SOLUTIONS MANUAL For Understanding Current Procedural Terminology and HCPCS Coding Systems 2023 Edit by ACADEMIAMILL

Solution and Answer Guide: Understanding Current Procedural Terminology and HCPCS Coding Systems 2023 Edition, 10th Edition Mary Jo Bowie

Solution and Answer Guide Understanding Current Procedural Terminology and HCPCS Coding Systems 2023 Edition, 10th Edition Mary Jo Bowie Chapter 1: Introduction to Current Procedural Terminology

Table of Contents Exercises ........................................................................................................................... 1 Exercise 1.1: Check Your Understanding ................................................................................................... 1 Chapter Review ................................................................................................................. 2 True/False.................................................................................................................................................. 2 Fill in the Blank .......................................................................................................................................... 2 Coding Assignments ........................................................................................................... 2 Short Answer ..................................................................................................................... 2

Exercises Exercise 1.1: Check Your Understanding Code 1. 70300 2. 60220 3. 26034 4. 88036 5. 43651 6. 38115 7. 99304 8. 97010 9. 77021 10. 65112 11. 90371 12. 99203 13. 10160 14. 33120 15. 50100 16. 21811 17. 66184 18. 52441 19. 61000 20. 59074

Section/Subsection Radiology/Diagnostic Radiology (Diagnostic Imaging) Surgery/Endocrine System Surgery/Musculoskeletal System Pathology & Laboratory—Anatomic Pathology Surgery/Digestive System Surgery/Hemic and Lymphatic Systems Evaluation and Management/Nursing Facility Services Medicine/Physical Medicine and Rehabilitation Radiology/Radiologic Guidance Surgery/Eye and Ocular Adnexa Medicine/Immune Globulins, Serum, or Recombinant Products Evaluation and Management/Office or Other Outpatient Services Surgery/Integumentary System Surgery/Cardiovascular System Surgery/Urinary System Surgery/Musculoskeletal System Surgery/Eye and Ocular Adnexa Surgery/Urinary System Surgery/Nervous System Surgery/Maternity Care and Delivery

Solution and Answer Guide: Chapter 1: Introduction to Current Procedural Terminology

Chapter Review True/False 1. 2. 3. 4. 5.

False True False False True

Fill in the Blank 6. American Medical Association (AMA) 7. Appendix A 8. Six 9. Semicolon 10. Index

Coding Assignments 1. Anesthesia 2. Surgery 3. Pathology and Laboratory 4. Surgery 5. Surgery 6. Medicine 7. Evaluation and Management 8. Radiology 9. Surgery 10. Medicine 11. Surgery 12. Radiology 13. Surgery 14. Pathology and Laboratory 15. Medicine 16. Medicine 17. Pathology and Laboratory 18. Radiology 19. Surgery 20. Medicine

Short Answer 1. Unlisted procedure or service: A service may be provided that is not specifically listed in the CPT manual. When this occurs, an unlisted procedure code is used from within a specific subsection of the CPT manual. 2. Add-on codes are codes that are listed as secondary to a main procedure code and are used in conjunction with the main code. Add-on codes are not to be reported alone. 3. Modifiers are two-digit codes that are appended to a CPT code to enhance or further describe a service provided. 4. A special report may be required by some third-party payers when an unusual, variable, or new service is provided. Information contained in the special report includes a description of the

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 2: Modifiers

nature, extent, and need for the procedure and the time, effort, and equipment necessary to provide the service. 5. The Alphabetical Reference Index is an expanded alphabetical index that includes listings by the name of the procedure and anatomic site. Eponyms and other designations are also included in the index. 6. The section numbers and their sequences are as follows: Evaluation and Management 99202-99499 Anesthesia 00100–01999, 99100–99140 Surgery 10004-69990 Radiology (including Nuclear Medicine and Diagnostic Ultrasound) 70010–79999 Pathology and Laboratory 80047–89398, 0001U–0354U Medicine (except Anesthesia) 90281–99199, 99500–99607 7. Code 11047 60540 36100 63082 81416

Answer yes no no yes yes

8. Code 99202 20975 97535 93618 36620

Answer no yes no yes no

9. Level I codes are CPT codes. Level II codes are HCPCS codes and are commonly referred to as National Codes. 10. Vaccine Code

91302

Vaccine Administration Code(s) 0021A (first dose) 0022A (second dose)

91304

0041A (first dose) 0042A (second dose)

91303

0031A (single dose)

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 2: Modifiers

Table of Contents Exercises ........................................................................................................................... 4 Exercise 2.1: Check Your Understanding ................................................................................................... 4 © 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 2: Modifiers

Exercise 2.2: Pricing and Statistical/Informational Modifiers .................................................................... 4 Exercise 2.3: Modifiers Used for Ambulatory Surgery Center Hospital Outpatient Claims ....................... 4 Chapter Review ................................................................................................................. 4 Fill-in-the-Blank ......................................................................................................................................... 4 Identify the Modifier ................................................................................................................................. 5 Case Studies ...................................................................................................................... 5

Exercises Exercise 2.1: Check Your Understanding 11. ND 12. US, GW 13. 56, T2 14. AA, 47 15. 51, 59

Exercise 2.2: Pricing and Statistical/Informational Modifiers 16. Pricing 17. Statistical/informational 18. Pricing 19. Pricing 20. Statistical/informational 21. Statistical/informational 22. Statistical/informational 23. Pricing 24. Statistical/informational 25. Statistical/informational

Exercise 2.3: Modifiers Used for Ambulatory Surgery Center Hospital Outpatient Claims 26. No 27. Yes 28. No 29. Yes 30. No 31. No 32. Yes 33. Yes 34. Yes 35. Yes 36. Yes 37. No 38. Yes 39. Yes 40. Yes

Chapter Review Fill-in-the-Blank 41. Two

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 2: Modifiers

42. Appendix A 43. 24d 44. Informational 45. Multiple 46. Preoperative 47. 32 48. 54 49. 80 50. Outside

Identify the Modifier 51. 62 52. 23 53. 22 54. 52 55. 55 56. To report the professional component of a code 57. Modifier 47 is used only by physicians or surgeons when regional or general anesthesia is provided by the same physician or surgeon who is completing a procedure or service. 58. 50 59. 56 60. 76 61. 53 62. 57 63. 66 64. 80 65. 26 66. G2 67. F8 68. GM 69. 81 70. 91

Case Studies Case 1: Modifier 25 An Evaluation and Management (E/M) code (99213) and a procedure code (OMT-98925) for the same day require a modifier to identify that two separate and distinct services were performed. Modifier 25 is reported with the E/M code. Case 2: Modifier 53 Because of the extenuating circumstances of the drop in blood pressure, the doctor felt that it was in the patient’s best interest to stop the procedure. Case 3: Modifier 55 Modifier 55 is appended to the code to report that the provider is completing postoperative management only. Case 4: Modifier 63 When a procedure is completed and the patient is a newborn and weighs less than 4 kg, modifier 63 is appended to the procedure code. Case 5: 33475-80 Modifier 80 is appended to the procedure code to report that the provider is the assistant surgeon for the case.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305Chapter 3: Evaluation and Management

Case 6: Modifier 57 Modifier 57 denotes that the decision for surgery was made. Case 7: Modifier 32 When a service occurs because the service is mandated, modifier 32 is appended to the basic procedure code. Case 8: Modifier 26 Modifier 26 is appended to the code to report that the provider completed the professional component of the procedure. Case 9: No, both should report 32854-66 Because the providers worked as a team, modifier 66 would be reported by both providers. Case 10: 32960-76 Modifier 76 would be appended to the procedure code to denote that the procedure was repeated.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305Chapter 3: Evaluation and Management

Table of Contents Exercises ........................................................................................................................... 6 Exercise 3.1: Subsection and Subcategories of the CPT Evaluation and Management Section ................. 6 Exercise 3.2: POS and Evaluation and Management Codes ...................................................................... 7 Exercise 3.3: Documentation of Patient History ........................................................................................ 7 Exercise 3.4: Evaluation and Management Coding ................................................................................... 7 Exercise 3.5: Hospital Service Codes ......................................................................................................... 7 Exercise 3.6: Observation Coding .............................................................................................................. 7 Exercise 3.7: Critical Care Services ............................................................................................................ 8 Exercise 3.8: Critical Care Services ............................................................................................................ 8 Exercise 3.9: Nursing Facility Services ....................................................................................................... 8 Chapter Review ................................................................................................................. 8 True/False.................................................................................................................................................. 8 Fill-in-the-Blank ......................................................................................................................................... 9 Case Studies ...................................................................................................................... 9

Exercises Exercise 3.1: Subsection and Subcategories of the CPT Evaluation and Management Section 71. Office and other outpatient services; established patient 72. Emergency department services; new or established patient 73. Home or residence services; new patient

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305Chapter 3: Evaluation and Management

74. Hospital inpatient or observation care services; Hospital inpatient or observation discharge services 75. Consultations; inpatient or observation consultations 76. Case management services; Medical team conferences 77. Hospital inpatient and observation care services; subsequent hospital inpatient or observation care 78. Consultations; office or other outpatient consults 79. Advance Care Planning 80. Prolonged services; Standby Services

Exercise 3.2: POS and Evaluation and Management Codes 81. 11 82. 21 83. 12 84. 31 85. 21 86. 31 87. 21 88. 11 89. 11 90. 23

Exercise 3.3: Documentation of Patient History 91. 2—Chief complaint 92. 6 —Associated signs and symptoms 93. 4— Family history 94. 3— Past history 95. 5—Review of systems 96. 1— Social history

Exercise 3.4: Evaluation and Management Coding 97. 99233 98. 99221 99. 99232 100. 99221 101. 99223

Exercise 3.5: Hospital Service Codes 102. 103. 104. 105. 106.

99222 99232 99223 99231 99232

Exercise 3.6: Observation Coding 107. 108. 109. 110. 111. 112. 113.

