Practice Quiz

Medical Coding

Category - 40,000 Series

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A 39-year-old man has been having a recurrent issue, feeling as though there is a lump in his throat. His ENT performed a fiberoptic laryngoscopy on him in the office and it was noted that he had enlarged lingual tonsils. Due to persistent problems and not responding to medication, he is scheduled for lingual tonsil excision. What CPT code should be used for this procedure?
  1. 42825
  2. 42826
  3. 42860
  4. 42870
Explanation
Answer: D - 42870 is correct because this code is for the excision or destruction of the lingual tonsil.
Code 42825 is incorrect because this code is for tonsillectomy for patient under the age of 12. Code 42826 is incorrect because this code is for tonsillectomy for a patient age 12 or over. Code 42860 is incorrect because this code is for excision of tonsil tags.
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