MedicineE
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University of Houston *
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Medicine
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Feb 20, 2024
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Uploaded by ConstableGiraffe3016
Which code can 93015 (stress test) not
be billed with?
Correct answer: 93350
Turning to the correct part of the Medicine section where code 93015 is located, you will see that this code is for a cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress. Basically, this is a stress test. Code 93350 is for echocardiography, real time with image documentation, includes M-mode recording, during rest and cardiovascular stress test using treadmill, bicycle exercise, and/or pharmacological-induced stress. This means that code 93350 includes all the elements of code 93015, so they can never be coded together.
Codes 93318, 93000, and 93024 can be coded with 93015 if the documentation and reports allow for it.
Reference:
AMA CPT® 2023 Professional Edition. Pg 768.
A complete bilateral extracranial artery duplex scan is done for a patient with
a history of bilateral carotid stenosis. How would this be billed?
Correct answer: 93880
In the index of the CPT book, you would look up duplex scan, arterial studies, extracranial. This gives you the code range 93880-93882, which you will look up in the Medicine section. When you look up these codes, you will see that both codes are
for an extracranial artery duplex scan. However, code 93880 is for a bilateral study, and 93882 is for a unilateral study. Since the question is asking for a bilateral study, 93880 will be the correct answer.
Code 93895 is for a quantitative carotid intima-media thickness and carotid atheroma evaluation, bilateral. This is not what the question is asking for, so this is an incorrect answer. Code 93925 is for a duplex scan of lower extremity arteries/arterial bypass
grafts, complete bilateral study. This is not what the question is asking for either, so this is an incorrect answer.
Reference:
AMA CPT® 2023 Professional Edition. Pg 789.
There are some CPT codes listed in the Medicine section awaiting FDA approval. Which of the following is not
pending approval?
Correct answer: 90620
This question can be answered by looking at any chapter in the CPT book. At the bottom of every page is a legend that goes along with the symbols next to certain codes. For codes that are pending FDA approval, a lightning symbol will appear next to it. You will look at the following codes and decipher which code is not pending FDA approval. All the codes are from the Medicine section, so you will start there. Code 90620 is for meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB), 2 dose schedule, for intramuscular use. This code does
not have the lightning symbol next to it, so it is indeed approved by the FDA and is the
answer to the question.
Code 90668 is for Influenza virus vaccine (IIV), pandemic formulation, split virus, for IM use. This code, according to the lightning symbol, is pending FDA approval, so this
is not the correct answer. Code 90667 is for Influenza virus vaccine (IIV), pandemic formulation, split virus, adjuvanted, for IM use. Like the code above, it is also pending FDA approval, so it is not the correct answer. Code 90666 is for influenza virus vaccine, pandemic formulation, split virus, preservative free, for IM use. This code, like the others, is pending FDA approval. This is also not the correct answer.
Reference:
AMA CPT® 2023 Professional Edition. Pg 731
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