True False True True True False False

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305Chapter 3: Evaluation and Management

114. 115. 116.

False False True

Exercise 3.7: Critical Care Services 117. 118. 119. 120. 121. 122. 123. 124. 125. 126.

True False True True True True False False True False

Exercise 3.8: Critical Care Services 127. 128. 129. 130. 131. 132. 133. 134. 135. 136.

Time 99467 99468 VLBW 99291, 99292 99469 6 years of age or older 99471 Critical care Directly

Exercise 3.9: Nursing Facility Services 137. 138. 139. 140. 141. 142. 143. 144. 145. 146.

True False True True True True False True False True

Chapter Review True/False 147. 148. 149. 150. 151. 152. 153. 154. 155. 156.

True False False False True True True False False False

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305Chapter 3: Evaluation and Management

Fill-in-the-Blank 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173. 174. 175. 176.

Place of service (POS) Preventive medicine Time 99234–99236 99403 New Established Consultation Emergency department (ED) 1,500 grams, 2,500 grams 99496 99487 99466 99460 99406 99402 99497, 99498 99491 99202 99213

Case Studies Case 1: 99443 Phone call was initiated by the patient and was not the result of the recent visit with the doctor. Time was calculated at 24 minutes. Case 2: 99223 Hospital admission includes all work done in the office on the same date of service as the admission. Medical decision making with high complexity. Case 3: 99305 Initial nursing care facility encounter where a comprehensive history and comprehensive physical was performed. Medical decision making was of moderate complexity. Case 4: 99214 The key components support the level of service performed. Dr. Shanequa is not an emergency department physician, so he would not be billing the emergency department codes (99281–99285). The emergency department is considered outpatient. The patient is an established patient. The time spent with the patient is 35 minutes this supports code 99214. Case 5: 99235 Admission and discharge were performed on the same date, May 31, moderate level of medical decision making, so this code would be the appropriate assignment for this scenario. Case 6: 99315 The service completed was a discharge summary, and because no time was recorded, the lower-level discharge summary code is selected. Case 7: 99213 This is an established patient. The time spent with the patient was 22 minutes which supports code 99213. Case 8: 99347 This service was provided in the patient’s residence to re-evaluate a condition; therefore, it is

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 4: Anesthesia

reported with a code from the Home Service Established Patient subsection of the E/M codes. The history is problem focused, the examination is problem focused, and the medical decision making is straightforward. Case 9: 99394 This service is classified as a preventative medicine service. The patient is an established patient between the ages of 12 to 17; therefore, code 99394 is the correct code assignment. Case 10: 99407 This service is classified as an individual behavior change intervention. The length of the smoking cessation encounter is 35 minutes; therefore, code 99407 is the correct code assignment.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 4: Anesthesia

Table of Contents Exercises ..........................................................................................................................10 Exercise 4.1: Locating Anesthesia Codes ................................................................................................. 10 Exercise 4.2: Calculating Anesthesia Fees ............................................................................................... 12 Chapter Review ................................................................................................................12 True/False................................................................................................................................................ 12 Fill-in-the-Blank ....................................................................................................................................... 12 Matching ................................................................................................................................................. 12 Coding Assignments ..........................................................................................................12 Case Studies .....................................................................................................................13

Exercises Exercise 4.1: Locating Anesthesia Codes 177. 178. 179. 180. 181. 182. 183. 184. 185. 186. 187. 188. 189. 190. 191.

00792 00400, 01462–01522 01490 01960, 01967 00882 00797 00862 00948 00174, 00176 00860 00926, 00928 00539 00560–00563 00792 01200–01215

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 4: Anesthesia

192. 193. 194. 195. 196.

01474 00120 01742 00540–00541 00320, 00326

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 4: Anesthesia

Exercise 4.2: Calculating Anesthesia Fees 197. 198. 199. 200. 201.

$178.92 $312.62 $150.64 $206.70 $1122.28

Chapter Review True/False 202. 203. 204. 205. 206.

True True False False False

Fill-in-the-Blank 207. 208. 209. 210. 211.

Spinal or epidural Bundled Relative value Anesthesiologist 99116

Matching 212. 213. 214. 215. 216. 217.

D C B F A E

Coding Assignments 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237.

00144 00632 00730 01140 00904 01622 01272 01402 01990 01999, 99135 01274 01966 01860 00148 00104 00580 00702 00842 00908 01829

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 5: Surgery and the Integumentary System

238. 239. 240. 241. 242. 243. 244. 245. 246. 247. 248. 249. 250. 251. 252.

01714 00794 00750 00470 00212 00472 00220 00454 00524 01112 00147 00530 00922 00948 01486

Case Studies Case 1: 00140 The surgeon was also the person to administer the anesthesia, making it a reportable procedure by the surgeon. In the Index, reference the main term Anesthesia, then the subterm eye. Case 2: 00846 In the Index, reference the main term Anesthesia, then the subterm hysterectomy. Case 3: 00851 In the Index, reference the main term Anesthesia, then the subterm tubal ligation. Case 4: 01730 In the Index, reference the main term Anesthesia, then the subterm humerus. Case 5: 01961 In the Index, reference the main term Anesthesia, then the subterm cesarean delivery. Case 6: 01402 In the Index, reference the main term Anesthesia, then the subterm knee. Case 7: 00702 In the Index, reference the main term Anesthesia, then the subterm biopsy, then liver. Case 8: 00211 In the Index, reference the main term Anesthesia, then the subterm craniotomy. Case 9: 00172 In the Index, reference the main term Anesthesia, then the subterm cleft palate repair. Case 10: 00322, 99100 In the Index, reference the main term Anesthesia, then the subterm thyroid. For some payers, the code 99100 is added because the patient is less than 1 year old.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 5: Surgery and the Integumentary System

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 5: Surgery and the Integumentary System

Table of Contents Exercises ..........................................................................................................................14 Exercise 5.1: Surgical Coding ................................................................................................................... 14 Exercise 5.2: Integumentary System ....................................................................................................... 14 Exercise 5.3: Codes 10021–11047........................................................................................................... 15 Exercise 5.4: Surgical Procedures ............................................................................................................ 15 Exercise 5.5: Autograft Coding—Table 5.4 .............................................................................................. 15 Exercise 5.6: Full Thickness Grafts ........................................................................................................... 15 Exercise 5.7: Code Range 15271–15278 ................................................................................................. 15 Exercise 5.8: Coding Destruction of Lesions ............................................................................................ 16 Chapter Review ................................................................................................................16 Fill-in-the-Blank ....................................................................................................................................... 16 Coding Assignments ..........................................................................................................16 Case Studies .....................................................................................................................17

Exercises Exercise 5.1: Surgical Coding 253. 254. 255. 256. 257.

False True False True True

Exercise 5.2: Integumentary System 258. 259. 260. 261. 262. 263. 264. 265.

True False True True False False False True

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 5: Surgery and the Integumentary System

Exercise 5.3: Codes 10021–11047 266. 267. 268. 269. 270. 271. 272. 273. 274. 275.

Scalpel 10081 Debridement 10160 Hyperkeratotic Fine needle aspiration Incision and drainage (I&D) 10120 11000 11043

Exercise 5.4: Surgical Procedures 276. 277. 278. 279. 280. 281. 282. 283. 284. 285.

11950 Biopsy 11730 Repair Clean wound 11720 11603 11740 11760 11772

Exercise 5.5: Autograft Coding—Table 5.4 286. 287. 288. 289. 290. 291. 292. 293. 294. 295.

15110 15100, 15101 15155 15050 15135 Pinch graft Dermal Tissue-cultured epidermal 15110 15100, 15101

Exercise 5.6: Full Thickness Grafts 296. 297. 298. 299. 300. 301. 302. 303. 304. 305.

15200, 15201 × 2 15200 15260 15220 15240 15260 15240, 15241 15200, 15201 true true

Exercise 5.7: Code Range 15271–15278 306. 307. 308. 309.

15271 15273 15278 15275

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 5: Surgery and the Integumentary System

310.

15274

Exercise 5.8: Coding Destruction of Lesions 311. 312. 313. 314. 315. 316. 317. 318. 319. 320.

17270-LT 17282 17266 17271-LT, 17272-RT 17280 17264 17280-LT 17263-RT 17272 17281

Chapter Review Fill-in-the-Blank 321. 322. 323. 324. 325. 326. 327. 328. 329. 330.

Diagnostic Therapeutic Global package NCCI Separately Clean Replacement Epidermal Chemosurgery Draining

Coding Assignments 331. 332. 333. 334. 335. 336. 337. 338. 339. 340. 341. 342. 343. 344. 345. 346. 347. 348. 349. 350. 351. 352. 353.

10080 11721 12002 15783 15931 17340 19303 19112 19328 19020 13151 15040 17273 19371 19355 11312 11056 11424 12052 15940 10140 11200 11441

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 5: Surgery and the Integumentary System

354. 355. 356. 357. 358. 359. 360. 361. 362. 363. 364. 365.

