The patient was recently diagnosed with stage 3 renal disease and has arrived at the facility to receive the fitting and adjustment of a catheter for renal dialysis. The correct diagnosis code to report this condition is:  Z49.01 Encounter for fitting and adjustment of extracorporeal dialysis catheter Z49.02 Encounter for fitting and adjustment of peritoneal dialysis catheter Z49.31 Encounter for adequacy testing for hemodialysis Z49.32 Encounter for adequacy testing for peritoneal dialysis  

This prospective payment system replaced the Medicare physician payment system of “customary, prevailing, and reasonable (CPR)” charges whereby physicians were reimbursed according to their historical record of the charge for the provision of each service.

A physician excises a 3.1 cm malignant lesion of the scalp that requires full-thickness graft from the thigh to the scalp. In CPT, which of the following procedures should be coded?

A patient presents to an outpatient clinic with a large growth on the left side of the neck. Examination reveals primary malignant neoplasm of lymph nodes. Confirmed diagnosis of nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck. The correct diagnosis code to report this condition is:  C76.0 Malignant neoplasm of head, face, and neck C77.0 Secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck C77.9 Secondary and unspecified malignant neoplasm of lymph node, unspecified C81.01 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck

The provider performed an esophageal transplantation using a section from a cadaver donor. The ICD-10-PCS code to report is:

At the request of one physician, a second physician provides advice regarding the evaluation and management of a specific problem. This is called

The Recovery Audit Contractor (RAC) program was developed to identify and reduce improper payments for

The medical coder’s query stated, “Dr. Jones, I noticed that the patient has had elevated blood pressure during his last three visits. Shouldn’t he be diagnosed with hypertension and prescribed medication?” What do you observe about this query?

When appropriate, under the outpatient PPS, a hospital can use this CPT code in place of, but not in addition to, a code for a medical visit or emergency department service for critically ill patients.

In ICD-10-PCS, a PET imaging of the myocardium using Rubidium 82 would be coded: C03YYZZ Positron Emission Tomographic imaging, central nervous system, other radionuclide C22GYZZ Tomographic nuclear medicine imaging, myocardium, other radionuclide C23GQZZ Positron Emission Tomographic imaging, myocardium, rubidium 82 (Rb-82) C25YYZZ Nonimaging nuclear medicine probe, heart, other radionuclide