John is returning to the physician's office 2 weeks postsurgery for an application of new long...
Question:
John is returning to the physician's office 2 weeks postsurgery for an application of new long leg cast. The patient required surgery due to a traumatic fracture of the lower leg. What is the ICD-10 code? What is the CPT code? What are the modifiers?
CPT Code Modifiers
A CPT code is used to report different procedures done and diagnoses made by medical or surgical staff.. The modifier is added when extra information not given by the CPT code on its own is needed. There are a number of modifiers, some examples include:
- Modifier 23: This modifier is used to indicate unusual anaesthesia
- Modifier 33: This modifier is used to indicate that the service provided was preventative
- Modifier 62: This modifier is used to indicate two surgeons provided the service
Answer and Explanation: 1
The CPT code for the application of a long cast to the leg is 29345. Since, this application was done postsurgery, we must add the modifier 58. So, the complete CPT code is 29345-58. The ICD-10 code for an unspecified fracture of an unspecified lower leg is S82.90XA.
Hence, the code set is S82.90XA, 29345-58.
Ask a question
Our experts can answer your tough homework and study questions.
Ask a question Ask a questionSearch Answers
Learn more about this topic:

from
Chapter 1 / Lesson 6A diagnosis code is a combination of letters and numbers that represents a certain medical condition, procedure, symptom, or disease. Understand the definition and uses of a diagnosis code, and explore the International Classification of Diseases (ICD) coding system.
Related to this Question
- Your x-ray exam reveals that you have fractured your fibula. Your physician remarks, "Well, it's better than breaking your tibia." Explain why a fracture of the tibia would be worst than a fracture of the fibula.
- Taking a short-cut across campus, Jeremy jumps down from a ledge and breaks his ankle (Pott's fracture). After six weeks, the case that encircled his leg is removed. What cutaneous , osseous and muscular changes could be anticipated?
- Tyler fell off his bike and suffered a broken leg. A cast was put on the leg for 6 weeks. After the bone healed and the cast was removed, an enlarged, bony bump remained at the region of the fracture. Eventually, this enlargement disappeared, and the leg
- A patient was in a car accident and has a fracture of the end of the thigh bone that is closer to the knee. The fracture is fragmented into pieces and part of the bone is protruding through the skin. Give the name of the fracture and the location.
- Several months ago, a young woman fell while rock climbing, and her left leg was wedged tightly into a crevice. The resulting injury was severe and required amputation below the knee. She has reported to her physician that she continues to suffer from pha
- While walking in the woods, Jack accidentally stepped in a hole and twisted his ankle. Doctor in the emergency room determined that Jack tore his peroneus longus. This condition is known as?
- A skier breaks his ankle. As part of his treatment, the ankle and leg are placed in a plaster cast. Unfortunately, the cast is too tight around the proximal portion of the leg and presses in against the neck of the fibula. Predict where the patient will e
- John is a 53-year old contractIon worker who has come into your office complaining of a sore knee joint. You see a buildup fluid close to the patella (kneecap) but deep to the skin and suspect the sor
- Julie Mason, a 5 years old, is coming in today to have her long-arm cast removed and replaced with a short-arm cast for 3 weeks. The patient sustained a Torus fracture of the upper end of the radius and is 1 week postop. Using your CPT manual and your ICD
- A seven-year-old boy breaks his tibia and requires immobilization by a hard cast for six weeks until the break heals. A potential consequence of this therapy is atrophy of the
- Sue Larson, an active 16-year-old, presented to the office with an ankle fracture. The provider has ordered you to help fit her for crutches. She states she has never had an injury like this before and that she doesn't think she needs assistance_it will b
- A patient's clavicular fracture has healed in the weeks following a bicycle accident. Which of the following events takes place in the remodeling stage of bone healing? A. Development of fibrocartilage that resembles the appearance of the original bone
- If a patient presents with complete spinal cord injury, and there are fractures seen in the MRI and X-ray, do they need to undergo surgery immediately after the injury?
- A middle aged diabetic woman is taken to ED after a MVA (motor vehicle accident). She has a compound fracture of her tibia. Imaging shows a comminuted fracture. In respect to this patient, describe the tissue response to the injury, treatment, relevant pl
- A patient who experienced a traumatic amputation of the leg tells the RN " I'll never be the same without my leg " The RN identifies grieving as a nursing diagnosis. Which considerations are necessary for establishing an outcome for this patient: Select
- Last summer you won the lottery! When you heard the news, you did a little dance of joy, tripped, and broke your leg. After being on crutches for 4 months, what would you expect would happen to the bone density in the formerly broken leg? A. The bone woul
- Two athletes show up in the emergency room following a college football game. One has a fracture of the fibula. The second has a severe ankle sprain. Which player is most likely to return to play first?
