Questions and Answers
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?
43045
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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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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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.
