscopic retroperitoneal lymph node biopsy.

Explanation

not-available-via-ai

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41. Patient arrives to the hospital and has a Nissen fundoplasty done laparoscopically.

Explanation

not-available-via-ai

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42. Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostrate by radiofrequency thermotherapy.

Explanation

The correct answer is 53852. Transurethral destruction of the prostate by radiofrequency thermotherapy is a procedure used to treat benign prostatic hypertrophy. It involves using radiofrequency energy to destroy excess prostate tissue. This procedure is coded with CPT code 53852.

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43. Decompression internal auditory canal.

Explanation

not-available-via-ai

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44. Insertion of cochlear device inner ear.

Explanation

The correct answer is 69930. This code represents the insertion of a cochlear device into the inner ear. This procedure is typically performed to restore hearing in individuals with severe or profound hearing loss. The code 69930 specifically denotes the insertion of the device, indicating that the surgeon has successfully implanted the cochlear device into the patient's inner ear.

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45. Patient with Bell's palsy requiring a total facial nerve decompression.

Explanation

The correct answer is 69955. This code represents a total facial nerve decompression, which is a surgical procedure often performed in patients with Bell's palsy. Bell's palsy is a condition that causes sudden weakness or paralysis of the muscles on one side of the face, and decompressing the facial nerve can help alleviate symptoms and improve facial function. Codes 64742, 64771, and 64864 do not specifically pertain to facial nerve decompression and are therefore not the correct answer.

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46. Patient has a history of hiatal hernia for many years, which has progressively gotten worse. The decision to repair the hernia was made and the patient was sent to the operating room where the repair took place via the thorax and abdomen.

Explanation

The correct answer is 43336. This code represents the repair of a hiatal hernia via both the thorax and abdomen. The patient's history of hiatal hernia and the progressive worsening of the condition led to the decision for surgical repair. The code accurately reflects the specific procedure performed on the patient.

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47. Patient diagnosed with cystic hygroma of the axilla, which was excised.

Explanation

The correct answer is 38550. Cystic hygroma is a fluid-filled sac that typically occurs in the neck or axilla. Excision of a cystic hygroma involves removing the entire sac and its contents. CPT code 38550 specifically describes the excision and removal of a cystic hygroma. Therefore, this is the appropriate code for the procedure performed on the patient with cystic hygroma of the axilla.

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48. Laparoscopy with multiple biopsies of retroperitoneal lymph nodes.

Explanation

The correct answer is 38570 because it is the correct CPT code for the procedure described in the question. Laparoscopy with multiple biopsies of retroperitoneal lymph nodes is a specific procedure that is represented by this code. The other codes listed are not applicable to this particular procedure.

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49. Male with urinary incontinence. Sling procedure was performed 6 months ago and now the patient has returned for a revision of the sling procedure.

Explanation

The correct answer is 53442. This code represents a revision of a sling procedure, which is appropriate for a male patient with urinary incontinence who had a sling procedure performed 6 months ago. This code specifically identifies the revision of the sling procedure, indicating that the patient is returning for a follow-up procedure to address any issues or complications that may have arisen since the initial surgery.

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50. Scrotal wall abscess drainage.

Explanation

55100 is the correct answer because it is the CPT code for the drainage of a scrotal wall abscess. This procedure involves making an incision in the scrotal wall to drain the abscess and relieve symptoms. The other codes listed are not specific to scrotal abscess drainage and therefore are not the correct answer.

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51. Laser destruction extensive herpetic lesions of the vulva.

Explanation

The correct answer is 56515 because this CPT code specifically refers to destruction of extensive lesions of the vulva using laser treatment. This code is the most appropriate choice for the given scenario as it accurately describes the procedure performed. The other options do not pertain to laser destruction or are not specific to the vulva, making them incorrect choices.

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52. Laparoscopic adrenalectomy, complete.

Explanation

not-available-via-ai

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53. Patient undergoes ocular resurfacing construction utilizing stem cell allograft from a cadaver.

Explanation

not-available-via-ai

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54. Lagophthalmos correction with implantation using gold weight.

Explanation

The correct answer is 67912. This code is used to describe the correction of lagophthalmos, a condition where the eyelids cannot fully close. The correction is done through the implantation of a gold weight, which helps to add weight to the eyelid and improve its ability to close properly. This code specifically refers to the implantation procedure using a gold weight, making it the most appropriate choice for this scenario.

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55. AUDITORY SYSTEM :Patient comes into the office for removal of impacted earwax. 

Explanation

The correct answer is 69210. This code is used for the removal of impacted earwax, which is the procedure the patient came into the office for.

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56. Patient presents to the emergency room with right lower abdominal pains. Emergency room physician suspects possible appendicitis.  Patient was taken to the operating room where a laparoscopic appendectomy was performed. Pathology report was negative for appendicitis.

Explanation

The correct answer is 44970. This code represents a laparoscopic appendectomy, which was performed on the patient. The pathology report came back negative for appendicitis, indicating that the surgery was not necessary in this case.

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57. Patient underwent anoscopy followed by colonoscopy. Physician examined the colon to 60 cm.

Explanation

The correct answer is 45378 because it is the code for colonoscopy, which is the procedure that the physician performed. Anoscopy is a separate procedure and is not included in the code. The code 46600 is for an excision of an anal fissure, which is not mentioned in the given information. The code 45999 is for an unlisted procedure of the anus, which is also not mentioned. The code 46600; 45378-59 would indicate that both an anoscopy and a colonoscopy were performed, but there is no mention of an anoscopy in the given information.

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58. Patient has a history of chronic alcohol abuse with portal hypertension. Patient has been vomiting blood for the past 3 days and presented to his physician's office. Patient was sent to the hospital for evaluation and an EGD was performed. Biopsy findings showed gastritis, esophagitis, and bleeding esophageal varices, which were injected with sclerosing solution.

Explanation

The correct answer is 43239; 43243. The patient's presentation of vomiting blood and the biopsy findings of gastritis, esophagitis, and bleeding esophageal varices indicate that the patient has significant gastrointestinal bleeding. The EGD (43239) was performed to evaluate and visualize the esophagus, stomach, and upper small intestine. The injection of sclerosing solution (43243) was done to treat the bleeding esophageal varices. The other codes listed (43235, 43244, 43204) do not accurately reflect the procedures performed in this case.

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59. Female with 6 months of stress incontinence. Outpatient therapies are not working and the patient decides to have the problem fixed. Laparoscopic urethral suspension was completed.

Explanation

The correct answer is 51990. This code is used for laparoscopic suspension of the urethra, which was performed in this case. The other codes listed are not applicable to this specific procedure.

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60. Excision of 2.5 cm bladder tumor with cystoscopy.

Explanation

The correct answer is 52235. This code specifically refers to the excision of a bladder tumor using cystoscopy. Cystoscopy is a procedure that allows the doctor to visualize the inside of the bladder using a thin tube with a camera. The excision of a bladder tumor involves removing the tumor from the bladder using various techniques, such as cutting or burning. Therefore, 52235 is the appropriate code for this procedure.

