Using the coding techniques described in this chapter, carefully read through the case study and determine the most accurate CP1 code(s) and HCPCS code(s) and modifier(s), if appropriate. Harrison Parker, a 69-year-old right-handed male, was referred to me for a neurologic evaluation by his internist, Dr. Brady, for a tre hat has been present for approximately 20 years. Patient states that the tremor began insidiously and has progressed gradually. It now involves both hands and affects his handwriting, drinking coffee and other liquids with a cup, and general work that requires manual dexterity. Other people occasional notice a tremor in his head. He is otherwise healthy, although he feels his balance is not quite as good as it used to be. A glass of beer or wine markedly decreases the tremor severity. His mother and daughter also have tremor. Patient denies smoking. On examination, he has a rather regular tremor of approximately 8 cycles per second (Hz) with his hands extended and also on inger-nose-finger maneuver. Mild regular "waviness" is seen when writing or drawing spirals. His tone is normal, although when performing voluntary movements with one hand there is a "ratchety" quality felt in the tone of the contralateral arm. Occasional tre s also noted in the head and voice. Diagnosis: Probable essential tremor (ET) Next diagnostic step: MRI of brain and cervical spine + Labs (CBC + TSH) done in our facility today. Nurse Montana drew blood specimens. Next step in therapy: Primidone or propranolol Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can mpact whether or not your answer is correct. Follow coding best practices. Determine the most accurate procedure codes, using the CPT code set and modifier(s), if appropriate. You may not need all of the spaces provided. CPT code(s) and any applicable modifier(s) Anesthesia code(s) and any HCPCS Level II code(s) and any applicable modifier(s) applicable modifier(s)

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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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.
Harrison Parker, a 69-year-old right-handed male, was referred to me for a neurologic evaluation by his internist, Dr. Brady, for a tremor
that has been present for approximately 20 years.
Patient states that the tremor began insidiously and has progressed gradually. It now involves both hands and affects his
handwriting, drinking coffee and other liquids with a cup, and general work that requires manual dexterity. Other people occasionally
notice a tremor in his head.
He is otherwise healthy, although he feels his balance is not quite as good as it used to be. A glass of beer or wine markedly
decreases the tremor severity. His mother and daughter also have tremor. Patient denies smoking.
On examination, he has a rather regular tremor of approximately 8 cycles per second (Hz) with his hands extended and also on
finger-nose-finger maneuver. Mild regular "waviness" is seen when writing or drawing spirals. His tone is normal, although when
performing voluntary movements with one hand there is a "ratchety" quality felt in the tone of the contralateral arm. Occasional tremor
is also noted in the head and voice.
Diagnosis: Probable essential tremor (ET)
Next diagnostic step: MRI of brain and cervical spine + Labs (CBC + TSH) done in our facility today.
Nurse Montana drew blood specimens.
Next step in therapy: Primidone or propranolol
Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can
impact whether or not your answer is correct. Follow coding best practices.
Determine the most accurate procedure codes, using the CPT code set and modifier(s), if appropriate.
You may not need all of the spaces provided.
CPT code(s) and any
applicable modifier(s)
Anesthesia code(s) and any
applicable modifier(s)
HCPCS Level Il code(s) and any
applicable modifier(s)
Transcribed Image Text: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. Harrison Parker, a 69-year-old right-handed male, was referred to me for a neurologic evaluation by his internist, Dr. Brady, for a tremor that has been present for approximately 20 years. Patient states that the tremor began insidiously and has progressed gradually. It now involves both hands and affects his handwriting, drinking coffee and other liquids with a cup, and general work that requires manual dexterity. Other people occasionally notice a tremor in his head. He is otherwise healthy, although he feels his balance is not quite as good as it used to be. A glass of beer or wine markedly decreases the tremor severity. His mother and daughter also have tremor. Patient denies smoking. On examination, he has a rather regular tremor of approximately 8 cycles per second (Hz) with his hands extended and also on finger-nose-finger maneuver. Mild regular "waviness" is seen when writing or drawing spirals. His tone is normal, although when performing voluntary movements with one hand there is a "ratchety" quality felt in the tone of the contralateral arm. Occasional tremor is also noted in the head and voice. Diagnosis: Probable essential tremor (ET) Next diagnostic step: MRI of brain and cervical spine + Labs (CBC + TSH) done in our facility today. Nurse Montana drew blood specimens. Next step in therapy: Primidone or propranolol Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate procedure codes, using the CPT code set and modifier(s), if appropriate. You may not need all of the spaces provided. CPT code(s) and any applicable modifier(s) Anesthesia code(s) and any applicable modifier(s) HCPCS Level Il code(s) and any applicable modifier(s)
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