27524 Cpt Code

Question: Match the treatment type with the definition.

  1. Percutaneous

  2. 2. Closed

  3. 3. Open

  4. Answer: Percutaneous = Insertion of devices through the skin

Closed = Not surgically opened

Open = Surgically opened to surgeon’s view or remotely opened

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Question: Dislocation codes are often divided based on which item?

  1. Manipulation

  2. B. Extent of dislocation

  3. C. If anesthesia was used

  4. D. Complexity of the dislocation

  5. Answer: Manipulation

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  7. Question: Percutaneous skeletal fixation of one carpometacarpal dislocation of the right third digit requiring manipulation.

  8. CPT Code:

  9. Answer: 26676-F7

  10. *Use the CPT index and look for Dislocation, Carpometacarpal Joint, Percutaneous Fixation. Then check the code 26676 which is listed.

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  12. Question: Open treatment of patellar fracture with complete patellectomy and soft tissue repair.

CPT Code

Answer: 27524

*Use the CPT index and look for Fracture, Patella, Open treatment. The code 27524 is listed. Check this code in the tabular section.

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Question: Repair of a tibial shaft fracture with fibular fracture, percutaneous skeletal fixation.

CPT Code:

Answer: 27756

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Question: Closed treatment of scapular fracture, without manipulation.

CPT Code:

Answer: 23570

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Question: Preoperative Diagnosis: Displaced, rotated fractures of left index and long metacarpal shafts.

Postoperative Diagnosis: Same.

Operation: Closed reduction and percutaneous pin fixation of displaced fractures of the left index and long metacarpal shafts.

Indications: The patient is a 22-year-old, right-hand dominant man who sustained left index and long metacarpal shaft fractures when stepped on while playing soccer a few days ago. He was treated with a provisional reduction and casting in the emergency department with unsatisfactory alignment. He was subsequently referred to my office and was found to have internal rotation and shortening deformities through the index and long metacarpal shaft fractures and was subsequently scheduled for closed, possible open reduction and percutaneous pin fixation or possible internal fixation of the above-mentioned fractures.

Procedure: The patient was placed in the supine position on the operating table. He was administered a general anesthetic. Left proximal arm tourniquet was placed and the left upper extremity was prepped and draped in the usual sterile fashion. The arm was exsanguinated with an Esmarch bandage and the tourniquet inflated to 250 mm Hg.

Sterile finger traps and ropes were then applied to the left index and long fingers and 10 lb of weight was then applied over the end of the hand table. The fractures were then gently manipulated and multiple fluoroscopic views were obtained, which revealed satisfactory alignment.

Attention was then turned to the index metacarpal shaft fracture, which was percutaneously pinned from its radial to ulnar aspect, with excellent purchase being obtained on both sides. X-rays were then taken, which revealed anatomic alignment. Attention was then turned to the long metacarpal shaft fracture, which was still slightly distracted and displaced. Additional manipulation was performed. A pin was initially inserted from radial to ulnar, which resulted in further distraction of the fracture. The pin was then removed and another pin was inserted from the ulnar to radial. This appeared to close the fracture gap and held the fracture in better alignment. A second pin was then placed just proximal and parallel to the original pin, with resultant satisfactory alignment. There was still slight gapping at the fracture site, but the rotation and angulation were corrected.

The finger traps were removed and the fingers were flexed to a satisfactory degree. All finger tips appeared to point to the distal pole without any evidence of angulation or rotation malalignment.

The pins were trimmed and bent over at 90-degree angles. The pin site was irrigated and Xeroform dressings were applied. Sterile gauze, compressed hand dressing was then applied, reinforced with a plaster cast with the hand placed in the intrinsic plus position and the PIP joint free.

The patient tolerated the procedure well, estimated blood loss was 0.2 ml. The patient was sent to the recovery room in satisfactory condition with instructions for strict hand elevation in a Carter arm pillow. He was given a prescription of Vicodin to be taken on an as-needed basis and was advised to call the office for a follow-up appointment in 10 to 14 days for cast change. He was advised to call the office if any problems or questions should arise prior to his scheduled appointment.

