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Author Archives: Anonymous

A 37-year-old has multilevel lumbar degenerative disc diseas…

A 37-year-old has multilevel lumbar degenerative disc disease and is coming in for an epidural injection. Localizing the skin over the area of L5-S1, the provider uses the transforaminal approach with fluoroscopy. The spinal needle is inserted and the patient experienced paresthesia in her left lower extremities. The anesthetic drug is injected into the epidural space. What CPT® code(s) is/are reported for this procedure?

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What is the correct ICD-10-CM coding for diverticulosis of t…

What is the correct ICD-10-CM coding for diverticulosis of the small intestine which has been present since birth?

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Which diagnosis code(s) below reports pain in the left and r…

Which diagnosis code(s) below reports pain in the left and right ears?

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Transurethral resection of bladder neck and nodular prostati…

Transurethral resection of bladder neck and nodular prostatic regrowth. What CPT® code is reported for this service?

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A patient with atrial fibrillation had a dual lead pacemaker…

A patient with atrial fibrillation had a dual lead pacemaker implanted 1 year ago. Today she returns to the provider’s office for evaluation of function of the device by analyzing and reviewing the parameters stored comparing it to current readings. It was determined minor adjustments and reprogramming were needed. What CPT® code is reported?

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A 27-year-old triathlete is thrown from his bike on a steep…

A 27-year-old triathlete is thrown from his bike on a steep downhill ride. He suffered a severely fractured vertebra at C5. An anterior approach is used to dissect out the bony fragments and strengthen the spine with titanium cages and arthrodesis. The surgeon places the patient supine on the OR table and proceeds with an anterior corpectomy at C5 with discectomy above and below. Titanium cages are placed in the resulting defect and morselized allograft bone is placed in and around the cages. Anterior Synthes plates are placed across C2-C3, C4-C5, and C5-C6. What CPT® codes should be reported?

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A 58-year-old patient sees the provider for confusion and lo…

A 58-year-old patient sees the provider for confusion and loss of memory. The provider diagnoses the patient with early onset stages of Alzheimer’s disease with dementia. What ICD-10-CM codes are reported?

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What ICD-10-CM code is reported for a patient who is a habit…

What ICD-10-CM code is reported for a patient who is a habitual abuser of cannabis?

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A patient receives a paravertebral facet joint injection at…

A patient receives a paravertebral facet joint injection at three levels on both sides of the lumbar spine using fluoroscopic guidance for lumbalgia. What CPT® and ICD-10-CM codes are reported?

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Left ureteral stent placement and Extracorporeal Shock Wave…

Left ureteral stent placement and Extracorporeal Shock Wave Therapy or Lithotripsy (ESWL) of the left kidney are performed. What CPT® code(s) is/are reported for this service?

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