UNIT 6 test

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H1253

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Mechanical Engineering

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Apr 3, 2024

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UNIT 6 test Using the coding techniques described in this chapter, carefully read through the case study and determine the most accurate CPT code(s) and HCPCS code(s) and modifier(s), if appropriate. Answer each question as it guides you through the coding process. Tom Seihill, a 23-year-old male, was admitted into the hospital 2 days ago for bronchitis. While in the hospital, Tom requested that his family physician, Dr. Selbiger, perform a circumcision, so Dr. Selbiger called in Dr. Wacker, a urologist, for a consultation. Dr. Wacker discussed the request with Tom and took a brief history and performed a limited genitalia examination. Afterward, Dr. Wacker made a straightforward decision and recommended that Raymond have the surgical procedure done at a later date as an outpatient procedure. Code for Dr. Wacker’s services. NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Where should you begin to look up the code in the coding manual? CPT Alphabetic Index Correct What is the key term? Evaluation and management Correct What is the type of service? Inpatient consultation Correct What is the level of medical decision making? Straightforward level Correct What else do we know about it? Patient was admitted for bronchitis Correct Begin to code the encounter Did you verify the code in the numerical listing? Yes Correct Is there a symbol for this code? Yes Correct

If so what does the symbol mean? Telemedicine Correct Is there an additional notation? No Correct If so does the notation apply? Does not apply Correct Do you need to add a modifier? No Correct If so what is the modifier? Does not apply Correct Did you check the guidelines? Yes Correct Did you code to the highest level of specificity? Yes Correct What is the correct procedure code? 99252 Fill in the BlankEdit Unavailable. 99252 correct. Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - CPT Alphabetic Index What is the key term - Evaluation and management What is the type of service - Inpatient consultations What is the level of medical decision making - Straightforward level What else do we know about it - Patient was admitted for bronchitis Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - Yes If so what does the symbol mean - Telemedicine 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 - 99252 Overall Feedback: 99252: Index>evaluation and management>consultation>inpatient consultation>new or established. MDM of straightforward level

Using the coding techniques described in this chapter, carefully read through the case study and determine the most accurate CPT code(s) and HCPCS code(s) and modifier(s), if appropriate. Answer each question as it guides you through the coding process. Dr. Harrington provided care plan oversight services for Verniece Dantini, one of her patients at the Bracker Assisted Living Center. It took her 20 minutes. NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Where should you begin to look up the code in the coding manual? CPT Alphabetic Index Correct What is the key term? Evaluation and management Correct What is the type of service? Care plan oversight services Correct What is the location? Assisted living center Correct What is the total time frame? 20 minutes Correct Begin to code the encounter. Did you verify the code in the numerical listing? Yes Correct Is there a symbol for this code? No Correct If so what does the symbol mean? Does not apply Correct Is there an additional notation? No Correct If so does the notation apply? Does not apply Correct

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Do you need to add a modifier? No Correct If so what is the modifier? Does not apply Correct Did you check the guidelines? Yes Correct Did you code to the highest level of specificity? Yes Correct What is the correct procedure code? 99339 Fill in the BlankEdit Unavailable. 99339 incorrect. Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - CPT Alphabetic Index What is the key term - Evaluation and management What is the type of service - Care plan oversight services What is the location - Assisted living center What is the total time frame - 20 minutes 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 - 99379 Overall Feedback: 99379: Index>evaluation and management>care plan Oversight Services>Nursing Facility>15-29 minutes Using the coding techniques described in this chapter, carefully read through the case study and determine the most accurate CPT code(s) and HCPCS code(s) and modifier(s), if appropriate. Answer each question as it guides you through the coding process.

Raymond Catertell, a 23-year-old male, is the son of two alcoholics. Dr. Lowen spends 40 minutes with him providing risk factor reduction behavior modification techniques to help him avoid becoming an alcoholic himself. NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Where should you begin to look up the code in the coding manual? CPT Alphabetic Index Correct What is the key term? Preventive medicine Correct What is the type of service? Counseling Correct Is it individual or group? Individual Correct What else do we know about it? Intervention Correct What is the time frame? 45 minutes Correct Begin to code the encounter. Did you verify the code in the numerical listing? Yes Correct Is there a symbol for this code? No Correct If so what does the symbol mean? Does not apply Correct Is there an additional notation? No Correct If so does the notation apply? Does not apply Correct Do you need to add a modifier? No Correct If so what is the modifier? Does not apply Correct

