Urinary System- Set 3
1. Patient presents to the hospital with right urethral calculus. Patient is taken tothe operating room where a cystoscopy with
ureteroscopy is performed to remove the calculus.
a. 52353
b. 52310
c. 51065
d. 52352
2. Patient comes to the hospital with a history of right flank pain. Urine tests are negative. Radiology examination reveals that the
patient has renal cysts. Patient isnow admitted for laparoscopic ablation of the cysts.
a. 50541
b. 50390
c. 50280
d. 50920
3. Patient has extensive bladder cancer. She underwent a complete cystectomywith bilateral pelvic lymphadenectomy and creation
of ureteroileal conduit.
a. 51575; 50820
b. 50825; 51570; 38770
c. 51595
d. 51550; 38770
4. OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Right ureteral stricture. POSTOPERATIVE DIAGNOSIS: Right ureteral
stricture. PROCEDURE PERFORMED: Cystoscopy, right ureteral stent change. PROCEDURE NOTE: The patient was placed in
the lithotomy position after receiving IV sedation. He was prepped and draped in the lithotomy position. The 21 French cystoscope
was passed into the bladder, and urine was collected for culture. Inspection of the bladder demonstrated findings consistent with
radiationcystitis, which has been previously diagnosed. There is no frank neoplasia. The right ureteral stent was grasped and
removed through the urethral meatus; underfluoroscopic control, a guide wire was advanced up the stent, and the stent was
exchanged for a 7 French 26-cm stent under fluoroscopic control in the usual fashion. The patient tolerated the procedure well
a. 51702-LT, N13.5
b. 51702-RT, N30.90
c. 52332-RT, N30.90
d. 52332-RT, N13.5
5. This patient is 35 years old at 36 weeks’ gestation. She presented inspontaneous labor. Because of her prior cesarean section,
she is taken to the room to have a repeat lower-segment transverse cesarean section performed. The patient also desires
sterilization, and so a bilateral tubal ligation will also beperformed. A single liveborn infant was the outcome of the delivery.
a. 59510, 58600-51, Z30.2
b. 59620, 58615-51, O60.14X2, Z37.0
c. 59514, 58605-51, Z37.0, O60.14X2
d. 59514, 58611, O60.14X2, O34.21, Z37.0, Z30.2
6. This 1-year-old boy has a midshaft hypospadias with a very mild degree ofchordee. He also has a persistent right hydrocele. The
surgeon brought the boy to surgery to perform a right hydrocele repair and one-stage repair of hypospadiaswith prepucial flap.
a. 54322, 55040, Q54.9, Q54.4
b. 54322, 55041-51, Q54.9, Q54.4, N43.3
c. 54324, 55060-51, Q54.9, Q54.4, N43.3
d. 54324, 55060, Q54.4, N43.3
7. The pediatric physician takes this newborn male to the nursery to perform aclamp circumcision:
a. 54160, Z41.2
b. 54150
c. 54160
d. 54150, Z41.2
8. A 50 years male with urinary incontinence. Sling procedure was performed sixmonths ago and now returned for a revision of the
Sling procedure.
a. 53449
b. 53442
c. 53440
d. 53431
9. A blighted ovum, resulting in prolonged retension of the embryo in the 1st halfof the pregnancy was terminated by gynecologist.
Code the procedure.
a. 59812
b. 59820
c. 59840
d. 59856
10. Urologist performed radical nephrectomy of right kidney laparoscopically in a female patient with 48 years ago but did not
dissected adrenal gland. Code the procedure.
Urinary System- Set 3
a. 50545
b. 50545-52
c. 50220
d. 50220-52
11. Jeannie, a 28-year-old female patient, presented to Dr. Minor’s office with a concern that her IUD was “lost internally.” Upon
examination in the office, an attempt was made to remove the IUD, but due to discomfort the procedure was stopped. The next
morning, Jeannie was taken to the outpatient surgical center, where the IUD was removed under general anesthesia. Dr. Smith, the
anesthesiologist, completed her notes regarding anesthesia. Dr. Minor, an obstetrician/gynecolo-gist, noted no complications and
the expected limited active bleeding at the end of the procedure. The patient tolerated the procedure well and was taken to
recovery. How should Dr. Minor report the removal of the IUD?
