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Questions and Answers
What is the ICD-10-CM code reported for internal hemorrhoids?
What is the ICD-10-CM code reported for internal hemorrhoids?
What CPT® code is reported for removal of a foreign body from the esophagus via the thoracic area?
What CPT® code is reported for removal of a foreign body from the esophagus via the thoracic area?
43045
What is the correct ICD-10-CM code for a patient with IBS?
What is the correct ICD-10-CM code for a patient with IBS?
K58.9
What ICD-10-CM code is reported for acute gastritis with bleeding?
What ICD-10-CM code is reported for acute gastritis with bleeding?
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What CPT® codes are reported for a gastric restriction by placing a gastric band via laparoscopic surgery?
What CPT® codes are reported for a gastric restriction by placing a gastric band via laparoscopic surgery?
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What is the CPT® code for a test used to diagnose lactase intolerance?
What is the CPT® code for a test used to diagnose lactase intolerance?
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What is the CPT® code for the Puestow-type operation?
What is the CPT® code for the Puestow-type operation?
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What CPT® and ICD-10-CM codes are reported for esophageal dilation using a balloon?
What CPT® and ICD-10-CM codes are reported for esophageal dilation using a balloon?
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What CPT® codes are reported for a liver transplant?
What CPT® codes are reported for a liver transplant?
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What is the ICD-10-CM code reported for a recurrent incarcerated incisional hernia?
What is the ICD-10-CM code reported for a recurrent incarcerated incisional hernia?
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What CPT® code is reported for an appendectomy performed via open incision?
What CPT® code is reported for an appendectomy performed via open incision?
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What ICD-10-CM codes are reported for a diagnostic scope that identifies a bleeding ulcer in the stomach and a perforated ulcer in the jejunum?
What ICD-10-CM codes are reported for a diagnostic scope that identifies a bleeding ulcer in the stomach and a perforated ulcer in the jejunum?
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What CPT® code(s) is/are reported for an esophageal motility procedure with acid perfusion study?
What CPT® code(s) is/are reported for an esophageal motility procedure with acid perfusion study?
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What ICD-10-CM code is reported for a patient with a family history of colon cancer?
What ICD-10-CM code is reported for a patient with a family history of colon cancer?
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What CPT® and ICD-10-CM codes are reported for a hemicolectomy performed on a patient with colon cancer?
What CPT® and ICD-10-CM codes are reported for a hemicolectomy performed on a patient with colon cancer?
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What does the 5th character indicate when reporting an encounter for screening of malignant neoplasms of the intestinal tract?
What does the 5th character indicate when reporting an encounter for screening of malignant neoplasms of the intestinal tract?
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What is the eponym for a pancreatoduodenectomy?
What is the eponym for a pancreatoduodenectomy?
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What CPT® codes are reported for an internal and external hemorrhoidectomy with an identified perianal abscess?
What CPT® codes are reported for an internal and external hemorrhoidectomy with an identified perianal abscess?
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What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y reconstruction with vagotomy?
What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y reconstruction with vagotomy?
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What CPT® and ICD-10-CM codes are reported for a laparoscopic cholecystectomy performed for recurrent bouts of acute cholecystitis?
What CPT® and ICD-10-CM codes are reported for a laparoscopic cholecystectomy performed for recurrent bouts of acute cholecystitis?
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How is Crohn's disease of the small intestine with intestinal obstruction reported in ICD-10-CM?
How is Crohn's disease of the small intestine with intestinal obstruction reported in ICD-10-CM?
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What CPT® code(s) is/are reported for a second adenoidectomy performed on a 12 year-old patient?
What CPT® code(s) is/are reported for a second adenoidectomy performed on a 12 year-old patient?
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What is the correct ICD-10-CM coding for diverticulosis of the small intestine present since birth?
What is the correct ICD-10-CM coding for diverticulosis of the small intestine present since birth?
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Bile empties into the duodenum through what structure?
Bile empties into the duodenum through what structure?
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What CPT® and ICD-10-CM codes are reported for the creation of an opening into the stomach for a feeding tube in a patient with proximal esophageal carcinoma?
What CPT® and ICD-10-CM codes are reported for the creation of an opening into the stomach for a feeding tube in a patient with proximal esophageal carcinoma?
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What is the correct ICD-10-CM code for a 30 year-old obese patient with a BMI of 32.5?
What is the correct ICD-10-CM code for a 30 year-old obese patient with a BMI of 32.5?
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What ICD-10-CM code is reported for non-erosive duodenitis?
What ICD-10-CM code is reported for non-erosive duodenitis?
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What CPT® and ICD-10-CM codes are reported for gastric lavage for a child who ingested valium?
What CPT® and ICD-10-CM codes are reported for gastric lavage for a child who ingested valium?
