Urinary, Male/Female Reproductive Systems, Maternity/DeliverySally was seen today for a percutaneous aspiration of a cyst of the left kidney with a translumbar renal cyst study. Select the appropriate ICD-10-CM and CPT code(s):

PathologyHistory: The patient is a 79-year-old male with dyspepsia and weight loss. A recent supraclavicular lymph node biopsy revealed signet-ring cell adenocarcinoma.Specimen site: StomachGross description: Received in formalin is a 10.0- × 6.5- × 3.2-cm segment of stomach, with a palpable firm 4.0- × 2.2-cm mass on the designated lesser curvature. The external surface of the specimen is unremarkable and inked black. The cut surfaces demonstrate the mass and adjacent firm areas of nodularity. The remainder of the gastric mucosa is unremarkable. Six lymph node candidates and representative sections of the stomach are submitted.Microscopic description: Microscopic examination was performed. See synoptic report. The uninvolved stomach shows chronic inactive gastritis with intestinal metaplasia.Diagnosis: Stomach (proximal): Invasive adenocarcinomaComment: Signet-ring cell carcinomas are not typically graded but are high-grade and would correspond to grade 3.Select the appropriate ICD-10-CM and CPT code(s):

RadiologyUpon orders from Dr. Clyos, a portable x-ray machine was transported to the city nursing home for chest x-rays of a patient with possible tuberculosis. The diagnosis was nodular lesions and patchy infiltrates in the upper lobes. Select the appropriate ICD-10-CM and CPT code(s):

PathologySection: Kidney (left): AdenocarcinomaMACROSCOPICSpecimen type: Radical nephrectomyLaterality: LeftTumor site: Upper poleFocality: UnifocalTumor size: Greatest dimension is 7.2 cm.Macroscopic extent of tumor: Tumor extends into major veins.MICROSCOPICHistologic type: Clear cell (conventional) renal carcinomaHistologic grade: Furhman Nuclear Grade 2PATHOLOGIC STAGING (pTN)Primary tumor (pT): pT3Regional lymph nodes (pN): NxNumber of lymph nodes examined: 0Number of lymph nodes involved: 0Margins: Renal vein margin positiveAdrenal gland: UnevolvedVenous (large vessel) invasion (V) (excluding renal vein and inferior vena cava): NegativeLymphatic (small vessel) invasion (L): PresentAdditional pathologic findings: Chronic glomerulonephritis present in noninvolved renal parenchymaClinical history: A 76-year-old male with a left renal mass in the upper pole; hematuriaGross description section: Received in formalin, labeled “left kidney,” is a 12.2- × 7.1- × 2.5-cm kidney with unremarkable perirenal fat present at the upper pole (suture oriented, per requisition). A 2.3 cm in length segment of ureter exits from the hilum. The renal vein appears occluded. The cut sections demonstrate a 7.2- × 1.5- × 1.5-cm brown-orange circumscribed tumor with sharp borders present in the upper pole. Gerota’s fascia appears uninvolved. The tumor extends into the renal vein; the venous margin appears positive for tumor.Microscopic section: Microscopic examination was performed.Select the appropriate ICD-10-CM and CPT code(s):

MedicineJim Jones is a 32-year-old from Maryland who was in town last week with ESRD. He was seen for four dialysis treatments this month. Select the appropriate ICD-10-CM and CPT code(s):

MusculoskeletalThe patient was seen for I&D of simple carbuncle on the left thigh. Code this procedure with the appropriate ICD-10-CM and CPT code(s):

Respiratory/CardiovascularJeffrey has developed cellulitis in his neck from his tracheostomy surgery for adenocarcinoma of the larynx. A tracheostoma revision, simple without flap rotation, was performed. Select the appropriate ICD-10-CM and CPT code(s):

Medical TerminologyA disease caused by overproduction of the growth hormone after puberty is:

Medical TerminologyPresbycusis is defined as:

Coding Guidelines/Compliance/Practice ManagementWhich of the following HCPCS modifiers would be appended in order to report to the payer that an Advanced Beneficiary Notice is on file at the physician’s office?