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61. Closure of ureterocutaneous fistula.

Explanation

The closure of a ureterocutaneous fistula refers to the surgical procedure performed to repair the abnormal connection between the ureter and the skin. This procedure involves closing the fistula and restoring the normal anatomical structure. Among the given options, 50920 is the most appropriate code for this procedure as it specifically describes the closure of the fistula. The other codes are not relevant to this particular procedure.

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62. MALE GENITAL SYSTEM :Removal of nephrostomy tube with fluoroscopic guidance. 

Explanation

not-available-via-ai

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63. Patient has been followed by his primary care physician for elevated PSA. Patient underwent prostate needle biopsy in the physician office 2 weeks ago and final pathology was positive for carcinoma. Patient is admitted for prostatectomy. Frozen section of the prostate and one lymph node is positive for prostate cancer with metastatic disease to the lymph node. Prostatectomy became a radical perineal with bilateral pelvic lymphadenectomy.

Explanation

The correct answer is 55815. This code represents a radical perineal prostatectomy with bilateral pelvic lymphadenectomy. Given the patient's history of elevated PSA, positive biopsy for carcinoma, and positive frozen section with metastatic disease to the lymph node, it is necessary to perform a radical prostatectomy to remove the prostate and surrounding lymph nodes. The code 55815 specifically describes this procedure. The other codes listed do not accurately represent the procedure performed.

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64. Priapism operation with spongiosum shunt.

Explanation

not-available-via-ai

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65. Patient was admitted with a cystocele and rectocele. An anterior colporrhaphy was performed.

Explanation

The correct answer is 57240 because it is the CPT code for an anterior colporrhaphy procedure, which is the surgical repair of a cystocele. A cystocele is a condition where the bladder protrudes into the vagina. The other options (57250, 57260, and 57110) do not pertain to the specific procedure described in the scenario.

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66. Patient has been diagnosed with carcinoma of the vagina, and she has a radical vaginectomy with complete removal of the vaginal wall.

Explanation

The correct answer is 57111 because this code specifically describes the radical vaginectomy procedure, which involves the complete removal of the vaginal wall. The other codes listed do not accurately describe this specific procedure.

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67. MATERNITY CARE AND DELIVERY :Attempted vaginal delivery in a previous cesarean section patient, which resulted in a repeat cesarean section.

Explanation

The correct answer is 59620. This code represents a repeat cesarean section after an attempted vaginal delivery in a patient who had a previous cesarean section. This code is appropriate because it specifically describes the situation mentioned in the question, where a vaginal delivery was attempted but ultimately resulted in a repeat cesarean section. The other codes listed do not accurately reflect this scenario.

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68. D & C performed for a patient with a  diagnosis of incomplete abortion at 8 weeks.

Explanation

The correct answer is 59812. This code represents a dilation and curettage (D&C) procedure performed on a patient with an incomplete abortion at 8 weeks. D&C is a common surgical procedure used to remove tissue from the uterus. In this case, the patient has experienced an incomplete abortion, meaning that not all of the products of conception have been expelled from the uterus. The D&C procedure is performed to remove any remaining tissue and prevent complications such as infection or excessive bleeding.

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69. NERVOUS SYSTEM :Patient comes in through the emergency room with a wound that was caused by an electric saw. Patient is taken to the operating room where two ulna nerves are sutured.

Explanation

The correct answer is 64836; 64837. In this scenario, the patient has suffered a wound caused by an electric saw, which has likely damaged the ulna nerves. The patient is taken to the operating room where the two ulna nerves are sutured. The codes 64836 and 64837 specifically represent the repair of the ulnar nerve, which aligns with the given situation.

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70. Correction of trichiasis by incision of lid margin.

Explanation

The correct answer is 67830 because it is the CPT code for correction of trichiasis by incision of the lid margin. Trichiasis is a condition in which the eyelashes grow inward towards the eye, causing irritation and potentially damaging the cornea. The procedure involves making an incision in the lid margin to reposition the eyelashes and prevent them from rubbing against the eye. The other CPT codes listed (67840, 67835, and 67850) do not specifically pertain to the correction of trichiasis.

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71. INTEGUMENTARY SYSTEM SECTION :Patient presents to the hospital for skin grafts due to previous third-degree burns. The burn eschar of the back was removed. Once the eschar was removed, the defect size measured 10 cm x 10 cm.  A skin graft from a donor bank was placed onto the defect and sewn into place as a temporary wound closure.

Explanation

INTEGUMENTARY SECTION ----- QUESTIONS 1 - 12

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72. Patient presents to the operating room for excision of three lesions. The 1.5 cm and 2 cm lesions of the back were excised with one excision. The 0.5 cm lesion of the hand was excised. The pathology report identified both back lesions as squamous cell carcinoma. The hand lesion was identified as seborrheic keratosis.

Explanation

The correct answer is 11604; 11420. The CPT code 11604 is used for excision of malignant skin lesions, and the back lesions were identified as squamous cell carcinoma, which is a type of skin cancer. The CPT code 11420 is used for excision of benign skin lesions, and the hand lesion was identified as seborrheic keratosis, which is a benign skin growth. Therefore, the correct CPT codes for this scenario would be 11604 for the back lesions and 11420 for the hand lesion.

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73. Upper lobectomy of the right lung with repair of the bronchus.

Explanation

The correct answer is 32480, 32501. Upper lobectomy of the right lung involves the removal of the upper lobe of the right lung. This procedure is often performed to treat conditions such as lung cancer or severe infections. Repair of the bronchus refers to the reconstruction or closure of the bronchus, which is the airway leading into the lung. The codes 32480 and 32501 accurately represent the upper lobectomy and bronchus repair procedures respectively.

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74. Patient presents to the emergency room with lacerations of right lower leg that involved the fascia. Lacerations measured 5 cm and 2. 7 cm.

Explanation

The correct answer is 12034. This code is appropriate for the given scenario because it represents the repair of a wound on the leg that involves the fascia. The lacerations are measured at 5 cm and 2.7 cm, which falls within the range of this code.

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75. Patient presents to the operating room where a 3.2 cm malignant lesion of the shoulder was excised and repaired with simple sutures.  A 2 cm benign lesion of the cheek was excised and was repaired with a rotation skin graft.

Explanation

The correct answer is 14040; 11604. The CPT code 14040 is used for the excision of a subcutaneous tumor or cyst, while the CPT code 11604 is used for the excision of a malignant skin lesion. In this case, a 3.2 cm malignant lesion of the shoulder was excised, which corresponds to code 11604. Additionally, a 2 cm benign lesion of the cheek was excised and repaired with a rotation skin graft, which corresponds to code 14040. Therefore, the correct answer is 14040; 11604.

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76. Patient presents with a traumatic partial amputation of the second, third, and fourth fingers on the right hand. Patient was taken to the operating room where completion of the amputation of three fingers was  performed with direct closure.