- An Iraq war veteran who lost a leg might feel what kind of pain? a. Psychogenic pain b. Phantom limb pain c. Peripheral neuropathic pain d. Angina pain
- John has been suffering agonizing pain with each breath and has been informed by the physician that he has pleurisy. (a) Specifically, what membranes are involved in this condition? (b) What is their usual role in the body? (c) Explain why John's conditi
- A patient comes to a doctor complaining of muscle cramping. As part of her examination, the doctor notes that the patient has a slow pulse. Additionally, in the past year, the patient has broken her hand and her arm in seemingly minor falls. What variable
- Mary is in an automobile accident and suffers a spinal cord injury. She has lost feeling in her lower body. Her doctor tells her that swelling is compressing a portion of her spinal cord. Which part of her cord is likely to be compressed? A) The anterior
- You examine a young patient in the emergency room who is complaining of ankle pain following a soccer game. The patient demonstrates to you that an accident resulted in his foot being forced into an excessively inverted position. Based on this scenario, w
- A fracture at the ankle involving both lower leg bones is often called a _____ fracture. A) greenstick. B) displaced. C) compression. D) Pott. E) Cones.
- A young long-distance runner came to her physician with acute swelling around the lateral aspect of her ankle. This injury occurred directly after accidentally running into a pothole in the pavement. A fractured ankle was suspected. Plain anteroposterior
- A basketball player has injured his right knee. Special tests reveal a + Valgus stress test at 30 degrees of knee extension with an open end-feel and a + Lachmans's test with a soft end feel. What is the player's clinical diagnosis and how did you get thi
- John is a 53-year old construction worker who has come into your office complaining of a sore knee joint. You see a buildup fluid close to the patella (kneecap) but deep to the skin and suspect the soreness is due to bursitis, an inflammation of membranes
- Describe the coronary artery bypass graft surgical procedure in lay terms. History of Present Illness: This 77-year-old gentleman was hospitalized with chest pain, and a diagnosis of myocardial infarction was made. The patient had a CPK elevation of 800 w
- While volunteering at a local orthopedic center, you happen to overhear a doctor teaching his students about injuries. In an anecdote, the doctor describes the scenario of an observation of a Patient Y's knee. Patient Y suffered a knee accident a few year
- Anna Majewski, a 28-year-old registered nurse, was caring for a client who presented to the emergency department (ED) with a draining abdominal wound sustained from an auto accident 3 weeks ago. The client stated, "I have been treating it like the doctor
- The nurse is assessing an older adult who was just admitted to the emergency department with a possible hip fracture. What typical complaints of types and/or locations of pain might the nurse expect? Select all that apply. a. No pain b. Groin pain c. Scia
- John, a 40-year-old male, was born with an incompetent mitral valve that permits some blood backflow. Recently Josh began to have worsening symptoms especially breathlessness upon exercise and went to see his cardiologist. The doctor determined that the t
- John presents to the clinic with complaints of scrotal heaviness. Your assessment reveals swelling of the testicle and warm scrotal skin. What would your diagnosis be? a. Cryptorchidism b. Orchitis c. Testicular torsion d. Epididymitis
- A 77-year-old has been bed-ridden for 9 months and has not been able to get out of her room for 4 weeks due to a broken wheelchair. The patient now appears to be disoriented with time and always calls her PT in the middle of the night for her therapy sche
- A 70-year-old male patient presents to the emergency department complaining of pain in his calf that is exacerbated when he walks. His pedal and popliteal pulses are faintly palpable and his leg distal to the pain is noticeably reddened. What would his ca
- The 65-year-old patient complains of leg pain that disappears on rest after having walked a short distance. The nurse recognizes the description of the patient's discomfort as being characteristic of: A. muscle spasm. B. deep venous thrombosis. C. clau
- Anesthesiologist performed anesthesia for Hermia repair. The patient is a 36-year-old male in good general health Preoperative Diagnosis: inguinal Hermia postoperative Diagnosis: inguinal Hermia. What are the necessary steps Olivia needs to follow to ass
- Define the following: (a) Contusion (b) Coup-contrecoup injury (c) Depressed skull fracture
- Lincoln, a 19-year-old college student, was performing snowboarding tricks at App Ski Mountain when he fractured his ankle. The fracture was so extensive that surgical repair was required. Following the surgery, Lincoln became tachycardia, body temperatur
- While playing football, Ramon is tackled hard and suffers an injury to his left leg. As he tries to get up, he finds that he cannot flex his left hip or extend his left knee. a. Which nerve is damaged and how would this damage affect sensory perception in
- A basketball player has injured his right knee. Special tests reveal a + Valgus stress test, at 30 degrees of knee extension, with an open end-feel, and a + Lachmans's test with a soft end feel. What
- Patient A was in a car accident and is paralyzed from neck downwards. How is it possible for this patient to still exhibit patella reflex?
