A 76-year-old female had a recent mammographic and ultrasound abnormality in the 6 o'clock position of the left breast. She underwent core biopsies which
... [Show More] showed the presence of a papilloma. The plan now is for needle localization with excisional biopsy to rule out occult malignancy. After undergoing preoperative needle localization with hook wire needle injection with methylene blue, the patient was brought to the operating room and was placed on the operating room table in the supine position where she underwent laryngeal mask airway (LMA) anesthesia. The left breast was prepped and draped in a sterile fashion. A radial incision was then made in the 6 o'clock position of the left breast corresponding to the tip of the needle localizing wire. Using blunt and sharp dissection, we performed a generous excisional biopsy around the needle localizing wire including all of the methylene blue-stained tissues. The specimen w - correct answer ✔✔D. 19125, D24.2
You can narrow your choices down by the diagnosis. The beginning of the operative note documents that core biopsies showed "papilloma". In the ICD-10-CM Alphabetic Index, look for Papilloma-see also Neoplasm, benign, by site. Go to the Table of Neoplasms and look for Neoplasm, neoplastic/breast/Benign (column) refers you to code D24.-. Turn to the Tabular List to complete the code, D24.2.
A 53-year-old male is in the dermatologist's office for removal of 2 lesions located on his lower lip and nose. Lesions were identified and marked. The lower lip lesion of 4 mm in size was shaved to the level of the superficial dermis. Utilizing a 3-mm punch, a biopsy was taken of the left supratip nasal area. What are the CPT® codes for these procedures?
A. 40490, 11104-59
B. 11310, 11104-59
C. 17000, 17003
D. 11440, 11105-59 - correct answer ✔✔B. 11310, 11104-59
The first procedure performed was the lesion on the lower lip removed by the shaving technique. Reported with code 11310. The punch biopsy is performed on the lesion located on the nose. Reported with code 11104. Add-on code 11105 is only reported with codes 11104 or 11106, refer to the parenthetical instructional note under add-on code 11105. Modifier 59 indicates that the biopsy was totally separate performed on another lesion, otherwise it is bundled with 11310.
A 76-year-old has dermatochalasis on bilateral upper eyelids. The condition does not interfere with the function of the eyelids. The patient agrees to surgery. The patient is here for a bilateral blepharoplasty. A lower incision line was marked at approximately 5 mm above the lid margin along the crease. Then using a pinch test with forceps the amount of skin to be resected was determined and marked. An elliptical incision was performed on the left eyelid and the skin was excised. In a similar fashion the same procedure was performed on the right eye. The wounds were closed with sutures. What CPT® coding is reported?
A. 15822, 15823-51
B. 15823-50
C. 15822-50
D. 15820-LT, 15820-RT - correct answer ✔✔C. 15822-50
Patient is having a blepharoplasty done on the upper eyelids, eliminating multiple choice answer D. The pa [Show Less]