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What CPT® and ICD-10-CM codes are reported for rigid proctosigmoidoscopy with removal of two polyps?
What CPT® and ICD-10-CM codes are reported for rigid proctosigmoidoscopy with removal of two polyps?
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What CPT® and ICD-10-CM codes are reported for ligation of esophageal gastric varices?
What CPT® and ICD-10-CM codes are reported for ligation of esophageal gastric varices?
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What CPT® codes are reported for a total gastrectomy with formation of an intestinal pouch and total en bloc splenectomy?
What CPT® codes are reported for a total gastrectomy with formation of an intestinal pouch and total en bloc splenectomy?
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What ICD-10-CM codes are reported by the cardiologist for a patient scheduled for gallbladder removal due to chronic gallstones?
What ICD-10-CM codes are reported by the cardiologist for a patient scheduled for gallbladder removal due to chronic gallstones?
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What CPT® code is reported for a secondary palatoplasty for complete unilateral cleft palate?
What CPT® code is reported for a secondary palatoplasty for complete unilateral cleft palate?
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What CPT® and ICD-10-CM codes are reported for a screening colonoscopy in a 65 year-old Medicare patient with family history of colon cancer?
What CPT® and ICD-10-CM codes are reported for a screening colonoscopy in a 65 year-old Medicare patient with family history of colon cancer?
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What CPT® code is reported for the removal of a foreign body (sponge) from the peritoneal cavity?
What CPT® code is reported for the removal of a foreign body (sponge) from the peritoneal cavity?
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What are the correct CPT® and ICD-10-CM codes for a screening colonoscopy in a 50 year-old patient with a family history of colon cancer?
What are the correct CPT® and ICD-10-CM codes for a screening colonoscopy in a 50 year-old patient with a family history of colon cancer?
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Study Notes
Code Reporting for Esophageal Motility Procedures
- Diagnostic procedure codes for esophageal motility and acid perfusion study are 91010 and 91013.
- 91010 is for the motility study; 91013 is an add-on code for the acid perfusion study.
ICD-10-CM Coding for Family History of Colon Cancer
- Family history of colon cancer is coded as Z80.0.
- Z codes represent family history of diseases.
CPT® and ICD-10-CM Coding for Hemicolectomy
- Hemicolectomy for colon cancer is reported as 44140 (CPT®) and C18.9 (ICD-10-CM).
- 44140 indicates partial colectomy; C18.9 specifies malignant neoplasm of the colon.
Screening Colonoscopy Character Coding
- The 5th character of Z12.1 relates to the anatomic location screened in the intestinal tract.
Eponym for Pancreatoduodenectomy
- "Whipple procedure" is the eponym for pancreatoduodenectomy and is coded as 48150.
CPT® Coding for Hemorrhoidectomy with Perianal Abscess
- Codes for combined procedures are 46255 (hemorrhoidectomy) and 46050-51 (incision and drainage of perianal abscess).
- Modifier 51 indicates multiple procedures in a single session.
CPT® Coding for Partial Distal Gastrectomy
- Partial distal gastrectomy with Roux-en-Y reconstruction is reported using codes 43633 (for gastrectomy) and 43635 (for vagotomy).
Laparoscopic Cholecystectomy and Acute Cholecystitis Coding
- Laparoscopic cholecystectomy due to acute cholecystitis is coded as 47562 (CPT®) and K81.0 (ICD-10-CM).
Crohn's Disease Reporting in ICD-10-CM
- Crohn's disease of the small intestine with intestinal obstruction uses a combination code, such as K50.012.
CPT® Coding for Secondary Adenoidectomy
- Secondary adenoidectomy is reported as 42836 for a patient over 12 years old.
ICD-10-CM Coding for Congenital Diverticulosis
- Congenital diverticulosis of the small intestine is coded as Q43.8.
Bile Emptying Mechanism
- Bile empties into the duodenum through the common bile duct.
Gastrostomy for Nutritional Support Coding
- Temporary gastrostomy is coded as 43830, with C15.3 for esophageal carcinoma and F10.20 for alcohol dependence.
ICD-10-CM Coding for Obesity
- An obese patient with a BMI of 32.5 is coded as E66.9 and Z68.32.
Non-Erosive Duodenitis Coding
- Non-erosive duodenitis is coded as K29.80.
Gastric Lavage for Ingested Poison Coding
- For gastric lavage due to ingested valium, use CPT® code 43753 and ICD-10-CM codes T42.4X1A for poisoning and R40.20 for unconsciousness.
Rigid Proctosigmoidoscopy with Polypectomy Coding
- Procedure codes include 45315 (removal of polyps) and K62.1 (rectal polyp diagnosis).
Esophageal Varices Treatment Coding
- Ligation of esophageal gastric varices is coded as 43244 with ICD-10-CM codes K70.30 for cirrhosis and I85.11 for varices due to cirrhosis.