Explanation

The correct answer is 26951-F6; 26951-F7; 26951-F8. This answer is correct because it includes the correct CPT codes for the completion of the amputation of three fingers on the right hand. The codes 26951-F6, 26951-F7, and 26951-F8 specifically represent the completion of amputation of the second, third, and fourth fingers respectively. The "F6," "F7," and "F8" modifiers indicate that these procedures were performed on separate fingers.

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77. Patient was involved in an accident and has been sent to the hospital. During transport the patient develops breathing problems and, upon arrival at the hospital, an emergency transtracheal tracheostomy was performed. Following various x-rays, the patient was diagnosed with traumatic pneumothorax and a thoracentesis with insertion of tube was performed.

Explanation

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78. Laryngoscopic stripping of vocal cords for leukoplakia of the vocal cords.

Explanation

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79. The right upper quadrant of the abdominal area contains which of the following?

Explanation

The right upper quadrant of the abdominal area contains the gallbladder. The gallbladder is a small organ located beneath the liver, which stores and concentrates bile produced by the liver. Bile is released from the gallbladder into the small intestine to aid in the digestion and absorption of fats. The appendix is located in the lower right quadrant of the abdomen, the pancreas is situated behind the stomach, and the stomach is located in the upper left quadrant of the abdomen.

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80. What is Sialadenitis?

Explanation

Sialadenitis is the inflammation of a salivary gland. This condition typically occurs when the salivary gland becomes infected by bacteria, causing pain, swelling, and tenderness in the affected area. It is commonly caused by a blockage in the salivary duct, which leads to the accumulation of saliva and subsequent infection. Treatment usually involves antibiotics, warm compresses, and adequate hydration to help alleviate symptoms and promote healing.

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81. A patient who has been severely burned will be undergoing a skin xenograft for temporary wound closure. The xenograft harvests the skin from where?

Explanation

The correct answer is "From a donor that is non-human." In a skin xenograft procedure, the skin is harvested from a donor that is non-human, such as pigs or cows. This is because the skin of these animals is similar in structure and function to human skin, making it suitable for temporary wound closure in severely burned patients. Using synthetic materials or harvesting skin from the patient's own body may not be feasible or effective in such cases.

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82. Female patient has a percutaneous needle biopsy of the left breast lesion in the lower outer quadrant. Following the biopsy frozen section results, the physician followed this with an excisional removal of the same lesion.

Explanation

The correct answer is 19120-LT. This code represents the excisional removal of the same lesion that was biopsied. The "-LT" modifier indicates that the procedure was performed on the left breast. The other codes listed do not accurately describe the excisional removal of the same lesion.

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83. Nonhuman graft for temporary wound closure. Patient has a 5 cm defect on the scalp.

Explanation

The correct answer is 15275. This code represents the use of nonhuman graft for temporary wound closure. Since the patient has a 5 cm defect on the scalp, this code accurately reflects the procedure performed.

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84. Bronchoscopy with multiple transbrochial right upper and right lower lobe lung biopsy with fluoroscopic guidance.

Explanation

The correct answer is 31628-RT; 31632-RT. This answer is correct because it includes the correct codes for the procedure described in the question, which is bronchoscopy with multiple transbronchial lung biopsies. The code 31628-RT represents the bronchoscopy procedure, and the code 31632-RT represents the transbronchial lung biopsy procedure. Therefore, this answer accurately reflects the specific procedures performed during the bronchoscopy.

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85. Patient undergoes construction of apical aortic conduit with an insertion of a single-ventricle ventricular assist device.

Explanation

The correct answer is 33975. This code represents the insertion of a single-ventricle ventricular assist device during the construction of an apical aortic conduit. The use of a ventricular assist device helps to support the function of the heart in patients with single ventricle physiology. This code accurately captures the specific procedure performed in this case.

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86. Patient complains of recurrent syncope following carotid thromboendarterectomy.  Patient returns 2 weeks after initial surgery and undergoes repeat carotid thromboendarterectomy

Explanation

The correct answer is 35301. This code represents a repeat carotid thromboendarterectomy, which is the surgical removal of a blood clot from the carotid artery. In this case, the patient complained of recurrent syncope (fainting) after the initial surgery, indicating that there may still be a clot present or that the procedure was not successful in preventing further clot formation. Therefore, a repeat surgery is necessary to address the issue.

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87. Patient presents to the operating room and undergoes an endovascular repair of an infrarenal abdominal aortic aneurysm utilizing a unibody bifurcated prosthesis.

Explanation

The correct answer is 34804. This code is used for the endovascular repair of an infrarenal abdominal aortic aneurysm using a unibody bifurcated prosthesis. The other codes listed are not specific to this procedure.

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88. Trauma patient is rushed to the operating room with multiple injuries. The patient had his spleen removed due to massive rupture with repair of lacerated diaphragm.

Explanation

The correct answer is 38100; 39501. The patient had his spleen removed (38100) due to a massive rupture and his lacerated diaphragm repaired (39501). These two codes accurately represent the procedures performed on the trauma patient in the operating room.

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89. Patient has extensive bladder cancer. She underwent a complete cystectomy with bilateral pelvic lymphadenectomy and creation of ureteroileal conduit.

Explanation

The correct answer is 51575; 50820. A complete cystectomy with bilateral pelvic lymphadenectomy and creation of ureteroileal conduit is a surgical procedure performed to remove the bladder and nearby lymph nodes and create a new way for urine to leave the body. The codes 51575 and 50820 accurately represent this procedure.

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90. Aphakia penetrating corneal transplant.

Explanation

The correct answer is 65750. In aphakia, the natural lens of the eye is absent, and a penetrating corneal transplant is performed to restore vision. The code 65750 specifically refers to the removal of the cornea and the placement of a corneal graft in aphakic eyes. This procedure helps in improving visual acuity and correcting refractive errors caused by aphakia.

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91. Lacrimal fistula closure

Explanation

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92. Patient has a bone marrow aspiration of the iliac crest and of the tibia.

Explanation

The correct answer is 38220, 38220-59. This is because the patient had a bone marrow aspiration performed on both the iliac crest and the tibia. Code 38220 represents bone marrow aspiration, and since it was done on two different sites (iliac crest and tibia), modifier 59 is used to indicate that these are separate and distinct procedures.

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93. Patient has ovarian vein syndrome and has ureterolysis performed.

Explanation

The correct answer is 50722. This code represents the surgical procedure of ureterolysis, which is the release or freeing of the ureter from surrounding adhesions or scar tissue. In this case, the patient has ovarian vein syndrome, which can cause compression or obstruction of the ureter. Ureterolysis is performed to relieve this obstruction and restore normal urine flow. The other codes listed are not relevant to this specific scenario.

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94. First-stage repair for hypospadias with skin flaps.

Explanation

The correct answer is 54304 because it is the only code that specifically mentions "first-stage repair for hypospadias with skin flaps." The other codes do not mention hypospadias or skin flaps, so they are not appropriate for this procedure.

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95. Patient has a Bartholin's gland cyst that was marsupialized.

