CPT codes: 99212, 99396
ICD codes: Z00.00, N63.20
Modifier: 25
Case 6.1A
1. Codes are correctly linked: bilateral screening mammography with breast screening mammogram.
2. Codes are not correctly linked: office visit, established patient, high level, with impacted cerumen of right ear.
3. Codes are not correctly linked, gender problem: paravaginal defect repair with chronic prostatitis due to Staphylococcus aureus.
4. Codes are correctly linked: chemotherapy administration, with chemotherapy, breast carcinoma.
5. Codes are correctly linked: office visit, new patient, three components, radiological exam, spine, radiologic exam, ankle, with displaced fracture of medial malleolus of right tibia, sprain of joints and ligaments of neck, fall after striking against sports equipment, accident at place for sport.
Case 6.1B
Screening diagnosis Z00.00
Preventive service 99396
Problem diagnosis N63
Problem-focused visit with modifier 99212 25
Ch 6.3 A forty-year-old established female patient is having an annual checkup. During the examination, her physician identifies a lump in her left breast. The physician considers this a significant finding and performs the key components of a problem fo