CPT Codes:

Answer: 26608-F1,

26608-F2

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Question: According to the notes in the CPT before 20100, Wound Exploration, you would code ________ separately and not code the wound exploration codes.

  1. debridement

  2. B. removal of foreign bodies

  3. C. ligation of blood vessels

  4. D. grafting.

  5. Answer: . grafting

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  7. Question: The Excision category of codes contains biopsy codes for both bone and muscle.

  8. A. True

  9. B. False

  10. Answer: TRUE

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  12. Question: Arthrocentesis of toe joint, both injection and aspiration, without guidance.

  13. CPT Code:

  14. Answer: 20600

*Look under Arthrocentesis, Small Joint in the index of your CPT manual.

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Question: Cranial halo application.

CPT Code:

Answer: 20661.

*Look under Cranial Halo in the index of your CPT manual.

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Question: Removal of nail head from thigh muscle, simple.

CPT Code:

Answer: 20520.

*Look under Muscle, Removal, Foreign Body

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Question: Corticosteroid injection of ganglion cyst of wrist. Code only the injection procedure, not the drug injected.

CPT Code:

Answer: 20612 and can be found under Injection, Ganglion Cyst.

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Question: Posterior arthrodesis for kyphosis, six vertebral segments.

CPT Code:

Answer: 22800 and can be found under Arthrodesis, Vertebra, Spinal Deformity, Posterior Approach.

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Question: Osteotomy of one cervical vertebral segment including a discectomy and using an anterior approach.

CPT Code:

Answer: 22220. It can be found under Osteotomy, Vertebra, Cervical, Anterior Approach.

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Question: Excision of a 3.5 cm subcutaneous soft tissue tumor of shoulder.

CPT Code:

Answer: 23071 and can be found under Excision, Tumor, Shoulder.

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Question: Simple excision of a benign cyst of the mandible.

CPT Code:

Answer: 21040

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Question: Temporomandibular joint arthrotomy.

CPT Code:

Answer: 21010

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Question: Impression and preparation of a custom nasal prosthesis.

CPT Code:

Answer: 21087

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Question: Open treatment of orbital floor fracture, blowout type, using a combined transantral and periorbital approach.

CPT Code:

Answer: 21387

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Question: When coding fracture repairs, you would code the application and removal of a cast separately.

  1. True

  2. B. False

  3. Answer: FALSE

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  5. Question: Which of the following is always a part of a surgical arthroscopy?

  6. A. Inpatient care

  7. B. Outpatient care

  8. C. Diagnostic arthroscopy

  9. D. Application of casting materials

  10. Answer: Diagnostic arthroscopy

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  12. Question: Application of a full-body cast, including head, Minerva type.

  13. CPT Code:

  14. Answer: look under Cast, Body Cast, Upper Body and Head in the index of your CPT manual.

  15. 29040.

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  17. Question: Application of a Risser jacket to the body.

  18. CPT Code:

  19. Answer: try looking it up under Cast, Body, Risser Jacket.

  20. 29010.

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  22. Question: Subsequent application of a walker to a previously applied long-leg cast.

  23. CPT Code:

  24. Answer: Try looking under Cast, Walking, Revision in the index of your CPT manual.

  25. 29440.

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  27. Question: Windowing of a walking cast.

  28. CPT Code:

  29. Answer: 29730, and it can be found by looking under Cast, Windowing.

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  31. Question: Application of long-leg splint from thigh to toes.

  32. CPT Code:

  33. Answer: 29505. It can be found by looking under Splint, Leg, Long.

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  35. Question: Initial application of a static finger splint.

  36. CPT Code:

  37. Answer: 29130. It can be found by looking under Splint, Finger.

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  39. Question: Diagnostic arthroscopy of elbow with synovial biopsy.

