AAPC CPB - Chapter 7 Practical Application Questions 2024.

AAPC CPB - Chapter 7 Practical Application Questions 2024. Use CPB Chapter 7_Case to answer questions 1 & 2. A 40-year-old patient is trying Botox® for her chronic migraines. According to the policy, what are the symptom parameters that must be documented? a. The patient has chronic migraines more than 15 days per month, with headaches lasting 4 hours a day or longer. b. There are not specific documentation requirements for the use of Botox® for chronic migraines. c. The patient has chronic intractable migraines with status migrainosus. d. A diagnosis of chronic migraines is sufficient. - correct answer a. The patient has chronic migraines more than 15 days per month, with headaches lasting 4 hours a day or longer. Rationale: When Botox® (onabotulinumtoxina) is used for the FDA approved indication of prophylaxis of headaches in adult patients with chronic migraine (> 15 days per month with headache lasting 4 hours a day or longer), the documentation must support these specific symptom parameters. Use CPB Chapter 7_Case to answer the following question. The patient has had three injections without relief from the migraines. According to the policy in Chapter 7 Case 1 pdf, what will be considered for coverage by Medicare? a. All three injections will be covered by Medicare. b. Two of the three injections are covered when the treatment fails. c. Only one injection is covered by Medicare. d. None of the injections are covered as Botox® is not a covered condition for chronic migraines. - correct answer b. Two of the three injections are covered when the treatment fails.