Referring to the CPT® codebook in the Evocative/Suppression subsection, if a patient has congenital adrenal hypoplasia (CAH) and testing is performed to identify if the insufficiency is due to 21 hydroxylase deficiency (insufficient stimulating hormones or inability to react to those hormones), what substances are tested for and how many times must the tests be performed?

When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned?

Patient is an 81-year-old male with a biopsy-proven basal cell carcinoma of the posterior neck just near his hairline; additionally, the patient had two other areas of concern on his cheek. Informed consent was obtained and the areas were prepped and draped in the usual sterile fashion. Attention was first directed to the basal cell carcinoma of the neck. I excised the lesion measuring 2.6 cm as drawn down to the subcutaneous fat. With extensive undermining of the wound I closed it in layers using 4.0 Monocryl, 5.0 Prolene and 6.0 Prolene; the wound measured 4.5 cm. Attention was then directed to the other two suspicious lesions on his cheek. After administering local anesthesia, I proceeded to take a 3 mm punch biopsy of each lesion and was able to close with 5.0 Prolene. The patient tolerated the procedures well. Pathology later showed the basal cell carcinoma was completely removed and the biopsies indicated actinic keratosis. What CPT® codes should be reported?

A 4-year-old patient, who accidentally ingests valium found in his mother’s purse, is found unconscious and rushed to the ED. The child is treated by the ED physician, who inserted a tube orally into the stomach and performed a gastric lavage, removing the stomach contents. What CPT® and ICD-10-CM codes are reported?

A physician performs a four-vessel autogenous (one venous, three arterial) coronary bypass graft on a patient who had a previous CABG two years ago. The saphenous vein, radial artery (harvested in an open procedure), and the left and right internal mammary arteries were utilized. What CPT® coding is reported for this procedure? 

A 20-year-old patient presented to the hospital for a sigmoidoscopy due to a history of bloody stools for three weeks duration. The patient was prepped and the sigmoidoscope was passed without difficulty to about 40 cm. The entire mucosal lining was erythematosus. There was no friability of the overlying mucosa and no bleeding noted. No pseudo polyps were identified. Biopsies were taken at about 30 cm; these were thought to be representative of the mucosa in general. The scope was retracted; no other abnormalities were seen. What CPT® and ICD-10-CM codes are reported?

What is the anesthesia code for an appendectomy?

What is the largest single mass of lymphatic tissue?

A male patient is here for his chemotherapy for metastatic carcinoma of the liver secondary to cancer of the right areola. What ICD-10-CM codes are reported?

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 physician uses the transforaminal approach under fluoroscopy guidance for needle positioning. The spinal needle is inserted, and the patient experienced paresthesias into her left lower extremity. The anesthetic drug is injected into the epidural space. What CPT® code(s) is/are reported?