please if you dont know what CPT dont answer
case study
Preoperative and postoperative diagnosis: Left knee
arthrosis
Procedure: Arthroscopy and debridement
The patient was prepped and brought into the operating room, where
general anesthesia was administered. The knee was prepped, and a
video arthroscopy was performed using the anterolateral and
anteromedial portals. The scope confirmed the diagnosis. In the
medial compartment, the degenerative meniscus was debrided with a
shaver. The large osteophytes were removed with a bur. After
removal, it was noted that there was improved extension. In the
lateral compartment, a small anterior horn of the tear was debrided
and shaved back to the meniscal tissue. The portals were sutured
with nylon sutures. Sterile dressings were applied. The patient was
in stable condition and was sent to the recovery room.
CPT code(s): .....X .....ONE CODE ONLY IS USED
29881 IT WRONG
Preoperative and postoperative diagnosis: Painful left index
finger due to previous crush injury
Procedure: Amputation of left index finger
The patient was placed under general anesthesia, and a 1% Lidocaine
and 0.5% Marcaine with epinephrine was administered to perform a
digital block for the left index finger. A tourniquet was inflated
on the left arm. An incision was made over the mid aspect of the
proximal phalanx of the left index finger with dissection of the
subcutaneous tissue. The digital nerves were cut, and then sharp
dissection was taken down to the bone, dividing the flexor and
extensor tendons. A bone cutter was used to divide the bone, and
the finger was removed. The vessels and nerves were ligated, and
the bone was smoothed off with a rongeur. The skin was closed with
5-0 nylon sutures and a dressing applied. The tourniquet was
deflated. There was minimal blood loss, and the patient was taken
to the recovery room in satisfactory condition.
CPT code(s): ...........X....... I USED 20613 NOT
CORRECT
Preoperative diagnosis: Mass on right middle finger, middle
phalanx
Pathology: Benign tumor from middle phalanx
Operation: Excision of benign tumor of middle phalanx of
finger
The patient was prepped, and a digital block was achieved using 2.5
cc of 0.25% Marcaine and 1% Xylocaine. The finger was
exsanguinated, and a tourniquet was placed. An incision was made
over the mass and carried through the subcutaneous tissue. The mass
was removed via curettes to scrape the mass from the bone. The
specimen was labeled and sent to pathology. Irrigation of the wound
occurred, and the skin was closed in layers. A sterile dressing was
applied, and the patient was taken to the recovery area in stable
condition.
CPT code(s): ....X........ I USED 26291 ITS
WRONG
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Answers
1. Cpt code for the Procedure: Arthroscopy and debridement of the left knee
29880-LT - Arthroscopy, knee, surgical; with meniscectomy (media AND lateral, including any meniscal shaving.
2. Cpt code for the Procedure: Amputation of left index finger
26951- Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure
3. Cpt code for the procedure Excision of benign tumor of middle phalanx of finger
26210- Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger
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