Using the CPT manual, select the appropriate code for the following procedure.
Diagnosis: Rectal prolapse
Laparoscopic proctopexy with resection of sigmoid colon
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Q. 2) Don Hold is scheduled for a colonoscopy. Dr. Tims completes a flexible colonoscopy from the proximal area to the splenic flexure. During the colonoscopy, Dr. Tims completed a single biopsy of the colon. Using the CPT manual, select the appropriate code for these procedures.
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Q. 3) Tim Sold was diagnosed with a pelvic abscess. He was given antibiotic therapy that was unsuccessful. Dr. Smith is now completing a transrectal drainage of the abscess. Using the CPT manual, select the appropriate code for this procedure.
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Q. 4) Using the CPT manual, select the appropriate code for the following procedure.
Colonoscopy through stoma with plasma coagulator to control bleeding
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Q. 5) Pam Jump has remained on a strict diet for six months but has only reduced her weight from 289 to 270 pounds. Dr. Waste has suggested that she undergo bariatric surgery for increased weight reduction due to other health concerns. Pam undergoes a laparoscopic gastric restrictive procedure with placement of an adjustable gastric band. Using the CPT manual, select the appropriate code for this procedure.
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Q. 6) Dr. Smith performed a partial distal gastrectomy with gastroduodenostomy. Using the CPT manual, select the appropriate code for these procedures.
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Q. 7) Using the CPT manual, select the appropriate code for the following report.
Preoperative diagnosis: Mass in the stomach
Postoperative diagnosis: CA of stomach
Pathology confirmed: Carcinoma of stomach
Procedure: After positioning the patient, general anesthesia was administered. A midline abdominal incision was made. The stomach was dissected free from the surrounding structures, and the tumor was visualized. The tumor measured 1.4 cm in diameter. The tumor was then removed, and a 1-cm segment of tissue was additionally excised. A stapling device was used to close the stomach defect. The incision was closed in layered sutures. The patient tolerated the procedure and was sent to the recovery suite in satisfactory condition.
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Q. 8) Using the CPT manual, select the appropriate code for the following report.
Postoperative diagnosis: Tracheoesophageal fistula
Procedure: Plastic repair of tracheoesophageal fistula
After positioning the patient, a lateral neck incision was completed to access the esophagus. A tracheoesophageal fistula was identified, and the fistula was transected and repaired. The opening in the trachea was closed, and the esophagus was repaired. The subcutaneous tissue and skin were closed in layered sutures.
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Q. 9) Using the CPT manual, select the appropriate code for the following report.
Preoperative- and postoperative diagnosis: Infection of sublingual gland
Procedure: Removal of sublingual gland
The patient's mouth was anesthetized with local anesthetic. An intraoral incision was made in the mucosa. The tissue was dissected to expose the sublingual gland. The gland was swollen. The gland was freed from the surrounding tissue and then removed. The wound was closed with sutures. There was minimal blood loss.
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Q. 10) Using the CPT manual, select the appropriate code for the following procedure.
Choledochal stent placement
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