12021 15789 15836 15952 11200 11643 12045 19350 15828 15792 19301 10180

Case Studies Case 1: 12032 In the Index, reference the main term Repair, then skin, then intermediate. The procedural note documents that sutures were placed in the subcutaneous layer and then the skin closure. The layered closure would be appropriate here. Case 2: 17110 In the Index, reference the main term Wart. The destruction codes for flat warts are listed as 17110– 17111. The coder should reference this code range. Case 3: 11440, 12051 In the Index, reference the main term Excision, then skin, then benign; then reference the codes listed. Reference the main term Repair, then Skin, then Intermediate. Case 4: 11422 In the Index, reference the main term Excision, then skin, then benign. Reference the code range in the main section of the CPT manual to verify code selection. Case 5: 15830 In the Index, reference the main term Abdominoplasty. Reference the codes listed in the main section of the CPT manual to verify code selection. Case 6: 19325-RT-LT or 19325-50 In the Index, reference the main term Breast, then Augmentation with Implant. Reference the code listed in the main section of the CPT manual to verify code selection. Case 7: 10021 In the Index, reference the main term Fine Needle Aspiration. Reference the codes listed in the main section of the CPT manual to verify code selection. Case 8: 11721 In the Index, reference the main term Debridement, then Nails. Reference the codes listed in the main section of the CPT manual to verify code selection. Case 9: 11740-FA In the Index, reference the main term Hematoma, then subungual, then evacuation. Case 10: 11755-TA In the Index, reference the main term Biopsy, then nail.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 6: Musculoskeletal System

Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 6: Musculoskeletal System

Table of Contents Exercises ..........................................................................................................................18 Exercise 6.1: Other General Procedures, Code Range 20000–20999...................................................... 18 Exercise 6.2: Incision ............................................................................................................................... 18 Exercise 6.3: Excision ............................................................................................................................... 18 Exercise 6.4: Introduction and Removal .................................................................................................. 19 Exercise 6.5: Repair, Revision, and Reconstruction ................................................................................. 19 Exercise 6.6: Fracture/Dislocation and Application of Casts and Strapping ............................................ 19 Exercise 6.7: Endoscopic/Arthroscopic Procedures ................................................................................ 19 Chapter Review ................................................................................................................20 True/False................................................................................................................................................ 20 Coding Assignments ..........................................................................................................20 Case Studies .....................................................................................................................21

Exercises Exercise 6.1: Other General Procedures, Code Range 20000–20999 366. 367. 368. 369. 370. 371. 372. 373. 374. 375.

Lumbar, cervical Chest, extremity Morselized Non-invasive or nonoperative, invasive or operative Percutaneous needle Sinogram If the wound is superficial or deep Imaging guidance 20555 Site of the graft

Exercise 6.2: Incision 376. 377. 378. 379. 380. 381. 382. 383. 384. 385.

28008 27005-RT 26010 25031-LT 24000 21501 21010 23035 23930 25001

Exercise 6.3: Excision 386.

28160, 28160

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 6: Musculoskeletal System

387. 388. 389. 390. 391. 392. 393. 394. 395.

28140 25170 23130 21025 28175 27625 27325 27060 26118

Exercise 6.4: Introduction and Removal 396. 397. 398. 399. 400. 401. 402. 403. 404. 405.

21077 23350 28192 26320 21116 25248 20500 23333 24160 25259

Exercise 6.5: Repair, Revision, and Reconstruction 406. 407. 408. 409. 410. 411. 412. 413. 414. 415.

27438 27120 27656 26478-LT 26508 27390 27676 28264 27161 27418

Exercise 6.6: Fracture/Dislocation and Application of Casts and Strapping 416. 417. 418. 419. 420. 421. 422. 423. 424. 425. 426. 427. 428. 429. 430.

False True True True False 27246 27507 27848 28665 29046 29515 27253 25652 24582 23660

Exercise 6.7: Endoscopic/Arthroscopic Procedures 431. 432.

29806 29870

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 6: Musculoskeletal System

433. 434. 435. 436. 437. 438. 439. 440.

29848 29800 29823 29820 29873 29893 29804 29847

Chapter Review True/False 441. 442. 443. 444. 445.

False True True False False

Coding Assignments 446. 447. 448. 449. 450. 451. 452. 453. 454. 455. 456. 457. 458. 459. 460. 461. 462. 463. 464. 465. 466. 467. 468. 469. 470. 471. 472. 473. 474. 475. 476. 477. 478.

23405 26499 21920 22849 23530 26185 27200 27580 29840 29868 23030 24006 24160 25040 28150, 28150, 28150 25150 24105 27093 27372 28220 27818 28080, 28080 29805 29907 29065 29260 28430 27647 27380 27158 29065 29840 29821

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 7: Respiratory System

479. 480. 481. 482. 483. 484. 485.

28715 27613 23406-RT 23935-LT 23665-RT 26037-RT 20802-LT

Case Studies Case 1: 29877-LT This is a description of a chondroplasty procedure. The coder would reference Arthroscopy, Surgical, and then knee in the Index. The range of codes given should be referenced, and the selection made based on the operative note. Case 2: 25515-RT In the Index, reference the main term Radius, then fracture, then shaft. A range of codes is given and should be referenced to find the code that encompasses all aspects of the surgery. Case 3: 28292-RT In the Index, reference the main term Bunion Repair, then Bunionectomy. Case 4: 26951-F1 In the Index, reference the main term Amputation, then finger. For the codes listed, reference the main section of the CPT manual for proper code selection. Case 5: 20680-RT In the Index, reference the main term Removal, then fixation device. For the codes listed, reference the main section of the CPT manual for proper code selection. Case 6: 26210-F7 In the Index, reference the main term Phalanx, finger, then cyst, then excision. For the codes listed, reference the main section of the CPT manual for proper code selection. Case 7: 29848-RT In the Index, reference the main term Arthroscopy, then surgical, then wrist. For the codes listed, reference the main section of the CPT manual for proper code selection. Case 8: 20611 In the Index, reference the main term Injection, then joint. For the codes listed, reference the main section of the CPT manual for proper code selection. Case 9: 23930-RT In the Index, reference the main term Incision and Drainage, then abscess, then arm, upper. Case 10: 20206 In the Index, reference the main term Biopsy, then muscle. For the codes listed, reference the main section of the CPT manual for proper code selection.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 7: Respiratory System

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 7: Respiratory System

Table of Contents Exercises ..........................................................................................................................22 Exercise 7.1: Incisions, Excisions, Introduction, and Removal of Foreign Bodies of the Nose ................. 22 Exercise 7.2: Repair (30400–30630) and Destruction and Other Procedures (30801–30999)................ 22 Exercise 7.3: Accessory Sinuses (31000–31299) ..................................................................................... 22 Exercise 7.4: Procedures Completed on the Larynx (31300–31599) ....................................................... 23 Exercise 7.5: Procedures Completed on the Trachea and Bronchi (31600–31899) ................................ 23 Exercise 7.6: Procedures Completed on the Lungs and Pleura (32035–32999) ...................................... 23 Chapter Review ................................................................................................................23 Fill-in-the-Blank ....................................................................................................................................... 23 Coding Assignments ..........................................................................................................24 Case Studies .....................................................................................................................24

Exercises Exercise 7.1: Incisions, Excisions, Introduction, and Removal of Foreign Bodies of the Nose 486. 487. 488. 489. 490. 491. 492. 493. 494. 495.

30160 30020 30117 30310 30110 30220 30115-50 30320 30120 30124

Exercise 7.2: Repair (30400–30630) and Destruction and Other Procedures (30801–30999) 496. 497. 498. 499. 500. 501. 502. 503. 504. 505.

30620 30801 30400 30915 30560 30520 30901 30930 30540 30630

Exercise 7.3: Accessory Sinuses (31000–31299) 506. 507. 508. 509. 510. 511.

31256 31050 31230 31291 31287 31297

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 7: Respiratory System

512. 513. 514. 515.

31090 31000 31030 31205

Exercise 7.4: Procedures Completed on the Larynx (31300–31599) 516. 517. 518. 519. 520. 521. 522. 523. 524. 525.

31370 31535 31511 31578 31540 31580 31590 31420 31505 31577

Exercise 7.5: Procedures Completed on the Trachea and Bronchi (31600–31899) 526. 527. 528. 529. 530. 531. 532. 533. 534. 535.

31614 31623 31725 31800 31786 31760 31770 31615 31720 31825

Exercise 7.6: Procedures Completed on the Lungs and Pleura (32035–32999) 536. 537. 538. 539. 540. 541. 542. 543. 544. 545.

32408 32200 32120 32800 32658 32310 32035 32098 32552 32100

Chapter Review Fill-in-the-Blank 546. 547. 548. 549. 550. 551. 552. 553. 554.

Initial Rhinotomy Revision Stenosis Frontal Sphenoid Diagnostic, surgical Pneumonectomy Nose

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 7: Respiratory System

555.

Pneumocentesis

Coding Assignments 556. 557. 558. 559. 560. 561. 562. 563. 564. 565. 566. 567. 568. 569. 570. 571. 572. 573. 574. 575. 576. 577. 578. 579. 580. 581. 582. 583. 584. 585. 586. 587. 588. 589. 590. 591. 592. 593. 594. 595.

30545 30905 30100 30130 31292 31233 31256 31750 31603 31624 31587 32484 32440 32606 32664 31231 31225 30117 31020 32200 31830 32445 32997 31201 31660 31717 31805 32554 31600 31578 30999 30160 30430 31505 31536 30435 30600 31032 31513 31730

Case Studies Case 1: 31510 The laryngoscope was used to visualize the larynx. In addition, a biopsy of the larynx was taken. Reference the main term Larynx in the Index, then the subterm biopsy. Case 2: 31635-LT In the Index, reference the main term Bronchi, then the subterm Bronchoscopy, then foreign body removal. Reference the code listed in the main section of the CPT manual to verify code selection.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 8: Cardiovascular System

Case 3: 32408-LT In the Index, reference the main term Needle Biopsy, then the subterm Lung, then Core. Case 4: 31603 In the Index, reference Tracheostomy. In the main section of the CPT manual, reference the code range listed for code selection. Case 5: 31625-RT, 31623 In the Index, reference Bronchoscopy, then biopsy. Code 31625 is used for biopsy of single or multiple sites, with or without cell washing. Also add code 31623 for brushing. Case 6: 30906 In the Index, reference the main term Packing, then nasal haemorrhage. Reference the code in the main section of the CPT manual, and select code 30906, because this is the second time that the nasal area was packed. Case 7: 31625-RT In the Index, reference the main term Bronchoscopy, then biopsy. Reference the code range that appears in the main section of the CPT manual. Case 8: 30420 In the Index, reference the main term Rhinoplasty, then primary. Reference the code range that appears in the main section of the CPT manual. Case 9: 31613 In the Index, reference the main term Trachea, then repair, then stoma. Reference the codes that appear and select code 31613, because it describes the repair without a flap rotation. Case 10: 31530 In the Index, reference the main term Laryngoscopy, then direct. Reference codes 31515 to 31571 and select code 31530.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 8: Cardiovascular System

Table of Contents Exercises ..........................................................................................................................26 Exercise 8.1: Cardiac Anatomy and Cardiovascular Codes (33016–33141) ............................................. 26 Exercise 8.2: Pacemaker or Pacing Cardioverter-Defibrillator (33202–33249) ....................................... 26 Exercise 8.3: Coronary Artery Anomalies (33250–33507) ....................................................................... 26 Exercise 8.4: Venous and Arterial Grafting, Anomaly Repair, and Other Procedures (33508–33926) ... 26 Exercise 8.5: Embolectomy/Thrombectomy (34001–34490) .................................................................. 27 Exercise 8.6: Endovascular Repair of Abdominal Aortic Aneurysm (34701–34834)................................ 27 Exercise 8.7: Code Range 35001–35400 ................................................................................................. 27 Chapter Review ................................................................................................................27

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 8: Cardiovascular System

Fill-in-the-Blank ....................................................................................................................................... 27 Coding Assignments ..........................................................................................................27 Case Studies .....................................................................................................................28

Exercises Exercise 8.1: Cardiac Anatomy and Cardiovascular Codes (33010–33141) 1. 2. 3. 4. 5. 6.

AV node Four Myocardium Inferior vena cava Pericardium or pericardial sac Atrioventricular 7. Pericardiocentesis 8. SA node 9. 33050 10. 33130 11. 33016 12. 33030

Exercise 8.2: Pacemaker or Pacing Cardioverter-Defibrillator (33202–33249) 596. 597. 598. 599. 600. 601. 602. 603. 604. 605.

33202 33206 33222 33237 33214 33215 33238 33210 33243 33211

Exercise 8.3: Coronary Artery Anomalies (33250–33507) 606. 607. 608. 609. 610. 611. 612. 613. 614. 615.

33475 33390 33503 33471 33430 33254 33417 33460 33415 33476

Exercise 8.4: Venous and Arterial Grafting, Anomaly Repair, and Other Procedures (33508–33926) 616. 617. 618. 619.

33917 33735 33820 33875

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 8: Cardiovascular System

620. 621. 622. 623. 624. 625.

33647 33726 33915 33710 33802 33788

Exercise 8.5: Embolectomy/Thrombectomy (34001–34490) 626. 627. 628. 629. 630.

Vein, abdominal/leg Vein, neck Artery, leg Artery, thorax Artery, leg

Exercise 8.6: Endovascular Repair of Abdominal Aortic Aneurysm (34701–34834) 1. 2. 3. 4. 5. 6. 7. 8.

34820 34703 34834 34831 34812, 34812 34834-RT 34812 34832

Exercise 8.7: Code Range 35001–35400 631. 632. 633. 634. 635.

35201 35180 35251 35189 35013

Chapter Review Fill-in-the-Blank 1. Acquired 2. Ligation 3. Sinoatrial node (SA node) 4. Generator 5. Single-chamber 6. Pericardiocentesis 7. Ventricles 8. Endarterectomy 9. Balloon 10. Venous access device 11. Right atrium 12. Diagnostic 13. Pericardium 14. Arteries 15. Veins, vein

Coding Assignments 1. 34111 2. 33050

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 8: Cardiovascular System

3. 33321 4. 33512 5. 33690 6. 33602 7. 33822 8. 33803 9. 34501 10. 35236 11. 37765-LT 12. 37660 13. 36660 14. 36522 15. 34530 16. 37617 17. 37607 18. 37619 19. 34401 20. 33511 21. 33993 22. 37605 23. 37788 24. 33732 25. 33694 26. 33995 27. 33979 28. 33973 29. 33720 30. 33545

Case Studies Case 1: 33228 Replacement of the pulse generator. The atrial and ventricular leads identify this as a dual chamber. Case 2: 36590 In this case, use of the venous access device is the starting point for finding this code. In the Index, reference the main term Removal, then the subterm infusion pump, then intravenous. Case 3: 33016 In the Index, reference the main term Aspiration, pericardium. Reference the code range in the main section of the CPT manual. Case 4: 36558 In the Index, reference the main term Insertion, then catheter, then venous. Review the range listed in the main section of the CPT manual. Case 5: 35840 In the Index, reference the main term Exploration, then blood vessel, then abdomen. Case 6: 33310 In the Index, reference the main term Cardiotomy. Review the code range listed in the main section of the CPT manual.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 9: Hemic and Lymphatic Systems

Case 7: 33140 In the Index, reference the main term Revascularization, then trans myocardial. Review the code range listed in the main section of the CPT manual. Case 8: 33222 In the Index, reference the main term Pacemaker, Heart, Revision, then relocate pocket, then chest. Case 9: 35351 In the Index, reference the main term Thromboendarterectomy, then iliac artery. Review the code range listed in the main section of the CPT manual. Case 10: 36406 In the Index, reference the main term Venipuncture, then infant, then percutaneous. Review the code range listed in the main section of the CPT manual. Because the case does not specify the vein used, select Other.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 9: Hemic and Lymphatic Systems

Table of Contents Exercises ..........................................................................................................................29 Exercise 9.1: Codes for the Hemic and Lymphatic System ...................................................................... 29 Exercise 9.2: Codes from Code Range 38300–38780 .............................................................................. 29 Chapter Review ................................................................................................................30 Fill-in-the-Blank ....................................................................................................................................... 30 Coding Assignments ..........................................................................................................30 Case Studies .....................................................................................................................30

Exercises Exercise 9.1: Codes for the Hemic and Lymphatic System 1. 2. 3. 4. 5.

Excision, repair, laparoscopy, and introduction Diagnostic 38220 False Separate

Exercise 9.2: Codes from Code Range 38300–38780 1. 2. 3. 4. 5.

38382 38562 38571 38745 38760

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 9: Hemic and Lymphatic Systems

Chapter Review Fill-in-the-Blank 1. Spleen 2. Autologous 3. Subcutaneous tissue 4. Needle 5. Allogenic 6. Lymphadenitis 7. Splenorrhaphy 8. Deep 9. Neck 10. Femoral

Coding Assignments 1. 38510 2. 38115 3. 38101 4. 38120 5. 38381 6. 38542 7. 38700 8. 38790 9. 38794 10. 38720 11. 38555 12. 38208 13. 38241 14. 38230 15. 38300

Case Studies Case 1: 38525 In the Index, reference the main term Excision, then lymph nodes. Review the codes listed in the main section of the CPT manual, and select code 38525, because the documentation states that the excision occurred in ―the fascia.‖ Case 2: 38100 In the Index, reference the main term Spleen, then the subterm excision. Review the codes listed in the main section of the CPT manual. Case 3: 38222 In this case, the aspiration is part of obtaining the biopsy, so one code is used to reflect the biopsy. As the guidelines at the start of this section state, ―Each code may be reported only once per day regardless of the quantity of bone marrow/stem cells manipulated.‖ In the Index, reference the main term Biopsy, then bone marrow. Case 4: 38300 In this case, fluid was removed, but the node itself was not. In the Index, reference the main term Lymph Node, then abscess, then incision and drainage.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems,2023 edition, ISBN9780357764305; Chapter 10: Mediastinum and Diaphragm

Case 5: 38520 In the Index, reference the main term Excision, then lymph node. Review the codes listed in the main section of the CPT manual.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems,2023 edition, ISBN9780357764305; Chapter 10: Mediastinum and Diaphragm

Table of Contents Chapter Review ................................................................................................................31 Fill-in-the-Blank ....................................................................................................................................... 31 True/False................................................................................................................................................ 31 Coding Assignments ..........................................................................................................31 Case Studies .....................................................................................................................32

Chapter Review Fill-in-the-Blank 1. 2. 3. 4. 5.

Imbrication 39540 Mediastinoscope Fourth intercostal space Neonate

True/False 6. False 7. False 8. True 9. False 10. True

Coding Assignments 1. 39401 2. 39200 3. 39000 4. 39540 5. 39401 6. 39545 7. 39561 8. 39541 9. 39503 10. 39200

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305 Chapter 11: Digestive System

Case Studies Case 1: 39220 Reference Resection in the Index, then the subterm tumor, then mediastinum. This was an open procedure. Case 2: 39503 Reference Hernia Repair in the Index, then the subterm diaphragmatic. When the codes given in the Index are reviewed, the age of the patient and the approach will drive code selection. Case 3: 39402 Reference Mediastinum in the Index, then the subterm endoscopy. The coder will locate biopsy, and then review both listed codes, then select 39402.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305 Chapter 11: Digestive System

Table of Contents Exercises ..........................................................................................................................32 Exercise 11.1: Understanding Code Range 40490–42699 ....................................................................... 32 Exercise 11.2: Vocabulary........................................................................................................................ 33 Exercise 11.3: Code Range 43500–43999 ............................................................................................... 33 Exercise 11.4: Understanding the Division of the Small and Large Intestine ........................................... 33 Exercise 11.5: Code Range 44005–44799 ............................................................................................... 33 Exercise 11.6: Vocabulary........................................................................................................................ 33 Chapter Review ................................................................................................................34 True/False................................................................................................................................................ 34 Fill-in-the-Blank ....................................................................................................................................... 34 Coding Assignments ..........................................................................................................34 Case Studies .....................................................................................................................35

Exercises Exercise 11.1: Understanding Code Range 40490–42699 1. 42300, Salivary gland and ducts 2. 42205, Palate and uvula 3. 40842, Vestibule of the mouth 4. 41115, Tongue and floor of mouth 5. 40530, Lips 6. 42408, Salivary gland and ducts 7. 40490, Lips 8. 41108, Tongue and floor of mouth 9. 41870, Dentoalveolar structures 10. 42600, Salivary gland and ducts

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305 Chapter 11: Digestive System

Exercise 11.2: Vocabulary 1. 2. 3. 4. 5. 6. 7. 8.

