Ambulatory Care Coding

Ambulatory Care CodingThis assignment requires Ambulatory Care Coding experience.You CAN NOT google these questions for the answers.Must be CPC, CCS, or RHIT certified coder.Please check 40 that are answered, 40 that are unanswered.Need by 09.16.2015 Ambulatory Care Coding Patient had a left femoral hemiorraphy for a recurrent hernia, what is the correct code assignment? 49555 A patient was taken to the endoscopy suite. The endoscopy was passed into the esophagus and continued into the duodenal bulb. Based on this documentation, what CPT code would be selected to represent this procedure?  43200432344323543260  Which of the following is not coded separately from the coronary artery bypass procedure? Upper extremity arteryUpper extremity veinSaphenous veinFemoropoplitear segment of a vein  Which of the following CPT codes should be used for an emergency curettage due to retained placenta after normal vaginal delivery? 58120591604932059840  How do you code a retropubic subtotal prostatectomy? 55831 Treatment of a missed abortion, completed surgically a 22 weeks is coded as? 59821 Which of the following CPT codes describes the surgical removal of kidney stones through an incision in the body of the kidney. D.50060   The patient undergoes the closure of a nephrocutaneous fistula, how is this coded? 50520   The patient provides a kidney to a sibling who has renal failure. An open procedure is performed. How is this coded? 50320 Principles of ICD-9-CM coding for ambulatory care encounters includes. Ambulatory care diagnoses should be coded to the highest of certainly at the conclusion of the encounter. Code suspected diagnoses as if the disease or injury existed. conditions previously treated and no longer existing are coded.   D.Only the most significant diagnosis should be coded.   Level  2 codes of the HCPCS coding system are maintained by the:D.Center for medicare and Medicaid services. J1020 injection methylprednisolone acetate, 20 mg is an example of aLevel 2 code Level one of HCPCS consists of CPT codes   The inclusion of a code in COT indicates that the procedure is: Commonly performed across the countryEndorsed by the AMAReimbursed by third party payers  The three key components used in defining the levels of E/M services are: History, examination, medical decision making.  The differences between a new patient and an established patient is whether the patient received professional services from the physician or another physician of the same specialty who belongs to the same group of practice Within the past three years   Mary Cole, who is recovering from pneumonia, returns to her physicians for follow up. Dr. Small reviews a recent x-ray, performs a problem focus examination followed by a short discussion of findings. CPT code assigned. 99212 Refer to the medical decision making table in your CPT book. Given the following information determine the type of medical decision making involved. Number of diagnoses/management options _ limited, amount and/ or complexity of data reviewed _ moderate risk of complications and / or morbidity or mortality high. High complexityLow complexityModerate complexityStraightforward   Joan Harrington is required by required by her insurance company to obtain a second opinion consultation prior to undergoing a hysterectomy, she presents to Dr. Marks who conducts a comprehensive history and physical examination medical decision making is moderate. Dr. Marks concurs that the surgery is necessary. Dr. Marks assigns the following CPT code for the visit.99244 Which code is used to report anesthesia services for a Medicare patient undergoing a tranurethal resection of the prostate?  00914  Cystourethroscopy with fulguration of bladder tumor (2.5 cm inside) is coded.  52235  A biopsy of skin and subcutaneous tissue (3 lesions) would be coded. C.11643 A debridement of the skin, subcutaneous tissue and muscle is coded. C.11043 Bisch of procedure 63170 Open reduction of fracture of the distal fibula with internal fixation 27792 Transurethral resection of prostate following urethral dilation. 52601 Repeat cry cautery of the cervix. 575105751157511, 575115713 Two facial lacerations are repaired with layer closure. One is 10 cm and the other is 3 cm. 120161203512052, 1205412055 Esophagoscopy for removal of foreign, body is coded. 4304543200, 432154321543247 Simple hemorrhoidectomy, internal and external with fistulectomy. 4625543255, 462704625746258 Arthroscopy of knew with synovial biopsy. 01382273302987029875 A patient develops difficulty during surgery and the physician discontinues the procedure, identify the modifier that may be reported by the physician to indicate that the procedure was discontinued. -52-53-73-74 EGD with laser destruction of a pedunculated polyp in the duodenum. 4325043234, 432584323943258 What is the correct code assignment for ligation of four hemorrhoids? 