Week 4 Project Template (1)
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Bryant & Stratton College *
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146
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Date
Dec 6, 2023
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MCCG146 – CPT and HCPCS Level II Coding
Portfolio Project Coding Template
Week 3: Jane Smith’s Physician Office Visit
Provide CPT Evaluation and Management
(E/M) Code:
99214
Reflection/Method on Code Selection –
Describe in detail the steps/method you
took to code the services correctly and to
ensure the services are coded correctly.
This case takes place in an office setting
and is an outpatient visit. This follows
code 99214 which describes an office or
other outpatient visit. The patient is also
an established patient with an ongoing,
and available medical history. This case
involves one chronic illness with
exacerbation, progression, or side effects
of treatment. A moderate level of medical
decision making and medically
appropriate history are required.
Week 4: Jane Smith’s Imaging Services
MCCG146 – Portfolio Project Coding Template
2
Provide CPT Code(s) and modifier if
applicable for the professional component
provided for the Imaging Services:
78815
Provide the HCPCS Code(s) for the
Radiopharmaceutical Agent Injected during
Imaging Procedure:
A9952
Using Medicare’s website,
https://www.cms.gov/medicare-coverage-
database/search.aspx
determine whether or
not the CPT code has an active LCD and
Answer the following question: - Does the
Imaging Procedure CPT code you selected
have an active Article/LCD?
Yes/No?
If
yes, Identify Article/LCD.
No
Reflection/Method on the Code Selection.
Describe in detail the steps/method you
took to code the services correctly and to
ensure that the services are coded correctly.
First, I checked the Radiology - Nuclear
Medicine chapter of the CPT book. I
searched for PET scan with CT scan, and
further checked for a descriptor of the skull
base to mid-thigh. I got code 78815. Then, I
searched the HCPCS website for the
intravenous injection of
Fluorodeoxyglucose f-18 fdg. The website
gave code A9952.
I then searched
the Medicare website with
terms,
"PET scan, and PET with CT scan." I
couldn't find any LCD that fit the
description.
Week 5: Jane Smith’s Pre-Op Lab (Report 1) and Outpatient Surgery (Report 2)
MCCG146 – Portfolio Project Coding Template
3
Provide CPT Code (s) for Pre-Op Lab
Orders (Report 1)
Provide the CPT Lab Codes that have a CCI
Code Pair Edit (PTP) and include the CCI
PTP associated modifier.
Provide CPT Code(s) for Surgeon’s
Outpatient Surgery Services and modifier if
applicable (Report 2):
Reflection/Method on the Code Selection.
Describe in detail the steps/method you
took to code services and to ensure the
services are coded correctly.
Week 6: Jane Smith’s Inpatient Consultation with Procedure
Provide CPT Evaluation and Management
(E/M) Code:
Provide CPT Procedure Code for Procedure
(s) and modifier if applicable:
Reflection/Method on Code Selection.
Describe in detail the steps/method you
took to code the services and to ensure the
services are coded correctly.
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