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Questions and Answers
What are the CPT® and ICD-10-CM codes reported for CASE 1?
What are the CPT® and ICD-10-CM codes reported for CASE 1?
32650-RT, J90, C34.91
What are the CPT® and ICD-10-CM codes reported for CASE 2?
What are the CPT® and ICD-10-CM codes reported for CASE 2?
31600, C32.0
What are the CPT® and ICD-10-CM codes reported for CASE 3?
What are the CPT® and ICD-10-CM codes reported for CASE 3?
32666-LT, 31622-51, S27.0XXA, V03.90XA
What are the CPT® and ICD-10-CM codes reported for CASE 4?
What are the CPT® and ICD-10-CM codes reported for CASE 4?
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What are the CPT® and ICD-10-CM codes reported for CASE 5?
What are the CPT® and ICD-10-CM codes reported for CASE 5?
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What are the CPT® and ICD-10-CM codes reported for CASE 6?
What are the CPT® and ICD-10-CM codes reported for CASE 6?
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What are the CPT® and ICD-10-CM codes reported for CASE 7?
What are the CPT® and ICD-10-CM codes reported for CASE 7?
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What are the CPT® and ICD-10-CM codes reported for CASE 8?
What are the CPT® and ICD-10-CM codes reported for CASE 8?
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What are the CPT® and ICD-10-CM codes reported for CASE 9?
What are the CPT® and ICD-10-CM codes reported for CASE 9?
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What are the CPT® and ICD-10-CM codes reported for CASE 10?
What are the CPT® and ICD-10-CM codes reported for CASE 10?
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Study Notes
Case 1: Video-Assisted Thoracoscopy
- Diagnosis: Recurrent pleural effusion, stage IV right lung cancer.
- Procedure: Video-assisted thoracoscopy with adhesion lysis and talc pleurodesis.
- 700 ml of fluid was evacuated from the pleural space.
- Talc (8 grams) was introduced for pleurodesis under direct vision.
- Reported Codes: CPT 32650-RT, ICD-10-CM J90, C34.91.
Case 2: Tracheostomy
- Diagnosis: Malignant neoplasm of the glottis.
- Procedure: Tracheostomy performed with an incision made low in the neck.
- A tracheostomy tube was inserted and secured.
- Reported Codes: CPT 31600, ICD-10-CM C32.0.
Case 3: Bronchoscopy and Wedge Resection
- Diagnosis: Pneumothorax following MVA (Motor Vehicle Accident).
- Procedures: Bronchoscopy and left Video-Assisted Thoracoscopic Surgery (VATS) with wedge resection performed.
- Identified a large bleb at the apex of the left lung.
- Reported Codes: CPT 32666-LT, 31622-51, ICD-10-CM S27.0XXA, V03.90XA.
Case 4: Bilateral Sinus Surgery
- Diagnoses: Chronic hyperplastic rhinosinusitis, intranasal and sinus polyps.
- Complex bilateral sinus surgery performed including multiple endoscopic procedures.
- Specimens sent for routine and fungal cultures.
- Reported Codes: CPT 31259-50, 31267-50-51, ICD-10-CM J33.0, J33.8, J32.9.
Case 5: Mediastinotomy
- Diagnoses: Sarcoid of lymph nodes, new onset paratracheal adenopathy.
- Procedure: Mediastinotomy performed under general anesthesia.
- Major lymph node biopsied.
- Reported Codes: CPT 39000, ICD-10-CM D86.1, R59.0.
Case 6: Thoracentesis Attempt
- Diagnosis: Loculated left pleural effusion, chronic.
- Attempted ultrasound-guided thoracentesis; thick fibrous pleura inhibited fluid aspiration.
- Reported Codes: CPT 32555-LT, ICD-10-CM J90.
Case 7: Direct Laryngoscopy
- Diagnosis: Left vocal cord tumor.
- Procedure: Direct laryngoscopy with microscope for tumor removal.
- Specimen sent to pathology, minimal bleeding reported.
- Reported Codes: CPT 31541, ICD-10-CM D49.1.
Case 8: Right Upper Lobectomy
- Diagnosis: Carcinoma of the right upper lobe.
- Procedure: Video-Assisted Thoracoscopic Surgery (VATS) right superior lobectomy.
- Two small incisions for camera access; tumor excised and sent for pathology.
- Reported Codes: CPT 32663-RT, ICD-10-CM C34.11.
Case 9: Laparoscopic Bilateral Pelvic Lymphadenectomy
- Diagnosis: Grade 3 squamous cell carcinoma of the penis with inguinal lymphatic metastasis.
- Procedure: Laparoscopic bilateral pelvic lymphadenectomy performed.
- Comprehensive dissection of lymphatics completed under visible landmarks.
- Reported Codes: CPT 38574, ICD-10-CM C77.4, C60.9.
Case 10: Bronchoscopy for Carcinoma
- Diagnosis: Carcinoma of the right lung and bronchus intermedius.
- Procedure: Fiberoptic bronchoscopy, multiple washings, brushings, and biopsies taken for analysis.
- Extrinsic compression of the right upper lobe and a submucosal tumor identified.
- Reported Codes: CPT 31625-RT, 32623-51-RT, ICD-10-CM C34.81.
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Description
Test your knowledge on practical applications from Chapter 9 of the AAPC coding guidelines. This quiz focuses on understanding diagnosis and procedures related to thoracic surgeries. Great for coders looking to enhance their skills in medical coding.
