Urinary System
WHAT IS URINARY SYSTEM ?
The Urinary System is a group of organs in the body concerned with filtering out excess fluid and other substances from the bloodstream. The substances are filtered out from the body in the form of urine.
KEY NOTES
1.Nephrectomy
2.Renal transplantation
3.Circumsission and type of delivery.
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Urinary system
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Question 1 |
A patient had a renal auto-transplantation extracorporeal surgery, re-implantation of a kidney, and a partial nephrectomy. How would you report this procedure?
A | 50340, 50380, 50240-51 |
B | 50543, 50370-52 |
C | 50380, 50240-51 |
D | 50380, 50240-59 |
Question 1 Explanation:
The code 50380 reports the auto-transplantation and re-implantation of a kidney. The parenthetical note under this code directs the use of the code for nephrectomy with modifier -51.
Question 2 |
Tom was placed under general anesthesia (by an anesthesiologist) for an excision of a local lesion of the epididymis. How would you report the surgeon’s services?
A | 54861-50 |
B | 54860-47 |
C | 54830, 00920-51 |
D | 54830 |
Question 2 Explanation:
You can find this answer in the CPT Professional Edition index under Excision, Lesion, Epididymis. Be careful with the index in this section and follow it to lesion or you may use the incorrect code
Question 3 |
Bill, a 52-year-old male patient, was admitted to the hospital and treated for prostatic malignancy. His doctor dictated a detailed history, detailed exam, and straightforward medical decision-making for admission. He was treated with interstitial transperineal prostate brachytherapy, including implantation of 51 iodine-125 seeds. His doctor visited him the day after the procedure. How would you report the professional service by the therapeutic radiologist who did both the implantation and brachytherapy?
A | 99222, 55876, 77763 x 51 |
B | 55875, 77778 |
C | 99221, 58715, 77783 |
D | 58346, 77799 x 125 |
Question 3 Explanation:
The code 55875 represents the procedure and the code 77778 is the clinical brachytherapy. Code 77778 includes admission to the hospital and daily visits. You can find this rule in the subcategory guidelines for Clinical Brachytherapy in the CPT Professional Edition.
Question 4 |
Alex suffered several injuries to his upper leg muscles and penis when he fell onto the bar of his touring bicycle. The day of the accident, Dr. Green completed muscle repair surgery to Alex’s upper legs. Today, three days after the leg surgeries, Dr. Green took Alex back to the operating suite to complete an unrelated repair to the penis. Dr. Green completed a plastic repair to correct the penal injury. What code(s) would capture today’s procedure?
A | 54440-79 |
B | 27385, 54440-59 |
C | 27393, 54620-79 |
D | 54440-26 |
Question 4 Explanation:
You can find this procedure in the index of the CPT Professional Edition under Repair, Penis, Injury. You would report modifier -79 for the unrelated procedure during a post-operative period by the same physician
Question 5 |
Harry had a couple of stones in both kidneys. He was taken into the lithotripsy unit and placed on the lithotripsy table in a supine position with the induction of anesthesia. The stones were well visualized and the patient received a total of 3,500 shocks with a maximum power setting of 3.0. The treatment was successful. How would you report this procedure?
A | 50590 |
B | 50561 |
C | 50060 |
D | 50080 |
Question 5 Explanation:
This is a lithotripsy, extracorporeal shock wave treatment. You can find this procedure in the index of the CPT Professional Edition under Lithotripsy.
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