Patient has returned to the operating room for aspiration of a seroma that developed from a genitourinary surgical procedure performed two days ago. A 16-gauge needle is used to aspirate 600 cc of non-cloudy serosanguinous fluid. What codes are reported?

A 42-year-old with chronic right trochanteric bursitis is scheduled to receive an injection at the Pain Clinic. A 22-gauge spinal needle is introduced into the trochanteric bursa, and a total volume of 8 cc of normal saline and 40 mg of Kenalog (triamcinolone acetonide) is injected. What are the CPT® codes?

A 32-year-old ETOH dependent female is in a partial hospitalization program and has been seeing an addictive disease specialist (psychotherapist) in a chemical dependency program. Her employer is aware of her problem. She was referred to the group through their Employee Assistance Program. As long as she is in compliance they will support her efforts. Recently, she has arrived late at the meetings. The provider met with the patient and discussed the importance of her treatment, compliance with the program and avoidance of situations in which she may use alcohol. She denies contact with her previous associates and assures the provider she has had no alcohol intake since beginning the substance abuse treatment program. They will continue to reinforce her progress and successful sobriety. Time of the session was 45 minutes. What CPT® and ICD-10-CM codes are reported?

A 5-year-old patient is experiencing atrial fibrillation with rapid ventricular rate. The anesthesia department is called to insert a nontunneled central venous (CV) catheter. What CPT® coding is reported?

Patient is a 67-year-old male with chronic orchialgia following a right inguinal hernia repair. He is admitted for scrotal exploration and simple orchiectomy. The patient is brought to the operating room and placed supine on the operating table. After adequate anesthesia was accomplished, he was prepped and draped in the usual sterile fashion; 0.25% Marcaine plain was infused in the skin along his median rhaphe and a 4 cm median rhaphe incision was made. We dissected into his right hemiscrotum and identified his right testis which was small and atrophic. The spermatic cord was identified and separated into 2 sections each section was double tied with #1 silk suture. The testis was then transected from the spermatic cord, distal to the sutures and no bleeding was noted from the stump of the spermatic cord. Scrotal skin was closed in two layers, the first layer with a running stitch of 3-0 Monocryl and the second was a 3-0 chromic in the horizontal mattress. Dermabond was applied over the incision. He was extubated and taken to the recovery room in good condition. What CPT® code(s) is/are reported for this service?

A 53-year-old woman with scarring of the right cornea has significant corneal thinning with a high risk of perforation and underwent reconstruction of the ocular surface. The eye is incised and an operating microscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved human amniotic membrane is first removed from the storage medium and transplanted by trimming the membrane to fit the thinning area of the cornea then sutured. This process was repeated three times until the area of thinning is flush with surrounding normal thickness cornea. All of the knots are buried and a bandage contact lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?

A 65-year-old patient presents with an ectropion of the right lower eyelid. Repair with tarsal wedge excision is performed for correction. Attention was then directed to the left eye. The patient also has an ectropion of the left lower eyelid which is repaired by suture repair. What CPT® code(s) is/are reported?

What temporary HCPCS Level II codes are required for use by Outpatient Prospective Payment System (OPPS) Hospitals?

What modifier is used to report an evaluation and management service mandated by a court order?

Johnny has a penny removed from his left nostril in the provider’s office. What CPT® code is reported?