Dilation Diagnostic Esophagus Endoscope Ligation Tonsils ERCP Manipulation

Exercise 11.3: Code Range 43500–43999 1. 2. 3. 4. 5. 6. 7. 8. 9.

43800 43501 43633 43652 43611 43753 43887 43640 43810 10. 43870

Exercise 11.4: Understanding the Division of the Small and Large Intestine 1. 2. 3. 4. 5.

L S S L L

Exercise 11.5: Code Range 44005–44799 1. 44602 2. 44340 3. 44382 4. 44180 5. 44312 6. 44010 7. 44187 8. 44137 9. 44316 10. 44640

Exercise 11.6: Vocabulary 1. 2. 3. 4. 5. 6. 7. 8.

Colonoscopy Thrombosed Anus Appendix Meckel’s diverticulum Hemorrhoid Sigmoidoscopy Rectum

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305 Chapter 11: Digestive System

Chapter Review True/False 1. 2. 3. 4. 5.

True True True True False

Fill-in-the-Blank 6. Pelvis 7. Gastric bypass 8. Hiatal 9. Stomach 10. Colonoscopy

Coding Assignments 1. 49906 2. 46945 3. 46040 4. 44120 5. 40830 6. 40490 7. 41870 8. 42226 9. 41520 10. 43030 11. 43112 12. 43200 13. 43235 14. 43260 15. 45000 16. 44950 17. 45315 18. 45378 19. 49592 20. 49540 21. 49900 22. 49060 23. 47563 24. 45190 25. 44100 26. 43285 27. 48556 28. 49255 29. 49040 30. 47300 31. 40500 32. 40843 33. 41110 34. 41872 35. 42227

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 12: Urinary System

Case Studies Case 1: 47562 Reference Cholecystectomy in the Index. A range of codes is given; however, this procedure used the laparoscopic technique. ―The area was inspected, with no complications noted‖ is not a specific enough statement to use the 47564 code. Case 2: 49505-50 Reference Repair as the main term in the index. The subterms hernia and then inguinal will allow the coder to locate the correct code by referencing 49491–49521. Add modifier 50 for a bilateral procedure. Case 3: 46611 Reference Anoscope as the main term in the Index. The subterm removal will bring the coder to the choice of polyp. The coder should then reference the code range given for the proper code selection. In this case, removal of one polyp by the snare technique is identified with code 46611. Case 4: 43239 Reference the main term Gastrointestinal, Upper in the Index; the subterm exploration will guide the coder to a range of codes, which should be referenced for proper code selection. Note that the scope went as far as the visualization of the stomach, then into the upper end of the duodenum. Case 5: 42825 Reference the main term Tonsillectomy to find the code range. The code selection will then be determined by the age of the patient. Case 6: 44140 Reference the main term Colon, then the term excision, then partial. The code range that appears is 44140–44147 and 44160. Referencing this range in the CPT manual, select 44140. Case 7: 44310 The procedure performed was an ileocolostomy; however, you need to reference the main term Ileostomy, then non-tube. Review each code, 44310 would be the appropriate choice. Case 8: 49060 Reference the main term Abscess, then the term retroperitoneal. The coder locates the code range 49060–49061. Reading code descriptions leads the coder to the appropriate code of 49060. Case 9: 43752 Reference the main term Placement, then Nasogastric tube. Case 10: 46600 Reference the main term Anoscopy, then Exploration.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 12: Urinary System

Table of Contents Exercises ..........................................................................................................................36 Exercise 12.1: Laparoscopic Procedures Completed on the Kidneys ...................................................... 36 Exercise 12.2: Procedures Completed on the Ureters and Bladder ........................................................ 36 Chapter Review ................................................................................................................36 Fill-in-the-Blank ....................................................................................................................................... 36

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 12: Urinary System

Coding Assignments ..........................................................................................................36 Case Studies .....................................................................................................................37

Exercises Exercise 12.1: Laparoscopic Procedures Completed on the Kidneys 1. 2. 3. 4. 5. 6.

50545 True 50549 False False 50045 7. 50370 8. 50280 9. False 10. True

Exercise 12.2: Procedures Completed on the Ureters and Bladder 1. True 2. 50620 3. False 4. Excision 5. False 6. cystotomy 7. 51605 8. 52276 9. 50605 10. 51101

Chapter Review Fill-in-the-Blank 1. 2. 3. 4. 5. 6. 7. 8. 9.

Nephrolithotomy Ultrasound Urethra Partial nephrectomy/heminephrectomy Pyeloplasty Suturing Diagnostic laparoscopy Ureterostomy Urodynamics 10. Cystourethroscopy

Coding Assignments 1. 2. 3. 4. 5. 6.

50610 50650 50200 50290 50020 50240

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 12: Urinary System

7. 50280 8. 51550 9. 50980 10. 51820 11. 52000 12. 53040 13. 53444 14. 53460 15. 51700 16. 51741 17. 50600 18. 50590 19. 50722 20. 50520 21. 52402 22. 53660 23. 53270 24. 51900 25. 51045 26. 50592 27. 51701 28. 52402 29. 53200 30. 53220 31. 50060 32. 50100 33. 50234 34. 50500 35. 50525

Case Studies Case 1: 52352, 52332-51-LT Reference Removal as the main term in the Index, with the subterm calculi. Ureter will offer a large code range, which should be referenced to locate the correct code. Report 52332 for the selfretaining indwelling stent. Case 2: 53600 Reference the main term Urethra in the Index. The subterm dilation directs the coder to a range of codes that should be referenced for proper code assignment. Case 3: 52224 Referencing the Index under the main term Biopsy, then the subterm bladder, the coder will need to determine which code best represents the procedure performed. Keep in mind that the area biopsied was actually the trigone, and that no other procedure was performed. Case 4: 52647 Reference the main term Laser in the Index. The subterm prostate will offer a range of codes that the coder would reference to find the correct code assignment. Case 5: 52005 Reference the main term Cystourethroscopy, then the subterm catheterization, then ureteral. The procedure was performed on the ureter to determine whether there is any disease.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 13: Male Genital System

Case 6: 51102 The patient underwent a bladder aspiration with insertion of a suprapubic catheter. The coder would reference the main term Bladder, then the term aspiration, to locate the correct code of 51102. Case 7: 52214 The patient presents for a cystoscopy, biopsy, and fulguration of this area. Reference the main term Bladder, then the term endoscopy, then destruction, to locate the appropriate code assignment. Case 8: 50590-RT, 99152, 99153, 99153 Reference the main term Lithotripsy, then Kidney. Review the codes listed and select code 50590. Codes 99152, 99153 and 99153 are reported because the urologist performing the lithotripsy also sedated the patient. To report the sedation codes, reference the main term Sedation, then moderate. Code 99152 reports the initial 15 minutes of intraservice time, and code 99153 reports each additional 15 minutes of intrasevice time; therefore, it is reported twice in this case. Case 9: 52235 Reference the main term Cystourethroscopy, then with Fulguration, then Tumor. Select the code based on the size of the tumor. Case 10: 52000 Reference the main term Cystourethroscopy, then Examination.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 13: Male Genital System

Table of Contents Exercises ..........................................................................................................................38 Exercise 13.1: Check Your Understanding ............................................................................................... 38 Chapter Review ................................................................................................................39 True/False................................................................................................................................................ 39 Fill-in-the-Blank ....................................................................................................................................... 39 Coding Assignments ..........................................................................................................39 Case Studies .....................................................................................................................40

Exercises Exercise 13.1: Check Your Understanding 636. 637. 638. 639. 640. 641. 642. 643. 644.

Epididymis Testis Spermatic cord 54692 54163 54220 Orchiopexy Peyronie’s disease Ejaculatory duct

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 13: Male Genital System

645.

Chapter Review True/False 646. 647. 648. 649. 650.

True True False False True

Fill-in-the-Blank 651. 652. 653. 654. 655.

Glans penis Corpora cavernosa Prostate gland Sperm Circumcision

Coding Assignments 656. 657. 658. 659. 660. 661. 662. 663. 664. 665. 666. 667. 668. 669. 670. 671. 672. 673. 674. 675. 676. 677. 678. 679. 680. 681. 682. 683. 684. 685.

55400 55860 54056 54340 54406 54162 54500 54420 54535 55000 55175 55530 54560 54660 54308 54015 54440 54600 54800 54840 54120 54840 54505 55150 55500 54057 54220 55041 54620 54450

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 14: Female Genital System

Case Studies Case 1: 54160 Reference Circumcision as the main term in the Index. The coder then will see surgical excision as a subterm. The age is noted at 23 hours, so the newborn category is correct. Case 2: 55040-LT The procedure is an excision of the hydrocele located on one side of the scrotum. The tunica vaginalis is the membranous sac within the scrotum, so the code selection would be from this range. Case 3: 55700, 76942 Reference the main term Biopsy in the Index, with the subterm prostate. The code selection is made based on the needle being used. The number of biopsies obtained is not a factor due to the way the code reads, however a note in CPT under code 55700 instructs the coder to code for image guidance, in this scenario ultrasonic guidance therefore assign code 76942." Case 4: 54640-RT, 49505-RT Reference the main term Orchiopexy in the Index, with the subterm inguinal approach. The coder is instructed to code the hernia repair in addition to the orchiopexy. Case 5: 55250 By referencing the main term Vasectomy, the coder will locate the correct code of 55250. Case 6: 54060 The destruction of two lesions on the penis is reported by referencing the main term Penis, then the term Lesion, then destruction, and by identifying the form of destruction, to locate the appropriate code. Case 7: 54690 -LT A laparoscopic orchiectomy code is located by referencing the main term Orchiectomy, then the term laparoscopic. Case 8: 54015 Reference the main term Incision and Drainage, then Penis. Case 9: 54100 Reference the main term Biopsy, then Penis. Case 10: 54162 Reference the main term Lysis, then Adhesions, then Penile Post-Circumcision.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 14: Female Genital System

Table of Contents Exercises ..........................................................................................................................41 Exercise 14.1: Code Range 56405–56821 ............................................................................................... 41 Exercise 14.2: Vocabulary........................................................................................................................ 41 Exercise 14.3: Vocabulary........................................................................................................................ 41 Chapter Review ................................................................................................................41

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 14: Female Genital System

True/False................................................................................................................................................ 41 Fill-in-the-Blank ....................................................................................................................................... 42 Coding Assignments ..........................................................................................................42 Case Studies .....................................................................................................................42

Exercises Exercise 14.1: Code Range 56405–56821 686. 687. 688. 689. 690. 691. 692. 693. 694. 695.

