Nervous System

Question 1

Thyroidectomies

Answer 1

Specific to partial/complete, unilateral/bilateral, with/without neck dissection

Question 2

Endoscopic procedures

Answer 2

Endoscopic technique/approach included

Question 3

Craniectomy/craniotomy

Answer 3

Code most extensive procedure

Question 4

61316

Answer 4

Incision and placement of cranial bone graft, coded in addition to procedure

Question 5

Extensive dural grafting, cranioplasty, pedicle flaps, or extensive skin grafting

Answer 5

Report repair/reconstruction

Question 6

Laminectomy

Answer 6

Excision of the lamina

Question 7

Laminotomy

Answer 7

Incision of the lamina

Question 8

Laminectomy/laminotomy procedure methods

Answer 8

Percutaneous, Endoscopic, open, indirect visualization, direct visualization

Question 9

Laminectomy/laminotomy

Answer 9

Per vertebral segment or interspace

Question 10

Endovascular therapy codes

Answer 10

Include selective catheterization, diagnostic imaging, radiological supervision, and interpretation

Question 11

Intracranial vessels

Answer 11

Divided into right carotid, left carotid, and veretro-basilar

Question 12

Aneurysms >15 mm

Answer 12

61697-61698

Question 13

Refilling/maintaining spinal infusion pump

Answer 13

95990

Question 14

Diagnostic lumbar puncture

Answer 14

62270

Question 15

Therapeutic lumbar puncture

Answer 15

62272

Question 16

Spinal cord neurostimulators

Answer 16

Coded by site stimulated

Question 17

Reprogramming of shunt

Answer 17

62252

Question 18

Irrigation/aspiration of shunt reservoir or tubing

Answer 18

61070

Question 19

Trunk muscles

Answer 19

Erector spina and paraspinal, rectus abdominus, and obliques

Question 20

Somatic muscles

Answer 20

Extremities, head or neck

Question 21

Internal neurolysis with use of microscope

Answer 21

64727

Question 22

Open carpal tunnel repair

Answer 22

64721

Question 23

Arthroscopic carpal tunnel repair

Answer 23

29848

Question 24

Cataracts

Answer 24

Require anatomical modifier

Question 25

Eye and ocular adnexa

Answer 25

65771 regardless of technique

Question 26

Complex extracapsular cataract removal with insertion of extraocular lens

Answer 26

66982

Question 27

extracapsular cataract removal with insertion of extraocular lens when endoscopic cyclophotocoagulation is also performed

Answer 27

66987/66988

Question 28

Retinal detachment repair

Answer 28

67113, can add 69990 operating microscope when an opthalmic Endoscope is used

Question 29

Adjustable sutures in strabismus Surgery

Answer 29

67335 in addition to surgery code

Question 30

Strabismus surgery requiring exploration/repair of detached extraocular muscles

Answer 30

67340 in addition to surgery code

Question 31

Removal of impacted cerumen

Answer 31

Must document "impacted"

Question 32

69210

Answer 32

Surgical instrumentation must be used

Question 33

69209/69210

Answer 33

Unilateral, must use modifier 50 for bilateral

Question 34

Non impacted cerumen removal

Answer 34

Use E/M code

Question 35

Myringotomy

Answer 35

Incision only into Eustachian tube

Question 36

Tympanostomy

Answer 36

Incision into Eustachian tube and placement of tube, prosthesis or graft included

Question 37

Cochlear device implantation with mastoidectomy

Answer 37

69930

Question 38

Cochlear device implantation by 2 surgeons

Answer 38

Code 69930-62 for both surgeons