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A 42-year-old patient was admitted to an ASC and began havin…

A 42-year-old patient was admitted to an ASC and began having complications in the OR after the induction of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurance company requires a reported modifier, what modifier best describes the extenuating circumstances for the anesthesiologist?

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A patient is diagnosed with an injury to the right side faci…

A patient is diagnosed with an injury to the right side facial nerve. In the OR suite the surgeon performs a neurorrhaphy with nerve graft to restore innervation to the face using microscopic repair. The surgeon created a 2 cm incision over the damaged nerve, dissected the tissues and located the nerve. The damaged nerve was resected and removed. The 3.0 cm graft taken from the sural nerve was sutured to the proximal and distal ends of the damaged nerve. What CPT® and ICD-10-CM codes are reported?

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A male patient with convulsions is sent for a computerized a…

A male patient with convulsions is sent for a computerized axial tomogram (CT scan) of the brain with contrast. What diagnosis code is reported as the reason for the CT Scan?

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A CRNA is personally performing a case with medical directio…

A CRNA is personally performing a case with medical direction from an anesthesiologist. What modifier is reported for the CRNA services?

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A patient with severe adenomyosis has a vaginal hysterectomy…

A patient with severe adenomyosis has a vaginal hysterectomy with bilateral salpingo-oophorectomy. After the uterus is removed it is weighed at 300 grams. What is the CPT® code reported for this procedure?

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Margaret has a cholecystoenterostomy with a Roux-en-Y. Five…

Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for the subsequent services on this date of service? (The same surgeon took her back to the OR as the one who performed the original operation.)

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Inflammation of the membrane lining the abdominal cavity and…

Inflammation of the membrane lining the abdominal cavity and covering the abdominal organs is called:

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After a routine and uncomplicated appendix surgery, the pati…

After a routine and uncomplicated appendix surgery, the patient began bleeding postoperatively. What ICD-10-CM coding is reported?

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Mrs. Jones is a 90-year-old female having laparoscopic gallb…

Mrs. Jones is a 90-year-old female having laparoscopic gallbladder surgery. Dr. Lot, the anesthesiologist for this case, documents she is a normal healthy person and begins to prepare the patient for surgery at 07:30 am. Surgery begins at 08:00 am. The surgery is concluded at 09:30 am. The anesthesiologist releases the patient to the PACU nurses at 09:45 am. How many minutes of anesthesia time transpired and what is the appropriate anesthesia code?

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HITECH provides a ______ day window during which any violati…

HITECH provides a ______ day window during which any violation not due to willful neglect may be corrected without penalty.

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