Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s) for the following case. ELECTROENCEPHALOGRAM (EEG) COMPLAINT: Seizure. CURRENT MEDICATIONS: Phenobarbital, Theo-Dur, Peri-Colace. STATE OF PATIENT DURING RECORDING: Awake. Current Procedural Terminology© 2016 American Medical Association. All Rights Reserved. DESCRIPTION OF EEG: The background is not well developed. Much muscle tension artifact is superimposed; electrode artifact also present at times. No spike-wave discharges, paroxysmal slowing, or focal abnormality present. Hyperventilation procedure was not done. Sleep did not occur. Total recording time was 35 minutes. EEG INTERPRETATION: Normal EEG.
Homework Answers
Answer:
ICD-10-CM code is 540.509. Epileptic seizures related to external causes.
CPT medicine code is 780.39. This code is for the single episode of a seizure.
HCPCS level II is 0394.
CPT modifier is 95958
Epilepsy is a neurological disorder manifested by unprovoked seizure. The seizure is s single occurrence. Epilepsy is two or more unprovoked seizures. The seizure is a sudden, electrical discharge in the brain that cause alternations in the behaviour and consciousness. Neurological exams, brain abnormality test (as has been done in this case), and blood test. This can be treated initially with medication. If the medication fails, there is a need for surgery. Some area of the brain may be removed that cause seizure. The treatment can be done by the ketogenic diet, deep brain stimulation and vagus nerve stimulation.
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Instructions Assign the ICD-10-CM code(s) to diagnoses
and conditions and assign the CPT medicine code(s) and...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s) 8. Lisa Morales is a type 1 diabetic patient who presents for the refilling of her insulin pump. The pump is identified as a Paradigm model number 515/715, and 250 units per milliliter of insulin was placed in the pump. The patient is discharged.
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level 11 and CPT modifier(s). Do not assign ICD-10-CM external cause codes. With the patient under general anesthesia, a vertical midline scrotal incision was made, carried down through the skin and subcutaneous tissues. With use of the cautery, the hemiscrotum was entered. The left testicle was delivered into the wound. There was no active bleeding, and the testicle was sent for analysis....
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 1. PREOPERATIVE DIAGNOSIS: Third-degree heart block with bradycardia and recent inferior myocardial infarction. POSTOPERATIVE DIAGNOSIS: Same. OPERATION PERFORMED: Insertion of a transvenous temporary pacemaker. The patient was brought to the fluoroscopy suite in the radiology department. He was placed prone on the fluoroscopy table. The right subclavicular area was...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s). STRESS TEST (OUTPATIENT) FINDINGS: The patient is a 62-year-old female who has paroxysmal atrial tachycardia and takes Inderal 40 mg four times a day and Lanoxin 0.25 mg daily for this. She has also complained of some chest discomfort and has had some mild hypertension for which she takes Dyazide once a day. She is referred to...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
7. PREOPERATIVE DIAGNOSIS: Bladder stone with hydronephrosis. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES: Cystoscopy with laser lithotripsy of bladder calculus and placement of stent. ANETHESIA: Local. The patient was placed in the relaxed dorsal lithotomy position, Betadine prepped, and sterilely draped. With use of a 21- French panendoscope, a bladder stone measured...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s)
to diagnoses and conditions and assign the CPT surgery code(s) and
the appropriate HCPCS level II and CPT modifier(s). Do not assign
ICD-10-CM external cause codes.
