A 40-year-old female in good physical health is having a lap…

A 40-year-old female in good physical health is having a laparoscopic tubal ligation.  The anesthesiologist begins to prepare the patient for surgery at 08:30 am. Surgery begins at 09:00 am and ends at 10:00 am. The anesthesiologist releases the patient to recovery nurse at 10:15. What is the total anesthesia time and anesthesia code?

A patient with a history of bilateral otitis media is not re…

A patient with a history of bilateral otitis media is not responsive to medical therapy. Given the history and physical examination, the provider felt he was a candidate for bilateral myringotomy and tubes. The patient went to the ambulatory surgical center (ASC) for the procedure. The provider’s findings were bilateral chronic serous otitis media. What diagnosis code is reported?

A CT study of the lumbar spine (L2–L4) was performed with IV…

A CT study of the lumbar spine (L2–L4) was performed with IV contrast in the hospital outpatient radiology department and the interpretation of the images is performed by the radiologist. What CPT® code(s) should be reported by the radiologist who is not an employee of the hospital?

This patient presented with internal derangement of the left…

This patient presented with internal derangement of the left knee. After satisfactory anesthesia was administered for the arthroscopic procedure, the left lower extremity was prepped and draped in a sterile fashion. Routine portals were made in the knee. We first looked at the medial compartment which showed a complex small tear of the posterior horn of the medial meniscus. This was debrided using a 4.0 meniscal shaver. There was an area of grade 4 chondromalacia on the proximal medial distal femur and this was all the way down to bone. There was also evidence of chondromalacia over the patellofemoral joint of grade 4. This area was drilled with a 0.45 K-wire. Multiple drill holes were placed in an attempt to get some scar tissue to form. The notch area was normal and lateral compartment normal. Following microfracture technique, the knee was irrigated, each portal was closed with 4-0 nylon and the patient was taken to recovery. What CPT® codes are reported?