Explanation

The correct answer is 56440. This code represents the surgical procedure of marsupialization for a Bartholin's gland cyst. Marsupialization is a surgical technique used to create a permanent opening in the cyst, allowing it to drain and prevent reoccurrence. The code 10060 is for incision and drainage of a simple abscess, which is not the same as marsupialization. Codes 54640 and 58999 do not pertain to this specific procedure.

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96. Cesarean delivery with antepartum and postpartum care.

Explanation

The correct answer is 59510. This code represents a cesarean delivery with both antepartum and postpartum care. It includes the surgical delivery of the baby through an incision in the abdomen, as well as the necessary care before and after the procedure. The other codes listed (59610, 59514, 59400) do not include both the antepartum and postpartum care components.

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97. Hysterotomy for hydatidifom mole and tubal ligation.

Explanation

The correct answer is 59100; 58611. Hysterotomy for hydatidiform mole refers to the surgical removal of a molar pregnancy through an incision in the uterus. Tubal ligation is a procedure for permanent contraception by blocking or sealing the fallopian tubes. The CPT code 59100 represents the hysterotomy procedure, while 58611 represents the tubal ligation procedure. Therefore, this answer choice accurately represents the combination of both procedures.

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98. Left carotid artery excision for tumor of carotid body.

Explanation

The correct answer is 60605. This code is used for the excision of a tumor of the carotid body. The carotid body is a small cluster of chemoreceptor cells located near the bifurcation of the carotid artery. Excision of a tumor in this area would require the use of this specific CPT code. The other codes listed are not appropriate for this procedure.

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99. Unilateral partial thyroidectomy.

Explanation

The correct answer is 60210 because this CPT code specifically represents a unilateral partial thyroidectomy. The other codes listed do not accurately describe this procedure. Code 60252 is for a thyroid lobectomy, which is the removal of one lobe of the thyroid gland. Code 60220 is for a total thyroid lobectomy, which involves the removal of both lobes of the thyroid gland. Code 60520 is for a total thyroidectomy, which is the complete removal of the thyroid gland. Therefore, the correct code for a unilateral partial thyroidectomy is 60210.

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100. Patient comes in for steroid injection for lumbar herniated disk.  Marcaine and aristocort were injected into the L2-L3 space.

Explanation

The correct answer is 64483. This code represents an injection of a steroid (aristocort) into the lumbar or sacral nerve root sleeve. The patient came in for a steroid injection for a lumbar herniated disk, and the injection was specifically targeted at the L2-L3 space. This code accurately describes the procedure performed.

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101. Patient has rhinorrhea, which requires repair of the CSF leak with craniotomy.

Explanation

The correct answer is 62100. Rhinorrhea is the medical term for a runny nose, which in this case is caused by a cerebrospinal fluid (CSF) leak. Repairing the CSF leak requires a craniotomy, which is the surgical removal of a part of the skull to access the brain. Therefore, the procedure code 62100, which is for craniotomy, is the most appropriate choice in this scenario.

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102. Radial keratotomy.

Explanation

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103. Modified radical mastoidectomy

Explanation

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104. Drainage of simple external ear abscess.

Explanation

The correct answer is 69000. This code is used for the drainage of a simple external ear abscess. The drainage procedure involves making an incision in the abscess to release the pus and fluid buildup. This code specifically applies to cases where the abscess is located in the external ear. Other codes listed are not appropriate for this procedure, as they pertain to different types of abscesses or unrelated procedures.

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105. MUSCULOSKELETAL SYSTEM SECTION:Patient presents to the hospital with ulcer of the right foot. Patient is taken to the operating room where a revision of the right metatarsal head is performed.

Explanation

MUSCULOSKELETAL SYSTEM ------ QUESTIONS 13 - 21.

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106. Patient presents to the emergency room following an assault. Examination of the patient reveals blunt trauma to the face. Radiology reports that the patient suffers from a fracture to the frontal skull and a blow-out fracture of the orbital floor. Patient is admitted and taken to the operating room where a periorbital approach to the orbital fracture is employed and an implant is inserted.

Explanation

The correct answer, 21390, is the appropriate CPT code for the procedure described in the question. The patient presented with blunt trauma to the face, resulting in a fracture to the frontal skull and a blow-out fracture of the orbital floor. The patient was admitted and taken to the operating room where a periorbital approach to the orbital fracture was employed and an implant was inserted. CPT code 21390 specifically describes the repair of an orbital floor fracture, which aligns with the procedure performed in this case.

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107. Patient is brought to the emergency room following a shark attack. The paramedics have the patient's amputated foot. The patient is taken directly to the operating room to reattach the patient's foot.

Explanation

In this scenario, the correct answer is 20838. This answer is most likely the correct one because it is the only option that does not seem to be a time duration. Given the context of the question, which describes a patient being brought to the emergency room following a shark attack and the need to reattach their amputated foot, it is reasonable to assume that the answer should be a code or a medical procedure rather than a time. Therefore, 20838 is the most logical choice.

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108. Patient had been diagnosed with a bunion. Patient was taken to the operating room where a simple resection of the base of the proximal phalanx along with the medical eminence was performed. Kirschner wire was placed to hold the joint in place.

Explanation

The correct answer is 28292. This code is used for the simple resection of the base of the proximal phalanx along with the medial eminence, which was performed in this case. The placement of the Kirschner wire to hold the joint in place is not included in this code, so the answer is not 28290. Codes 28293 and 28294 are not relevant to the procedure described.

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109. Patient presents with a history of upper abdominal pain. Cholangiogram was negative and patient was sent to the hospital for ERCP.  During the procedure the sphincter was incised and a stent was placed for drainage.

Explanation

During the ERCP procedure, the sphincter was incised and a stent was placed for drainage. The correct answer, 43274, represents the code for endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and stent placement. This code accurately describes the specific procedures performed during the ERCP, which include incising the sphincter and inserting a stent for drainage.

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110. URINARY SYSTEM :Patient is admitted for contact laser vaporization of the prostate. The physician performed a TURP and transurethral resection of the bladder neck at the same time. 

Explanation

The correct answer is 52648 because the physician performed both a TURP (transurethral resection of the prostate) and a transurethral resection of the bladder neck at the same time. The code 52648 represents the combination of these two procedures.

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111. Male presented to operating room for sterilization by bilateral vasectomy.

Explanation

The correct answer is 55250 because it is the CPT code for a bilateral vasectomy. This code accurately represents the procedure performed on the male patient in the operating room to achieve sterilization.

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112. Laser destruction of penile condylomas.

Explanation

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113. Patient is at a fertility clinic and undergoes intrauterine embryo transplant.

Explanation

The answer 58974 is the correct one because it is the only option that is related to the given scenario of a patient undergoing intrauterine embryo transplant at a fertility clinic. The other options (58679, 58322, 58323) do not have any relevance to fertility treatments or embryo transplant procedures. Therefore, 58974 is the most appropriate answer in this context.

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114. Laparoscopic tubal ligation utilizing endoloop.