46945, 46946 46946 46900, 46910 46924 Which of the following is vital for determing why an insurance company paid less than expected? CPT code bookThe explanation of benefitsKnowledge of the insurance regulationTalking to the patient To properly link the diagnosis to the service what should be listed in box 24 of the CMS_1500 claim form? The place of service codeOne linking reference number from box 21The CPT code numberThe ICD_9-CM code number Which set of percentages is correct for initial hospital services, 99221 65, 99222 296, 99223 362, 99231 261, 99232 410, 99233 174 4%, 19%, 23%13%, 45%, 42%9%, 41%, 50%36%, 57%, 24% A claim is denied because the CPT code and place of service code do not match. Where would the coder look to solve this problem for the future? Fee schedule database   A patient presents with a closed fracture of the supracondylar humerus and receives open treatment with intercondylar: How should this be coded? D.24546 Red blood cell count, differential white blood cell count, and platelet count automated, is coded as? 85041, 85004, 85049 An asthmatic patient is treated with two nebulizer inhalation treatment on the same day by the same physician, using prefilled vials of 0.5 mg of albuterol and 2.5 mg normal saline. How is this coded? 94640, 94640-76, J7611, J761194664-7694664, 94664-22, J7611x694640, 94640 A catheter is placed into the renal pelvis for injection. The same physician perfors both the injections and the supervision and interpretation. How is this coded? 50392, 74475-2650392, 7447574475-2674475 Magnetic resonanceimagaing cholangiopancreatograpy on a 25 year old male 74185764985803758042 A rapid influenza test is performed with a commercial test kit. When complete, the technician visually reads the results as positive, how is this procedure coded? 87275872768740087804 Some reconstructive plastic surgical procedures are performed in multiple stages. What modifier should the surgeon report when the patient is returned to sugery for a planned stage procedure? 58 Accu-check home blood glucose monitor A4258E0607A4253E0607, A4253  CT of maxillofacial area, with and without contrast. 70488704877045070486, 70487  Two- view x-ray of sacrum and cocoyy 82607, J3420   What is the correct code for a nonabsorption vitamin B_12 level? 8260882607J342082607, J3420 RS&I of bilateral extremity angiograph 75716 When clinical laboratory tests are reported on the same day, what modifier should be assigned? 91   In addition to the claim submitted by the surgeon, the assistant surgeon bills for his or her services. What modifier does the assistant surgeon attach to the procedure code? 62528180 A female patient about undergo chemo, decided to harvest and store eggs for later attempts at pregnancy. How is the laboratory service of storage coded? 89342893468934389528 Visual acuity screening 99173 Comprehensive opthalmology evaluation for a new patient. 99204920129200492002  Binaural hearing aid check 92539925919259092591, 92539 Individual interactive psychotherapy, outpatient, 50 minutes. 90834, 90784   EEG, awake and sleep 95819 With the use of imaging, the patient had a percutaneous needle core biopsy of the left brest. LT Barium enema with KUB 74270 Planned sigmoidoscopy with removal of foreign body under conscious sedation, procedure not completed due to hypotension. How would the physician report this? 53 Comprehensive oral examination D0150D0145D0502D0121 A radiologist interprest x-ray for a community hospital. The equipment belongs to the hospital. What modifier should the radiologist append to his CPT code? 26TC5952 Replacement of a nonprogrammable epidural drug infusion pump 623606236262360, 6236162361 Initiation and management of continuous positive airway pressure ventilation 94660 Removal of foreign body from cornea using a slit lamp 652056522265205, 6522265220 Cervical collar, foam, un-adjustable L0150L0180E0856L0120  Hearing aid, monaural, behind the ear. V5241V5298V5160V5060 The physician provides a patient covered by commercial insurance with a peak flow meter to use at home. 58096   The physician performs an arthroscopic debridement of the shoulder, extensive, with chondroplasty and abrasion, arthroplasty. An arthroscopic mumford procedure is also performed. How is this coded? 11044-RT, 23120-RT29823-RT, 29824-RT11044-RT, 29824-RT29823-RT, 23120-RT  The modifier used to report therapeutic interventional procedures on the right coronary artery is. RTRC50LC The physician performs an open repair of the medical meniscus of right knee: How is this coded. 27403-RT   Modified radical mastectomy 19307 The physician treats a patient who has osteomyelitis of the left scapula following a past injury. A piece of dead bone is removed from the body of the scapula. How is this coded? 23172-LT The physician performed a partial avulsion of the nail plate of the left thumb. FA Surgical sinus endoscopy with spenoidotomy 31287 Percutaneous thrombectomy of AV Fistual Graft 36870353319297335363 Prosthetic aortic value placement, using CP bypass 33405 Diagnostic lumber puncture 62270 Catheterization of Eustachian tubes, tympanic approach 696316940569405-5069400

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