Using the CPT manual, select the appropriate code for the following procedure.
Preoperative and postoperative diagnosis: Mass in mediastinum
Procedure: Open exploration of the mediastinum with biopsy
Pathology: Pending
The patient was prepped, and an incision was made low in the front of the neck. The sternomastoid muscles and the cranial vessels were visualized and were pulled to the side. The trachea and thyroid were drawn to the center, exposing the space behind the esophagus. A mass was seen, and a biopsy was taken. Penrose drains were placed. The incision was closed with sutures. Minimal blood loss occurred. The patient was sent to the recovery room in satisfactory condition.
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Q. 2) Using the CPT manual, select the appropriate code for the following report.
Preoperative and postoperative diagnosis: Diaphragmatic tear
Procedure: Repair of diaphragm
The patient was prepped and draped in a sterile fashion. A chest incision was made to expose the tear in the diaphragm. The tear was visualized, and an artificial patch was used to repair the defect. In addition, nonabsorbable sutures were used to reinforce the patch. The chest incision was closed with staples, and a sterile dressing was applied. The patient was in stable condition and was taken to the recovery room.
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Q. 3) Using the CPT manual, select the appropriate code for the following report.
Patient age: 4 days old
Preoperative and postoperative diagnosis: Diaphragmatic hernia
Procedure: Hernia repair
The patient was prepped and draped in the usual fashion. A transabdominal incision was made, and the herniated stomach was visualized. The stomach was returned to the appropriate position in the abdominal cavity. The hernia sac was cut away and removed. Sutures were placed in the diaphragm to narrow the enlarged opening. A chest tube was inserted. The abdomen was closed. Drains were placed, and the wound was sutured. The patient tolerated the procedure and was sent to the recovery room in stable condition.
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Q. 4) Select the appropriate code for the following procedure.
Preoperative and postoperative diagnosis: Mediastinal cyst
Procedure: Removal of cyst
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Q. 5) Select the appropriate CPT code for the following procedure.
Biopsy of mediastinum via mediastinoscopy
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Q. 6) Select the appropriate CPT code for the following procedure.
Removal of mediastinal tumor
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Q. 7) An unlisted procedure completed on the diaphragm would be reported with code ____________________.
Fill in the blank(s) with correct word
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Q. 8) An unlisted procedure completed in the mediastinum would be reported with code ____________________.
Fill in the blank(s) with correct word
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Q. 9) The space in the thoracic cavity that lies behind the sternum and between the two pleural sacs is called the ____________________.
Fill in the blank(s) with correct word
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Q. 10) The only hernia repair codes that are NOT located in the digestive system range of codes are the codes for the repair of ____________________ hernias.
Fill in the blank(s) with correct word
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