CPT coding

3 hour glucose tolerance test (GTT) - answer-82951 30-minutes IV infusion of 2g of Rocephin - answer-96365 69. A MRI of brain (without material) was performed to rule out the diagnosis of cerebral vascular accident - answer-70551 A 62-year-old patient is seen in the outpatient hemodialysis clinic for 3 face-to-face visits in the month of July for treatment of end-stage renal disease; assign the correct code to reflect services performed for the month of July. - answer-90961 a moribund 35-year-old patient undergoes an incisional hernia repair (lower abdomen); assign the anesthesiology code only. - answer-00832-P5 (path anesthesia-abdomen-hernia repair, ventral and incisional hernias) P5 modifier for a moribund patient not expected to survive without the procedure a patient undergoes a retrograde urethrocystogram; the same physician performs both the injection and the supervision and interpretation. What is the correct CPT code assignment for the physician? ( 2 codes) - answer-51610, 74450 A patient was taken to the endoscopy suite; the endoscope was passed into the esophagus and continued into the stomach and into the duodenal bulb. Based on this documentation, what CPT code would be selected to represent this procedure? - answer-43235 a patient with medicare insurance has a diagnosis of ptosis of upper eyelid; in the hospital ambulatory surgical site, the physician performs a blepharoplasty on the left upper eyelid. I-9 = 374.30......CPT/HCPCS = 15820-E2 - answer-15822-LT a patient with medicare insurance undergoes a modified radical mastectomy; what would be the correct CPT code assignment for the anesthesiologist's services? - answer-00404 a physician draws blood to test for levels of T3 on a non-medicare patient; the blood is sent to an outside laboratory for analysis. When billing for the physician's services, which of the following modifiers should be appended to CPT code 84480? - answer-90 a single view, frontal x-ray of the chest was taken and the radiologist provided only the supervision and interpretation for the procedure; what is the correct CPT code assignment for the radiologist's service? - answer-71010-26 accessory tray for wheelchair - answer-E0950 accu-check home blood glucose monitor - answer-E0607 administration of tetanus toxoid by IM injection (2 codes) - answer-90471, 90703 An asymmetric nevi, total excision size of 2.0-cm x 3.0-cm was removed from the patient's back; pathology report identified the specimen as intradermal nevi. What is the correct CPT code assignment for this procedure? - answer-11403 Anesthesia for permanent transvenous pacemaker insertion, mild system disease - answer-00530-P2 (path: anesthesia-pacemaker insertion) p2 modifier for a patient with mild systemic disease anesthesia for repair of cleft palate, otherwise healthy child - answer-00172-P1 (path: anesthesia-cleft palate) p1 modifier for a normal healthy patient Append CPT/HCPC modifiers to the codes: Extracapuslar catarct extraction with insertion of Lens OS - 66984 - answer-66984-LT arthrocentesis, ring finger of left hand - answer-20600-F3 (path: arthrocententesis-small joint) F3 modifier for left hand, fourth digit) Arthroscopic medial meniscectomy and chondroplasty of lateral compartment, left knee. (2 codes) - answer-29881-LT, 29887-59-LT (path: arthroscopy-knee-with chondroplasty) left (then: just have to know drilling for intact osteochondritis w/ fixation is done also) 59 distinct proc. serv) Arthrotomy into the left ring finger to remove a piece of metal (1) - answer-26080-F3 Assign E/M Codes to the following: Office visit Date of service 01.03.10 last date of treatment 02.17.07 The patient is seen for a cough and sore throat; the physician performs a problem focused history, expanded problem focused exam and medical decision making is straightforward. What is the correct E/M code for the service? - answer-99212 (path: E/M- barely under three year due to month? assign the correct CPT surgical code to the following; do NOT append modifiers for this exercise cystourethroscopy with biopsy - answer-52204 (path cystourethroscopy-biopsy) bilateral maxillary sinusotomies - answer-31020-50 (path: sinus-maxillary-incision) Note: to report bilateral, use 31020 w/ modifier 50 blepharoplasty of the upper eyelid - answer-15822 (path blepharoplasty, upper eyelid) (no modifier as upper eyelid is in the description) cervical collar, foam, unadjustable - answer-L0120 chiropractic manipulation treatment of three spinal regions - answer-98941 chlamydia culture - answer-87110 Closed manipulation of right radial shaft fracture (1) - answer-25505-RT closed reduction of fractured phalange, 5th digit right foot - answer-28515-T9 (path: fracture-phalange-closed treatment, other than great toe, with manipulation each) T9 for right foot fifth digit closed treatment of two rib fractures (2 codes) - answer-21800, 21800 (path: rib-fracture-closed treatment) remember, two ribs...two codes Consultation Cardiologist asked to render an opinion for a new patient who was admitted to the hospital; the physician performs a comprehensive history and physical exam and the medical decision making was of moderate complexity. what is the correct E/M code for this service? - answer-99254 (path: E/M-Consultation-inpatient (because it says admitted) Comprehensive history & exam, MDM moderate (all 3 required because patient is new) Cystoscopy, ureteroscopy with lithotripsy and insertion of indwelling ureteral stent (2 codes) - answer-52332, 52353 Diagnostic Colonoscopy - answer-45378 (path: Endoscopy-Colon-Exploration) EGD with removal of a piece of a chicken bone - answer-43247 established patient seen in the physician's office for sore throat and a temperature; the physician performed a problem focused history, expanded problem focused exam and medical decision making was straightforward. The final diagnosis was acute pharyngitis. I-9 = 462......CPT/HCPCS = 99213 - answer-99212 evaluation of auditory rehabilitation status, 1 ½ hour visit ( 3 codes) - answer-92626, 92627, 92627 face tent for oxygen - answer-A4619 gait training, 15 minutes - answer-97116 (path: gait training) gross and microscopic examination thoracic lymph node biopsy specimen - answer-88305 hearing aid, monaural, behind the ear - answer-V5060 Hysteroscopy with D&C and removal of fibroid (2 codes) - answer-58558, 58561 incision and drainage of carbuncle on left hip - answer-10060-LT (path: insision and drainage-carbuncle-skin, simple or single) LT modifier for left hip Incision and drainage of suppurative hidradenitis of arm - answer-10060 (path: Hidradenitis-suppurative-incision & drainage-simple or single) individual inpatient psychotherapy, 45 minutes - answer-90818 Initial repair of incarcerated ventral hernia with insertion of mesh ( 2 codes) - answer-49561, 49568 injection of 0.5mg of digoxin - answer-J1160 injection of ampicillin, 500mg - answer-J0290 insertion of temporary prostatic urethral stent - answer-53855 (path: prostate-urethra-stent insertion, temporary) Lab test: rubella antibody - answer-86762 (path: rubella-antibody) lipid panel to include total serum cholesterol, triglycerides and HDL levels - answer-80061 Medical nutrition therapy (initial assessment and intervention) total of 1 hour (4 codes) - answer-97802, 97802, 97802, 97802 MRI of pelvis, with contrast material - answer-72196 nebulizer with compressor - answer-E0570 office visit Date of service: 9.28.10 last date of treatment: 8.03.06 The patient is seen for a chief complaint of shortness of breath and fatigue; the physician performs a detailed history, comprehensive exam and medical decision making is of moderate complexity. What is the correct E/M code for this service? - answer-99203 (path: E/M-new patient because is has been more than 3 years since last date of treatment-requires 3 key components) 99204 is only 2 of the 3 so go back to 99203) Office Visit. Date of service 11.24.10 Last date of treatment 07.12.09The patient is seen for a routine blood pressure check; nurse documents BP: 135/90. Nurse asks about diet and exercise program; patient offers no complaints. What is the correct E/M code for this service? - answer-99211 (path: E/M-established patient-that may not require the presence of a physician) Pair of full length surgical stockings (2 codes) - answer-A4510, A4510 patient being treated for spontaneous abortion has a D&C. - answer-59812 Patient had a laparoscopic incisional herniorrhaphy for a recurrent reducible hernia; the repair included insertion of mesh. What is the correct code assignment? (2