MedicineC
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University of Houston *
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2301
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Medicine
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Feb 20, 2024
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docx
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Uploaded by ConstableGiraffe3016
A patient with an auditory processing disorder undergoes treatment to help him with certain everyday duties. How would this be billed?
Correct answer: 92507
In the index of the CPT book, you would look up audiologic function tests, auditory processing treatment. This gives you the codes 92507 and 92508, which you will look up in the Medicine section. When you look these codes up, you will see that the difference between the two is whether or not the treatment was done individually or in a group. Since the question is asking for an individual treatment code, 92507 is the correct answer to the question.
Code 92502 is for otolaryngologic examination under general anesthesia. This is not what the question is asking for, so this is an incorrect answer. Code 92499 is for an unlisted ophthalmological service or procedure. This is not what the question is asking
for either, so this is an incorrect answer. Code 92508 is for the same treatment but for a group, 2 or more individuals. The question states that the treatment was done individually, so this is incorrect as well.
Reference:
AMA CPT® 2023 Professional Edition. Pg 747.
A patient arrives at his chiropractor's office for treatment through manipulation for his constant backaches. The chiropractor focuses on two regions of the spine: the neck and the lower back.
How would this be billed?
Correct answer: 98940
In the index of the CPT book, you will look up chiropractic treatment, spinal, extraspinal. This gives you the code range 98940-98943, which can be found in the Medicine section. The main difference between the codes within this range is how many regions are manipulated by the chiropractor. In the case of this question, the
spine was manipulated in two regions. Code 98940 directly translates to this, so this code would be the correct answer to this question.
Code 98941 is also for chiropractic manipulative treatment but for 3-4 regions. This is too many regions to be correct for this question. Code 98943 is for extraspinal treatment, 1 or more regions. The question states that the treatment is spinal, not extraspinal; this would not be the correct answer. Code 97799 is for an unlisted physical medicine/rehabilitation service or procedure. There is a code for the treatment listed in the question, so this is incorrect.
Reference:
AMA CPT® 2023 Professional Edition. Pg 845.
Code 99070 describes which important part of a surgery or office visit?
Correct answer: Drugs, supplies, and materials over and above those included with the procedure
Code 99070, according to the Medicine section, is for supplies and materials, provided by the physician or other qualified healthcare professional, over and above those usually included with the office visit or other services rendered. This means that code 99070 will be used for drugs, supplies, and materials over and above those included with the procedure or office visit.
The amount of time a physician/surgeon spends with a patient before, during, and after a procedure/office visit; it is an add-on code, used only for certain procedures; and any supplies used during a procedure, including ones that may be listed elsewhere, all have their own separate codes and, therefore, would not be used to correctly describe code 99070.
Reference:
AMA CPT® 2023 Professional Edition. Pg 850.
A physician wants to perform a follow-up transthoracic
echocardiogram on a
six-year-old patient who has multiple congenital heart issues. Which CPT code would be used?
Correct answer: 93304
In the index of the CPT book, you would look up echocardiography, congenital cardiac
anomaly, transthoracic. This gives you the code range 93303-93304, which can be found in the Medicine section. This is a follow-up study, so you would use the code 93304 to correctly code for the situation in the question.
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