PREOPERATIVE DIAGNOSIS: Elevated prostate-specific antigen (PSA). POSTOPERATIVE DIAGNOSIS: Benign prostatic hypertrophy (BPH). PROCEDURE: Transrectal ultrasound and biopsy. ANESTHESIA: Local. The patient was brought to the procedure room and placed on the procedure table in the dorsal lithotomy position. A transrectal ultrasound probe was placed in the rectum after digital rectal...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. PREOPERATIVE DIAGNOSIS: Displaced medial epicondyle fracture, left elbow. POSTOPERATIVE DIAGNOSIS: Displaced medial epicondyle fracture, left elbow. OPERATION PERFORMED: ORIF, left medial epicondyle fracture. (Initial encounter) After IV sedation was started, the patient was brought into the operating room and placed supine on the table. Once an adequate level of anesthesia...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
wall was closeu un of multiple miscarriages. PREOPERATIVE DIAGNOSIS: Multiple miscarriages and hemorrhaging. POSTOPERATIVE DIAGNOSIS: Metrorrhagia. Acute salpingitis, bilaterally. History of multiple PROCEDURE: Dilation and curettage. Laparoscopic salpingectomy, bilateral. GROSS FINDINGS: Cervix dilated easily with dilator. The internal measurement of the uterus won and no adnexal masses were noted. Moderate...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
9. PREOPERATIVE DIAGNOSIS: Term pregnancy in active labor. POSTOPERATIVE DIAGNOSIS: Same, with midline episiotomy repaired. OPERATION: Ful-term vaginal delivery of a term male, with midline episiotomy repaired and rupture of membranes. This very pleasant 23-year-old gravida 1, para o female presented to the obstetrical suite in ostetrician is currently out...
Only need the CPT code for the op note, not diagnosis. Instructions Assign the ICD-10-CM code(s)...
Only need the CPT code for the
op note, not diagnosis.
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPI surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 1. PREOPERATIVE DIAGNOSIS: 1.5-cm perianal cyst. POSTOPERATIVE DIAGNOSIS: 1.5-cm perianal cyst. OPERATION PERFORMED: Excision of perianal cyst. The patient was placed on the operating table in the prone position. In the left perianal region, a 1.5-cm perianal cyst...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 1. PREOPERATIVE DIAGNOSIS: Third-degree heart block with bradycardia and recent inferior myocardial infarction. POSTOPERATIVE DIAGNOSIS: Same. OPERATION PERFORMED: Insertion of a transvenous temporary pacemaker. The patient was brought to the fluoroscopy suite in the radiology department. He was placed prone on the fluoroscopy table. The right subclavicular area was...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
7. PREOPERATIVE DIAGNOSIS: Bladder stone with hydronephrosis. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES: Cystoscopy with laser lithotripsy of bladder calculus and placement of stent. ANETHESIA: Local. The patient was placed in the relaxed dorsal lithotomy position, Betadine prepped, and sterilely draped. With use of a 21- French panendoscope, a bladder stone measured...
Assign the ICD-10-CM code(s)
to diagnoses and conditions and assign the CPT surgery code(s) and
the appropriate HCPCS level II and CPT modifier(s). Do not assign
ICD-10-CM external cause codes.
PREOPERATIVE DIAGNOSIS: Elevated prostate-specific antigen (PSA). POSTOPERATIVE DIAGNOSIS: Benign prostatic hypertrophy (BPH). PROCEDURE: Transrectal ultrasound and biopsy. ANESTHESIA: Local. The patient was brought to the procedure room and placed on the procedure table in the dorsal lithotomy position. A transrectal ultrasound probe was placed in the rectum after digital rectal...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
wall was closeu un of multiple miscarriages. PREOPERATIVE DIAGNOSIS: Multiple miscarriages and hemorrhaging. POSTOPERATIVE DIAGNOSIS: Metrorrhagia. Acute salpingitis, bilaterally. History of multiple PROCEDURE: Dilation and curettage. Laparoscopic salpingectomy, bilateral. GROSS FINDINGS: Cervix dilated easily with dilator. The internal measurement of the uterus won and no adnexal masses were noted. Moderate...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
9. PREOPERATIVE DIAGNOSIS: Term pregnancy in active labor. POSTOPERATIVE DIAGNOSIS: Same, with midline episiotomy repaired. OPERATION: Ful-term vaginal delivery of a term male, with midline episiotomy repaired and rupture of membranes. This very pleasant 23-year-old gravida 1, para o female presented to the obstetrical suite in ostetrician is currently out...
Only need the CPT code for the
op note, not diagnosis.
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPI surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 1. PREOPERATIVE DIAGNOSIS: 1.5-cm perianal cyst. POSTOPERATIVE DIAGNOSIS: 1.5-cm perianal cyst. OPERATION PERFORMED: Excision of perianal cyst. The patient was placed on the operating table in the prone position. In the left perianal region, a 1.5-cm perianal cyst...
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