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In the laboratory section of CPT, if a group of tests overlaps two or more
panels, report the panel that incorporates the greatest number of tests to
fulfill the code definition.
What would a coder do with the remaining test codes that are not part of a
panel?
a. Report the remaining tests using individual test codes, according to CPT.
b. Do not report the remaining individual test codes.
c. Report only those test codes that are part of a panel.
d. Do not report a test code more than once regardless whether the test was
performed twice.
Correct Answer: A
Reporting additional test codes that overlap codes in a panel allows the
coder to assign all appropriate codes for services provided. It is
inappropriate to assign additional panel codes when all codes in the panel
are not performed. Reporting individual lab codes is appropriate when all
codes in a panel have not been provided (AMA 2012b, 402).
,An electrolyte panel (80051) in the laboratory section of CPT consists of tests
for carbon dioxide (82374), chloride (82435), potassium (84132), and sodium
(84295). If each of the component codes are reported and billed individually
on a claim form, this would be a form of:
a. Optimizing
b. Unbundling
c. Sequencing
d. Classifying
Correct Answer: B
Unbundling occurs when a panel code exists and the individual tests are
reported rather than the panel code (AMA 2012b, 402).
,Coronary arteriography serves as a diagnostic tool in detecting obstruction
within the coronary arteries. Identify the technique using two catheters
inserted percutaneously through the femoral artery.
a. Combined right and left (88.54)
b. Stones (88.55)
c. Judkins (88.56)
d. Other and unspecified (88.57)
Correct Answer: C
The Judkins technique provides x-ray imaging of the coronary arteries by
introducing one catheter into the femoral artery with maneuvering up into
the left coronary artery orifice, followed by a second catheter guided up into
the right coronary artery, and
subsequent injection of a contrast material (Schraffenberger 2012, 206).
, Ensuring the continuity of future care by providing information to the patient's
attending physician, referring physician, and any consulting physicians is a
function of the:
a. Discharge summary
b. Autopsy report
c. Incident report
d. Consent to treatment
Correct Answer: A
The discharge summary is a concise account of the patient's illness, course of
treatment, response to treatment, and condition at the time the patient is
discharged (Johns 2011, 78).
This document includes a microscopic description of tissue excised during
surgery:
a. Recovery room record
b. Pathology report
c. Operative report
d. Discharge summary
Correct Answer: B
The pathology report describes specimens examined by the pathologist (Johns
2011, 77).