- A four-year-old patient came into the emergency department after she fell off a swing and scraped her arm. The physician examined the abrasion and documented that she required a 4.3 cm simple repair on her left arm. a. 12001 b. 12002 c. 12013 d. 12014
- Shawn, a 23 year old male, was involved in a 10 car pileup on I-40. His left leg was crushed causing compartment syndrome on the anterior portion of his lower leg. What is the greatest danger with th
- Suppose a patient may have torn the meniscus in the knee. a) What sort of problems would that cause? Consider both long and short term issues. b) Name a test that a doctor could use to diagnose it.
- How long should the patient's leg be kept elevated? A One week B. Two weeks C. One day D. Two days
- Your friend is complaining about recurrent pain in her leg. Her doctor ordered an x-ray to rule out a fracture. He is concerned that she may have a more serious condition, such as a tumor. Which of the following tests should she have? a) pet scan b) MRI
- While on a school skiing trip in Colorado, Heidi falls and breaks her tibia and fibula in a Pott fracture. What would you expect as a prominent part of her clinical assessment several hours after the fall? A) Hematoma. B) Hypertension. C) Tachycardia. D)
- On January 3, 2016, Dr. Smith saw a Medicare patient with a diagnosis of rectal abscess in Central Hospital. She performed an incision and drainage in the outpatient surgery department. a. Which coding system would describe the rectal abscess? b. Which c
- Assign CPT surgery code(s) to the following case. A patient is seen in the Emergency Department after an accident. A 3.0 cm wound of the upper arm required a layered closure and a 1.0 cm superficial laceration of the left cheek was repaired.
- A patient walks into the doctor's office with a skin infection that appeared just 2 hours before. The doctor asks the patient if there was any trauma to the site, and the patient responds that about 4 hours ago, he accidentally pricked himself with a too
- You are a staff nurse, working in intensive care, and assigned to care for a 75-year-old man, who had coronary artery bypass graft surgery four days ago. The patient has a history of Chronic obstructi
- The ACL helps stabilize the knee. It is easily injured by hyperextension of the knee. How would you move your lower leg to cause a hyperextension injury?
- Complaint: 75-year-old woman who fell on her left hip History: Judy Smith, a 75-year old white female, was brought to the emergency room by her son after falling in her kitchen. She had no major health problems in the past, but she led an inactive lifest
- A nurse cares for a client diagnosed with a compound fracture of the left femur. The client's vital signs are BP 80/60, pulse 120, respiration 26, and temperature 99.0 degrees. Which IV fluid should the nurse use?
- A 42-year-old man is brought to the emergency room complaining of intense pain in his left calf and ankle. He had entered a tennis tournament and states that, as he lunged after a hard-hit serve, he heard a 'snap', fell to the court in tremendous pain, an
- A clinician induces contraction of the gastrocnemius and soleus and notices that the foot does not plantar flex as expected. Which of the following would be a logical diagnosis? A. Peroneal nerve injury. B. Ruptured calcaneal tendon. C. Anterior compartme
- John has finished his exercise routine. While exercising his blood pressure increased to supply more oxygen and nutrients to his muscle cells. Now that the exercise is over his body will return his blood pressure to normal. a. Is this positive or negative
- The nurse is initiating the care plan for a patient with peripheral arterial disease, who complains of pain in the lower extremities at a 3/10, has a 0.5 cm ' 1 cm ulcer on the left lower leg, and the lower legs are shiny and hairless bilaterally. What is
- Amy underwent burr hole surgery for biopsy of an intracranial lesion. The surgeon, Dr. Stanley, had to perform an abscess drainage of a cyst that was found during the procedure next to the lesion. Would the drainage of the cyst be reported separately fr
- Stanley, a lineman for the football team, was hit hard on the lateral part of his knee. His knee was swollen, and a physician extracted the excess fluid from his joint capsule through a needle. Examination then revealed greater mobility than normal as th
- Tom has sustained a bilateral injury to his parietal visual area. He has always loved to ride his skateboard. What problem might he have in riding his skateboard after the injury? Why?
