CPC CPT Surgery: Digestive System 2 — Questions and Answers
Question 1: A patient with severe GERD undergoes a laparoscopic Nissen fundoplication. Which CPT code is appropriate?
- 43280 (Correct answer)
- 43327
- 43324
- 43289
Correct answer: 43280
CPT 43280 represents laparoscopic surgical fundoplication, while 43327 is the open Nissen fundoplication approach.
Question 2: A patient undergoes a flexible sigmoidoscopy with removal of a polyp by snare technique. Which CPT code applies?
- 45330
- 45333
- 45338 (Correct answer)
- 45335
Correct answer: 45338
CPT 45338 specifically describes sigmoidoscopy with removal of tumor(s) or polyp(s) by snare technique, distinguishing it from 45333 which uses hot biopsy forceps.
Question 3: Which CPT code describes a total abdominal colectomy without proctectomy with creation of an ileostomy?
- 44155
- 44150 (Correct answer)
- 44151
- 44158
Correct answer: 44150
CPT 44150 represents a total abdominal colectomy without proctectomy with ileostomy or ileoproctostomy, while 44155 includes proctectomy.
Question 4: A patient with a bile duct stricture undergoes a Roux-en-Y hepaticojejunostomy. In which CPT subsection would the appropriate code be found?
- Liver (47000-47399)
- Biliary Tract (47400-47999) (Correct answer)
- Pancreas (48000-48999)
- Intestines (44000-44799)
Correct answer: Biliary Tract (47400-47999)
Hepaticojejunostomy is a biliary reconstruction procedure coded from the Biliary Tract section (47400-47999) because it involves bile duct reconstruction.
Question 5: A 45-year-old patient undergoes open repair of a reducible umbilical hernia. Which CPT code is most appropriate?
- 49580
- 49582
- 49587
- 49585 (Correct answer)
Correct answer: 49585
CPT 49585 is used for open repair of a reducible umbilical hernia in patients older than 5 years, while 49580 is for children 5 years and younger.
Question 6: A physician performs esophageal dilation using an unguided bougie dilator. Which CPT code is correct?
- 43453
- 43450 (Correct answer)
- 43460
- 43248
Correct answer: 43450
CPT 43450 is used for dilation of the esophagus by unguided sound or bougie, while 43453 requires a guide wire and 43248 uses endoscopic guidance.
Question 7: A patient with morbid obesity undergoes a laparoscopic Roux-en-Y gastric bypass with a roux limb of 100 cm. Which CPT code applies?
- 43846
- 43775
- 43645
- 43644 (Correct answer)
Correct answer: 43644
CPT 43644 represents laparoscopic gastric bypass with Roux-en-Y gastroenterostomy with a roux limb of 150 cm or less, while 43846 is the open approach and 43775 is for sleeve gastrectomy.
CPC CPT Surgery: Digestive System 2
A patient with severe GERD undergoes a laparoscopic Nissen fundoplication.
Which CPT code is appropriate?