A 26-year-old female with a one-year history of a left tympa…

A 26-year-old female with a one-year history of a left tympanic membrane perforation. She has extensive tympanosclerosis with a nonhealing perforation. Her options, including observation with water precautions or surgery, were discussed. The patient wished to proceed with surgery. With use of the operating microscope, the surgeon performs a left lateral graft tympanoplasty. What CPT® code is reported?

A teenager has been chronically depressed since the separati…

A teenager has been chronically depressed since the separation of her parents 1 year ago and moving to a new city. Her school grades continued to slip and she has not made new friends. She has frequent crying episodes and is no longer interested in her appearance. She has attended the community mental health center and participates in group sessions. Recently her depression exacerbated to the point inpatient admission was required. The provider diagnosed adjustment disorder with emotional and conduct disturbances. Due to the length of the depression and no real improvement, the provider discussed electroconvulsive therapy with her mother. After discussing benefits and risks, the mother consented to the procedure. What CPT® and ICD-10-CM codes are reported for the electroconvulsive therapy?

A pregnant patient presents to labor and delivery with the b…

A pregnant patient presents to labor and delivery with the baby in a breech presentation. During the delivery the doctor attempts to turn the baby (version of the breech presentation) while it is still in the uterus. The baby turns but then immediately resumes his previous breech position. Can this service (the version of the breech) be billed? If so, what is the code?

A 45-year-old woman suffers with chronic migraines that have…

A 45-year-old woman suffers with chronic migraines that have been unresponsive to traditional medication. She is referred to have acupuncture as an alternative treatment method. During the first session, the provider uses five needle insertions without electrical stimulation in an attempt to alleviate the patient’s migraine symptoms. The session lasts for 15 minutes. What CPT® code is reported?

A 49-year-old patient had several episodes of esophageal ref…

A 49-year-old patient had several episodes of esophageal reflux and underwent a gastroesophageal reflux test to measure the pH balance (a measure of the degree of acidity or alkalinity). The test was performed with a mucosal attached capsule. The provider provided an interpretation and report. The provider stated the diagnosis as gastroesophageal reflux. What CPT® and ICD-10-CM codes are reported?

A 52-year-old female is sent to radiology for a lymphangiogr…

A 52-year-old female is sent to radiology for a lymphangiography of both arms. The patient has swelling in both arms which is suspected to be lymphangitis. She also has a history of breast cancer having had a double mastectomy 5 years ago. What CPT® and ICD-10-CM codes are reported?