Infusion Confusion
Outpatient Guidelines
Miscellaneous
Musculoskeletal ICD-9 Codes
Scenarios
100
CPT code for IV hydration performed through the same line as one IV infusion and two IV pushes.
What is 96361?
100
Codes that describe _________, as opposed to diagnoses, are acceptable when a diagnosis has not been established (confirmed) by the provider.
What are signs and symptoms? (Chapter 16 codes)
100
Modifiers PI (initial staging) and PS (subsequent staging)
What are the required modifiers for PET scans?
100
ICD-9 code for polyarthritis.
What is 716.59?
100
Symptoms and/or diagnoses coded from the following assessment: chronic abdominal pain secondary to constipation and diverticulosis.
What are constipation and diverticulosis?
200
The administration code for an injection performed in a CBOC.
What is 99211?
200
Secondary diagnoses.
What are conditions treated or which have an effect on treatment of the patient.
200
The residual effect (condition produced) after the acute phase of an illness or injury has terminated
What is a late effect.
200
ICD-9 for lumbar degeneration.
What is 722.52?
200
Correct code assignment for coronary artery disease with history of PTCA.
What is 414.01 and V45.82.
300
Correct number of units for an infusion of 48 mg of a drug which contains 3 mg per unit.
What is 16 units?
300
E-codes are to be used on which encounters?
What is the first encounter for treatment of an accident, injury, or poisoning?
300
A nuclear imaging study requires ______ code(s).
What is two?
300
ICD-9 for DJD multiple joints.
What is 715.89?
300
If the provider documents tobacco cessation counseling, you should add code _____.
What is 305.1?
400
The infusion of two two different medications in two different bags through the same IV line at the same time.
What is a concurrent infusion?
400
The exception to the pain code guideline which states do not use an acute/chronic pain code if the underlying definitive diagnosis is known.
What is an encounter for pain control/management.
400
ICD-9(s) for asthma with allergic rhinitis.
What is 493.00?
400
Three other terms that physicians may use to describe osteoarthritis (OA).
What are degenertive joint disease (DJD), osteoarthrosis, degenerative arthritis, and hypertrophic arthritis.
400
Condition coded from the following documentation: CC-Hx of chronic rt shoulder pain HPI-Pt has a long hx of rotator cuff tear, not ready for surgery...
What is rotator cuff tear? (727.61)
500
CPT code for one hour infusion of Infliximab for Crohn's disease.
What is 96413
500
Supplementary words enclosed in parantheses which do not affect code assignment.
What are non essential modifiers.
500
Correct code assignment for hypertension with renal insufficiency.
What is 401.9 and 593.9.
500
_______ is a qualifying term describing diseases and disturbances of the spinal cord. Paresthesia, loss of sensation, and loss of sphincter control are among the most common forms.
What is myelopathy?
500
Conditions coded from documentation: CC - Pt. complains of depression. Social history - patient drinks two beers a day. Assessment/Plan - Depression, start patient on Zoloft. Patient counseled to avoid alcohol use while on Zoloft.
What is 311.