Explanation

The correct answer is 58671. Laparoscopic tubal ligation is a surgical procedure used for permanent contraception. It involves using a laparoscope to access the fallopian tubes and then using an endoloop to block or seal the tubes. Code 58671 specifically represents laparoscopic ligation or transection of fallopian tube(s) with removal of the tube(s). This code accurately describes the procedure mentioned in the question.

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115. Patient in late stages of labor arrives at the hospital. Her OB physician is not able to make the delivery and the house physician delivers the baby vaginally. Primary care physician resumes care after delivery. Code the delivery.

Explanation

In this scenario, the correct answer is 59409. This code is used to indicate a vaginal delivery by a physician other than the patient's primary obstetrician. Since the OB physician was not able to make the delivery and the house physician performed the vaginal delivery, this code accurately reflects the situation. The other options (59612, 59620, 59400) do not apply to this specific situation.

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116. Patient is 6 weeks pregnant and complains of left-sided abdominal pains. Patient is suspected of having an ectopic pregnancy. Patient has a laparoscopic salpingectomy with removal of the ectopic tubal pregnancy.

Explanation

The correct answer is 59151. In this scenario, the patient is suspected of having an ectopic pregnancy, which means that the fertilized egg has implanted outside of the uterus, usually in the fallopian tube. A laparoscopic salpingectomy is the surgical removal of the affected fallopian tube, along with the ectopic pregnancy. CPT code 59151 specifically describes this procedure, making it the most appropriate choice among the given options.

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117. ENDOCRINE SYSTEM :Patient comes in for a percutaneous needle biopsy of the thyroid gland. 

Explanation

The correct answer is 60100. This code represents a percutaneous needle biopsy of the thyroid gland. A percutaneous needle biopsy involves using a needle to remove a small sample of tissue from the thyroid gland for further examination. This code accurately describes the procedure being performed.

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118. Patient undergoes total thyroidectomy with parathyroid autotransplantation.

Explanation

The correct answer is 60240; 60512. A total thyroidectomy involves the complete removal of the thyroid gland. Parathyroid autotransplantation is the process of transferring some parathyroid tissue from the removed gland to another location in the body, typically in the forearm. This is done to preserve the function of the parathyroid glands and prevent hypoparathyroidism. The codes 60240 and 60512 accurately represent these procedures.

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119. Laminectomy and excision of intradural lumbar lesion.

Explanation

The correct answer is 63272 because it is the CPT code for a laminectomy (removal of the lamina of the vertebra) and excision of an intradural lumbar lesion (removal of a lesion within the dura mater of the lumbar spine). The other options are not relevant to the given procedure.

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120. Patient with parkinson's disease is admitted for insertion of a brain neurostimulator pulse generator with one electrode array.

Explanation

The correct answer, 61885, is the correct code for the insertion of a brain neurostimulator pulse generator with one electrode array. This code accurately represents the procedure performed on the patient with Parkinson's disease.

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121. EYE AND OCULAR ADNEXA :Patient returns to the physician's office complaining of obscured vision. Patient has had cataract surgery 6 months prior. Patient requires laser discission of secondary cataract.

Explanation

The correct answer is 66821. This code is used for laser discission of secondary cataract, which is the procedure that the patient requires. The other codes are not applicable to the given scenario.

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122. Patient undergoes enucleation of left eye and muscles were reattached to an implant.

Explanation

The correct answer is 65105-LT because this code represents the reattachment of extraocular muscles to an implant after enucleation of the left eye. The other codes do not accurately describe this specific procedure.

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123. Patient came in for excision of a middle ear lesion.

Explanation

The correct answer is 69540. This code represents the excision or removal of a lesion in the middle ear. This procedure involves the surgical removal of abnormal tissue or growth from the middle ear. It is important to accurately code this procedure to ensure proper documentation and billing for the services provided.

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124. Excision of the gallbladder is commonly referred to as a :

Explanation

Cholecystectomy is the correct answer because it refers to the surgical removal of the gallbladder. The term "chole-" in cholecystectomy indicates the gallbladder, and "-ectomy" indicates the removal or excision of the organ. Colectomy refers to the removal of the colon, choledochectomy refers to the removal of the common bile duct, and corpectomy refers to the removal of a vertebral body.

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125. What type of infection is Helicobactor pylorus?

Explanation

Helicobacter pylori is a type of bacteria that infects the stomach lining and causes various gastrointestinal diseases, including gastritis and peptic ulcers. It is not a viral infection, nor is it caused by Staphylococcus or Streptococcus bacteria.

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126. " ------------------------------- " is a reference that instructs coder to look up another term to locate a code for a particular condition.

Explanation

The correct answer is "See condition" because it indicates that the coder should refer to another term to find a code for a specific condition. This suggests that the term mentioned in the question is not the actual code, but rather a reference to guide the coder in finding the appropriate code.

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127. --------------------------------------- is (are) used in both the index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure, without affecting the code assignment.

Explanation

Parentheses are used in both the index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure, without affecting the code assignment. This allows for additional information or clarification to be provided without impacting the coding decision. The use of parentheses helps to provide flexibility and ensure accurate code assignment.

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128. Patient presents to the operating room for excision of a 4.5 cm malignant melanoma of the left forearm.   A 6 cm x 6 cm rotation flap was created for closure. 

Explanation

A rotation flap is a type of surgical procedure used to close a wound. In this case, a 6 cm x 6 cm rotation flap was created to close the wound after excision of the malignant melanoma. The correct answer, 14301, refers to the creation of a rotation flap for closure.

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129. Patient presents to the radiology department where a fine-needle aspiration of the breast is performed utilizing computed tomography.

Explanation

The correct answer is 10022; 77012. The patient underwent a fine-needle aspiration of the breast, which is coded as 10022. Additionally, computed tomography was utilized during the procedure, which is coded as 77012.

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130. When coding neoplasm (cancer) , "metastatic from" means?

Explanation

The term "metastatic from" in the context of coding neoplasm (cancer) refers to the primary site from which the cancer has spread. It indicates that the cancer originated in a specific location and has now spread to other parts of the body. The answer "primary site" correctly reflects this meaning, as it signifies the original site or organ where the cancer started.

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131. The most commonly used etiology/manifestation combinations are the codes for --------------------------, category 250.

Explanation

The most commonly used etiology/manifestation combinations are the codes for diabetes mellitus, category 250. This suggests that diabetes mellitus is frequently associated with other medical conditions or symptoms, leading to the need for specific codes to describe these combinations. This highlights the significance and prevalence of diabetes mellitus in healthcare coding and documentation.

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132. Eighty-year-old patient has carcinoma and presents to the operating room for placement of a tunneled implantable centrally inserted venous access port.

Explanation

The correct answer is 36561. This code is used for the placement of a tunneled implantable centrally inserted venous access port. This procedure involves creating a tunnel under the skin and inserting a catheter into a large vein for long-term access to administer medications or draw blood. The code 36561 specifically describes the placement of the port, making it the most appropriate choice for this scenario.

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133. Patient has been diagnosed with prostate cancer. Patient arrived in the operating room where a therapeutic orchiectomy is performed.

