1. Patient has a subtotal thyroidectomy to remove thyroid cancer. one lymph node is removed

2. what is the code for ultrasound evaluation of a fetus, usually done early in pregnancy, to confirm fetal age and set an anticipated delivery date

3. 60 yr old female with uncontrolled intraocular pressure and early cataracts has been coming in for laser trabeculoplasty. this is her third and last session within the last wk for her treatment series. she will be examined over the next 3 mths to ensure the normal inflammation subside

4. Mrs. jones G1P0, is diagnosed with polyhydramnios and is scheduled for amniocentesis to aspirate some of the excessive fluid from the amniotic sac. the amniocentesis is performed under ultrasound guidance.

5. Xenon laser photocoagulation for prophylaxis of a recent retinal detachment with giant tear is performed for and accidental injury sustained from a baseball to the eye at fastball practice

6. Provider performs a diagnostic thoracoscopy followed by the thoracoscopic excision of the pericardial cyst

7. Patient with a benign adrenal adenoma has a laparoscopic adrenalectomy

8. intracoronary stents are placed in the rt coronary and lft anterior desending arteries for a pt with stenosis. percutaneous transluminal balloon angioplasty is performed on the left circumflex coronary artery

9. Physician removes thymus gland in a 27 yr old female with myasthenia gravis. using transcervical approach, the blood supply to the thymus is divided and the thymus is dissected free from the percardium and the thymus is removed

10. 53 yr old woman with scarring of the rt cornea has significant corneal thinning with a high risk of perforation and underwent reconstruction of the ocular surface. the eye is incised and an operating microscope is used with sponges and forceps to debride necrotic corneal epithelium. preserved human amniotic membrane is first removed from the storage medium and transplanted by trimming the membrane to fit the thinning area of the cornea and sutured. this process was repeated three times until the area of thinning is flushed with surrounding normal thickness cornea. all of the knots are buried and a bandage contact lens is placed with topical antibiotic steroid ointment

11. Patient was taken to the OR the physician everts the upper eyelid and places clamps across the averted undersurface of the upper lid. the tissue distal to the clamps is excised or resected. this tissue includes conjunctiva, tarsus, Mullers muscle and the distal insertion of the levator aponeurosis. the remaining tissue is reattached and sutured

12. Patient has TAH-BSO

13. Patient was diagnosed with nuclear sclerotic cataract, rt eye. she was taken to the OR and phacoemulsification with intraocular lens, rt eye was performed

14. a woman with a long history of rectocele and perineal scarring from multiple episiotomies develops a rectovaginal fistula with perineal body relaxation. she has transperineal repair with perineal body reconstruction and plication of the levator muscles.

15. a pregnant Patient presents with the baby in a breech presentation. during the delivery the doctor attempts to turn the baby while it is still in the uterus. the baby turns but then immediately resues his previous position. can this service be billed...if so what is the code

16. Patient has a LEEP conization for CIN II

17. removal of foreign body from the external auditory canal w/o general anesthesia

18. 23 yr old woman presents with sudden LLQ pain which does not resolve. the decision is made to perform exploratory laparoscopy which reveals a cyst on the lft ovary. the cyst is removed along with a partial oophorectomy

19. 50 yr old male diagnosed with tumor of skull base just below occipital tonsils. neurosurgeon performs a transpetrosal approach to the posterior cranial fossa. he then performs an intradural removal of the tumor of the midline skull base. dural repair is done and the area is closed with neurolon

20. 56 yr old woman with biopsy proven carcinoma of the vulva with metastasis to the lymph nodes has complete removal of the skin and deep subcutaneous tissues of the vulva in addition to removal of her inguinofemoral, iliac, and pelvic lymph nodes bilaterally. the diagnosis of carcinoma of the vulva with 7 of the nodes also positive for carcinoma is confirmed on pathologic review

21. Pregnant Patient presents to the hospital in active labor. the obstetrician providing her prenatal care is contacted to perform the delivery. the provider delivers twins. the obstetrician will also provide the postnatal care

22. Patient with chronic lumbago is seen by the physician to have an epidural injection at the sacral level

23. intractable Grand Mal Seizures

24. physician performs an iridotomy using laser on both eyes for chronic angle closure glaucoma; procedure includes local anesthesia

25. Physician supervises a pt during a cardiac stress test performed at the hospital and writes interpretation and report