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Author Archives: Anonymous

A 49-year-old patient had several episodes of esophageal ref…

A 49-year-old patient had several episodes of esophageal reflux and underwent a gastroesophageal reflux test to measure the pH balance (a measure of the degree of acidity or alkalinity). The test was performed with a mucosal attached capsule. The provider provided an interpretation and report. The provider stated the diagnosis as gastroesophageal reflux. What CPT® and ICD-10-CM codes are reported?

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A left breast biopsy is performed on a mass and the surgeon…

A left breast biopsy is performed on a mass and the surgeon requests a frozen section examination of the specimen to determine whether more extensive resection is appropriate. The frozen section reveals no indications of malignancy. No other specimen is obtained but the remainder of the biopsy specimen is sent for further testing and examination, including decalcification. The results indicate breast fibrosclerosis only. What CPT® and ICD-10-CM codes are reported?

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A young female was brought to the clinic by her sister. She…

A young female was brought to the clinic by her sister. She has had periods of severe depression for many years and is on Lithium. Her provider also manages her manic-depressive psychosis, hypothyroidism, and migraine headaches. Additional medications are Synthroid and Midrin. During the past week, she became manic, running all her credit cards to the limit, getting inappropriately involved in a friend’s suicide attempt, quitting her job, and trying to take over the pulpit at church. On the day of the clinic visit, she threatened to strike the telephone repairman with a lead pipe. She was admitted for Lithium adjustment. Diagnoses are moderate manic-depressive bipolar with circular current manic state, hypothyroidism, and migraine. What ICD-10-CM codes are reported?

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What CPT® coding is reported when a physician makes two sepa…

What CPT® coding is reported when a physician makes two separate incisions to perform a laparoscopic appendectomy and laparoscopic cholecystectomy?

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What is the ICD-10-CM code for heartburn?

What is the ICD-10-CM code for heartburn?

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According to the OIG, internal monitoring and auditing shoul…

According to the OIG, internal monitoring and auditing should be performed by what means?

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A clamp circumcision is performed without dorsal block on a…

A clamp circumcision is performed without dorsal block on a newborn. What CPT® code is reported for this service?

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A patient is brought to the operating suite when she experie…

A patient is brought to the operating suite when she experiences a large output of blood in her chest tubes post CABG. The physician performing the original CABG yesterday is concerned about the post-operative bleeding. He explores the chest and finds a leaking anastomosis site and he resutured. What CPT® code is reported?

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What ICD-10-CM code is reported for Ataxia telangiectasia?

What ICD-10-CM code is reported for Ataxia telangiectasia?

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A patient is in the OR for an arthroscopy of the medial comp…

A patient is in the OR for an arthroscopy of the medial compartment of his left knee. A meniscectomy is performed. What is the correct code used to report for the anesthesia services?

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