All of the following form the basis of the social class model developed by sociologist Dennis Gilbert EXCEPT:

The United States, Japan, Germany, France, Canada, and the United Kingdom possess _____ economies characterized by _____.

Using the CPT manual, select the appropriate code for the following report.Preoperative and postoperative diagnosis: Peyronie’s diseaseProcedure: Removal of penile plaqueAfter the patient was draped and positioned, general anesthesia was administered. An incision was made around the penis. The skin was then retracted to expose the tissue, and abnormal fibrous tissue was present. The penis was erected, and the abnormal tissue was excised. A graft of 6.4 cm was required. The skin was closed with sutures.

Using the CPT manual, select the appropriate code for the following procedure.Needle biopsy of the epididymis

The patient was brought to the emergency department and treated prior to transfer to a trauma center hospital with burns to multiple sites of the right leg (lower limb) above the ankle and foot.  The burns were diagnosed as first and second-degree burns.  First listed diagnosis Coder tip: If the code has a red plus signin front of it, it is not a complete code.

Using the CPT manual, select the appropriate code for the following procedure.Biopsy of cervix with fulguration

Using the CPT manual, select the appropriate code for the following procedure.Tumor debulking of a recurrent ovarian malignancy with omentectomy

Using the CPT manual, select the appropriate code for the following procedure.Packing of the vagina for traumatic nonobstetrical hemorrhage

The patient is an 80-year-old male with multiple medical problems: Parkinson’s disease, glaucoma, total blindness in the right eye (category 4) and low vision in the left eye (category 1), old MI six months ago, recent abnormal cardiac stress test, status post left total knee replacement, and primary generalized osteoarthrosis. On this occasion he is admitted to the hospital for a planned revision of his left total knee arthroplasty. The patient has been evaluated by cardiology and cleared for surgery. He had been seen by the orthopedic surgeon several weeks ago and scheduled for this revision arthroplasty. About 10 to 12 years ago the patient had a total knee replacement on the left side for osteoarthritis. He developed increasing pain in his right knee, and the orthopedic evaluation found aseptic loosening of the tibial surface or component of his right knee. The patient was taken to surgery on the day of admission and had a revision left knee arthroplasty of the tibial surface. The surgeon found femoral and patellar surface components of the previous knee replacement to be stable and in good working order. The tibial surface component was found to be grossly loose and was able to be removed with little effort.The tibial tray had divided completely from the cement mantle. The orthopedic surgeon proceeded to replace it with a new tibial surface component only using cement. The patient recovered well from surgery without complications and was transferred to a skilled unit facility for rehabilitation and to increase his ability to perform activities of daily living independently. All of his medical conditions were monitored and treated while he was in the hospital for this surgery. Principal Diagnosis: Secondary Diagnosis: Secondary Diagnosis: Secondary Diagnosis: Secondary Diagnosis: Secondary Diagnosis: R94.39 – this code is being provided for you; do NOT enter this code into any of the answer blanks Secondary Diagnosis: Principal Procedure: Secondary Procedure:

Preoperative Diagnosis:     1. Chronic left orchialgia2. Chronic epididymitis Postoperative Diagnosis:    Same Procedure:    Left inguinal orchiectomy Anesthesia:    Local standby: 0.25% Marcaine, 1% Xylocaine, 1/1 dilution. Total 25 cc used as inguinal block.Estimated Blood Loss:    Minimal This is an 82-year-old man with chronic left gonadal pain due to chronic epididymitis. This has failed to respond to conservative measures and has caused him marked discomfort in the left groin. As a result, we recommended that he consider outpatient orchiectomy. The risks and potential complications were discussed and informed consent obtained. The patient was given Ancef IV as well as IV sedation and placed on the operating table in the supine position. The lower groin and abdomen were shaved, prepared, and draped in the standard fashion. The external inguinal ring was identified, and an area just distal to the external inguinal ring was anesthetized with the local anesthetic, and a small transverse incision was made down to the spermatic cord. The testis was then brought out through the inguinal incision after the spermatic cord blockade with local anesthetic. The testis was separated from the scrotum by incision in the gubernaculum with needle tip Bovie. The spermatic cord was identified, dissected back to the external inguinal ring, and bisected with a curved Kelly clamp and then clamped and transected with Metzenbaum scissors. The spermatic cord was closed with suture ligature of 0 Vicryl and a free tie of 0 Vicryl proximal to this on each side of the spermatic cord. The incision was inspected for hemostasis. No further bleeding was noted, and the testis was delivered for pathological evaluation. The Scarpa’s fascia was closed with interrupted 2-0 Vicryl, and the skin was closed with a running 4-0 Vicryl subcuticular closure. Steri-Strips and four by fours were applied as a dressing. He was returned to the recovery room in stable condition. Estimated blood loss was minimal. First-Listed Diagnosis: Diagnosis: First-Listed Procedure: Hint: the procedure requires a modifier Note: Orchialgia CAN occur with epididymitis, but it is NOT always a symptom.