General anesthesia is administered to a 9-month-old undergoing a tracheostomy. Code the anesthesia service.
- 00320, 99100
- 00326, 99100
65-year-old woman is one year post with B-cell non-Hodgkin’s lymphoma. She is having recurrent fever and pain. Tumor recurrence was confirmed by CT studies and chest X-ray. She has failed prior chemotherapy and radiation treatments. A new treatment is being contemplated and she is referred for a radiopharmaceutical distribution imaging as a requirement before starting this new treatment. The provider injects small amounts of gamma-emitting radioactive material paying particular attention for potential reaction. A gamma camera is used to take planar images of the whole body for three days. Three sets of image data are interpreted. Qualitative assessment of distribution and determination of treatment with monoclonal antibody are provided. A report is dictated and placed in the medical record. Which CPT® code is reported?
Due to an elevated CEA level two years following a colon resection, the patient’s oncologist ordered a diagnostic liver ultrasound. Which radiology code is reported for this encounter.
52-year-old male has a 3.2 cm metastasized lung cancer in his left upper lobe. The tumor can not be removed by surgery due to the patient having severe respiratory conditions. He will be receiving sterotactic body radiation therapy management under image guidance. There is a delivery of 25 Gy for four fractions under direct supervision of the radiation oncologist. The patient’s treatment set up is assessed to manage the execution of the treatment to make any adjustments needed for accuracy and safety. The oncologist reviews and approves all the images used to locate the tumor and images of fields arranged to deliver the dose. What CPT® and ICD-9-CM codes should be reported?
- 77373, V58.0, 162.9
- 77435, V58.0, 197.0
- 77435, 197.0, V58.0
- 77402, 162.9, V58.0
A 42-year-old has a lesion on his pancreas. The physician passes the biopsy needle through the skin and removes tissue to be sent to pathology. Fluoroscopic guidance is used to obtain the biopsy. Physician’s report and interpretation is placed in the record. Code this encounter.
- 48100, 77002-26
- 48102, 77002-26
- 48120, 76942-26
- 48102, 76942-26
Patient is undergoing in vitro fertilization to get pregnant. Following the retrieval of follicular fluid from the patient, the physician uses a microscope to examine the fluid to identify the ooctyes. What is the code for the laboratory service?
22-year-old comes into the Emergency Department with convulsions. The ED physician orders a drug screening without identifying any specific drug class to be tested. The lab runs a multiple drug classes screening using an immunoassay. The lab report comes back positive for alcohol and benzodiazepines. The ED physician then orders a confirmatory test to be performed by the lab to confirm both positive results. What CPT® codes are reported?
- 80301, 80320, 80346
- 80300, 80320, 80346
- 80302 x 2, 80320 x 2, 80346 x 2
- 80300 x 2, 80320 x 2, 80346 x 2
A pathologist performs a comprehensive consultation and report after reviewing a patient’s records, specimens and official findings from other sources. What is the correct code?
Photodynamic therapy involving application of light externally to destroy premalignant lesions on the lower lip was provided to a 63-year-old patient. Code the encounter.
A four-year-old patient presents with pain in the left forearm following a fall from a chair. The injury occurred one hour ago. Her mom applied ice to the injury but it does not appear to help. The ED physician performs a detailed history, expanded problem focused examination and medical decision making of moderate complexity. An X-ray is ordered, which shows a fracture of the distal end of the radius as read by the radiologist. The ED physician consults with an orthopedic surgeon. The ED physician performs moderate conscious sedation with Ketamine for 30 minutes. The fracture is reduced and cast applied by an orthopedic surgeon. The child was monitored with pulse oximetry, cardiac monitor and blood pressure by the ED physician frequently. The patient was discharged with a sling and requested to follow up with the orthopedic surgeon. Code the services performed by the ED physician.
- 99284-25, 99148
- 99283-25, 99148
- 99283-25, 99143
- 99284-25, 99143
In the inpatient setting, the psychiatrist provides psychotherapy for 30 minutes to affect a change in the patient’s maladaptive behavior. What is the procedure code?
CKD is a disease of which system?
A person who has nephritis has inflammation in what location?
What is ascites?
- Fluid in the abdomen
- Enlarged liver and spleen
- Abdominal malignancy
- Abdominal tenderness
Which of the following is a disorder of the facial nerve?
- Tarsal tunnel syndrome
- Brachial plexis lesions
- Bell’s palsy
Complete this series: Pulmonary, Aortic, Mitral, and ________are valves of the heart.
- Superior Vena Cava
Which of the following terms is one who has an overload of sodium?
The term paracentesis found in CPT® code 49082 means:
- A procedure performed to drain fluid that has accumulated in the abdominal cavity
- An abdominal incision is made to open the abdominal cavity for drainage
- Removal of tissue samples from the abdominal cavity by an open approach
- Removal of a cyst located in the abdominal cavity
A 25-year-old is brought to the burn unit being rescued from a burning house. She sustained 25% second degree burns on her anterior trunk and back and 20% third degree burns on her legs and arms. Total body surface area burned is 45%. What ICD-9-CM code is reported for the burns classified according to the extent of body surface involved?
The patient is a 75-year-old woman who is here for follow-up after an incident last week in which she had an FB lodged in her throat. An emergency esophagoscopy was performed and the piece of hamburger meat removed and biopsy performed. She is positive for Barrett’s esophagus. She has GERD which is currently being treated by medication and is here today to be evaluated for photodynamic therapy.
What diagnosis codes should be reported for today’s visit?
- 530.3, 530.85
- 935.1, 530.85, E915
- 935.1, 530.85, 530.81 E915
- 530.85, 530.81
A 78-year-old patient, with known arrhythmia, presented to an outpatient clinic for the insertion of a cardiac event recorder. What is the proper HCPCS Level II code for this device?
The physician performed manipulation of a closed fracture of the distal radius on a 12-year-old male. He placed a short arm fiberglass cast. What is the HCPCS Level II code for the supply?
Which of the following statements regarding the ICD-9-CM coding conventions is TRUE?
- If the same condition is described as both acute and chronic and separate subentries exist in the Alphabetic Index at the same indentation level, code only the acute condition.
- Late effect codes are reported for a current acute phase of the injury or illness
- An ICD-9-CM code is still valid even if it has not been coded to the full number of digits required for that code.
- Signs and symptoms that are integral to the disease process should not be assigned as additional codes, unless otherwise instructed.
Which modifier should be append to a CPT®, for which the provider had a patient sign an ABN form because there is a possibility the service may be denied because the patient’s diagnosis might not meet medical necessity for the covered service?
What is the patient’s right when it involves making changes in the personal medical record?
- Patient must work through an attorney to revise any portion of the personal medical information.
- They should be able to obtain copies of the medical record and request corrections of errors and mistakes.
- It is a violation of federal health care law to revise a patient medical record.
- Revision of the patient medical record depends solely on the facility’s compliance program policy.
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