20000 series

44‐year‐old male with biplanar deformity, acquired limb length discrepancies and tibial nonunion has undergone deformity correction. He now requires exchange of an external fixation strut 45 days postoperatively. The intraoperative mounting parameters, deformity parameters, and initial strut settings are inserted into the computer prior to Jim's discharge and a daily schedule is generated for him to perform the gradual deformity correction necessary. What CPT® code(s) should be reported?

20697

A patient is given Xylocaine, a local anesthetic, by injection in the thigh above the site to be biopsied. A small bore needle is then introduced into the muscle, about 3 inches deep, and a muscle biopsy is taken. What CPT® code is reported for this service

20206

The patient presents today for closed reduction of the nasal fracture. The depressed right nasal bone was elevated using heavy reduction forceps while the left nasal bone was pushed to the midline. This resulted in good alignment of the external nasal dorsum. What CPT® code is reported for this procedure?

21315

A 22‐year‐old female has a retained Kirschner wire in the left little finger. Using local anesthesia, the left upper extremity was thoroughly cleansed with Betadine. The end portion of the little finger was opened by a transverse incision through the subcutaneous tissue to the bone. The retained Kirschner wire was located within the distal phalanx. It was removed and closed with sutures. What CPT® code is reported?

A. 10120‐F4

B. 20680‐F4

C. 20670‐F4

D. 10121‐F4

correct answer B

The patient has a torn medial meniscus. An arthroscope was placed through the anterolateral portal for the diagnostic procedure. The patellofemoral joint showed grade 2 chondromalacia on the patellar side of the joint only, this was debrided with a 4.0‐mm shaver. The medial compartment was also entered and a complex posterior horn tear of the medial meniscus was noted. It was probed to define its borders. A meniscectomy was carried out to a stable rim. What CPT® code(s) is/are reported?

A. 29880

B. 29870, 29877‐59

C. 29881, 29877‐59

D. 29881

correct answer D

A 3‐year‐old is brought into the ER crying. He cannot bend his left arm after his older brother twisted it. The physician performs an X‐ray to diagnose the patient has a dislocated nursemaid's elbow. The ER physician reduces the elbow successfully. The patient is able to move his arm again. The patient is referred to an orthopedist for follow‐ up care. What CPT® and ICD‐10‐CM codes are reported?

A. 24640‐54‐LT, S53.032A, W50.2XXA

B. 24565‐54‐LT, S53.194S, Y33.XXXA

C. 24640‐54‐LT, S53.091A, W50.2XXA

D. 24600‐54‐LT, S53.002A, W49.9XXA

correct answer A

A 50‐year‐old male had surgery on his upper leg one day ago to remove an intramuscular tumor and presents with serous drainage from the wound. He was taken back to the operating room for evaluation of a hematoma. His wound was explored down to the rectus femoris muscle, and there was a hematoma, which was very carefully evacuated. The wound was irrigated with antibacterial solution, and the wound was closed in multiple layers. What CPT® and ICD‐10‐CM codes are reported?

A. 10140‐79, M96.810

B. 27603‐78, T81.4XXA

C. 10140‐76, T81.9XXA

D. 27301‐78, M96.831

correct answer D

A 22‐year‐old female sustained a dislocation of the right elbow with a medial epicondyle fracture while on vacation. The patient was put under general anesthesia and the elbow was reduced and was stable. The medial elbow was held in the appropriate position and was reduced in acceptable position and elevated to treat non‐ surgically. A long arm splint was applied. The patient is referred to an orthopedist when she returns to her home state in a few days. What CPT® code(s) are reported?

A. 24575‐54‐RT, 24615‐54‐51‐RT

B. 24576‐54‐RT, 24620‐54‐51‐RT

C. 24577‐54‐RT, 24600‐54‐51‐RT D. 24565‐54‐RT, 24605‐54‐51‐RT

Correct answer D

A 45‐year‐old presents to the operating room with a right index trigger finger and left shoulder bursitis. The left shoulder was injected with 1 cc of Xylocaine, 1 cc of Celestone, and 1 cc of Marcaine. An incision was made over the A1 pulley in the distal transverse palmar crease, about an inch in length. This incision was taken through skin and subcutaneous tissue. The Al pulley was identified and released in its entirety. The wound was irrigated with antibiotic saline solution. The subcutaneous tissue was injected with Marcaine without epinephrine. The skin was closed with 4‐0 Ethilon suture. Clean dressing was applied. What CPT® codes are reported?

A. 26055‐F6, 20610‐76‐LT

B. 20552‐F6, 20605‐52‐LT

C. 26055‐F6, 20610‐51‐LT

D. 20553‐F6, 20610‐51‐LT

correct answer C

What ICD‐10‐CM code is used to report effusion of the right ankle joint?

A. M25.471

B. M25.474

C. M25.48

D. M25.571

Correct answer A