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CPC Questions and Answers

Question # 1

Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.

What diagnosis coding is reported for the second colonoscopy?

A.

Z09, Z86.010

B.

K63.5

C.

Z86.010, K63.5

D.

Z09, K63.5

Question # 2

A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three muscle injections in both upper extremities and seven injections in six paraspinal muscles.

How are these injections reported according to the CPT® guidelines?

A.

64644, 64647 x 7

B.

64642-50, 64643-50, 64647

C.

64642, 64643, 64647

D.

64642 x 3, 64642 x 3, 64647 x 7

Question # 3

A 47-year-old female presents to the operating room for a partial corpectomy on one upper thoracic vertebral body, T3. Two surgeons are performing the surgery. One surgeon performs the transthoracic approach and excises the damaged portion of the vertebral body. The second surgeon inserts a bone graft into the vertebral gap, closing the gap, and inserts a metal plate. Both surgeons work together, each as a primary surgeon.

How does each surgeon report their portion of the surgery?

A.

63090-66, 63091-66

B.

63087-62, 63088-62

C.

63090-80, 63091-80

D.

63085-62, 63086-62

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