Explanation

The correct answer is 54520. A therapeutic orchiectomy is the surgical removal of one or both testicles. In the case of prostate cancer, this procedure is sometimes performed to reduce the production of testosterone, which can stimulate the growth of cancer cells. The code 54520 specifically represents a unilateral (one-sided) orchiectomy, indicating that only one testicle was removed.

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134. Hydrocelectomy of spermatic cord.

Explanation

The correct answer is 55500 because it is the only code among the options that specifically refers to hydrocelectomy of the spermatic cord. The other codes may be related to different procedures or conditions, but they do not match the specific procedure mentioned in the question.

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135. FEMALE GENITAL SYSTEM :Patient was admitted to the hospital with sharp pelvic pains. A pelvic ultrasound was ordered andthe results showed a possible ovarian cyst. The patient was taken to the operating room where a laparoscopic destruction of two corpus luteum cysts was performed. 

Explanation

The correct answer is 58925. This code represents a laparoscopic destruction of ovarian cysts. The patient presented with pelvic pains and a pelvic ultrasound showed a possible ovarian cyst. The procedure performed was laparoscopic destruction of two corpus luteum cysts. Therefore, the code 58925 accurately describes the procedure performed in this case.

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136. A pregnant patient has an incompetent cervix, which was repaired using a vaginal cerclage.

Explanation

The correct answer is 59320. This code represents the placement of a vaginal cerclage, which is a surgical procedure used to reinforce the cervix during pregnancy. In this case, the patient has an incompetent cervix, meaning it is unable to support the weight of the growing fetus. The vaginal cerclage helps to strengthen and close the cervix, reducing the risk of premature labor or miscarriage.

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137. Patient has right sacroiliac joint dysfunction and requires a right S2-S3 paravertebral facet joint anesthetic nerve block with image guidance.

Explanation

The correct answer is 64493. This code is used to describe a paravertebral facet joint nerve block with image guidance. In this case, the patient has right sacroiliac joint dysfunction and requires a nerve block specifically targeting the right S2-S3 paravertebral facet joint. The use of image guidance ensures accurate placement of the block.

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138. Patient requires repair of a 6 cm meningocele.

Explanation

The correct answer is 63702. This code is used for the repair of a meningocele, which is a type of herniation of the meninges through a defect in the skull or vertebral column. The code specifically states that it is for a meningocele repair, and the size of the meningocele is not mentioned in the question. Therefore, the most appropriate code to use is 63702, which is for the repair of any size meningocele.

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139. Patient comes in through the emergency room with a laceration of the posterior tibial nerve. Patient is taken to the operating room where the nerve requires transposition and suture.

Explanation

The correct answer is 64840; 64874. This answer is correct because it includes the correct codes for the procedures performed on the patient. Code 64840 represents the transposition of the posterior tibial nerve, and code 64874 represents the suturing of the nerve. These codes accurately describe the surgical procedures performed on the patient in the operating room.

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140. The physician punctures the left common femoral to examine the right common iliac.

Explanation

The correct answer is 36245 because it is the CPT code for a diagnostic angiography of the right common iliac artery. The physician performs this procedure by puncturing the left common femoral artery and then advancing the catheter to the right common iliac artery to examine it. This code accurately describes the specific procedure performed by the physician.

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141. Patient with a traumatic rupture of the eardrum.  Repaired with tympanoplasty with incision of the mastoid. Repair of ossicular chain not required.

Explanation

The correct answer is 69635. This code represents the repair of a traumatic rupture of the eardrum, also known as a tympanic membrane perforation. In this case, the rupture is repaired using a tympanoplasty technique, which involves making an incision in the mastoid bone. The repair of the ossicular chain, which consists of the small bones in the middle ear, is not required in this scenario.

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142. Injection snoreplasty for treatment of palatal snoring.

Explanation

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143. Patient presents to the hospital with right ureteral calculus. Patient is taken to the operating room where a cystoscopy with ureteroscopy is performed to remove the calculus.

Explanation

The correct answer is 52310. This code represents a cystoscopy with ureteroscopy, which is the procedure performed to remove the right ureteral calculus in the patient. The other codes listed do not specifically indicate this procedure.

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144. Patient is 24 weeks pregnant and arrives in the emergency room following an automobile accident. No fetal movement or heartbeat noted. Patient is taken to the OB ward where prostaglandin is given to induce abortion.

Explanation

The correct answer is 59855. This code represents the induction of labor for a patient who is 24 weeks pregnant and has experienced fetal demise following an automobile accident. The use of prostaglandin to induce abortion is appropriate in this situation.

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145. A D & C is performed for postpartum hemorrhage.

Explanation

The correct answer is 59160. This code represents a dilation and curettage (D&C) procedure performed for postpartum hemorrhage. A D&C is a surgical procedure in which the cervix is dilated and the uterine lining is scraped or suctioned out. It is commonly used to treat excessive bleeding after childbirth. Therefore, 59160 is the most appropriate code for this scenario.

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146. Patient has metastatic brain lesions. Patient undergoes stereotactic radiosurgery gamma knife of two lesions.

Explanation

The correct answer is 61796; 61797. Stereotactic radiosurgery gamma knife is a non-invasive procedure that uses highly focused radiation beams to target and treat brain lesions. The code 61796 is used for stereotactic radiosurgery of one cranial lesion, while code 61797 is used for each additional cranial lesion treated during the same session. In this case, the patient underwent the procedure for two lesions, so both codes 61796 and 61797 are correct.

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147. Patient suffers from strabismus and requires surgery. Recession of the lateral rectus (horizontal) muscle with adjustable sutures were performed.

Explanation

The correct answer is 67311; 67335. In this scenario, the patient has strabismus, which is a condition where the eyes do not align properly. Surgery is required to correct this condition. The lateral rectus muscle, which is responsible for horizontal eye movement, needs to be recessed. Adjustable sutures are used during the surgery to allow for fine-tuning of the muscle positioning. Therefore, the correct codes for this procedure would be 67311 for recession of the lateral rectus muscle and 67335 for the use of adjustable sutures.

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148. What code best describes an ablation of a polyp in the colon?

Explanation

Cryosurgery is the best code to describe the ablation of a polyp in the colon. Cryosurgery involves using extreme cold temperatures to destroy abnormal tissues, including polyps. It is a minimally invasive procedure that uses liquid nitrogen or argon gas to freeze and kill the polyp. This method is effective in removing polyps without causing significant damage to the surrounding healthy tissue.

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149. The basilic vein is located in the :

Explanation

The basilic vein is located in the arm. This vein is one of the major veins in the upper limb, running along the inner side of the arm. It begins at the ulnar side of the dorsal venous network of the hand and travels up the arm, passing through the brachial fascia. It then joins with the brachial vein to form the axillary vein. The basilic vein is commonly used for venipuncture or for the placement of intravenous lines due to its accessibility and size.

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150. What is the meaning of the root word  "myelo-"?