- A patient comes to the doctor with complaints of a severe skin infection. The doctor, without any culturing, prescribes topical cephalosporin. After a week, the patient still doesn't get any better. What was the problem(s)?
- Sally has a brain injury; she knows what she wants to say but can't vocalize the words. What is the part of her brain that is injured?
- Mrs. Smith had a 6-month history of progressive disabling back pain visibly associated with progressive kyphotic deformity of the thoracolumbar spine, with an attendant cervical lordosis. X-rays of the thoracic spine reveal a compression fracture of T11 a
- A baseball player pivots off his right foot and falls to the ground complaining of pain in the knee. On exam palpations reveal tenerness of the anterior medial-and medial joint lines, medial epicondyl
- The total dislocation of a joint is called . A. subluxation B. luxation C. sprain D. strain
- A patient has bunion deformity of the right foot, metatarsus primus abductus right foot. Procedure: osteitomy of the first metatarsal with internal wire fixation. McBride style bunionectomy. What is the CPT code for the procedure?
- An __________ may be performed on a patient who needs surgical repair of stenosed (narrowed) blood vessels. A. angioplasty B. angiospasm C. aortotomy D. angiography
- Sue fell while hiking, cutting her leg and hitting her head. She went to the ER, where she received a tetanus shot. Why did the nurse practitioner order the shot? a. to restimulate memory B cells b. to vasodilate c. to vasoconstrict d. to increase bone ma
- If you had two patients with knee injuries, one with an ACL sprain and the other with an MCL sprain, which one (if either) would you be more cautious with and why? How would there rehabilitation programs differ? 500 Words
- A 39-year-old man is in intensive care after a motorcycle accident in which he skidded across the pavement on his right side. He has fractures of his right femur, pelvis, and several ribs on the right side. His right leg was crushed beneath the motorcycle
- A young man is in an accident that crushes his spinal cord at the neck and leaves him paralyzed from the neck down. The man asks his physician if he will be able to have erections and father any children. What should the doctor tell him? Explain your answ
- Chief Complaint: 75-year-old woman who fell on her left hip History: Judy Smith, a 75-year old white female, was brought to the emergency room by her son after falling in her kitchen. She had no major health problems in the past, but she led an inactive
- A 26-year-old, healthy male came into the examination room, holding his right shoe in his hand. He grimaces with partial weight-bearing of the affected foot. He has a grade I lateral ankle sprain. Wha
- A patient is admitted for electroconvulsive treatment (ECT). The physician orders the neuromuscular blocking agent succinylcholine to reduce trauma by relaxing skeletal muscles. Fully explain the proc
- While playing basketball, 9-year-old Marcus fell and broke his left arm. The arm was placed in a cast and appeared to heal normally. As an adult, Marcus was puzzled because it seemed that his right arm was longer than his left arm. He measured both arms a
- John, a 40-year-old male, was born with an incompetent mitral valve, that permits some blood backflow. Recently, Josh began to have worsening symptoms, especially breathlessness, upon exercise, and we
- John, a 40-year-old male, was born with an incompetent mitral valve that permits some blood backflow. Recently Josh began to have worsening symptoms especially breathlessness upon exercise and went to
- Injuries to the spinal cord can result in paralysis. Typically, injuries higher on the spinal cord would resort to a more serious injury. Explain why.
- P.W. is 23 years old. He was the victim of a hit-and-run auto-pedestrian and suffered multiple abrasions, a concussion, and a deep laceration of this thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department.
- If a bone is broken, it will heal in several months. If the cartilage is broken, it generally never heals. If the epithelium is cut, it heals in a week or so. Why is there such a difference in the hea
- You are a neurologist and perform a patellar reflex on each side of the body in one of your patients. You notice that the left side reflex doesn't work. The patient can feel a gentle sweeping motion on the thigh in both legs, cannot voluntarily kick the