Pyloroplasty.
43800. Rationale: in the CPT Index, look for Pyloroplasty
Deep biopsy of soft tissue of the ankle.
27614. Rationale: in the CPT Index, look for Biopsy/Ankle or for Ankle/Biopsy and you are directed to 27613, 27614 and 27620. 27620 is for an arthrotomy. 27613-27614 are both for biopsies; but, one is superficial and the other is deep.
Osteotomy, humerus, with internal fixation.
24400. Rational: in the CPT Index, look for Osteotomy/Humerus and you are directed to 24400-24410. Code 24400 indicates "with or without internal fixation".
Renal biopsy, percutaneous, needle.
50200. Rationale: renal means kidney. In the CPT Index, look for Kidney/Biopsys and you are directed to 50200, 50205. You may also look for Biopsy/Kidney and you are directed to code range 50200-50205. Code 50205 is for an open surgical procedure biopsys. 50200 is for a needle or trocar biopsy. A trocar is a surgical instrument with a sharp point which is used to create a hole in the body which can be used to introduce surgical tools. Because the biopsy utilizes a needle percutaneously, or through the skin, the correct code selection is 50200.
Destruction of a malignant lesion on the face with a lesion diameter of 1.2 cm.
17282. Rationale: In the CPT Index, look for Destruction/Lesion/Skin/Malignant and you are directed to 17260-17286, 96567. Code range 17260-17286 is for the destruction of a malignant lesion by any method. The codes are further subdivided based on anatomical site. Code range 17280-17286 is used for lesions on the face. Code selection is then based on the size of the lesion. Code 17282 is used for a lesion with a diameter of 1.1 to 2.0 cm.
Emergency endotracheal intubation.
31500. Rationale: in the CPT Index, look for Intubation/Endotracheal Tube and you are directed to code 31500. Verification of 31500 confirms it is for an emergency procedure.
Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age.
94012. Rationale: In the CPT Index, look for Spirometry and you are directed to code range 94010-94070. Reading the description will help you determine the correct code selection.
An electrolyte panel is performed on an 86-year-old for dizziness.
80051. In the CPT Index, look for panel and you are directed to see Blood Tests; Organ or Disease-Oriented Panel. An electrolyte panel is a blood test that measures the levels of electrolytes and carbon dioxide in the blood. Look for Blood Tests and there is a sub-term for Panels/Electrolyte which directs you to code 80051.
A frontal and lateral chest X-ray is performed in the office for a patient with chest pain.
71020. Rationale: in the CPT Index, look for X-ray/Chest and you are directed to code range 71010-71035. Viewing the descriptors, code 71020 is for two views, frontal and lateral chest X-ray.
The performance measure code for history obtained regarding new or changing moles.
1050F. Rationale: in the CPT Index, look for Performance Measures/Melanoma/History/Moles and you are directed to code 1050F.