Medical Coding and Procedures Quiz

Medical Coding and Procedures

• 99231 is the correct CPT code for inpatient consultants when the encounter does not fulfill all consultation requirements.
• Documentation must show a written request, referral, and report back to qualify as a consultation.

Surgical Techniques

• 26541-RT is assigned for collateral ligament reconstruction using a graft; it is not applicable for arthroplasty or simple repairs.
• Accurate coding requires understanding specific surgical procedures, particularly in ligament reconstruction.

Laceration Repair Complexity

• For deeper subcutaneous tissue repair, intermediate complexity level is required, not complex or simple.
• Differentiating between levels of repair is crucial for correct coding.

Colon Polyp Removal

• Code 45384 applies when a colonoscopy is performed with polyps removed via hot biopsy forceps.
• The number or location of polyps does not affect the assignment of this code; only one is needed despite multiple removals.

E/M Counseling Codes

• 99403 is assigned for counseling and risk factor reduction interventions exceeding 30 minutes for new patients.
• Proper identification of counseling codes is necessary for accurate billing.

Laparoscopic Cholecystectomy

• Code 47562 is utilized for laparoscopic cholecystectomy, performed through a subumbilical incision with no cholangiogram.
• Awareness of procedural specifics, including the absence of cholangiogram, affects the coding choice.

Common Medical Terminology

• Pediculosis, known as lice infestation, is distinct from other conditions like herpes simplex or scabies.
• Understanding medical terminology enhances communication and correct diagnosis recording in medical coding.