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?

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: