1. The ★ star symbol identifies
a. Telemedicine encounter
2. Sunshine Thomas, an otherwise healthy 24-year-old female, was taken to the OR for a
total thyroidectomy to remove a left thyroid mass.
a. Where should you begin to look up the code in the coding manual - CPT Alphabetic
Index
What is the key term - Thyroidectomy
What type - Total
What else do we know about it - Nothing
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there additional notation(s) – Yes (TRY NO)
If so does the notation(s) apply - Does not apply
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code – 60240
3. Rosa Phillips, a 34-year-old female, presents today for a percutaneous breast biopsy,
needle core.
a. Principal Procedure:
Where should you begin to look up the code in the coding manual - Alphabetic
Index
What is the key term - Biopsy
What type - Percutaneous
What is the anatomical site - Breast
What else do we know about it - Needle core
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there additional notation(s) - Yes
If so does the notation(s) apply - Does not apply
Do you need to add a modifier - No
If so what is the modifier - Does not apply
, Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code – 19100
4. Nancy Hansen, an 18-year-old female, was brought to the OR for a C-section. Anesthesia
was administered. She has type 1 diabetes that is currently under control. Dr. Klackson
came to perform the cesarean delivery only. Code Dr. Klackson’s procedure.
a. Principal Procedure:
Where should you begin to look up the code in the coding manual - CPT Alphabetic
index
What is the key term - Cesarean delivery
What else do we know about it - Delivery only
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there additional notation(s) - No
If so does the notation(s) apply - Does not apply
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code – 59514
5. When reading a code description, the rule is to read the part of the code _____ and then
attach the indented description to it.
a. up to the semicolon
6. PATIENT: JOHNS, CHARLENE
ACCOUNT/EHR #: JOHNCH001
DATE:
Attending Physician: Renee O. Bracker, MD
S: This patient is a 34-year-old female who I have not seen in 6 months. She has a history
of recurrent sinus infections. She has been well until 6 days ago. She presents with fever,
severe frontal headache, facial pain, and runny nose. Patient states she has been having
difficulty concentrating.
O: PE reveals: T 101.5º. HEENT: Tenderness over frontal and left maxillary sinuses.
Nasal congestion visible. CT scan of the maxillofacial area, without contrast, reveals
opacification of both frontal, left maxillary, and sphenoid sinuses and a possible large
nonenhanced lesion in the brain.
a. Telemedicine encounter
2. Sunshine Thomas, an otherwise healthy 24-year-old female, was taken to the OR for a
total thyroidectomy to remove a left thyroid mass.
a. Where should you begin to look up the code in the coding manual - CPT Alphabetic
Index
What is the key term - Thyroidectomy
What type - Total
What else do we know about it - Nothing
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there additional notation(s) – Yes (TRY NO)
If so does the notation(s) apply - Does not apply
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code – 60240
3. Rosa Phillips, a 34-year-old female, presents today for a percutaneous breast biopsy,
needle core.
a. Principal Procedure:
Where should you begin to look up the code in the coding manual - Alphabetic
Index
What is the key term - Biopsy
What type - Percutaneous
What is the anatomical site - Breast
What else do we know about it - Needle core
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there additional notation(s) - Yes
If so does the notation(s) apply - Does not apply
Do you need to add a modifier - No
If so what is the modifier - Does not apply
, Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code – 19100
4. Nancy Hansen, an 18-year-old female, was brought to the OR for a C-section. Anesthesia
was administered. She has type 1 diabetes that is currently under control. Dr. Klackson
came to perform the cesarean delivery only. Code Dr. Klackson’s procedure.
a. Principal Procedure:
Where should you begin to look up the code in the coding manual - CPT Alphabetic
index
What is the key term - Cesarean delivery
What else do we know about it - Delivery only
Begin to code the encounter
Did you verify the code in the numerical listing - Yes
Is there a symbol for this code - No
If so what does the symbol mean - Does not apply
Is there additional notation(s) - No
If so does the notation(s) apply - Does not apply
Do you need to add a modifier - No
If so what is the modifier - Does not apply
Did you check the guidelines - Yes
Did you code to the highest level of specificity - Yes
What is the correct procedure code – 59514
5. When reading a code description, the rule is to read the part of the code _____ and then
attach the indented description to it.
a. up to the semicolon
6. PATIENT: JOHNS, CHARLENE
ACCOUNT/EHR #: JOHNCH001
DATE:
Attending Physician: Renee O. Bracker, MD
S: This patient is a 34-year-old female who I have not seen in 6 months. She has a history
of recurrent sinus infections. She has been well until 6 days ago. She presents with fever,
severe frontal headache, facial pain, and runny nose. Patient states she has been having
difficulty concentrating.
O: PE reveals: T 101.5º. HEENT: Tenderness over frontal and left maxillary sinuses.
Nasal congestion visible. CT scan of the maxillofacial area, without contrast, reveals
opacification of both frontal, left maxillary, and sphenoid sinuses and a possible large
nonenhanced lesion in the brain.