Total Gastrectomy and Splenectomy Coding
- Total gastrectomy with intestinal pouch formation is reported as 43622, with the splenectomy coded as 38102.
Preoperative Examination Coding for Gallbladder Surgery
- Preoperative examination by a cardiologist is coded as Z01.810, with gallbladder stones as K80.20 and hypertension as I10.
Secondary Palatoplasty Code Reporting
- Secondary palatoplasty with seizure during surgery uses codes 42220-53 for the procedure and Q35.9 for complete unilateral cleft palate diagnosis, with R56.9 for unspecified convulsions.
Screening Colonoscopy with Polyp Removal Coding
- Screening colonoscopy with polyps removed is coded as G0105, Z12.11, D12.3, D12.2, and Z80.0.
Sigmoidoscopy for Bloody Stools
- No specific code reported, but the procedure indicated concerns requiring further detail.### Biopsy and Codes
- Biopsies taken at 30 cm were deemed representative of the mucosa, with no other abnormalities found.
- CPT® code 45331 applies for sigmoidoscopy with biopsies; diagnostic sigmoidoscopy is bundled with surgical sigmoidoscopy if both occur in the same session.
- ICD-10-CM code K92.1 is used for bloody stools, indicating a GI symptom when no definitive diagnosis is made.
Internal Hemorrhoids
- ICD-10-CM code K64.8 reports internal hemorrhoids, found through the ICD-10-CM Alphabetic Index for bleeding hemorrhoids.
Vermilion Border
- The vermilion border is the red margin of the upper and lower lips, extending from the bottom of the nose to the nasolabial folds.
Foreign Body Removal
- CPT® code 43045 is designated for foreign body removal from the esophagus via a thoracic approach, as specified in the CPT® Index.
Ulcerative Colitis
- For ulcerative colitis with rectal bleeding, ICD-10-CM code K51.911 is reported, covering both conditions in one combination code.
Laparoscopic Procedures
- CPT® codes 47562 (laparoscopic cholecystectomy) and 44970-59 (laparoscopic appendectomy) are reported for two separate laparoscopic incisions for gallbladder and appendix removal.
Lip Lesion Removal
- CPT® code 40510 applies for a wedge excision of a 2 cm benign lip lesion with single-layer suture repair, without additional integumentary repair code.
Irritable Bowel Syndrome
- The correct ICD-10-CM code for Irritable Bowel Syndrome (IBS) is K58.9, confirmed in the Alphabetic Index.
Acute Gastritis
- ICD-10-CM code K29.01 reports acute gastritis with bleeding, characterized by a specific 4th character indicating the bleeding.
Gastric Band Placement
- CPT® code 43770 is for laparoscopic gastric band placement; several ICD-10-CM codes are needed: E66.01 (morbid obesity), Z68.41 (BMI of 43), and E11.9 (type 2 diabetes).
Lactase Intolerance Test
- CPT® code 91065 applies for a breath hydrogen test used in diagnosing lactase intolerance.
Pancreatic Duct Anastomosis
- CPT® code 48548 represents the Puestow-type procedure for pancreatic duct to jejunum anastomosis; chronic pancreatitis is reported with ICD-10-CM code K86.1.
Gastric Lavage for Ingestion
- CPT® code 43753 is assigned for gastric lavage due to accidental ingestion of Valium.
- ICD-10-CM codes include T42.4X1A (accidental poisoning) and R40.20 (unconsciousness).
Esophageal Dilation
- CPT® code 43220 is reported for successful transendoscopic balloon dilation of the esophagus, as the initial bougie attempt was unsuccessful.
Liver Transplantation
- CPT® codes for a liver transplant include 47140 (donor hepatectomy), 47146 and 47147 (venous and arterial anastomosis), and 47135 (orthotopic allotransplantation).
Incisional Hernia Repair
- CPT® codes for recurrent incarcerated incisional hernia repair are 49566 (repair) and 49568 (mesh implantation); ICD-10-CM code K43.0 indicates the incarcerated hernia.
Appendectomy for Acute Appendicitis
- CPT® code 44950 reports appendectomy performed via open incision for acute appendicitis, with ICD-10-CM code K35.80 for unspecified acute appendicitis.
Diagnostic Scope for Ulcer
- CPT® code 43235-53 is used for esophagogastroduodenoscopy (EGD) where the procedure was discontinued due to complications; codes K25.4 (bleeding ulcer) and K28.5 (perforated jejunal ulcer) are also reported for diagnosed conditions.
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Description
Test your knowledge on esophageal motility procedures and the respective CPT® codes with this Chapter 11 review flashcard quiz. Gain a deeper understanding of the diagnostic gastrointestinal procedures including acid perfusion studies. Perfect for medical coding students and professionals alike.
