Module Five Worksheet - done
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HIM 215 Module Five Worksheet
For the questions below, note which specialty each scenario belongs to and what the main term is, and
assign the appropriate CPT codes.
Tips:
In the physician office setting, the
first-listed procedure (or service)
is usually assigned a code
from the CPT Evaluation and Management (E/M) section. The only except to this rule is when
the patient undergoes office surgery (e.g., excision of benign lesion), in which case a code is
assigned from the CPT Surgery section (
instead of
the CPT E/M Section).
NOTE:
If the patient receives E/M services during the same encounter as office surgery, and
the E/M services resulted in performing the office surgery add modifier -25 to the E/M code.
Report the CPT Surgery code as the first-listed code and the CPT E/M code as the secondary
code (adding modifier -25)
.
Secondary Procedure(s) or Service(s)
Secondary procedures (or services)
are usually less complex than the first-listed procedure.
Secondary procedures are assigned CPT and HCPCS Level II codes, and they may require the
addition of a modifier. Refer to the appendix of modifiers, located at the back of your CPT and
HCPCS level II coding manuals. Third-party payers typically discount payment of secondary
procedures by 50%.
Assign the specialty, main term and CPT code(s) to the following:
1.
Anesthesia for bilateral vasectomy
Specialty:
Anesthesia
Main term:
Vasectomy
CPT Code:
00921
2.
Breath test for alcohol
Specialty:
Pathology and Laboratory Procedures
Main term:
Alcohol, breath
CPT Code:
82075
3.
Intradermal tuberculosis TB test
Specialty:
Pathology and Laboratory Procedures
Main term:
Tuberculosis
CPT Code:
86580
4.
Anesthesia for repair of cleft palate
Specialty:
Anesthesia
Main term:
Cleft palate
CPT Code:
00172
5.
Definitive drug Screening for amphetamine
Specialty:
Pathology and Laboratory Procedures
Main term:
Amphetamine
CPT Code:
80324
6.
Thyroid stimulating hormone (TSH) test
Specialty:
Pathology and Laboratory Procedures
Main term:
Thyroid Stimulating Hormone or TSH
CPT Code:
84443
7.
Suction lipectomy, lower right leg
Specialty:
Surgery
Main term:
Suction lipectomy
CPT Code:
15879
8.
Excision of benign lesions on chest, 0.4 cm with simple closure
Specialty:
Surgery
Main term:
Benign lesion trunk
CPT Code:
11400
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