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CPT Surgery: Digestive System Flashcards

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  1. Which CPT code range contains procedures for excision of a Meckel's diverticulum?

    Answer: 44800-44899

    CPT codes 44800-44899 specifically cover procedures on Meckel's diverticulum and intestinal diverticula as a dedicated subsection.

  2. A patient presents with upper GI bleeding and undergoes an EGD with hemostasis using thermal cautery. Which CPT code is appropriate?

    Answer: 43255

    CPT 43255 describes EGD with control of bleeding by any method, including thermal cautery, injection therapy, or endoclips.

  3. A 55-year-old male undergoes initial open repair of a reducible indirect inguinal hernia. Which CPT code is most appropriate?

    Answer: 49505

    CPT 49505 is used for initial inguinal hernia repair in patients 5 years or older when the hernia is reducible, while 49507 is for incarcerated hernias and 49520 is for recurrent hernias.

  4. A patient undergoes ERCP with sphincterotomy of the sphincter of Oddi. Which CPT code applies?

    Answer: 43262

    CPT 43262 specifically describes ERCP with sphincterotomy/papillotomy, distinguishing it from diagnostic ERCP (43260), stone removal (43264), and sphincter pressure measurement (43263).

  5. A surgeon performs a partial hepatic lobectomy. Which CPT code is most appropriate?

    Answer: 47120

    CPT 47120 represents hepatectomy with partial lobectomy, while 47000 is for needle biopsy and 47010 is for open drainage of a liver abscess.

  6. A radiologist places a gastrostomy tube percutaneously under fluoroscopic guidance. Which CPT code is correct?

    Answer: 49440

    CPT 49440 is used for percutaneous gastrostomy tube insertion under fluoroscopic guidance, while 43246 involves endoscopic (EGD) guidance for tube placement.

  7. During a colonoscopy, the physician removes one polyp by hot biopsy forceps and another at a separate site by snare technique. How should this be coded?

    Answer: Report 45338 as the primary code and 45333 with modifier -59

    When different polypectomy techniques are used during the same colonoscopy, the higher-valued procedure (45338, snare) is listed first and the additional technique (45333, hot biopsy forceps) uses modifier -59 to indicate a distinct procedural service.

CPT Surgery: Digestive System Flashcards โ€” CPC Study Cards with Answers