Coding Review with Guidelines and Examples
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2 of 134
Term
Patient: Hipston, Harry
MRN: 123456
Indication: Right leg pain, Rule out DVT
Procedure: CT of right leg
CT of right leg with contrast
Findings: Free vascular flow of all veins, no DVT noted.
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pressure equalization tube d. All of the above
73072
Reference CT scan, then
without and with contrast,
True
then Leg. Review the code
ranges given, and select
code 73702.
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3 of 134
Term
,The abbreviation for milligram is Mg.
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False potassium
True anatomical site
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4 of 134
Term
The patient is a normal, healthy 12-year-old male who fell while
skateboarding. The patient states that he tried to break his fall by
extending his left hand, at which time he experienced immediate
pain and deformity. The patient's parents rushed him to the
emergency room, where complete views of the wrist were taken
by radiology and interpreted by this physician. The findings are as
follows: Findings: Four views of the left wrist show a comminuted
fracture of the distal radial metaphysic with angulations and
displacement of the fracture fragments. Carpal bones are intact, as
is the distal ulna. At this time, we will be moving the patient to the
operating suite, where a closed reduction with casting will be
performed.
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, 73110-LT
Reference the main term X-ray, then wrist, to locate a code range of
73100-73110. With a minimum of three views, the code 73110 is the correct
code.
69440-RT
(Reference the main term Ear and the subterm middle. The coder will note that
exploration is found here, indicating the correct code assignment.)
72193
(Reference the main term CT Scan. The subterm with contrast is noted, and
then the location (in this case the pelvis) leads the coder to the correct code
assignment.)
72114
Reference the main term X-ray, then spine, then the lumbosacral area.
Reference code range 72100-72120, and select code 72114.
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5 of 134
Term
Semen analysis for presence of sperm, including Huhner test
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88261 88309