CPC 6 series (Sensory Organs, Endocrine & Nervous System)

  1. 1 : Kalaivani a 25-year-old female patient was scheduled for replacement of VP shunt valve due to obstruction. Physician replaced obstructed valve and ventricular catheter from the VP shunt. How would you report this procedure?

  1. 2 : Dhandapani has hyperthyroidism for which he was scheduled for thyroid removal today. Physician performed complete removal of right thyroid lobe and near total lobectomy performed on left lobe. How would you report this procedure?

  1. 3 : Harshita who was diagnosed with hydrocephalus came today for treatment. Physician performed a ventriculostomy and placed a catheter for drainage into peritoneal cavity. Incision was then closed with sutures. How would you report this procedure?

  1. 4 : Rudhran has muscle spasm on his hand, leg and paraspinal muscles for which he encountered for Chemo denervation. Total of 4 muscles in his right upper arm, 6 muscles in left leg and 4 paraspinal muscles were involved in the procedure. How would you report this service?

  1. 5 : Rajadurai has cubital tunnel syndrome on his right hand for which he was scheduled for cubital tunnel release today. Physician performed decompression of his nerve at epicondylar area. How would you report this service?

  1. 6 : Post-Op Diagnosis: Right eye cortical cataract. Post-Op Diagnosis: Right eye cortical cataract. Procedure performed: Extracapsular cataract excision with IOL implantation. Description: The physician makes a small horizontal incision where the cornea and sclera meet and upon entering the eye through the incision, narrowing of pupil required Iris expansion device to dilate the pupil and gently opens the front of the capsule and removes of the lens. Using a microscope, the ophthalmologist suctions out the soft lens cortex, leaving the capsule in place. The area is irrigated and aspirated and an intraocular lens is inserted. The ophthalmologist sutures the incision and instills antibiotic ointment and applies an eye patch. A metal shield is secured over the eye with tape. Standard phacoemulsification may be performed if the lens capsule is intact and sufficient zonular support remains. In capsulorrhexis, the ophthalmologist shatters the cataract nucleus with an ultrasonic oscillating probe. After fragmentation, the phaco probe is inserted into the eye and the cataract is suctioned out through an irrigation-aspiration probe. An IOL is inserted once all of the material is removed.What CPT code should be reported?

  1. 7 : What CPT code you would report for Strabismus surgery performed on Inferior oblique, Inferior rectus, Inferior oblique and superior oblique muscles and inferior oblique muscle was transposed. How would you report this procedure?

  1. 8 : Sellur Raju had a subdural hematoma on his brain for which he encountered for surgical evacuation of hematoma today. Physician used to Twist drill technique to perform the procedure. How would you report this service?

  1. 9 : Pre-Op Diagnosis: Chronic Otitis media right ear. Post-Op Diagnosis: Chronic Otitis media right ear. Procedure Performed: Myringotomy with tube placement on right ear. Description: The patient is prepped and draped in a usual sterile fashion. General anesthesia is induced by appropriate anesthetic agent. Myringotomy is performed and a ventilating tube is secured into the ear drum to provide continuous drainage route for the infectious fluid in middle ear and to keep the middle ear aerated, while preventing the accumulation of mucus. How would you report this procedure?

  1. 10 : Ramya who was affected by Parkinson’s disease more than a year encountered today for placement of DBS electrode placement. Physician performed craniectomy using burr holes and electrode was placed on cerebrum. After placement the bone flap was closed with screws. How would you report this procedure?

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