a.58300, 58301-59
b.58301
c. 00840-P1, 58301
d.58301-47
12. An 18-year-old patient suffered blunt trauma during a football game. The patient was taken to the ED for examination, where
the ED physician called Dr. Semi to consult on the patient. Dr. Semi completed a corpora cavernosography injection procedure with
supervision and [Link] should Dr. Semi report his professional services?
a. 99283-25, 54231
b.99283-25, 54230, 74445-26
c.54230, 74445-26
d.54231, 74445-26
13. Today, a 36-year-old male patient underwent five needle biopsies of the prostate. The needle placement for these biopsies was
completed under ultrasonic guidance. Which code(s) should you report for these professional services?
a. 55700 x 5, 76942
b.55700, 76942-26
c.55706, 76942-26
d.55700 x 5, 55706, 76942
14. One week ago, Marion underwent a surgical laparoscopy with vaginal hysterectomy, including removal of a 275-g uterus tube
and ovaries due to cancer of the endometrium. Today she was admitted for a planned insertion of a vaginal radiation after loading
apparatus for clinical brachytherapy. During this procedure, the surgeon inserted the device and took x-rays to ensure placement.
Once the device was in the proper location, it was fixed into position by tightening the applicator base plate and locking mechanism.
Marion tolerated the procedure well and was sent to the recovery suite in satisfactory condition. How should today’s professional
services be reported?
a.58554, 57156 -58
b. 57156 -59, 77326-26
c.58554, 57156 -59, 77326-26
d. 57156 -58
15. The patient has a positive pregnancy test, but ultrasound does not confirm a gestational sac in the first trimester. The physician
diagnoses a blighted ovum and performs a suction D&C. What are the procedure and diagnosis codes?
A. 59870
B. 59820
C. 58120
D. 59840
16. A 26 year old patient who is Gravida 2 Para 1 presents to the ER in her 36th week of pregnancy with twin gestations who are
monochorionic and monoamniotic. She is in active labor, 6 cm dilated, and her water is intact. Her OBGYN, who provided 12
antepartum visits, admitted her to labor & delivery. Although the patient had a previous cesarean during her first pregnancy the
physician allowed her to attempt a vaginal birth. After pushing for three hours the patient was exhausted and taken to the OR for a
cesarean delivery with a transverse incision. Two healthy newborns were born 15 minutes later. During the hospital stay and
afterward the same physician provided the postpartum care to the mother.
a. 59426, 59622, 59620
c. 59618, 59618-51
b. 59618, 59620-51,
d. 59618-22
17. Transvaginal sonographically controlled retrieval of a 26 year old female’s eggs by piercing the ovarian follicle with a very fine
needle.
a. 58976, 76948
c. 58970, 76948
b. 58672
d. 58940, 76948
[Link] suffered several injuries to his upper leg muscles and penis when he fell onto the bar of his touring bicycle. The day of the
accident, Dr. Green completed muscle repair surgery to Alex’s upper legs. Today, three days after the leg surgeries, Dr. Green took
Alex back to the operating suite to complete an unrelated repair to the penis. Dr. Green completed a plastic repair to correct the
penal injury. What code(s) would capture today’s procedure?
a. 54440-79
b. 27385, 54440-59
Urinary System- Set 3
c. 27393, 54620-79
d. 54440-26
19. A 65-year-old male patient has an indwelling nephroureteral double-J stent tube replaced to treat a ureteral obstruction caused
by a stricture from postoperative scarring. His stent tube is exchanged every two months to prevent occlusion in the stent, UTI, and
loss of kidney function. Dr. Mott did this procedure via a transurethral approach under conscious sedation and provided the
radiological supervision and interpretation. How would you report this procedure?
a. 50605, 50382
b. 50385, 52283, 99143
c. 50385
d. C1758
20. Dr. Blue provided interpretation and results for a needle electromyography for anal sphincter function. How would you report
this service?
a. 51784
b. 51784, 51785-51
c. 55875
d. 51785-26
ANSWERS: –
1-D
2-A
3-C
4- D
5-D
6-C
7-D
8-B
9-A
10-B
11-B
12-C
13-B
14-D
15- D
16-B
17-C
18- A
19-C
20-D
