CPC CPT Surgery: Digestive System 2

Question 1

A patient with severe GERD undergoes a laparoscopic Nissen fundoplication. Which CPT code is appropriate?

Accepted Answer

43280

Answer

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?

Accepted Answer

45338

Answer

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?

Accepted Answer

44150

Answer

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?

Accepted Answer

Biliary Tract (47400-47999)

Answer

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?

Accepted Answer

49585

Answer

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.

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CPC CPT Surgery: Digestive System 2