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Author Archives: Anonymous

A 42-year-old patient presented to the urgent care center wi…

A 42-year-old patient presented to the urgent care center with complaints of slight dizziness. He had received services at the clinic about 2 years ago. The patient related this episode happened once previously and his 51 year-old brother has a pacemaker. A chest X-ray with 2 views and an EKG with rhythm strip were ordered (equipment owned by the urgent care center). The provider detected no obvious abnormalities, but the patient was advised to see a cardiologist within the next two – three days. The provider interpreted and provided a report for the rhythm strip and chest X-ray. What CPT® and ICD-10-CM codes are reported for the provider employed by the urgent care center who performed a level 3 office visit in addition to the ancillary services?

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What category of codes should be used to report an evaluatio…

What category of codes should be used to report an evaluation and management service provided to a patient in a psychiatric residential treatment center?

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A patient arrives at the urgent care facility with a swollen…

A patient arrives at the urgent care facility with a swollen ankle. Anteroposterior and lateral view X-rays of the ankle are taken to determine whether the patient has a fractured ankle. What CPT® code(s) is/are reported?

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Restriction of blood supply, commonly due to factors in the…

Restriction of blood supply, commonly due to factors in the blood vessel, that can result in damage or dysfunction of tissue is known as:

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A physician places a centrally inserted, tunneled central ve…

A physician places a centrally inserted, tunneled central venous access device with a subcutaneous pump in a 7-year-old patient.

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A physician states he performed a comprehensive EP study wit…

A physician states he performed a comprehensive EP study with induction of arrhythmia in the hospital. The report shows bundle of His recording, pacing and recording of the right atrium, and induction of arrhythmia by electrical pacing. What CPT® coding is reported?

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A patient has partial removal of his lung which is sent in f…

A patient has partial removal of his lung which is sent in for gross and microscopic examination. The pathologist also did gross and microscopic exam on biopsies for several lymph nodes in the patient’s chest which are placed in one container. A consultation is performed on a tissue block of a single specimen intraoperatively by frozen section. The pathologist also performs a trichrome stain. What CPT® codes are reported for the lab tests performed?

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A new patient visits the internal medicine clinic today for…

A new patient visits the internal medicine clinic today for diabetes, hypertension, arthritis, and a history of cardiac disease. The provider performs a medically appropriate history and exam. Blood pressure is high. All other conditions are stable. Labs ordered are HbA1c and complete blood count (CBC). The dosage for the blood pressure medication is reviewed and changed. The patient will follow up in three months. What CPT® code is reported?

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Patient undergoes a mitral valve repair with a ring insertio…

Patient undergoes a mitral valve repair with a ring insertion and an aortic valve replacement, on cardiopulmonary bypass. Which CPT® codes are reported?

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A patient is seen by Dr. B who is covering on call services…

A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patient with Dr. A., but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to report the services provided by Dr. B?

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