Assignment: Code for tube pericardiostomy

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Assignment: Code for tube pericardiostomy

Assignment: Code for tube pericardiostomy

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92.   When coding burns, coders should

A. classify all burns as acute burns.   B. assign separate codes for each burn site.   C. assign the code for third-degree burns.   D. assign the code for chronic burns.


93.   A 65-year-old patient is admitted to the hospital for 48 hours to receive treatment from her physician. This patient would be covered under

A. Medicare Part D.   B. Medicare Part A.   C. Medicare Part B.   D. Medicare Part C.


94.   A patient comes to the clinic complaining of ongoing headaches. The headaches began one week prior and have persisted ever since. A lumbar spinal tap is performed to pinpoint the source of the patient’s headaches. What CPT and ICD-10-CM codes are assigned?

A. 62270, G44.1   B. 62270, G74.3   C. 62141, G46.8   D. 62272, G46.9


95.   What code would be assigned for a tube pericardiostomy?

A. 33210   B. 33026   C. 33015   D. 33050


96.   What is the code description for 65101-LT?

A. Removal of ocular implant performed laterally   B. Fine needle aspiration of orbital contents on the left third of the orbit   C. Biopsy of cornea performed on the lower third of the cornea   D. Enucleation of eye, without implant, performed on the left side of the body

Pericardiostomy is a surgical procedure that creates an opening in the pericardium, which is the double-layered conical sac that encloses and protects the heart. Its outer layer is fibrous while its inner double-membrane layer has serous contents. The space between the two layers is called the pericardial cavity.

Pericardiostomy is the treatment of choice for managing , a condition characterised by the presence of excess fluid around the heart. The pericardial cavity normally contains a small amount of serous fluid. If the amount of pericardial fluid in and around the area increases, it is considered a medical problem. Abnormal effusions compress and prevent the heart from filling its space with an adequate amount of blood. This leads to an inadequate supply of oxygen that impairs many biological functions of the body.

One method that can be used in performing the procedure is the subxiphoid approach. This is what most surgeons use for patients being treated for pericardial effusions or tamponade. Tamponade is the compression of the heart due to the abnormal accumulation of fluid in the pericardial sac. The subxiphoid approach avoids most of the body’s vital organs and allows doctors to operate while minimising damage or injury to surrounding tissues. This minimises the risk of postoperative infections.

The procedure is minimally invasive and is carried out below the xiphoid process, the lowest portion of the breastbone (sternum).

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