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?

Medical TerminologyThe patient presented with jaundiced skin. This means that the skin appeared:

Nervous System, Eyes, Ears, EndocrinePreoperative diagnosis: Right subdural hematomaPostoperative diagnosis: Right subdural hematomaProcedure performed: Right temporoparietal craniotomy for evacuation of subdural hematomaAnesthesia: General endotrachealComplications: NoneConditions: StableIndications for procedure: Mr. Green is a 45-year-old male with a known history of alcoholism. He reported falling today, with loss of consciousness for about 20 minutes. Upon arrival at the ED, he was minimally responsive, with some spontaneous movement on the right side. He was intubated and taken to CT, which demonstrated a large right temporal subdural hematoma with 2.5-cm midline shift and effacement of the right lateral ventricle.Description of procedure: The patient was brought to the OR already intubated. General anesthesia was induced. He was given Ancef for preoperative prophylactic IV antibiotics. Lacri-Lube was placed in both eyes, which were then taped shut. A Foley was placed. The patient was positioned supine on the operating room table with the right side elevated with a gel roll. The head was secured in the three-point Mayfield head-holder with the right side up. All pressure points were inspected and padded adequately. The patient’s scalp was clipped, prepped, and draped in standard sterile surgical fashion. Local anesthetic was infiltrated along the line of the planned skin incision. A right temporoparietal inverted-question-mark incision was performed with a #10 blade down to the level of the periosteum. The scalp flap, along with the muscle and periosteum, was elevated and reflected anteriorly and held in place with fishhooks. Raney clips were applied to the skin edges. Using the high-speed Midas Rex drill with the perforator bit, burr holes were placed in the temporoparietal region, and they were connected with the B1 and footplate. The bone flap was elevated from the dura and set aside. The underlying brain appeared to be tense. The dura was opened with a 15-blade, and a large amount of subdural hematoma was immediately released. The subdural space was copiously irrigated, and hemostasis was achieved.Select the appropriate ICD-10-CM and CPT code(s):

Coding Guidelines/Compliance/Practice ManagementGovernment health insurance programs include all of the following except:

HCPCS Level IIPatient had a lesion removed from the third digit on the left hand. What would be the appropriate HCPCS modifier?

Nervous System, Eyes, Ears, EndocrineSam underwent scleral buckling for repair of a detached retina of the right eye with cryotherapy and drainage of subretinal fluid. Select the appropriate ICD-10-CM and CPT code(s):

PathologySpecimen site: Cervical biopsyPre-operative Diagnosis: Severe squamous dysplasia, consistent with CIN III (high-grade dysplasia)Gross description: Cervical biopsy: One fragment of gray-white tissue, measuring 0.5 centimeters in diameter. Totally submitted with a request for levels. Submitted request for stains.Microscopic description: Sections of the cervical biopsy show high-grade dysplasia, consistent with CIN III. No evidence of invasive malignancy is present.Select the appropriate ICD-10-CM and CPT code(s):

Respiratory/CardiovascularPreoperative diagnosis: Respiratory insufficiencyPostoperative diagnosis: Respiratory insufficiencyOperation: Tracheostomy with division of thyroid isthmusEstimated blood loss: Less than 10 mLFluids: CrystalloidComplications: NoneTechnique: The patient was brought to the operating room and placed in the supine position. He was given general anesthesia through his existing oral intubation tube. The anterior neck was prepped and draped in the usual sterile fashion. Lidocaine 1% with 1:100,000 epinephrine was infiltrated into the skin at the lower neck.A transverse incision was made at the cricoid ring level through skin and subcutaneous fat. The platysmal layer was traversed, and then the strap muscles were separated in the midline. The thyroid isthmus was ligated and divided with #2-0 silk ligatures. An inferiorly based tracheostomy flap was created using the second and third tracheal rings and sewn into place with a #3-0 chromic stitch to the inferior dermis margin.Hemostasis was achieved using suction cautery. At this point, the oral intubation tube was withdrawn, and a #8 Shiley low-pressure cuffed tube was passed into the newly created trach site. The trach ties were tied securely into place, and the cuff was inflated to a comfortable pressure. The patient then received further ventilation through the newly placed trach tube. The patient was then allowed to awaken from general anesthesia and was taken back to the ICU in stable condition.Select the appropriate ICD-10-CM and CPT code(s):

Urinary, Male/Female Reproductive Systems, Maternity/DeliveryA surgeon performs a ritualistic surgical circumcision on a 30 day old male. Select the appropriate ICD-10-CM and CPT code(s):

Integumentary SystemMary underwent removal of 20 skin tags on her neck with use of ligature strangulation and cauterization. Select the appropriate ICD-10-CM and CPT code(s):