False True True False True True False True False True

Exercise 14.2: Vocabulary 696. 697. 698. 699. 700. 701. 702. 703. 704. 705.

Colpopexy Passageway Small bowel prolapse Colpocentesis 57200–57335 Colporrhaphy 57100–57105 57284–57285 Vagina Sling

Exercise 14.3: Vocabulary 706. 707. 708. 709. 710. 711. 712. 713. 714. 715.

Trachelectomy Corpus uteri Cerclage 58300 58140–58146 Endometrium Myomectomy 57510–57513 Hysterectomy Conization

Chapter Review True/False 716. 717. 718. 719.

False True True False

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 14: Female Genital System

720.

False

Fill-in-the-Blank 721. 722. 723. 724. 725.

Introitus Fulguration Fistula Colpocleisis Enterocele

Coding Assignments 726. 727. 728. 729. 730. 731. 732. 733. 734. 735. 736. 737. 738. 739. 740. 741. 742. 743. 744. 745. 746. 747. 748. 749. 750. 751. 752. 753. 754. 755.

56630 57100 56821 57288 56515 56442 57000 57510 57230 57305 57410 57289 58275 58150 58660 58820 58970 58953 58920-RT 58750 56501 56700 57513 57545 58600 56740 56810 57023 57268 57170

Case Studies Case 1: 57135 Reference the main term Vagina with the subterm cyst. This is coded as an excision, even though part of the lesion was sent as a biopsy for pathology study because the entire lesion was removed. Case 2: 57410 Reference the main term Pelvic Examination, then under Anesthesia. Case 3: 56800 Reference the main term Repair in the Index, and then the subterm introitus,w hich brings the coder to the correct code assignment.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 15: Maternity Care and Delivery

Case 4: 58563 Reference Ablation in the Index. The subterm endometrial offers several code selections that need to be referenced to locate the correct code assignment. Case 5: 58150 Reference the main term Hysterectomy in the Index. The subterm abdominal leads the coder to the correct code assignment. Case 6: 57522 Reference the main term Conization, then cervix. Codes 57461, 57520, and 57522 appear. Code 57522 describes the procedure performed. Case 7: 56405 Reference the main term Incision and Drainage, then Abscess, then Perineum. Case 8: 58558 Reference the main term Hysteroscopy, then Surgical with Biopsy.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 15: Maternity Care and Delivery

Table of Contents Exercises ..........................................................................................................................43 Exercise 15.1: Coding Assignments and terms related to maternity care and delivery ........................... 43 Exercise 15.2: Code Range 59400–59622 and terms that relate to maternity care and delivery ........... 44 Chapter Review ................................................................................................................44 True/False................................................................................................................................................ 44 Fill-in-the-Blank ....................................................................................................................................... 44 Coding Assignments ..........................................................................................................44 Case Studies .....................................................................................................................46

Exercises Exercise 15.1: Coding Assignments and terms relate to maternity care and delivery 756. 757. 758. 759. 760. 761. 762. 763. 764. 765.

True False True True True False False True False False

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 15: Maternity Care and Delivery

Exercise 15.2: Code Range 59000-59622 and terms related to maternity care and delivery 766. 767. 768. 769. 770. 771. 772. 773. 774. 775.

Caesarean section 59525 59414 59400 Postpartum 59610–59614 Cordocentesis 59074 Oligohydramnios Estimated date of confinement

Chapter Review True/False 776. 777. 778. 779. 780.

True False False True False

Fill-in-the-Blank 781. 782. 783. 784. 785.

59000, 59899 Vaginal birth after caesarean Chorionic villus Postpartum Multifetal pregnancy reduction (MPR)

Coding Assignments 786. 787. 788. 789. 790. 791. 792. 793. 794. 795. 796. 797. 798. 799. 800. 801. 802. 803. 804. 805. 806. 807. 808.

59025 59350 59151 59409 59812 59870 59841 59610 59871 59866 59076 59015 59100 59070 59200 59320 59000 59510 59412 59622 59514 59425 59430

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 15: Maternity Care and Delivery

809. 810.

59820 59160

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 16: Endocrine System

Case Studies Case 1: 59409 Dr. Martin is reporting only the delivery. He would not be reporting the global service that includes antepartum, delivery, and postpartum care. The coder would reference Vaginal Delivery as the main term in the Index. Case 2: 59150 The ectopic pregnancy was resolved with a laparoscopic technique that did not require a salpingectomy or an oophorectomy. The coder would reference the main term Ectopic Pregnancy in the Index. The subterm laparoscopy is then referenced. Case 3: 59426 The coder would reference Pregnancy or Antepartum Care, and then the subterm vaginal delivery, to find the correct code to report. Case 4: 59400 This code is used to report a normal vaginal delivery, even if an episiotomy or forceps use is necessary. Reference the main term Vaginal Delivery to locate this code. Case 5: 59618 Reference the main term Vaginal Delivery to locate this code. The coder will note that the subterm attempted is found under after Previous Cesarean Delivery. Case 6: 59514 Because the patient was never seen before the delivery and is from out of town, this physician will reference the main term Cesarean Delivery, and the physician performing this procedure would report the ―delivery only.‖ Case 7: 59870 Reference the main term Hydatidiform Mole in the Index. The subterm evacuation and curettage will bring the coder to the appropriate code for the scenario given. Case 8: 59812 Reference the main term Obstetrical Care, then the subterm Abortion, then Spontaneous.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 16: Endocrine System

Table of Contents Chapter Review ................................................................................................................47 Fill-in-the-Blank ....................................................................................................................................... 47 True/False................................................................................................................................................ 47 Coding Assignments ..........................................................................................................47 Case Studies .....................................................................................................................47

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 16: Endocrine System

Chapter Review Fill-in-the-Blank 811. 812. 813. 814. 815.

Hormones Adrenal glands Insulin Thymosin Parathyroidectomy

True/False 816. 817. 818. 819. 820.

False False True True False

Coding Assignments 821. 822. 823. 824. 825. 826. 827. 828. 829. 830. 831. 832. 833. 834. 835.

60600 60520 60240 60300 60200 60280 60540 60505 60220 60270 60650 60254 60522 60260 60210

Case Studies Case 1: 60240 The surgeon completed a biopsy, and then proceeded to remove the thyroid in its entirety, therefore the biopsy is not coded. Reference the main term Thyroidectomy in the Index, and then the subterm total. Case 2: 60100 The coder would reference the main term Thyroid Gland in the Index, then the subterm needle biopsy. Case 3: 60650-LT Reference the main term Adrenal Gland in the Index. The coder would then follow indentations to the term excision, keeping in mind that the procedure was done laparoscopically. The modifier of LT is added to denote that the gland excised was the left gland. Case 4: 60500-LT Reference the main term Parathyroidectomy in the Index, then reference the range of codes provided. The modifier of LT is added to denote that the gland removed was the left gland.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 17: Nervous System

Case 5: 60220-RT Reference the main term Lobectomy, then the term thyroid gland, total. Case 6: 60280 Reference the main term Excision, then the subterm Cyst, then Thyroglossal Duct.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 17: Nervous System

Table of Contents Exercises ..........................................................................................................................48 Exercise 17.1: Code Range 61000–61576 ............................................................................................... 48 Chapter Review ................................................................................................................48 Fill-in-the-Blank ....................................................................................................................................... 48 True/False................................................................................................................................................ 48 Coding Assignments ..........................................................................................................49 Case Studies .....................................................................................................................49

Exercises Exercise 17.1: Code Range 61000–61576 836. Craniotomy for craniosynostosis; bifrontal bone flap 837. Craniotomy with elevation of bone flap; for subdural implantation of an electrode array; for long-term seizure monitoring 838. Craniectomy for craniosynostosis; single cranial suture 839. Extensive craniectomy for multiple cranial suture craniosynostosis; not requiring bone grafts 840. Craniectomy or craniotomy; with excision of foreign body from brain 841. Twist drill hole for subdural or ventricular puncture 842. Exploration of orbit (transcranial approach) with removal of lesion 843. Implantation of brain intracavitary chemotherapy agent 844. Craniectomy for osteomyelitis 845. Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy

Chapter Review Fill-in-the-Blank 846. 847. 848. 849. 850.

Brain stem Dura mater Arachnoid mater Pia mater Craniectomy

True/False 851. 852.

False True

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 17: Nervous System

853. 854. 855.

False False False

Coding Assignments 856. 857. 858. 859. 860. 861. 862. 863. 864. 865. 866. 867. 868. 869. 870. 871. 872. 873. 874. 875. 876. 877. 878. 879. 880. 881. 882. 883. 884. 885. 886. 887. 888. 889. 890.

