Dr. B performed an expanded problem-focused, postoperative examination on an established patient. He also removed the su...
Dr. B performed an expanded problem-focused, postoperative examination on an established patient. He also removed the sutures from an open appendectomy that the patient underwent while on vacation in another part of the country.
Procedure/Service: Postop care, appendectomy, open. Enter code: ____________
Diagnosis: Aftercare, surgery. Enter code: ___________
Homework Answers
ANSWER.
* Procedure/service code: Post-op care,appendectomy. (CPT code).
* 99024 - Post-operative followup visit,normally included in the surgical
package to indicate that the evaluation and management service
was performed during a postoperative period for a reason related to
the original procedure.
* Diagnosis : Aftercare,surgery. (ICD-10-CM code).
* Z48.815 - Encounter for surgical aftercare following surgery on the digestive
system.
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Dr. B performed an expanded problem-focused, postoperative examination on an established patient. He also removed the su...
CPT CODING Evaluation and Management Coding 1. A new patient is seen in the office for...
CPT CODING Evaluation and Management Coding 1. A new patient is seen in the office for otalgia. The history is problem focused, the examination is problem focused, and the medical decision-making complexity is straightforward. Code: 2. An established patient is seen in the office for otalgia. The history and exam is expanded problem focused and the medical decision-making component is straightforward. Code: 3. An established patient is seen in the office for suture removal that is done by the physician’s...
Case 4 Preoperative and postoperative diagnosis Painful enlarging right vulvar eyst Operation performed: Excision of right...
Case 4 Preoperative and postoperative diagnosis Painful enlarging right vulvar eyst Operation performed: Excision of right vulvar cyst Reason for surgery: This 34-year-old female patient has a vulvar cyst that is causing pain and discomfort The patient was taken to the OR and placed in the supine position. IV analgesis was started, and then she has placed in the dorsal lithotomy position. The surgical site was prepared with Lidocaine 1%, and then epinephrine and bicarb was administered. A 20- mm...
Overview CPT modiners clanly services and procedures performed by providers. Although the CPT code and description...
Overview CPT modiners clanly services and procedures performed by providers. Although the CPT code and description remain unchanged, modifiers indicate that the description of the service or procedure performed has been altered. CPT modifiers are reported as two-digit numeric codes added to the five digit CPT code. (HCPCS level Il national modifiers are reported as two character alphabetical and alphanumeric codes added to the five-digit CPT or HCPCS level Il code.) Instructions Circle the most appropriate response 1. Dr. Marshall...
Pearson Comprehensive Medical Coding Chapter 28
Established patient office visit with a comprehensive history, comprehensive examination, and high-complexity medical decision making, resulting in a decision for major surgery the next day. CPT Code(s) A 45-year-old male presents to the ER, where an open fracture of the left radius is diagnosed. Patient is admitted and ER physician requests surgery consult. Surgeon performs comprehensive history, comprehensive examination, and medical decision making of high complexity. Surgery is scheduled for the next day. (Code for the surgeon only). CPT Code(s) A new...
PREOPERATIVE DIAGNOSIS: Chronic adenotonsillitis and chronic tonsillitis. POSTOPERATIVE DIAGNOSIS: Chronic adenotonsillitis and chronic tonsillitis. PROCEDURE PERFORMED:...
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COUCO which a comprehensive and medical decision which a comprehensive on were performed and made until after the...
COUCO which a comprehensive and medical decision which a comprehensive on were performed and made until after the initial i a. True b. False 2.26. Select the appropriate E/M code for a new patient office visit in which a ce history and comprehensive physical examination were performed and medienensya making was of straightforward complexity. - 2.27. Select the appropriate E/M code for an established patient visit in which a con history and expanded problem-focused physical examination were perform medical decision...
LOCATION: Inpatient, Hospital PATIENT: SURGEON: PREOPERATIVE.DIAGNOSES: 1. Septal deviation. 2. B...
LOCATION: Inpatient, Hospital PATIENT: SURGEON: PREOPERATIVE.DIAGNOSES: 1. Septal deviation. 2. Bilateral sinonasal polyposis. 3. Pansinusitis, chronic 4. Bilateral inferior turbinate hypertrophy. 5. Nasal obstruction. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE PERFORMED: 1.Bilateral endoscopic total ethmoidectomy. 2. Bilateral endoscopic maxillary antrostomy with removal of polyps from maxillary sinus. 3. Bilateral endoscopic sphenoidotomy. 4. Septoplasty. 5. Bilateral inferior turbinate overfracture. ANESTHESIA: Endotracheal. INDICATIONS: A 43-year-old male with history of nasal trauma that resulted in a septal deviation. He also has a history of bilateral...