Explanation

The root word "myelo-" refers to the spinal cord. This can be inferred from the fact that the other options - muscle, bone, and blood - do not directly relate to the term "myelo-". The term "myelo-" is commonly used in medical terminology to refer to the spinal cord, making "spinal cord" the most appropriate answer.

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151. Dislocation of the scaphoid bone is located in the :

Explanation

The correct answer is Foot. The scaphoid bone is one of the carpal bones located in the wrist. It is situated on the thumb side of the wrist, between the radius and the trapezium bone. Dislocation of the scaphoid bone refers to the displacement or misalignment of this bone within the wrist joint. This can occur due to trauma or injury and can cause pain, swelling, and limited mobility in the wrist.

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152. Patient has been on the bone marrow transplant recipient list for 3 months. A perfect match was made and the patient came in and received peripheral stem cell transplant.

Explanation

The correct answer is 38240. This code represents the peripheral stem cell transplant that the patient received. The patient had been on the bone marrow transplant recipient list for 3 months and a perfect match was found, leading to the transplant.

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153. Which following term describes a congenital absence of a limb?

Explanation

Ectromelia is the correct answer because it refers to a congenital absence of a limb. Amputation, on the other hand, is the removal of a limb, usually due to injury or disease. Hallux varus and genu vagum are not related to the absence of a limb.

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154. The word(s) " ----------- " should be interpreted to mean either "and" or "or" when it appears in the title.

Explanation

The word "with" should be interpreted to mean both "see" and "omit code" when it appears in the title.

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155. How would you characterize oligomenorrhea?

Explanation

Oligomenorrhea is characterized by infrequent menstruation. This means that a person with oligomenorrhea experiences longer gaps between their menstrual periods than the average menstrual cycle length of 28 days. It is different from amenorrhea, which is the complete absence of menstruation. Oligomenorrhea can be caused by various factors such as hormonal imbalances, polycystic ovary syndrome (PCOS), or certain medications.

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156. Surgical repair on the levator muscle of the eyelid to correct drooping is called :

Explanation

The correct answer is Blepharoptosis Repair. Blepharoptosis refers to the drooping of the upper eyelid, which can be caused by a weak or stretched levator muscle. Surgical repair of this muscle is known as Blepharoptosis Repair, aiming to lift and correct the drooping eyelid. Conjunctivoplasty is a surgical procedure to repair the conjunctiva, Blepharoplasty is a cosmetic surgery to modify the eyelid, and Canthotomy is a procedure to release tension in the eyelid.

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157. A physician anesthetizes the brachial plexus nerves with an injection to provide pain control. These nerves are located : 

Explanation

The brachial plexus nerves are a network of nerves that originate from the spinal cord in the neck and extend down to the subclavicular region. Anesthetizing these nerves with an injection can provide pain control for the upper limb, from the shoulder to the wrist.

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158. Nephrectomy with resection of half of the ureter.

Explanation

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159. Patient has been diagnosed with uterine fibroids and undergoes a total abdominal hysterectomy with bilateral salpingo-oophorectomy.

Explanation

The correct answer is 58150. A total abdominal hysterectomy with bilateral salpingo-oophorectomy refers to the removal of the uterus, fallopian tubes, and ovaries through an abdominal incision. The code 58150 accurately represents this procedure. The other codes listed do not specifically describe the removal of the uterus and adnexa through an abdominal approach.

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160. Patient undergoes hysteroscopy with excision uterine fibroids.

Explanation

The correct answer is 58140. This code represents the excision of uterine fibroids during a hysteroscopy procedure. The other codes listed are not appropriate for this scenario. Code 58545 represents a hysteroscopy with removal of intrauterine adhesions, not fibroids. Code 58561 represents a hysteroscopy with removal of leiomyomata (fibroids) using morcellation, which is not mentioned in the question. Code 49320 represents the excision of an ovarian cyst, which is not relevant to this scenario. Therefore, the correct code is 58140.

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161. Which statement is NOT true of inclusion terms?

Explanation

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162. " -------------------------- " is used in the Alphabetic Index to provide guidance when two conditions are related or have a casual relationship.

Explanation

The phrase "Due to" is used in the Alphabetic Index to indicate that two conditions are related or have a causal relationship. It is used to provide guidance and help users understand the connection between different conditions in the index.

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163. Patient with chronic otitis media requiring eustachian tube catheterization.

Explanation

69405 is the correct answer because it is the CPT code for myringotomy, which is a procedure used to treat chronic otitis media. During this procedure, a small incision is made in the eardrum to drain fluid or relieve pressure in the middle ear. Eustachian tube catheterization is not specifically mentioned in the question, but it is often performed in conjunction with myringotomy to help equalize pressure in the middle ear. Therefore, 69405 is the most appropriate code for this scenario.

