Digestive System
WHAT IS DIGESTIVE SYSTEM ?
The digestive system includes the digestive tract and its accessory organs, which process food into molecules that can be absorbed and utilized by the cells of the body.
KEY NOTES
1.Diagnostic procedures are included in Surgical.
2.52 and 53 modifiers
3.Type of Diagnostic procedure.
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Digestive system
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Question 1 |
Dr. Blue performs a secondary closure of the abdominal wall for evisceration (outside the postoperative period). He opens the former incision and removes the remaining sutures;
necrotic fascia is debrided down to viable tissue. The abdominal wall is then closed with sutures. How would you report the closure?
A | 11043 |
B | This is a bundled procedure and not reported |
C | 39541 |
D | 49900 |
Question 1 Explanation:
You can find this answer in the index of the CPT Professional Edition under Suture, Abdomen.
Question 2 |
An 88-year-old male patient suffering from dementia accidentally pulled out his gastrostomy tube during the night. Dr. Keys, an interventional radiologist, takes him into an
angiography suite, administers moderate sedation (an independent observer was present during the procedure), probes the site with a catheter and injects contrast medium for
assessment and tube placement. Dr. Keys finds that the entry site remains open and replaced the tube into the proper position. The intra-service time for the procedure took 45 minutes.
How would Dr. Keys report his services?
A | 49440, 99149, 99150 |
B | 49440, 49450-59 |
C | 49450, 99144, 99145 |
D | 49450 |
Question 2 Explanation:
This is a replacement procedure via the same access site. The same provider who does the procedure reports the moderate sedation codes. You can find the rules for moderate
sedation in Appendix G of the CPT Professional Edition.
Question 3 |
Dr. Erin is treating a 58-year-old male patient with a history of chewing tobacco. Dr. Erin finds a 3.4 cm tumor at the base of his tongue. She places needles under fluoroscopic
guidance for sub-sequential interstitial radioelement application. How would you report the professional services?
A | 41019, 77002-26 |
B | 41019, 77012-26, 77021-26 |
C | 61770, 41019-59 |
D | 77002 |
Question 3 Explanation:
You should append modifier -26 to the radiology code to indicate the professional portion of this procedure. You can find this procedure in the index of the CPT Professional Edition under Placement, Needle, Interstitial Radioelement Application, Head.
Question 4 |
Heather lost her teeth following a motorcycle accident. She underwent a posterior, bilateral vestibuloplasty, which allows her to wear complete dentures. How would you report
this procedure?
A | 40845, 15002 |
B | 40843-50 |
C | 40844 |
D | 40843 |
Question 4 Explanation:
You can find this answer in the index of the CPT Professional Edition under Vestibuloplasty. You can find the definition of the vestibule of the mouth at the beginning of the digestive system above code 40800. Modifier -50 isn’t necessary because the code description states “bilateral.”
Question 5 |
Lynn has a family history of colon cancer and is scheduled for a screening colonoscopy. During the procedure, three polyps were discovered and removed via hot biopsy forceps
technique. The polyps were reported as benign. What procedure(s) codes capture these services?
A | 45331 |
B | 45384 |
C | 45378 |
D | 45378, 45384 |
Question 5 Explanation:
This answer must have the diagnosis codes and procedure code. The diagnoses codes report special screening for the colonoscopy, family history of colon cancer, and benign
polyps of the colon. The procedure code 45384 reports a therapeutic procedure with removal of the polyps.
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