Assign the CPT code for all 3 operative reports Assignment #1 PREOPERATIVE DIAGNOSIS: Appendicitis. POSTOPERATIVE DIAGNOSIS:...
Assign the CPT code for all 3 operative reports Assignment #1 PREOPERATIVE DIAGNOSIS: Appendicitis. POSTOPERATIVE DIAGNOSIS: Appendicitis, nonperforated. PROCEDURE PERFORMED: Appendectomy. ANESTHESIA: General endotracheal. PROCEDURE: After informed consent was obtained, the patient was brought to the operative suite and placed supine on the operating table. General endotracheal anesthesia was induced without incident. The patient was prepped and draped in the usual sterile manner. A transverse right lower quadrant incision was made directly over the point of maximal tenderness. Sharp dissection...
Record Number: 73-50-77 Age: 34 Gender: Female Length of Stay: 2 days Service Type: Inpatient Discharge...
Record Number: 73-50-77 Age: 34 Gender: Female Length of Stay: 2 days Service Type: Inpatient Discharge Status: To Home Diagnosis/Procedure: Repeat cesarean section. DISCHARGE SUMMARY PATIENT: LUCINDA INPATIENT RECORD NUMBER: 73-50-77 ADMITTED: 07-24-XX DISCHARGED: 07-26-XX PHYSICIAN: DR. ALEX, M.D. DIAGNOSIS: Repeat cesarean section at term with single liveborn infant. HISTORY OF THE PRESENT ILLNESS: This is a 34-year-old Gravida 2, Para 1, female who presents with previous cesarean section, 1 at term, 39 weeks, for elective repeat cesarean section. The...
of the Root ICD-10-PCS an open biopsy of the axillary sentinel node on the right side....
of the Root ICD-10-PCS an open biopsy of the axillary sentinel node on the right side. ion z. Operative Rep PREOPERATIVE DIA POSTOPERATIVE DI PROCEDURE: HISTORY: 12 A patient has ICD-10-PCS Code Case Studies Review the documentation in each case to determine the root operation and body system. Refer to find the code table for building the code, selecting the body part, approach, device, and qualifie PROCEDURE DE sia. 35 cc of 0.2 ankle, and at t 1. Operative Report...
Case 4 Preoperative and postoperative diagnosis Painful enlarging right vulvar eyst Operation performed: Excision of right vulvar cyst Reason for surgery: This 34-year-old female patient has a vulvar cyst that is causing pain and discomfort The patient was taken to the OR and placed in the supine position. IV analgesis was started, and then she has placed in the dorsal lithotomy position. The surgical site was prepared with Lidocaine 1%, and then epinephrine and bicarb was administered. A 20- mm...
Overview CPT modiners clanly services and procedures performed by providers. Although the CPT code and description remain unchanged, modifiers indicate that the description of the service or procedure performed has been altered. CPT modifiers are reported as two-digit numeric codes added to the five digit CPT code. (HCPCS level Il national modifiers are reported as two character alphabetical and alphanumeric codes added to the five-digit CPT or HCPCS level Il code.) Instructions Circle the most appropriate response 1. Dr. Marshall...
COUCO which a comprehensive and medical decision which a comprehensive on were performed and made until after the initial i a. True b. False 2.26. Select the appropriate E/M code for a new patient office visit in which a ce history and comprehensive physical examination were performed and medienensya making was of straightforward complexity. - 2.27. Select the appropriate E/M code for an established patient visit in which a con history and expanded problem-focused physical examination were perform medical decision...
of the Root ICD-10-PCS an open biopsy of the axillary sentinel node on the right side. ion z. Operative Rep PREOPERATIVE DIA POSTOPERATIVE DI PROCEDURE: HISTORY: 12 A patient has ICD-10-PCS Code Case Studies Review the documentation in each case to determine the root operation and body system. Refer to find the code table for building the code, selecting the body part, approach, device, and qualifie PROCEDURE DE sia. 35 cc of 0.2 ankle, and at t 1. Operative Report...
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