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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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Click here for more sample CPC practice exam questions and answers with full rationale

Destruction of multiple malignant leisons with co2 laser

I need some help with this laser procedure. My provider stated to code 17999 however I feel that the code set of 17260-17280 would be more appropriate. Please let me know what you think.

Numerous 1-5 mm skin colored to light brown dome-shaped papules were noted diffusely over the patient’s trunk, neck, and several on the face including one underneath the right lower eyelid, right temporal scalp, left and right lateral and posterior neck, anterior chest, left 4th and 5th fingers, and back. Using the carbon dioxide laser with adequate metal eye shields placed, the CO2 laser at 3 watts was used to destroy these lesions after dermopathy confirmation of Pathology which were small nevoid basal cell carcinomas. Wound care instructions were given for these lesions to simply stay out of the sun and apply Vaseline to these areas.

I would code
17260×3
17270×3
17280×2

Medical Billing and Coding Forum

Laser Technology in the Medical Fields

Since it was invented in 1960, the laser has undergone rapid advances, becoming one of the most important tools used in the field of medicine today. Here are 5 unique ways in which laser technology is being implemented in medicine.

The Laser Scalpel

Some surgical incisions that would be extremely dangerous if done with a conventional metal scalpel can be done more precisely and safely with a laser scalpel. A laser beam cuts at the same depth consistently, whereas a doctor using a metal scalpel could potentially cut too deeply. Also, laser scalpels automatically cauterize broken blood vessels as they cut through tissue, eliminating excessive blood loss.

Cosmetic Lasers

Lasers are also used to remove birthmarks and port-wine stain skin blotches. Lasers have a monochromatic quality, meaning they shine in one specific color. Depending on the color of the skin blotch, the laser can be set to that color so that only the unwanted skin is affected by the laser beam.

Using Lasers to Remove Plaque from Arteries
Cleaning clogged arteries used to require that surgeons access the heart by opening up the patient’s chest. The procedure is extremely risky and requires a long, painful recovery. But laser technology has provided a less painful and much less invasive way of cleaning clogged arteries. A tiny optical fiber array containing a small laser can now be inserted into a patient’s vein via their arm or leg. The optical fiber travels to the artery where it pinpoints the plaque, at which point a precise laser beam is fired and the plaque is destroyed.

Dentistry

Going to the dentist for cavity fillings is never fun. But the procedure can be made less painful with the use of Nd-YAG laser drills instead of the standard metal ones. A laser drill can be set at a power level strong enough to destroy decayed cavity tissue, but not strong enough to harm healthy tooth enamel.

Low Level Laser Therapy

Low level laser therapy is the newest branch of medical laser technology and is just now getting recognition from the scientific and medical communities. It is used today to treat back and neck pain, tendinitis, ulcer wounds and sports injuries among other things.

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Domino New-d + Series Laser Coding Systems – Domino, Laser Coding, Coding Machine – Food Industry

Leading global provider of product identification and trace back solutions provider, introduced a new generation of domino-style laser line program Coder D + series. Domino D + series laser coding systems will begin in October this year, with its unparalleled flexibility in manufacturing enterprises in China to provide high-quality fine laser marking solution.

D + series following the launch of DSL + series followed by a new generation of laser coding systems, can be paper, cardboard, plastic, glass and other materials to generate attractive logo, print unlimited number of rows and the direction, character height marking the flexibility to choose between 0.3mm to 180mm, the maximum speed of 400 m / min. Domino now offers 10 watts, 30 watts and 55 watts of laser energy in three different series of laser D + Coder To meet the production needs of different users.

Concerned about the overall equipment effectiveness
D + series inherits DSL + Series logo fine, stable performance, etc., while the other PLUS series with Domino as a high degree of concern about the overall effectiveness of equipment. D + series based on the browser and Ethernet communication control system, can be compatible with standard JAVA Web browser for remote control and LAN connectivity for easy, centralized management and control; D + series of intuitive and simple setup wizard, “the See the income “of the operating mode to install, operate more easily, minimize errors caused by manual operation. Domino Laser Business Unit Global Product Director ThorstenFoecking said: “D + series is designed to take full account of the beginning of the optimize design and minimize operator error, by maximizing equipment uptime to improve overall performance.”

Unparalleled flexibility New generation of laser coding system, Domino D + series embodies many years of professional experience and laser technology designed for the tens of thousands of business wisdom of laser coding machine, considering a variety of Production Line Characteristics and needs, innovative modular design more flexible to meet diverse end-user and the identity of wiring business needs. D + series independent of the controller system integrates the controller, and network servers, and industry a common 19-inch Packaging Machinery The control cabinet system is fully compatible, you can overlay placed or hidden, saving production line integration required installation space; new browser-based control software and Ethernet interface allows communication with the host standardization, simplified system integration; flexible The laser head can be adjusted in direction and facilitate the integration of various production environment to meet the requirements; innovative modular design to meet customer’s individual requirements, and facilitate the expansion and upgrade capabilities to meet the production needs of the dynamic adjustment or upgrading; Meanwhile, the flexibility of the design of D + series laser coding systems, and optional touch screen controller wiring business at the same time meet the needs of a variety of wiring. Domino China laser product manager Wang Jian explained: “D + series laser coder easy integration and installation, saving space and have the extension installed, its superior flexibility to better meet the diverse needs of domestic manufacturers, identification equipment domestic production is ideal for enterprises. “

Years, Domino has been truly concerned about the needs of users from the user point of view to develop a new logo design of equipment, technology and innovation for businesses and users to create safety, convenience and ease. Domino D + series laser marking system, marked the advent of concern identified user needs in another advance, Domino innovative ideas put forward the concept of modular and standardized design developed by D + series with unparalleled flexibility, not only to adapt to a variety of production and installation needs, and for the majority of manufacturing enterprises the flexibility to adjust according to market needs and to upgrade production lines at any time provided strong support.

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Related Medical Coding Articles

Ureteroscopy with laser lithotripsy and stent placement question

I think I am correct on this, but I just want to double check.

Urologist did a cystoscopy with right ureteroscopy and laser lithotripsy, with bilateral stents placed. Am I correct to code this as 52356-RT and 52332-59LT? My reasoning is that only the stents are bilateral; the ureteroscopy and laser litho were right-sided only.

Thanks!

Medical Billing and Coding Forum