Did you check the guidelines? Yes Correct Did you code to the highest level of specificity? Yes Correct What is the correct procedure code? 99403 Fill in the BlankEdit Unavailable. 99403 correct. Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - CPT Alphabetic Index What is the key term - Preventive medicine What is the type of service - Counseling Is it individual or group - Individual What else do we know about it - Intervention What is the time frame - 45 minutes 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 - 99403 Overall Feedback: 99403: Index>preventive medicine>counseling>individual>intervention>new or established patient>approximately 45 minutes Using the coding techniques described in this chapter, carefully read through the case study and determine the most accurate CPT code(s) and HCPCS code(s) and modifier(s), if appropriate. Answer each question as it guides you through the coding process. Premier Life & Health Insurance Company required David Harrison, a 39- year-old male, to get Dr. Dijohn, his regular physician, to complete a certificate confirming that David’s current disability prevents him from working at his regular job and makes him eligible for disability insurance.

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NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Where should you begin to look up the code in the coding manual? CPT Alphabetic Index Correct What is the key term? Evaluation and Management Correct What is the type of service? Work-related and/or medical disability evaluation Correct Begin to code the encounter. Did you verify the code in the numerical listing? Yes Correct Is there a symbol for this code? No Correct If so what does the symbol mean? Does not apply Correct Is there an additional notation? No Correct If so does the notation apply? Does not apply Correct Do you need to add a modifier? Yes Correct If so what is the modifier? 32 Correct Did you check the guidelines? Yes Correct Did you code to the highest level of specificity? Yes Correct What is the correct procedure code? 99455-32 Fill in the BlankEdit Unavailable. 99455-32 correct. Explanation Principle Procedure: Where should you begin to look up the code in the coding manual – CPT Alphabetic

index What is the key term – Evaluation and management What is the type of service – Work-related and/or medical disability evaluation 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 – Yes If so what is the modifier – 32 Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code – 99455-32 Overall Feedback: 99455-32: Index>evaluation and management>work-related and/or medical disability Evaluation ~ append modifier -32 because it is a mandated encounter. Using the coding techniques described in this chapter, carefully read through the case study and determine the most accurate CPT code(s) and HCPCS code(s) and modifier(s), if appropriate. Answer each question as it guides you through the coding process. Zena Awtrey, a 58-year-old female, sees Dr. Lunden for the first time for a variety of medical problems. She was diagnosed 5 years ago with insulin- dependent diabetes mellitus with complicating eye and renal problems. In addition, she suffers from hypertensive heart disease with episodes of congestive heart failure. Her peripheral vascular disease has worsened, and she can walk only a block before being crippled with extreme leg pain. The patient reports that a new problem has surfaced: throbbing headaches with radiating neck pain. Dr. Lunden and Zena thoroughly discuss her health concerns and issues. In order to manage and investigate the multiplicity of problems, Dr. Lunden takes a complete PFSH. A complete review of systems (ROS) is performed and a medically appropriate examination is completed. Dr. Lunden has to take a multitude of factors into consideration, as the patient’s problems are highly complex. MDM was high.

NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Where should you begin to look up the code in the coding manual? CPT Alphabetic Index Correct What is the key term? Evaluation and management Correct What is the location of the encounter? Office Correct Is the patient new or established? New Correct What is the level of history? Medically appropriate history Correct What is the level of the examination? Detailed Incorrect What is the level of medical decision making? High level Correct What else do we know about it? Diagnosed with insulin-dependent diabetes mellitus Correct Begin to code the encounter Did you verify the code in the numerical listing? Yes Correct Is there a symbol for this code? Yes Correct If so what does the symbol mean? Telemedicine Correct Is there an additional notation? Yes Correct If so does the notation apply? Does not apply Correct Do you need to add a modifier? No Correct If so what is the modifier? Does not apply Correct

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Did you check the guidelines? Yes Correct Did you code to the highest level of specificity? Yes Correct What is the correct procedure code? 99205 Fill in the BlankEdit Unavailable. 99205 correct. Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - CPT Alphabetic Index What is the key term - Evaluation and management What is the location of the encounter - Office Is the patient new or established - New patient What is the level of history - Medically appropriate history What is the level of the examination - Medically appropriate examination What is the level of medical decision making - High complexity What else do we know about it - Diagnosed with insulin-dependent diabetes mellitus Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - Yes If so what does the symbol mean - Telemedicine 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 - 99205 Overall Feedback: 99205: Index>evaluation and management>office or other outpatient services>new patient MDM of high level