61321 62121 63270 63707 63706 63283 63610 62180 62225 62142 61140 61340 61760 61630 61304 61156 61070 61546 61570 62273 61330 62115 63661 64400 64866 61305 61566 62000 62140 64858 61120 61550 61680 62120 62258

Case Studies Case 1: 62282 The procedure is performed solely to inject a neurolytic agent into the L4. The coder would reference the main term Injection in the Index, and then the subterm spinal cord; then neurolytic agent is found here. Case 2: 61107 The coder will reference the main term Catheterization in the Index, noting the subterm skull. Case 3: 62256 The removal of the shunt is reported separately and is not part of the shunt placement. The coder

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 18: Eye and Ocular Adnexa

will reference Cerebrospinal Fluid Shunt as the main term in the Index. The subterm removal will take the coder to this code. Case 4: 64840 Reference the main term Nerves, then Repair, then Nerve, then suture. Codes 64831–64876 appear. The codes given need to be referenced to locate the appropriate code. Case 5: 64642 The procedure performed is a form of chemodenervation of muscles. The coder would reference the main term Chemodenervation, then the subterm extremity muscle, to locate the appropriate code. Case 6: 63020 Reference the main term Decompression, then Nerve, then Root. This entry lists codes 63020-63048. Comparing the code descriptions to the documentation leads the coder to code 63020. Case 7: 62322 Reference the main term Epidural, then the subterm Injection. Case 8: 61210 Reference the main term Burr Hole, then the subterm Catheterization.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 18: Eye and Ocular Adnexa

Table of Contents Exercises ..........................................................................................................................50 Exercise 18.1: Removal of Cataracts ........................................................................................................ 50 Chapter Review ................................................................................................................51 Fill-in-the-Blank ....................................................................................................................................... 51 True/False................................................................................................................................................ 51 Coding Assignments ..........................................................................................................51 Case Studies .....................................................................................................................52

Exercises Exercise 18.1: Removal of Cataracts 891. 892. 893. 894. 895. 896. 897. 898. 899. 900.

Yes No No Yes Yes Yes Yes Yes Yes Yes

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 18: Eye and Ocular Adnexa

Chapter Review Fill-in-the-Blank 901. 902. 903. 904. 905.

Lacrimal gland Orbital implants Lens Enucleation Vitreous humor

True/False 906. 907. 908. 909. 910.

True False False True False

Coding Assignments 911. 912. 913. 914. 915. 916. 917. 918. 919. 920. 921. 922. 923. 924. 925. 926. 927. 928. 929. 930. 931. 932. 933. 934. 935. 936. 937. 938. 939. 940. 941. 942. 943. 944. 945.

66700 65430 65930 65270 65771 67909 66986 67715 67415 67515 68325 68840 68700 67110 67208 67255 68100 68200 68505 67227 67950 67570 66600 65800 66225 65770 65410 65900 66500 67015 65235 65772 66682 66825 67250

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 19: Auditory System and Operating Microscope

Case Studies Case 1: 65210-RT Reference the main term Eye, and then the subterm removal. Under the subterm removal, the coder will note foreign body, which leads to this code assignment based on documentation. Case 2: 66130-LT Reference the main term Excision, and then the subterm lesion. Under the subterm lesion, the coder will locate sclera and make the proper code assignment. Case 3: 66984-LT The main term Cataract is referenced in the Index, with the subterm removal/extraction. Case 4: 66821-RT Reference the main term Cataract, and then the subterm incision. Because the laser was used in this example, the coder would select code 66821. Case 5: 67036-RT, 67101-RT Two separate procedures were performed, so each must be reported. Referencing the main term Vitreous, and then the subterm excision, the coder will find the approach listed with specific codes that would be referenced. To code the second procedure, the coder would reference the main term Retina, subterm Repair, then detachment, then cryotherapy. Here code 67101 is found. Case 6: 67141-RT Reference the main term Cryotherapy, then the subterm retinal detachment, then prophylaxis, where the coder will locate the 67141 code. Case 7: 67820-RT Reference the main term Trichiasis, then the subterm repair. The procedure is coded to epilation by forceps. Case 8: 67808-E1 Reference the main term Excision, then the subterm Chalazion, then with Anesthesia.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 19: Auditory System and Operating Microscope

Table of Contents Exercises ..........................................................................................................................53 Exercise 19.1: Matching .......................................................................................................................... 53 Chapter Review ................................................................................................................53 Fill-in-the-Blank ....................................................................................................................................... 53 Coding Assignments ..........................................................................................................53 Case Studies .....................................................................................................................54

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 19: Auditory System and Operating Microscope

Exercises Exercise 19.1: Matching 946. 947. 948. 949. 950. 951. 952. 953. 954. 955.

d e h a j c i g b f

Chapter Review Fill-in-the-Blank 956. 957. 958. 959. 960. 961. 962. 963. 964. 965.

External Tympanic membrane Oval window Tympanic cavity Tympanostomy Otoplasty Malleus 69501–69554 Operating microscope 69949

Coding Assignments 966. 967. 968. 969. 970. 971. 972. 973. 974. 975. 976. 977. 978. 979. 980. 981. 982. 983. 984. 985. 986. 987. 988.

69806 69650 69502 69210-50 69100-RT 69729 69424 69450 69610 69440 69540 69910 69662 69930 69310 69145 69220 69706 69949 69676 69960 69420 69501

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 20: Radiology

989. 990. 991. 992. 993. 994. 995.

69666 69550 69700 69970 69667-RT 69105-LT 69300-50

Case Studies Case 1: 69436-LT Reference the main term Tympanostomy in the Index. The coder will note a range of codes to be referenced. Keep in mind that the use of general anesthesia is noted. Case 2: 69205-RT Reference the main term Auditory Canal, then the subterm removal. Under the subterm, the coder will find the term foreign body, with a code range noted. Review this code range to arrive at the correct code. Case 3: 69440-RT Reference the main term Ear and the subterm middle. The coder will note that exploration is found here, indicating the correct code assignment. Case 4: 69910-LT Reference the main term Ear and the subterm inner. This was an excision, which is found under this subterm. Labyrinth is noted here, with a range of codes that will guide the coder to the correct code assignment. Case 5: 69610-50 Reference the main term Repair, then the term tympanic membrane.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 20: Radiology

Table of Contents Exercises ..........................................................................................................................55 Exercise 20.1: Terminology ..................................................................................................................... 55 Exercise 20.2: Vocabulary Understanding ............................................................................................... 55 Exercise 20.3: Understanding Radiology Coding ..................................................................................... 55 Exercise 20.4: Vascular Procedures ......................................................................................................... 55 Exercise 20.5: Transcatheter Procedures ................................................................................................ 55 Exercise 20.6: Other Procedures ............................................................................................................. 55 Exercise 20.7: Diagnostic Ultrasound (76506–76999) ............................................................................. 56 Exercise 20.8: Radiation Oncology .......................................................................................................... 56

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 20: Radiology

Exercise 20.9: Nuclear Medicine ............................................................................................................. 56 Chapter Review ................................................................................................................56 Fill-in-the-Blank ....................................................................................................................................... 56 Coding Assignments ..........................................................................................................56 Case Studies .....................................................................................................................57

Exercises Exercise 20.1: Terminology 996. 997. 998. 999. 1000.

Prone Inversion Lateral Decubitus Abduction

Exercise 20.2: Vocabulary Understanding 1001. 1002. 1003. 1004. 1005.

c a e b d

Exercise 20.3: Understanding Radiology Coding 1006. 1007. 1008. 1009. 1010. 1011. 1012. 1013. 1014. 1015.

72147 73551 74150 74290 74410 74328 74710 74261 72132 71045

Exercise 20.4: Vascular Procedures 1016. 1017. 1018. 1019. 1020.

75885 75891 75605 75822 75810

Exercise 20.5: Transcatheter Procedures 1021. 1022. 1023. 1024. 1025.

75898 Endovascular repair 75894 75989 75970

Exercise 20.6: Other Procedures 1026.

76496

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 20: Radiology

1027. 1028. 1029. 1030.

76120 76010 76380 76498

Exercise 20.7: Diagnostic Ultrasound (76506–76999) 1031. 1032. 1033. 1034. 1035. 1036. 1037. 1038. 1039. 1040.

76604 76830 76819 76886 76998 Written; image A-mode technique Limited study Anatomical site Real-time scanning

Exercise 20.8: Radiation Oncology 1041. 1042. 1043. 1044. 1045.

Planning and simulation Proton beam treatment Isodose 77280 Hyperthermia

Exercise 20.9: Nuclear Medicine 1046. 1047. 1048. 1049. 1050.

Dual photon absorptiometry 78600–78699 Uptake Radiopharmaceuticals 78414–78499

Chapter Review Fill-in-the-Blank 1051. 1052. 1053. 1054. 1055. 1056. 1057. 1058. 1059. 1060.

Radiology Radiologist Complete study Limited study Dual photon absorptiometry Nuclear Brachytherapy Radiopharmaceuticals Radiation Hyperthermia

Coding Assignments 1061. 1062. 1063. 1064. 1065. 1066. 1067.

75810 70190 72040 73120 74230 76817 78013

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 20: Radiology

1068. 1069. 1070. 1071. 1072. 1073. 1074. 1075. 1076. 1077. 1078. 1079. 1080. 1081. 1082. 1083. 1084. 1085. 1086. 1087. 1088. 1089. 1090. 1091. 1092. 1093. 1094. 1095.

78456 78070 78264 79445 78608 77520 77290 78258 70486 72200 74240 73030 74775 78216 79101 70170 70548 73650 77067 71250 76145 74400 71100 72081 71271 72129 72148 72202

Case Studies Case 1: 72193 Reference the main term CT scan. The subterm with contrast is noted, and then the location (in this case the pelvis) leads the coder to the correct code assignment. Case 2: 76604 Reference the main term Ultrasound, and then the subterm chest. Case 3: 73702-RT Reference CT scan, then without and with contrast, then Leg. Review the code ranges given and select code 73702. Case 4: 72114 Reference the main term X-ray, then spine, then the lumbosacral area. Reference code range 72100– 72120 and select code 72114. Case 5: 70450 Reference the main term CT scan, then the subterm without Contrast, and then the head, to locate the correct code. Case 6: 77080 Reference the main term Absorptiometry, then the subterm dual energy, then bone and axial skeleton, to locate the correct CPT code.

