Week 4 Lab - HIT 104 - Marketa Benedetti

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Apr 3, 2024

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Marketa Benedetti February 13, 2024 HIT 104: Basic CPT Coding Lab – Week 4 Student Learning Outcomes • Discuss guidelines & correct coding principles for subsections of the Surgery section in CPT. • Abstract documentation from scenarios & health records in order to assign CPT/HCPCS codes. AHIMA Competencies : • Validate assignment of diagnostic and procedural codes and groupings in accordance with official guidelines. 1. Refer to the guidelines for “Destruction” in the CPT Surgery Section of your CPT coding book. Per the guidelines, what is the definition of “destruction “? "Destruction" refers to the eradication of tissue by any method. This includes, but is not limited to, electrosurgery, cryosurgery, laser surgery, and chemosurgery. 2. Refer to the guidelines for “Skin Replacement Surgery” in the Surgery Section of your CPT coding book. Per the guidelines, what types of materials are classified under “Skin substitute grafts?” According to the guidelines for "Skin Replacement Surgery" in the Surgery Section of the CPT coding book, materials classified under "Skin substitute grafts" include synthetic, biological, or biosynthetic materials. These products will form a sheet scaffolding for skin growth. Skin substitute graft codes are not to be reported for application of non-graft wound dressings (e.g., gel, powder, ointment, foam, liquid) or injected skin substitutes. 3. Refer to the guidelines for “Repair (Closure)” in the Surgery Section of your CPT coding book. Per the guidelines, how would repairs/closures for wounds on the same anatomical site or the same classification be coded? Per the guidelines for "Repair (Closure)" in the Surgery Section of the CPT coding book, repairs/closures for wounds on the same anatomical

Marketa Benedetti February 13, 2024 site or the same classification should be coded by adding together the lengths of the repairs for the total repair of one wound. 4. Refer to the guidelines for “Destruction” in the Integumentary System subsection in the Surgery category of your CPT coding book. List one type of lesion and one type of destruction method from guidelines. From the guidelines for "Destruction" in the Integumentary System subsection in the Surgery category of the CPT coding book, an example of a type of lesion is "benign lesions." A type of destruction method is "cryotherapy." 5. Refer to the guidelines for Repair (Closure) in your CPT coding book. Per the guidelines what types of materials are used in a wound closure? According to the guidelines for Repair (Closure) in the CPT coding book, materials used in a wound closure may include sutures, staples, tissue adhesives, and other devices. 6. Refer to code range 15773 – 15775 in your CPT coding book. Per the instructional notes, how many times can code 15773 be reported during the same session? The instructional notes for code range 15773 – 15775, code 15773 can be reported only once per session. 7. Refer to the guidelines for Breast procedures in your CPT coding book. Per the guidelines, if a puncture aspiration of a breast cyst is done, what codes would be used to report imaging guidance that is performed in conjunction with this procedure? If a puncture of a breast cyst is performed, in conjunction with imaging guidance, it would be reported using codes 19081-19086, depending on the imaging guidance modality used. 8.Refer to the guidelines for Breast repair/reconstruction. Per the guidelines, what is the goal of breast reconstruction? The goal of breast reconstruction, according to the guidelines for Breast Repair/Reconstruction, is to restore the appearance of the breast, either partially or completely, following mastectomy, injury, or deformity.

Marketa Benedetti February 13, 2024 9. Refer to the guidelines for Flaps (Skin and/or Deep Tissues). Per the guidelines, what techniques or procedure are not included in codes 15570 – 15738? Techniques or procedures not included in codes 15570 – 15738 for Flaps (Skin and/or Deep Tissues) include adjacent tissue transfer, rotation flap, and other local flaps. 10. Refer to the guidelines for “Mastectomy Procedures” in the Integumentary System subsection in the Surgery category of your CPT coding book. Per the guidelines, what types of procedures are not included in the description for code 19303? According to the guidelines for "Mastectomy Procedures" in the Integumentary System subsection in the Surgery category, procedures involving reconstruction or revision of the breast are not included in the description for code 19303. 11. Refer to the general coding guidelines for the Musculoskeletal System. Per the guidelines, what is the definition of “Open treatment”? In the general coding guidelines for the Musculoskeletal System, "Open treatment" is defined as any procedure in which the skin or mucous membrane is incised, or a previously closed wound is opened, to allow manipulation of the bones or joints. 12. Refer to CPT code 22206. Per the instructional note for this code what code(s) cannot be reported with code 22206? Per the instructional note for CPT code 22206, it states, “Do not report 22206 in conjunction with 22207” – lumbar. 13. Refer to the section on grafts and implants in the CPT Surgery Musculoskeletal System subsection. Per the guidelines for this section can a code for the procurement of the graft be reported separately? When bone graft is used and is obtained in the same surgical field, it is not reported separately. 14. Refer to CPT code 21315, per the instructional note for this code, how would a closed treatment of a nasal bone fracture without manipulation or stabilization be reported?

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Marketa Benedetti February 13, 2024 Per the instructional note for code 21315, it states, “For closed treatment of nasal bone fracture without manipulation or stabilization, use appropriate E/M code.” 15. What is the complete code description for CPT code 29821? The complete code description for 29821: Arthroscopy, shoulder, surgical; capsulorrhaphy synovectomy, complete. 16. Refer to code 24160 in your CPT coding book. Per the code description, what is included in a prosthesis procedure? Included in a prosthesis [i.e., humeral and/or ulnar component(s)] procedure in code 24160 is removal of debridement and synovectomy when performed; humeral and ulnar components. 17. Refer to the general coding guidelines for the Musculoskeletal System. Per the guidelines, how are fracture/dislocation treatment codes categorized in CPT? Fracture/dislocation treatment codes in CPT are categorized based on the specific bone or joint involved and the type of treatment performed (e.g., closed treatment without manipulation, closed treatment with manipulation, open treatment). 18. Refer to code 26320 in your CPT coding book. Per the code description, what code(s) would be reported for the removal of a foreign body in the hand or finger? For removal of foreign body in hang or finger, see 20520, 20525. 19. Refer to the guidelines for “Application of Casts and Strapping” in the CPT Surgery Musculoskeletal System subsection. Per the guidelines, how would the initial application of a cast/strap be reported? The initial application of a cast/strap would be reported as a "first cast" or "first strapping."

Marketa Benedetti February 13, 2024 20. Refer to the section “Arthroscopy of the Knee’ in the CPT Surgery Musculoskeletal System subsection. Per the code description for CPT code 29871, what code(s) cannot be reported with code 29871? According to the code description for 29871, it states, “Do not report 29871 in conjunction with 27369.”