Important interview Question for General Surgery
Interview Question 1A : What is Appendectomy?
Interview Question 1B : How do we code for appendectomy?
Interview Question 1C: What is incidental appendectomy ?
Interview Question 2A: What is the Cholecystecomy ?
Interview Question 2B: What is gall bladder and its function ?
Interview Question 2C: How do we code for Cholecystectomy?V.imp
Interview Question 2D : What is cholangiography? V.imp
Interview Question 2E : What is common bile duct ?
Interview Question 3A : What is hernia ?
Interview Question 3B : What are different type of hernia ? V.imp
Interview Question 3C : What are the code selection for hernia repair ?
Interview Question 3D : What is incarcerated hernia ?
Interview Question 3E : What is strangulated hernia ?
Interview Question 4A : What is thyroidectomy ? V.imp
Interview Question 4B : What is thyroid gland and what is it function?
Interview Question 4C : What is partial thyroidectomy? V.imp
Interview Question 4D What is subtotal lobectomy? V.imp
Interview Question 4E : What is total thyroid lobectomy? V.imp
Interview Question 4F : What is total thyroidectomy?
Interview Question 4G: Which is the limited neck dissection ?
Interview Question 4H : What is radical neck dissection?
Interview Question 4I : What is substernal thyroid ? V.imp
Interview Question 4J : How do we code substernal thyroidectomy?
Interview Question 4K: How do we code thyroidectomy?
Interview Question 1A : What is appendectomy ?
Appendectomy is the removal of appendix.Appendix is attached to the cecum and it is the part of large intestine. Appendix is a Vestigial organ as its funnction is not known. Another vestigan organ is wisdom teeth (3rd molar).
Interview Question 1B : How do we code for appendectomy?
The code selection for appendectomy is based on:
Approach : Open or Laparoscopy
For open appendectomy, if appendix is rupture CPT code will be change.
Interview Question 1C : What is incidental appendectomy?
Incidental appendectomy is the removal of the appendix at the time of a major primary procedure on the abdomen or pelvis; this includes removal of a noninflamed or healthy appendix as a precautionary measure.
44950 Appendectomy;
44955 Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)
44960 Appendectomy; for ruptured appendix with abscess or generalized peritonitis
44970 Laparoscopy, surgical, appendectomy
Interview Question 2A: What is cholecystectomy ?
The Cholecystectomy is the surgical removal of gall bladder.
Interview Question 2B: What is gallbladder and its function ?
Gallbladder is reservoir which store bile juice that is produced by the Liver. Then it gets secreted into the 1st part of the duodenum. It is situated below the liver. It is green in Colour.
Interview Question 2C: How do we code for Cholecystectomy?
The code selection for cholecysteomy is based on
Approach : Open or Laparoscopy
Application of chlangiography and exploration of bile duct.
Interview Question 2D: What is chlangiography ?
Cholangiography is a radiological technique that uses contrast dye to visualize the bile ducts.
Interview Question 2E: What is common bile duct ?
Common bile duct is a common path that joins the cystic duct, draining bile from the gallbladder, and the common hepatic duct, draining bile from the liver, to the duodenum, a part of the small intestine.
47600 Cholecystectomy;
47605 Cholecystectomy; with cholangiography
47610 Cholecystectomy with exploration of common duct;
47612 Cholecystectomy with exploration of common duct; with choledochoenterostomy
47620 Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography
47562 Laparoscopy, surgical; cholecystectomy
47563 Laparoscopy, surgical; cholecystectomy with cholangiography
47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct
47570 Laparoscopy, surgical; cholecystoenterostomy
Interview Question 3A: What is Hernia ?
Hernia is the protrude of the internal part of body through a weakend muscle or tissue wall in the abdomen.
Interview Question 3B: What are different type of hernia ?
There are various types of hernia based on their location and characterstic
Inguinal hernia : It is protude of small instestine part thorugh a inguinal canal at groin area.The inguinal canal is a passageway in the lower anterior abdominal wall that allows structures to pass from the abdominal wall to the external genitalia. For male ,the spermatic cord and ilioinguinal nerve pass through the inguinal canal. For female, round ligament passed through inguinal canal.
Incisional hernia : It occurs when tissue pokes through a surgical wound in the abdomen that has not fully healed.
Umbilical hernias: It occurs when part of the intestine or abdominal tissue protrudes through or near the belly button.
Epigastric hernias: An epigastric hernia is when a small piece of fat bulges through the muscle wall near the center of the abdomen (belly) and bottom of the breastbone (sternum).