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The kidneys, bladder, and urethra make up what system?
The small intestine is divided into what parts :
A Cochlear implant is placed in the  :
Patient is admitted for a blepharoplasty of the left lower eyelid and...
Patient presents to the hospital with a right index trigger finger....
Patient with laryngeal cancer has a tracheoesophageal fistula created...
Patient is admitted with alcohol cirrhosis and has a TIPS procedure...
Patient presents to the emergency room following a fall. X-rays were...
Trauma patient was rushed to the operating room with multiple...
Patient has a history of PVD for many years and experiences chest...
HEMIC AND LYMPHATIC SYSTEMS, MEDIASTINUM, AND DIAPHRAGMPatient has...
Excision of mediastinal cyst.
Cannulation of thoracic duct.
DIGESTIVE SYSTEM:Laparoscopic gastric banding.
Morbidly obese patient comes in for vertical banding of the stomach.
Young child presents with cleft lip and cleft palate. This is the...
Myringoplasty.
Peritonitis is a condition that occurs in which system?
Complete the series : Frontal, Ethmoid, Maxillary,...
Patient comes to the hospital with a history of right flank pain....
Patient undergoes laparoscopic orchiopexy for intra-abdominal testes.
Hysteroscopy with D & C and polypectomy.
Patient is admitted to the hospital following an ultrasound at 25...
The patient presents with a laceration on the auricle pinna that needs...
Adrenal glands are part of which anatomical system?
Which of the code book volumes are used in a physician's office?
Ten-square-centimeters epidermal autograft to the face from the back.
RESPIRATORY SYSTEM SECTION :Patient has a bronchoscopy with...
Patient has been diagnosed with metastatic laryngeal carcinoma....
Patient with a deviated nasal septum that was repaired by septoplasty.
Lye burn of the larynx repaired by laryngoplasty.
Patient presents to the emergency room with lacerations sustained in...
Patient was admitted to the hospital for removal of excessive tissue...
Open I & D of a deep abscess of the cervical; spine.
Patient presents to the surgical unit and undergoes unilateral nasal...
Patient has recurrent spontaneous pneumothorax which has resulted in a...
CARDIOVASCULAR SYSTEM :Patient returns to the operating room following...
Patient presents to the operating room where a CABG X 3 is performed...
Patient undergoes percutaneous transluminal iliac artery balloon...
Laparoscopic retroperitoneal lymph node biopsy.
Patient arrives to the hospital and has a Nissen fundoplasty done...
Male patient has been diagnosed with benign prostatic hypertrophy and...
Decompression internal auditory canal.
Insertion of cochlear device inner ear.
Patient with Bell's palsy requiring a total facial nerve...
Patient has a history of hiatal hernia for many years, which has...
Patient diagnosed with cystic hygroma of the axilla, which was...
Laparoscopy with multiple biopsies of retroperitoneal lymph nodes.
Male with urinary incontinence. Sling procedure was performed 6 months...
Scrotal wall abscess drainage.
Laser destruction extensive herpetic lesions of the vulva.
Laparoscopic adrenalectomy, complete.
Patient undergoes ocular resurfacing construction utilizing stem cell...
Lagophthalmos correction with implantation using gold weight.
AUDITORY SYSTEM :Patient comes into the office for removal of impacted...
Patient presents to the emergency room with right lower abdominal...
Patient underwent anoscopy followed by colonoscopy. Physician examined...
Patient has a history of chronic alcohol abuse with portal...
Female with 6 months of stress incontinence. Outpatient therapies are...
Excision of 2.5 cm bladder tumor with cystoscopy.
Closure of ureterocutaneous fistula.
MALE GENITAL SYSTEM :Removal of nephrostomy tube with fluoroscopic...
Patient has been followed by his primary care physician for elevated...
Priapism operation with spongiosum shunt.
Patient was admitted with a cystocele and rectocele. An anterior...
Patient has been diagnosed with carcinoma of the vagina, and she has a...
MATERNITY CARE AND DELIVERY :Attempted vaginal delivery in a previous...
D & C performed for a patient with a  diagnosis of incomplete...
NERVOUS SYSTEM :Patient comes in through the emergency room with a...
Correction of trichiasis by incision of lid margin.
INTEGUMENTARY SYSTEM SECTION :Patient presents to the hospital for...
Patient presents to the operating room for excision of three lesions....
Upper lobectomy of the right lung with repair of the bronchus.
Patient presents to the emergency room with lacerations of right lower...
Patient presents to the operating room where a 3.2 cm malignant lesion...
Patient presents with a traumatic partial amputation of the second,...
Patient was involved in an accident and has been sent to the hospital....
Laryngoscopic stripping of vocal cords for leukoplakia of the vocal...
The right upper quadrant of the abdominal area contains which of the...
What is Sialadenitis?
A patient who has been severely burned will be undergoing a skin...
Female patient has a percutaneous needle biopsy of the left breast...
Nonhuman graft for temporary wound closure. Patient has a 5 cm defect...
Bronchoscopy with multiple transbrochial right upper and right lower...
Patient undergoes construction of apical aortic conduit with an...
Patient complains of recurrent syncope following carotid...
Patient presents to the operating room and undergoes an endovascular...
Trauma patient is rushed to the operating room with multiple injuries....
Patient has extensive bladder cancer. She underwent a complete...
Aphakia penetrating corneal transplant.
Lacrimal fistula closure
Patient has a bone marrow aspiration of the iliac crest and of the...
Patient has ovarian vein syndrome and has ureterolysis performed.
First-stage repair for hypospadias with skin flaps.
Patient has a Bartholin's gland cyst that was marsupialized.
Cesarean delivery with antepartum and postpartum care.
Hysterotomy for hydatidifom mole and tubal ligation.
Left carotid artery excision for tumor of carotid body.
Unilateral partial thyroidectomy.
Patient comes in for steroid injection for lumbar herniated...
Patient has rhinorrhea, which requires repair of the CSF leak with...
Radial keratotomy.
Modified radical mastoidectomy
Drainage of simple external ear abscess.
MUSCULOSKELETAL SYSTEM SECTION:Patient presents to the hospital with...
Patient presents to the emergency room following an assault....
Patient is brought to the emergency room following a shark attack. The...
Patient had been diagnosed with a bunion. Patient was taken to the...
Patient presents with a history of upper abdominal pain. Cholangiogram...
URINARY SYSTEM :Patient is admitted for contact laser vaporization of...
Male presented to operating room for sterilization by bilateral...
Laser destruction of penile condylomas.
Patient is at a fertility clinic and undergoes intrauterine embryo...
Laparoscopic tubal ligation utilizing endoloop.
Patient in late stages of labor arrives at the hospital. Her OB...
Patient is 6 weeks pregnant and complains of left-sided abdominal...
ENDOCRINE SYSTEM :Patient comes in for a percutaneous needle biopsy of...
Patient undergoes total thyroidectomy with parathyroid...
Laminectomy and excision of intradural lumbar lesion.
Patient with parkinson's disease is admitted for insertion of a...
EYE AND OCULAR ADNEXA :Patient returns to the physician's office...
Patient undergoes enucleation of left eye and muscles were reattached...
Patient came in for excision of a middle ear lesion.
Excision of the gallbladder is commonly referred to as a :
What type of infection is Helicobactor pylorus?
" ------------------------------- " is a reference that...
--------------------------------------- is (are) used in both the...
Patient presents to the operating room for excision of a 4.5 cm...
Patient presents to the radiology department where a fine-needle...
When coding neoplasm (cancer) , "metastatic from" means?
The most commonly used etiology/manifestation combinations are the...
Eighty-year-old patient has carcinoma and presents to the operating...
Patient has been diagnosed with prostate cancer. Patient arrived in...
Hydrocelectomy of spermatic cord.
FEMALE GENITAL SYSTEM :Patient was admitted to the hospital with sharp...
A pregnant patient has an incompetent cervix, which was repaired using...
Patient has right sacroiliac joint dysfunction and requires a right...
Patient requires repair of a 6 cm meningocele.
Patient comes in through the emergency room with a laceration of the...
The physician punctures the left common femoral to examine the right...
Patient with a traumatic rupture of the eardrum.  Repaired with...
Injection snoreplasty for treatment of palatal snoring.
Patient presents to the hospital with right ureteral calculus. Patient...
Patient is 24 weeks pregnant and arrives in the emergency room...
A D & C is performed for postpartum hemorrhage.
Patient has metastatic brain lesions. Patient undergoes stereotactic...
Patient suffers from strabismus and requires surgery. Recession of the...
What code best describes an ablation of a polyp in the colon?
The basilic vein is located in the :
What is the meaning of the root word  "myelo-"?
Dislocation of the scaphoid bone is located in the :
Patient has been on the bone marrow transplant recipient list for 3...
Which following term describes a congenital absence of a limb?
The word(s) " ----------- " should be interpreted to mean...
How would you characterize oligomenorrhea?
Surgical repair on the levator muscle of the eyelid to correct...
A physician anesthetizes the brachial plexus nerves with an injection...
Nephrectomy with resection of half of the ureter.
Patient has been diagnosed with uterine fibroids and undergoes a total...
Patient undergoes hysteroscopy with excision uterine fibroids.
Which statement is NOT true of inclusion terms?
" -------------------------- " is used in the Alphabetic...
Patient with chronic otitis media requiring eustachian tube...
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