Medical Coding Chapter 20 Review
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Questions and Answers

What is the correct CPT code for a psychotherapy session lasting 30 minutes?

90832

What ICD-10-CM code is associated with autism?

F84.0

What CPT and ICD-10-CM codes are reported for a patient with congestive heart failure on home oxygen?

99503, I50.9, J96.11

What is the ICD-10-CM code for a diabetic foot ulcer on the right foot?

<p>E11.621, L97.519</p> Signup and view all the answers

What CPT code is reported for peritoneal dialysis with one provider evaluation?

<p>90945</p> Signup and view all the answers

What CPT and ICD-10-CM codes are reported for a 32-year-old ETOH dependent female in a partial hospitalization program?

<p>90834, F10.20</p> Signup and view all the answers

What CPT code is appropriate for skin tests for allergies involving scratch testing?

<p>95004 x 2</p> Signup and view all the answers

What CPT® code is reported for CPR?

<p>92950</p> Signup and view all the answers

What CPT® code(s) is/are reported for the apnea monitoring?

<p>94774</p> Signup and view all the answers

What CPT® code is reported for moderate sedation during laceration suturing?

<p>99152</p> Signup and view all the answers

What CPT® code is reported for manipulation of the chest wall?

<p>94667</p> Signup and view all the answers

What CPT® code is reported for the pacemaker evaluation?

<p>93288</p> Signup and view all the answers

What codes are reported for inhalation treatment?

<p>All of the above</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported for needle electromyography?

<p>Both A and B</p> Signup and view all the answers

What codes are reported for training with a prosthesis?

<p>All of the above</p> Signup and view all the answers

What codes are reported for catheterization and closure of a ventricular septal defect?

<p>Both A and B</p> Signup and view all the answers

What codes are reported for therapeutic phlebotomy for hemochromatosis?

<p>Both A and B</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported after an EEG and WADA test?

<p>All of the above</p> Signup and view all the answers

What CPT® codes are reported for hydration therapy in sickle cell crisis?

<p>All of the above</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported for Rh immunization in pregnancy?

<p>All of the above</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported for gastroesophageal reflux?

<p>Both A and B</p> Signup and view all the answers

This patient with chronic myeloid leukemia needs irrigation of the access port before chemotherapy.

<p>True</p> Signup and view all the answers

Study Notes

Cardiac Emergencies and Procedures

  • CPR Code: For cardiopulmonary resuscitation (CPR), use CPT® code 92950.
  • Apnea Monitoring: Code 94774 is reported for apnea monitoring in children, covering device attachment, data downloads, interpretation, and reporting.

Pediatric Sedation and Wound Management

  • Moderate Sedation: Use codes 99152 and 99153 for moderate sedation in pediatric patients, specific to the duration of service.
  • Laceration Repair: A 5-year-old requiring sutures under sedation is treated; sedation duration affects coding for services.

Pulmonology and Cardiac Evaluations

  • Lung Function Evaluation: CPT® code 94667 for therapeutic chest manipulation was performed on a cystic fibrosis patient.
  • Pacemaker Evaluation: Use code 93288 to report evaluation of a dual-chamber pacemaker’s function and parameters.

Treatment Applications in Urgent Care

  • Inhalation Treatment: For albuterol nebulizer treatments, report codes 94640 twice (followed by modifier 76 for multiple treatments) and J7609 for each dose.
  • Asthma Diagnosis: Use ICD-10 code J44.1 for chronic obstructive asthma with exacerbation.

Electromyography and Prosthetic Training

  • EMG for ALS: CPT® code 95861 is reported for needle electromyography of two upper extremities in an ALS patient.
  • Prosthesis Training: Report code 97761 twice for training on an artificial hand after wrist amputation.

Congenital Anomalies and Surgical Interventions

  • Ventricular Septal Defect (VSD): Use codes 93581 for transcatheter closure of VSD and Q21.0 for the congenital condition.
  • Therapeutic Phlebotomy: Report code 99195 for de-ironing treatment related to hemochromatosis, with ICD-10 code E83.119.

Neurological and Psychiatric Evaluations

  • WADA and EEG Testing: Report codes 95958 for the WADA test, G93.40 for encephalopathy, R41.82 for altered mental status, and Z94.4 for post-liver transplant status.
  • Psychotherapy for Autism: Use codes 90832 for a 30-minute session, combined with 90785 for interactive complexity, and F84.0 for autism diagnosis.

Home Healthcare and Respiratory Management

  • Home Oxygen Management: CPT® code 99503 is utilized for home care respiratory therapy, while ICD-10 codes I50.9 and J96.11 are reported for congestive heart failure and chronic respiratory failure with hypoxia, respectively.

Eye Examination Notes

  • Eye Examination for Iritis: A 50-year-old male with a history of iritis scheduling an eye examination after two years highlights the importance of regular assessments.### Ophthalmology Examination Codes
  • CPT® Code: 92012 for established patient with intermediate examination
  • ICD-10-CM Code: Z01.00 for normal eye examination
  • Routine ophthalmoscopy included in CPT® codes 92002-92014
  • Differential between new and established patient determined by E/M guidelines

Diabetic Foot Ulcer Coding

  • ICD-10-CM Code: E11.621 for type 2 diabetes with foot ulcer
  • Additional ICD-10-CM Code: L97.519 for non-pressure chronic ulcer of the right foot (unspecified severity)
  • Default coding for diabetes when type not specified is E11-
  • Reference to guidelines for coding complications and site of ulcer is crucial

End Stage Renal Failure and Dialysis Coding

  • CPT® Code: 90945 for peritoneal dialysis evaluation
  • ICD-10-CM Codes:
    • I12.0 for hypertensive heart and chronic kidney disease stage 5
    • N18.6 for end-stage renal disease requiring dialysis
    • Z99.2 to identify dialysis status
    • N25.81 for secondary hyperparathyroidism
  • Combination of hypertension and CKD coding is essential (I12 and N18 categories)

Substance Abuse Treatment Coding

  • CPT® Code: 90834 for individual psychotherapy (45-minute session)
  • ICD-10-CM Code: F10.20 for alcohol dependence without mention of intoxication
  • Treatment focus is on patient compliance and progress in recovery within a partial hospitalization program

Allergy Testing Coding

  • CPT® Code: 95004 for scratch tests with allergenic extracts
  • Code reported twice for multiple allergens tested (cat and dog)
  • Provider documented test interpretation and results following allergen exposure testing

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Test your knowledge on CPR coding with this Chapter 20 review quiz. Understand the appropriate CPT® code for cardiopulmonary resuscitation and enhance your medical coding skills. Perfect for medical students and professionals looking to refresh their coding knowledge.

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