  40. CPT Code:

  41. Answer: 29830, and it can be found by looking under Arthroscopy, Diagnostic, Elbow.

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  43. Question: Surgical arthroscopy of infected knee with lavage and drainage.

  44. CPT Code:

  45. Answer: 29871, and it can be found by looking under Arthroscopy, Surgical, Knee.

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  47. Question: Surgical arthroscopy of elbow with extensive debridement.

  48. CPT Code:

  49. Answer: 29838. It can be found under Arthroscopy, Surgical, Elbow.

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  51. Question: Thorax strapping on a 4-year-old established patient.

  52. CPT Code:

  53. Answer: 29200

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  55. Question: Wedging of a short-leg cast.

  56. CPT Code

  57. Answer: 29740

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  59. Question: Short-leg clubfoot cast application with molding.

  60. CPT Code:

  61. Answer: 29450

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  63. Question: Shoulder arthroscopy with resection of multiple adhesions and requiring manipulation.

  64. CPT Code:

  65. Answer: 29825

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  67. Question: This term describes a reduction:

  68. a. rotation

  69. b. traction

  70. c. manipulation

  71. d. stabilization

  72. Answer: manipulation

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  74. Question: This treatment of a fracture requires the fracture to be exposed to view.

  75. a. closed

  76. b. open

  77. c. mixed

  78. d. percutaneous

  79. Answer: open

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  81. Question: Which of the following terms describes traction by use of strapping, elastic wraps, or tape?

  82. a. skin

  83. b. multiple method

  84. c. closed

  85. d. skeletal

  86. Answer: skin

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  88. Question: Wound exploration codes have the following service(s) bundled into the codes:

  89. exploration, including enlargement, repair; necessary grafting

b. exploration, including enlargement; removal of foreign body(s), repair

c. exploration and repair

d. exploration, including enlargement; debridement, removal of foreign body(s) minor vessel ligation, repair

Answer: exploration, including enlargement; debridement, removal of foreign body(s) minor vessel ligation, repair

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Question: The application of a cranial halo is a form of:

  1. internal fixation

  2. b. external fixation

  3. c. insertional device

  4. d. implantation fixation

  5. Answer: external fixation

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  7. Question: This type of graft is often taken from the mid-upper thigh area.

  8. a. tissue

  9. b. paratenon

  10. c. bone

  11. d. fascia lata

  12. Answer: fascia lata

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  14. Question: Insertion of a device into a muscle compartment to measure the pressure within the muscle is monitoring of:

  15. a. interstitial fluid pressure

  16. b. microvascular pressure

  17. c. electrical flow

  18. d. stimulation pressure

  19. Answer: interstitial fluid pressure

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  21. Question: Fast becoming the treatment of choice for many orthopedic surgical procedures is what type of procedure:

  22. a. ultrasonic/laser

  23. b. endoscopy/arthroscopy

  24. c. closed

  25. d. electrical stimulation

  26. Answer: endoscopy/arthroscopy

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  28. Question: Which of the following is not a fracture treatment:

  29. a. percutaneous

  30. b. replantation

  31. c. open

  32. d. closed

  33. Answer: replantation

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  35. Question: Which of the following flaps describes a bone graft that is taken along with the skin and tissue that overlies the bone:

  36. a. myocutaneous

  37. b. free osteocutaneous

  38. c. free

  39. d. dermis/epidermis

  40. Answer: free osteocutaneous

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  42. Question: Arthroscopic medial meniscus repair. CPT Code:

  43. Answer: 29882

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  45. Question: Scar revision of amputation site lower right arm (ulna and radius). CPT Code:

  46. Answer: 25907-RT

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  48. Question: Open treatment of a hip fracture of proximal end with prosthetic femoral hip replacement. CPT Code:

  49. Answer: 27236

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  51. Question: Closed treatment of hip dislocation, status post hip arthroplasty, without anesthesia. CPT Code:

  52. Answer: 27265

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  54. Question: Arthrodesis of elbow joint. CPT Code:

  55. Answer: 24800

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