Guidelines
What is the correct code for asymptomatic HIV?
Z21
What is the correct code for a period comprehensive preventative visit for an established patient that is 17 years old?
99394
What does the guideline for "etiology/manifestation convention (code first, use additional code, and in diseases classified elsewhere notes) state about sequencing?
Such conditions requires the underlying condition be sequenced first.
Find the correct code for a pediatric fiberglass short leg splint.
Q4048
If a provider performs an x-ray in their office, using their own equipment, then reviews/interprets it and does a report, how is the the service coded?
As a global service without using modifier 26. Just the CPT code so they receive full payment.
What is the correct sequencing of acute and chronic conditions that present at the same visit.
Code the acute condition first, followed by the chronic.
What is the code for supervision, interpretation, and report for cardiovascular stress test? 93015, 93016, 93017, or 93018?
93015
What are the seventh characters for 1) Initial encounter 2) Subsequent encounter 3) Sequelae?
A, D, S
Find the correct code for a prosthetic eye made of glass.
V2629
Can the 7th character of ICD 10 CM be letters other than A for initial encounter?
Yes, for example, with fractures.
What is the correct 7th character for glaucoma that has an "indeterminate stage"?
4
Can you find the code 80171 for Gabapentin in the Path/Lab section of the CPT manual?
Yes, but the codes are out of sequence and follow code 80377.
What does the guideline for sepsis state about "urosepsis"?
It is nonspecific and should not be considered sepsis. Query the provider.
Find the correct code for for a Medicare patient that is high risk, having a colorectal cancer screening; colonoscopy.
G0105
What is the medical term for inflammation of the bone or bone marrow?
Osteo (bone) myel (spinal cord or bone marrow) itis (inflammation) Osteomyelitis
How do you report HIV infection in pregnancy?
It should have a code from O98.7-
If trocars or ports are used during surgery, what does that indicate?
That the procedure is done laparoscopically, or arthroscopically.
What is the code for COPD with acute exacerbation?
J44.1
Find the correct code and quantity for an intramuscular injection of 4 milligrams of Dexamethasone Acetate.
J1094 x 4
What are the 4 lobes of the brain?
Frontal, Parietal, Temporal, and Occipital
Can External Causes of Morbidity be listed as "first-listed" diagnosis?
No, find the guideline
What is the code for a repeat repair of an incomplete circumcision?
54163
How do you code ESRD with a patient that has hypertensive chronic kidney disease and is on dialysis?
I12.0, N18.6, Z99.2
What HCPCS modifiers would be used for an anesthesia case where a nurse anesthetist, who is being medically supervised by a physician, who is overseeing 3 other surgeries. Code for both MD and CRNA.
CRNA = QX MD = QK
How would you code a CABG that uses 3 arterial grafts and 1 vein graft?
33535, 33517