5.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. Answer the question as it guides you through the coding process.

NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise.

Marlene Carrington, a healthy 42-year-old female, was taken to the operating room (OR) for an anterior cervical discectomy with decompression of a single interspace of the spinal cord and nerve roots and including osteophytectomy.

Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50.

What is the principal procedure code?

6. 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. Answer each question as it guides you through the coding process.

NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise.

Rosa Phillips, a 34-year-old female, presents today for a percutaneous breast biopsy, needle core.

Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50.

Where should you begin to look up the code in the coding manual?    (Click to select)   HCPCS Level II Index   CPT Alphabetic Index   ICD-10-PCS Alphabetic Index   Surgery Section in CPT

What is the key term?    (Click to select)   Cervical   Anterior   Biopsy   Needle

What is the anatomic site?    (Click to select)   Lumbar   Breast   Thoracic   Sacral

What is the approach?    (Click to select)   Posterior   Percutaneous   Anterior   Anterolateral

What else do we know about it?    (Click to select)   Ablation   Incisional   Using imaging guidance   Needle core

Begin to code the encounter.

Did you verify the code in the numerical listing?    (Click to select)   Yes   No

Is there a symbol for this code?    (Click to select)   Yes   No

If so what does the symbol mean?    (Click to select)   New code   Telemedicine   Add-on code   Does not apply

Is there an additional notation?    (Click to select)   Yes   No

If so does the notation apply?    (Click to select)   Yes   Does not apply

Do you need to add a modifier?    (Click to select)   Yes   No

If so, what is the modifier?    (Click to select)   -RT   -LT   -50   Modifier does not apply

Did you check the guidelines?    (Click to select)   Yes   No

Did you code to the highest level of specificity?    (Click to select)   Yes   No

What is the correct procedure code?

7. 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. Answer the question as it guides you through the coding process.

NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise.

Rosa Phillips, a 34-year-old female, presents today for a percutaneous breast biopsy, needle core.

Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50.

What is the principal procedure code?

8. 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. Answer each question as it guides you through the coding process.

NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise.

Sandra Lewis, a 55-year-old female, has been experiencing pain in her lower left back that wraps around to her inner thigh. Dr. Janson does a renal ultrasound, limited, real time with image documentation.

Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50.

Where should you begin to look up the code in the coding manual?    (Click to select)   HCPCS Level II Index   CPT Alphabetic Index   ICD-10-PCS Alphabetic Index   Surgery Section in CPT

What is the key term?    (Click to select)   Ultrasound   MRI   CT   X-ray

What is the anatomic site?    (Click to select)   Lumbar   Back   Retroperitoneal   Sacral

Begin to code the encounter.

Did you verify the code in the numerical listing?    (Click to select)   Yes   No

Is there a symbol for this code?    (Click to select)   Yes   No

If so what does the symbol mean?    (Click to select)   New code   Telemedicine   Add-on code   Does not apply

Is there an additional notation?    (Click to select)   Yes   No

If so does the notation apply?    (Click to select)   Yes   Does not apply

Do you need to add a modifier?    (Click to select)   Yes   No

If so, what is the modifier?    (Click to select)   -RT   -LT   -50   Modifier does not apply

Did you check the guidelines?    (Click to select)   Yes   No

Did you code to the highest level of specificity?    (Click to select)   Yes   No

What is the correct procedure code?



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