Module Five Worksheet - done

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Southern New Hampshire University *

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215

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Mechanical Engineering

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Dec 6, 2023

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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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