Week Five CPT/ICD-9-CM Test

A 67-year-old man is admitted for a pancreatectomy. A CT scan performed last week revealed a mass in the tail and body of the pancreas. The patient is prepped and anesthesia administered. The pancreas is exposed through an abdominal incision. At the junction of the head and body of the pancreas, transection of the pancreas is accomplished with removal of the distal portion of the pancreas. The wound is closed with staples, and the patient is taken to recovery.

Select the appropriate ICD-9-CM Volume III procedure code for a pancreatectomy; removal of the distal portion of the pancreas.

A 28-year-old woman is admitted with a malignant mass in the left breast. A biopsy was performed last week, and pathology showed presence of carcinoma that has not spread outside the margins. The surgeon performed a modified radical mastectomy, including axillary lymph nodes and pectoralis minor muscle. Patient tolerated procedure well.

Select the correct CPT code(s) for the surgeon to bill for this service.

A 28-year-old woman is admitted with a malignant mass in the left breast. A biopsy was performed last week, and pathology showed presence of carcinoma that has not spread outside the margins. The surgeon performed a modified radical mastectomy, including axillary lymph nodes and pectoralis minor muscle. Patient tolerated procedure well.

Select the appropriate ICD-9-CM Volume III procedure code for the significant procedure.

Patient admitted for removal of malignant neoplasm of the kidney and ureter. Under general anesthesia, incision is made in the skin of the flank and carried down to muscles, fat, and membrane overlying kidney. The kidney, ureter, and bladder are mobilized. The ureter, major blood vessels, and a small part of the bladder are severed and cut off, then removed through the flank incision. Controlled bleeding, bladder is sutured, catheterization and clamps removed. A layered closure is performed.

Select the appropriate ICD-9-CM Volume III procedure code for a malignant neoplasm of the kidney and ureter significant procedure.

Patient admitted for removal of malignant neoplasm of the kidney and ureter. Under general anesthesia, incision is made in the skin of the flank and carried down to muscles, fat, and membrane overlying kidney. The kidney, ureter, and bladder are mobilized. The ureter, major blood vessels, and a small part of the bladder are severed and cut off, then removed through the flank incision. Controlled bleeding, bladder is sutured, catheterization and clamps removed. A layered closure is performed.

Select the correct CPT code(s) for the surgeon to bill for this service.

Assign and sequence ICD-9 diagnosis code describing the patient’s condition during the following inpatient stay.

Patient was discharged with a diagnosis of probable myocardial infarction.

Assign and sequence ICD-9 diagnosis code describing the patient’s condition during the following inpatient stay.

Patient is admitted with epigastric pain due to acute pancreatitis.