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AAPC CPC Practice Exam Study Guide

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A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid tumors and undergoes laparoscopic resection without hysterectomy. After the abdomen is entered and inspected it is found she has 5 separate intramural fibroid tumors to be removed. The fibroid tumors are successfully removed, with a total weight of 300 grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT® and ICD-9-CM codes reported for this service?
Correct Answer:
58545, 218.1
Explanation:
Rationale: Surgical laparoscopy is performed to remove the five fibroid tumors weighing over 250 grams. This procedure is indexed under Laparoscopy/Removal/Leiomyomata referring you to codes 58545-58546. The diagnosis is indexed in the ICD-9-CM Index to Diseases, under Leiomyoma/uterus/intramural guiding you to code 218.1

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