CCEP Lesson 13 Homework – Focus on Fractures Musculoskeletal CPT Review

True or False.  “Open treatment” in CPT means the fracture was fixed through an incision.

Endoscopy is a common surgical technique and approach for the surgical management of MSK diagnoses.  In the case of elbow pain, a surgeon may not be entirely certain of the etiology of the elbow pain and may do a diagnostic endoscopy. 

While performing that endoscopy, such as an arthroscopy of the elbow, the surgeon discovers severe synovitis and does a complete arthroscopic synovectomy.  What CPT code would be assigned? 

A patient comes is found to have a fracture of the left fifth metacarpal.  Your doctor performs an appropriate history and exam with moderate MDM.  A digital block is performed to numb the area, then performs closed reduction/manipulation of the fracture.  Code the procedure:

If a patient is treated for a fracture in a hospital emergency room, what would be the place of service (POS) indicator?

If your doctor performed a closed reduction of a metacarpal fracture on a patient who will return home where the patient’s own physician will follow the fracture through the healing process, what modifier would be used by the first physician who performed the reduction?

A patient was taken to surgery for a Hallux valgus correction of the right foot.  A Silver technique was used for this bunion correction.  Assign the CPT code and modifier in the following format (e.g. XXXXX-XX):

A patient sustained a gunshot wound (GSW) to the back.  A surgeon took him to surgery to explore the wound.  The surgeon extended the wound to 9.0 cm to determine the extent of damage.  Major structures were not involved.  Some debridement was necessary and bullet fragments were removed.  Assign the CPT code:

There are many techniques available to a surgeon for fracture repair.  A humerus fracture could have been opened during surgery and repaired by insertion of an intramedullary rod (implant) which would have been driven down through the shaft of the humerus and would have held the fracture ends together.  If ORIF using an intramedullary implant rather than a plate and screws had been used, what would the CPT surgical code be?

A patient with fasciitis of the supraspinatous tendon, left upper extremity.  The tendon sheath was injected with a corticosteroid (Depo Medrol) in three locations on the tendon.  Assign the CPT code for the injection.

A common term used in open musculoskeletal surgery is “open reduction internal fixation” (ORIF).  ORIF treatment of a fracture is best described by which statement listed below?