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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Removal of Foreign Object from the Ear

Removal of a foreign object from the external auditory canal without general anesthesia is coded 69200 Removal foreign body from external auditory canal; without general anesthesia. This code is unilateral; therefore, if the patient sticks a Cocoa Puff™ in both ears, report 69200 on a single claim detail line and append modifier 50 Bilateral procedure. Note: […]
AAPC Knowledge Center

Top Foreign Medical Schools

With the cost of US medical schools constantly rising and ever increasing competition for slots in each medical school class, more and more students are turning their sites to foreign medical schools. While there does exist a stigma of being a degree mill with many of these institutions, we are also seeing many of their alumni going on to become extremely successful physicians in the United States. More and more of these medical colleges are basing their curriculums on those of their United States’ counterparts and even forming affiliations with US instistutions where students can start abroad and eventually transfer and get their degree from an American program.

So what are the various advantages of foreign medical schools?

If you are looking to start internationally and then switch to an American institution, the Canadian, British, and Australian medical schools are the most efficient in that regard. They run their programs very closely to the American ones and are held in high regards within their nations in their own rights. While transfers between medical schools are never the easiest of tasks, these nations have institutions which have shown some success in the process. Of course, these nations also offer the medical schools where price and competition are closest to the colleges of the United States.

When price is a major factor, Caribbean medical schools are proving to be a more viable option. Once thought of as a joke because of poor equipment and easy programs, schools some of these schools have taken great steps and modeled their programs after US institutions and have built state of the art facilties to lure students from the mainland. Their main purpose is for their students to become doctors in America. While the degree from the Caribbean will not hold the same weight in the US as one from Harvard, many of these schools have shown strong abilities at placing their graduates into US match programs. These are all typical available at much lower prices than the United States’ universities charge.

Asian medical schools enjoy a strong reputation, but offer various challenges. For example, their programs are typically tailored for their own countries standards, not as a transfer mechanism to the United States. Also, unlike most of the other programs mentioned, there is more likely to be a language barrier if you do not know the local dialect. On the other hand, depending on which school you choose, they enjoy good reputations and the quality of education is considered excellent. Many of these graduates do eventually migrate and practice in the United States.

At the end of the day, it is all about doing your homework before you even step foot on a campus. Make sure to do the research necessary to find out who is legitimate and who is just trying to take your money in what essentially amounts to a tuition scandal. Make sure to find alumni of your targeted schools and ask them about their experiences and how it prepared them for their work in the medical industry. If you go in prepared, you do not have to worry about some of the horror stories that you may read about elsewhere.

– Felix Chesterfield For more information: Foreign Medical SchoolsCaribbean Medical Schools

Related Medical Coding Articles

Coding foreign bodies, T16.2xxA

I still struggle with the idea of whether this code, T16.2XXA should be coded as an injury…patient was playing sand volleyball and got some bits of sand in ear. Dr. removed cerumen and tiny bits of sand in ear. Is there a rule regarding this code that should be followed. Any help on this.
Thanks,

T.D., CPC

Medical Billing and Coding Forum

Foreign Body Removal Floor of Mouth

Physician took a patient to surgery for removal of a titanium screw from the floor of mouth. Looking for CPT code for procedure.

"The radiographic films revealed that the patient had a lesion approximately 1/2 inch, approximately 1.5 cm below the floor of mouth, just slightly to the mid-line. An incision was made in the lingual frenulum area and it was approximately 1.5 cm to 2 cm in length. Then the floor of the mouth musculature was divided and the dissection carried down through the scar tissue, since the patient had had previous genioglossus surgery, down to the foreign body which was an extruded titanium screw, which had become extruded from the medial aspect of the symphysis. The patient actually had a small divot and radiolucency in the jaw where this titanium screw had been extruded. Very carefully, the screw was removed with its associated Prolene, which was still approx. 3 cm in length and removed from the floor of mouth"

Should I use the unlisted code 41599 (unlisted procedure, tongue, floor of mouth) – My initial thought was 40805, but that seems to be more for the vestibule of mouth (nothing in that description says floor of mouth).

Thanks for any and all help

Lori

Medical Billing and Coding Forum

HELP!! Esophagus foreign body removal using laryngoscope. What to code?

Hi,

I am coming across several reports wherein there is a foreign body in the esophagus. However, instead of using a rigid esophagoscope, the physician is using a laryngoscope and a telescope.
What code should be coded?

43194 – Esophagoscopy, rigid, transoral; with removal of foreign body(s)

or

31531 – Laryngoscopy, direct, operative, with foreign bodyremoval; with operating microscope or telescope

Please help!

Medical Billing and Coding Forum

removal of chest awall foreign body coding

I am thinking this is 10120 any suggestions?

Procedures
Removal of chest wall foreign body

Pre-operative Diagnosis: Retained left chest wall cuff
Post-operative Diagnosis: Retained left chest wall cuff
Indications: Retained foreign body
Anesthesia: 6 mL of Lidocaine 1% with epinephrine
Procedure Details
The risks, benefits, indications, potential complications, and alternatives were explained to the patient and informed consent obtained.
The palpable lesion and surrounding skin was prepped with alcohol and betadine and draped in the usual sterile fashion. A scalpel was used to make a 2 cm incision over the mass. Staying close to the fibrous cuff, it was excised sharply. Hemostasis was achieved prior to closure. The wound was closed with 4-0 nylon and dressed with neosporin gauze and tape. The specimen was not sent for pathologic examination. The patient tolerated the procedure well.
EBL: minimal
Findings: Retained cuff
Condition: Stable
Complications: None

Medical Billing and Coding Forum