Exploration and Repair of a Knife Wound

Answer: A. 20102 As discussed in my article on gunshot wounds, a gunshot wound is a penetrating wound or a puncture wound. It is also a traumatic wound. A stab wound also fits into this category. According to the documentation provided in this coding challenge, the patient received a penetrating knife wound to the upper abdomen, […]

Knee Replacement Surgery

  Answer:   A. 27447, 27447-50 The patient is having a total knee replacement, also known as a total knee arthroplasty, in bilateral knees. Locate and Verify In the Alphabetic Index, look under Arthroplasty, knee, 27437-27447, 29879. You can also start by looking up Replacement, prosthetic, knee, 27447. In the Tabular, we can verify the […]

Excising External Hemorrhoids

Answer:   D. 46320 The documentation indicates the hemorrhoid is external, and it has thrombosed (filled with blood clots). Although external hemorrhoids do not often cause symptoms, a thrombosed hemorrhoid can become painful and tender and require treatment. In this case, an excision of the hemorrhoid was performed. Locate and Verify In the CPT coding […]

Incision and Drainage of Pilonidal Cyst

Answer: C. 10080 10080, Incision and drainage of pilonidal cyst; simple The sacrococcygeal region refers to the sacrum and coccyx (tailbone). A pilondal cyst is a skin condition that is most often found in the sacrococcygeal region. This is the cleft between the buttocks below the base of the spine. You can learn more about pilonidal cysts and how to report […]

Office Visit for an Ankle Sprain

Answer: D. 99203, S93.491A CPT (99203) To locate the correct E/M code, we can look in the CPT coding manual Index under Outpatient services, new patient, 99201-99205. In the Tabular, 99203 can be verified as an office visit for the evaluation and management of a new patient, requiring a detailed history, detailed examination, and a […]

Pelvic Pain and Adhesions

Answer:   B. 58660 In the CPT codebook, Laparoscopic Procedures on the Oviduct/Ovary (58660-58679) are located in the Female Genital System subsection of the Surgery section. Looking in the Alphabetic Index under Laparoscopy, ovary/oviducts, it refers us to 49322, 58660-58679. Verified in the Tabular, 58660 refers to Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) […]