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A 36-year-old male suffered back pain after heavy lifting an…

A 36-year-old male suffered back pain after heavy lifting and was found to have bilateral disc herniation. The patient was placed prone and general anesthesia given. Incision was then made with a 10-blade knife and dissection was carried downward through the thick adipose tissue to the fascia in a subperiosteal plane. The paraspinous muscles were reflected off L5 and S1. A laminotomy was drilled with the Midas Tex AMB on the inferior end of L5. The thecal sac was retracted medially. The microscope was brought in, direct with microdissection there was a massive disk herniation on the right side underneath the nerve root as well as the left. The disc was incised with an 11-blade knife and was cleaned out with a series of straight and angled curettes and rongeurs. The disc was intertwined with the posterior longitudinal ligament. The space was cleaned out, the foramina were checked and no further compression was found on any of the neural elements. What CPT® codes are reported for this procedure?

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A soccer player hits his head during an indoor game and is a…

A soccer player hits his head during an indoor game and is admitted to observation to watch for head trauma.  Admit date/time:     01/21/20XX    8:12 PMMedically appropriate history and exam Low MDMDischarge date/time:   01/22/20XX    8:15 AMDischarge time: 20 minutesWhat CPT® coding is reported for the admission and discharge in Observation Care?

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A 64-year-old patient came to the emergency department compl…

A 64-year-old patient came to the emergency department complaining of chest pressure. The provider evaluated the patient. Appropriate initial management was continued by the ED provider who contacted the cardiologist on call in the hospital. Admission to the cardiac unit was ordered. No beds were available in the cardiac unit and the patient was held in the ED. The cardiologist left the ED after completing the evaluation of the patient and had interpreted the findings of an EKG that indicated signs of acute cardiac damage. Several hours passed and the patient was still in the ED. During an 80-minute period, the patient experienced acute breathing difficulty, increased chest pain, arrhythmias, and cardiac arrest. The patient was managed by the ED provider during this 80-minute period. Included in the ED provider management were endotracheal intubation and CPR to restore the patient’s breathing and circulation for 20 minutes. CPR was unsuccessful, the patient was pronounced dead after a total of 44 minutes critical care time, exclusive of other separately billable services. What CPT® codes are reported by the ED provider?

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According to the Tabular List in the ICD-10-CM code book, ca…

According to the Tabular List in the ICD-10-CM code book, category code H80 Otosclerosis, includes what other disorder?

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A 37-year-old woman presents with abdominal pain, bleeding u…

A 37-year-old woman presents with abdominal pain, bleeding unrelated to menses and an abnormal pap showing LGSIL (low grade squamous intraepithelial lesion). Treatment is hysteroscopy with thermoablation of the endometrium and cryocautery of the cervix. This is performed without difficulty. What are the CPT® and ICD-10-CM codes reported for this procedure?

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A patient sees the nephrologist for a B-12 injection to trea…

A patient sees the nephrologist for a B-12 injection to treat erythropoietin resistant anemia due to stage 3 chronic kidney disease. What ICD-10-CM codes are reported?

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A 40-year-old presents with vaginal bleeding for several wee…

A 40-year-old presents with vaginal bleeding for several weeks. The gynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code is appropriate for this encounter?

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What ICD-10 -CM code is reported for carcinoma of the bladde…

What ICD-10 -CM code is reported for carcinoma of the bladder dome?

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Vulvar cancer in situ can also be documented as:

Vulvar cancer in situ can also be documented as:

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___________ fixation with pins, screws, plates, or wires is…

___________ fixation with pins, screws, plates, or wires is placed directly on or in the bone to immobilize a fractured bone and to maintain alignment while it heals.

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