Femoral Hernia: It is protude of small instestine part thorugh a inguinal canal near the thigh.
Interview Question 3C: What are the code selection for hernia repair
The code selection for hernia repair is based on
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Approach : Open or Laparoscopy
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Type of hernia such as umblical,Inguinal,femoral etc
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Patient age
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Encounter of hernia : Initial or recurrent
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Nature of hernia : Incarcerated, reducible
Interview Question 3D : What is incarcerated hernia ?
Incarcerated hernia is the bulging protrusion of the small intestine or other tissues through a weak spot in the abdominal wall in the groin area.
Interview Question 3E : What is Strangulated hernia ?
Strangulated hernia is the interruption of the blood supply to the intestine as a result of an incarcerated hernia, leading to gangrene, or tissue death and subsequent infection.
Interview Question 4A : What is Thyroidectomy ?
Thyroidectomy is the removal of thyroid gland.
Interview Question 4B : What is Thyroid gland and what is it function ?
Thyroid gland is a largest endocrine gland in our neck. It makes two hormones that are secreted into the blood: thyroxine (T4) and triiodothyronine (T3). It improve growth, development, metabolism of our body. Thyroid gland consist of two lobe connected by Isthmus
Interview Question 4C: What is partial thyroidectomy?
This is a procedure involving surgical removal of a part of one of the two lobes the thyroid gland is divided into. The provider may perform the procedure with or without surgical removal of the isthmus, the tissue connecting the two lobes of the thyroid gland in the middle.
60210 Partial thyroid lobectomy, unilateral; with or without isthmusectomy
60212 Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
Interview Question 4D: What is subtotal lobectomy?
It is the surgical removal of most of one of the two lobes the thyroid gland.
Subtotal excision, or subtotal resection, is a procedure that involves removing a significant portion of an organ or tumor, but not all of it
Code description help you to understand:
After the patient is appropriately prepped and anesthetized, the provider makes a standard neck incision about 3–5 inches horizontally in the lower part of the front of the neck just below the voice box. He separates the skin into upper and lower flaps and divides the overlying muscles. He takes care to avoid injury to the adjacent recurrent laryngeal nerve that innervates the vocal cord and to the overlying thyroid arteries and veins that provide blood circulation to the thyroid. He then removes only a part of the lesser affected lobe of the thyroid gland and removes most of the opposite lobe including the isthmus, too. After achieving hemostasis, which is stoppage of bleeding, he closes the overlying muscles and skin in layers. The provider typically performs this procedure to remove malignant cancerous tissue as in follicular adenomas or Hurthle cell tumors. The provider may also perform the procedure in patients with hot and cold nodules in an enlarged overactive thyroid in hyperthyroidism
Interview Question 4E : What is total thyroid lobectomyy ?
This is a procedure involving complete surgical removal of one of the two lobes the thyroid gland is divided into. The provider may perform the procedure with or without surgical removal of the isthmus, the tissue connecting the two lobes of the thyroid gland in the middle
60220 Total thyroid lobectomy, unilateral; with or without isthmusectomy
60225 Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
Code description 60225:
The procedure involves surgical removal of one whole lobe of the thyroid gland and most of the other lobe of the thyroid gland. The provider also performs surgical removal of the isthmus, the tissue connecting the two lobes of the thyroid gland in the middle.
Interview Question 4F : What is total thyroidectmy ?
The procedure involves surgical removal of the entire thyroid gland.
Interview Question 4G : What is Limited neck dissection?
Limited lymph node dissection (LND) is a procedure that removes a limited number of lymph nodes.In neck dissections, limited LND involves removing no more than two nodal levels. This is different from radical lymphadenectomies, which remove four or five nodal levels.
Interview Question 4H : What is radical neck dissection?
Radical lymph node dissection (RLND) is a surgical procedure that removes most or all of the lymph nodes that drain lymph from the area around a tumor.
Interview Question 4I : What is substernal thyroid
A substernal thyroid, also known as a substernal goiter or retrosternal goiter, is a condition where the thyroid gland or masses within the gland grow down into the upper chest.
Interview Question 4J : How do we code substernal thyroidectomy ?
The code for excision of thyroidectomy for the substernal goitre is different , there are two code for it and based on aproach , one is cervical apporach and other is transthoracic approach.
Interview Question 4K : How do we code thyroidectomy ?
The code selection for Thyroidectomy is based on :
The portion of thyroid removed
60210 60210 60220 60225
60240
Interview Question 5A : What is total thyroidectmy ?
The pro