Question

QUESTION 5

  1. CASE 7.-15 (colonoscopy): Based off CPT guidelines, which hospital outpatient procedural coding should be reported for the case?

    A.

    45378, 45384, 45385

    B.

    45385, 45384-59-XS

    C.

    45380 X 2

    D.

    45378-59, 45388

10 points   

QUESTION 6

  1. CASE STUDY 7-15 (Colonoscopy): Which diagnostic coding is supported by the medical record?

    A.

    D12.5, D12.2, I50.9

    B.

    D12.3, D12.4

    C.

    D12.6

    D.

    D12.7, D12.8

10 points   CHAPTER 7 Advanced Outpatient Hosptal Coding 371 Case 7-15 Health Record Face Sheet Wow 46-11-08 Record. Number: Age: Gender:372 SECTION THREE Advanced Coding Case 7-15, continued COLONOSCOPY REPORT DATE OF PROCEDURE: 3/31/XX INDICATIONS: 74.year-old

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Answer #1

Question No.5

B. 45385, 45384-59-XS

45385 (colonoscopy, with the removal of the tumor, polyp, or other lesions by snare technique)

Modifiers XS or 59, if added to a CPT code, shows that documentation is available in the patient’s records.

45384-59 -  bipolar cautery of polyp in the colon

Question No.6

A. D12.5, D12.2, I50.9

D12.2 Benign neoplasm of ascending colon

D12.5 Benign neoplasm of the sigmoid colon

I50.9 - Heart failure.unspecified

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