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 21: Pathology and Laboratory

Case 7: 73110-LT Reference the main term X-ray, then wrist, to locate a code range of 73100–73110. With a minimum of three views, the code 73110 is the correct code. Case 8: 71046 Reference the main term X-ray, then Chest. Then review code range 71045–71048. Select code 71046. Case 9: 71048 Reference the main term X-ray, then Chest. Then review code range 71045-71048. Select code 71048. Case 10: 72080 Reference the main term X-ray, then the subterm Spine, then Thoracolumbar.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 21: Pathology and Laboratory

Table of Contents Exercises ..........................................................................................................................58 Exercise 21.1: Panel Tests ....................................................................................................................... 58 Chapter Review ................................................................................................................58 True/False................................................................................................................................................ 58 Fill-in-the-Blank ....................................................................................................................................... 58 Coding Assignments ..........................................................................................................59

Exercises Exercise 21.1: Panel Tests 1096. 1097. 1098. 1099. 1100.

80076 80069 80061 80048 80050

Chapter Review True/False 1101. 1102. 1103. 1104. 1105.

True False False True False

Fill-in-the-Blank 1106.

Panel

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 22: Medicine

1107. 1108. 1109. 1110.

Analyte Transfusion CIN III (CIN 3) White blood count

Coding Assignments 1111. 1112. 1113. 1114. 1115. 1116. 1117. 1118. 1119. 1120. 1121. 1122. 1123. 1124. 1125. 1126. 1127. 1128. 1129. 1130. 1131. 1132. 1133. 1134. 1135. 1136. 1137. 1138. 1139. 1140. 1141. 1142. 1143. 1144. 1145.

89300 86805 86039 83690 80069 80408 88371 88309 88261 86921 80055 80178 82310 85027 85170 87172 86332 85337 84443 80061 88182 86901 86850 85597 86156 80150 80505 81025 82085 82480 80354 80143 81338 86328 86215

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 22: Medicine

Table of Contents Exercises ..........................................................................................................................60 Exercise 22.1: Vaccines and Administrations .......................................................................................... 60

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 22: Medicine

Exercise 22.2: Psychiatry (Code Range 90785–90899) ............................................................................ 60 Exercise 22.3: Dialysis Services ................................................................................................................ 60 Chapter Review ................................................................................................................60 True/False................................................................................................................................................ 60 Fill-in-the-Blank ....................................................................................................................................... 60 Coding Assignments ..........................................................................................................61 Case Studies .....................................................................................................................62

Exercises Exercise 22.1: Vaccines and Administrations 1146. 1147. 1148. 1149. 1150. 1151. 1152. 1153. 1154. 1155.

90715, intramuscular 90690, oral 90710, subcutaneous 90634, intramuscular 90698, intramuscular 90716, subcutaneous 90476, oral 90632, intramuscular 90581, subcutaneous or intramuscular 90717, subcutaneous

Exercise 22.2: Psychiatry (Code Range 90785–90899) 1156. 1157. 1158. 1159. 1160.

False True False True False

Exercise 22.3: Dialysis Services 1161. 1162. 1163. 1164. 1165.

90959 90989 90940 90970 × 5 90997

Chapter Review True/False 1166. 1167. 1168. 1169. 1170.

True True False False False

Fill-in-the-Blank 1171. 1172. 1173.

Hemodialysis Narcosynthesis Gonioscope

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN9780357764305; Chapter 22: Medicine

1174. 1175.

Spirometry 93668

Coding Assignments 1176. 1177. 1178. 1179. 1180. 1181. 1182. 1183. 1184. 1185. 1186. 1187. 1188. 1189. 1190. 1191. 1192. 1193. 1194. 1195. 1196. 1197. 1198. 1199. 1200.

97761 99506 95056 93770 92950 92601 92595 90717, 90471 90847 90969 91022 97168 92583 92633 93452, 93462 94660 92517 93024 92592 90880 91122 92270 92563 92571 93886

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 23: HCPCS Codes

Case Studies Case 1: 97597 The main term to reference would be Debridement, then the term selective. The coder would choose 97597 based on the level of debridement. Case 2: 97802 and 97802 This is a diabetic who presents for an initial nutrition evaluation. Reference the main term Nutrition Therapy, then the term initial assessment, to locate the correct code. The code is based on 15minute increments, so the time documented for nutrition therapy in this case is 30 minutes. Case 3: 96360 The patient underwent hydration. The coder would reference the main term Hydration to locate the appropriate code range. The hydration was documented as lasting 1 hour.

Solution and Answer Guide Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 23: HCPCS Codes

Table of Contents Exercises ..........................................................................................................................62 Exercise 23.1: Finding an HCPCS Code .................................................................................................... 62 Exercise 23.2: Learning HCPCS ................................................................................................................ 63 Exercise 23.3: A Codes............................................................................................................................. 63 Exercise 23.4: HCPCS B and C Codes ....................................................................................................... 63 Exercise 23.5: E and G Codes................................................................................................................... 63 Exercise 23.6: J Codes.............................................................................................................................. 63 Exercise 23.7: K and L Codes ................................................................................................................... 65 Exercise 23.8: Understanding the Drug Table ......................................................................................... 65 Chapter Review ................................................................................................................65 Fill-in-the-Blank ....................................................................................................................................... 65 True/False................................................................................................................................................ 65 Coding Assignments ..........................................................................................................65 Case Studies .....................................................................................................................66

Exercises Exercise 23.1: Finding a HCPCS Code 1201. 1202.

Single-vision lenticular lens V2121 Aluminum crutches E0114

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 23: HCPCS Codes

1203. 1204. 1205. 1206. 1207. 1208. 1209. 1210.

Food supplement S9434 Indwelling port C1788 Breast pump E0602 Wound cleanser A6260 Elbow splint S8452 Urine sensitivity study P7001 Vascular closure device C1760 Diabetic shoe inlay A5508

Exercise 23.2: Learning HCPCS 1211. 1212. 1213. 1214. 1215. 1216. 1217. 1218.

C1883 Q4049 E0184 C2631 E0156 L3380 M0076 H0031

Exercise 23.3: A Codes 1219. 1220. 1221. 1222. 1223. 1224. 1225. 1226.

A0390, A0390, and A0390 A4398 A4670 A4730 A6545 and A6545 A6410 A4246 A4611

Exercise 23.4: HCPCS B and C Codes 1227. 1228. 1229. 1230. 1231. 1232. 1233. 1234.

C1752 B9002 B4081 C1724 C9248 B4168 B9998 C1758

Exercise 23.5: E and G Codes 1235. 1236. 1237. 1238. 1239. 1240. 1241. 1242. 1243. 1244.

e i j a h g f c d b

Exercise 23.6: J Codes 1245. 1246.

J2545 J1720

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 23: HCPCS Codes

1247. 1248. 1249. 1250. 1251. 1252.

J9130 and J9130 J7607 J3302 J0594 J0207 J0692

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 23: HCPCS Codes

Exercise 23.7: K and L Codes 1253. 1254. 1255. 1256. 1257. 1258. 1259. 1260.

L1680 K0890 K0601 L8617 L8642 L0170 L5200 L8642

Exercise 23.8: Understanding the Drug Table Drug Name Alemtuzumab Cancidas Enbrel Gastromark Fertinex Nubain Wehdryl Medidex Panitumumab

Unit Per 1 mg 5 mg 25 mg 1 mL 75 IU 10 mg 50 mg 1 mg 10 mg

Route IV IV IM, IV Oral SC IM, IV, SC IM, IV IM, IV, Other IV

Code J0202 J0637 J1438 Q9954 J3355 J2300 J1200 J1100 J9303

Chapter Review Fill-in-the-Blank 1261. 1262. 1263. 1264. 1265.

Annually, Center for Medicare and Medicaid Services (CMS) medical A Advance Beneficiary Notice (ABN) E0606

True/False 1266. 1267. 1268. 1269. 1270.

False False True False False

Coding Assignments 1271. 1272. 1273. 1274. 1275. 1276. 1277. 1278. 1279. 1280. 1281. 1282.

S9145 L2580 M0301 V5266 E1355 L4398 G0106 Q4010 E0550 E0310 C1785 L0140

Solution and Answer Guide: Bowie, Understanding Current Procedural Terminology & HCPCS Coding Systems, 2023 edition, ISBN 9780357764305; Chapter 23: HCPCS Codes

1283. 1284. 1285. 1286. 1287. 1288. 1289. 1290. 1291. 1292. 1293. 1294. 1295. 1296. 1297. 1298. 1299. 1300.

A7027 E0951 B4083 B4100, B4100, and B4100 H0037 L1830 S2060 J2550 E0944 A9285 G0444 L3213 J9306 A4281 C1884 E0135 E0160 E0860

Case Studies Case 1: A6412-LT Reference the main term Eye, and the subterm patch, to locate the correct code range. Case 2: S0197 In addition to reporting the visit, prenatal vitamins should be reported. Reference the main term Vitamin, and then the subterm prenatal, to locate the correct code. Case 3: E0310 Reference the main term Bed, and locate the subterm rail. Case 4: L3040-LT Reference the main term Arch Support to locate the code range that needs to be referenced. Case 5: E1635 Reference the main term Hemodialyzer, portable to locate the correct code. Case 6: J1040 Using Appendix 1—Table of Drugs in the HCPCS manual, reference the medication given, Cortimed, to locate the appropriate HCPCS code.