AAPC - Chapter 9 Practical Applications
10 Questions
101 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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?

31600, C32.0

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?

<p>31259-50, 31267-50-51, J33.0, J33.8, J32.9</p> Signup and view all the answers

What are the CPT® and ICD-10-CM codes reported for CASE 5?

<p>39000, D86.1, R59.0</p> Signup and view all the answers

What are the CPT® and ICD-10-CM codes reported for CASE 6?

<p>32555-LT, J90</p> Signup and view all the answers

What are the CPT® and ICD-10-CM codes reported for CASE 7?

<p>31541, D49.1</p> Signup and view all the answers

What are the CPT® and ICD-10-CM codes reported for CASE 8?

<p>32663-RT, C34.11</p> Signup and view all the answers

What are the CPT® and ICD-10-CM codes reported for CASE 9?

<p>38574, C77.4, C60.9</p> Signup and view all the answers

What are the CPT® and ICD-10-CM codes reported for CASE 10?

<p>Not provided</p> Signup and view all the answers

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.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

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.

More Like This

Medical Coding V & E Codes
9 questions

Medical Coding V & E Codes

RevolutionaryDulcimer avatar
RevolutionaryDulcimer
Medical Coding Chapter 20 Review
22 questions
Medical Coding Basics Quiz
10 questions

Medical Coding Basics Quiz

BeneficialThermodynamics avatar
BeneficialThermodynamics
Medical Coding and Diagnosis Quiz
29 questions
Use Quizgecko on...
Browser
Browser