unit-7-quiz-help-practice

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Studocu is not sponsored or endorsed by any college or university UNIT 7 QUIZ HELP - practice Cpt Coding (Rochester Community and Technical College) Studocu is not sponsored or endorsed by any college or university UNIT 7 QUIZ HELP - practice Cpt Coding (Rochester Community and Technical College) Downloaded by LaShawn Forrest (lalaforrest0304@outlook.com) lOMoARcPSD|30654871
Dr. Modesta spent 2½ hours evaluating Carolina Tanner upon her admission into the ICU. Overall Feedback: 99291: Index>evaluation and management>critical care>first 30-74 minutes 99292x3: Index>evaluation and management>critical care>each additional 30 minutes 2.5 hours = 150 minutes – 74 minutes = 76 minutes / 30 minutes = 2.53 or 3 Raymond Johnston, a 3-year-old male, showed no sign of improvement after 5 days of antibiotic therapy, so Dr. Servina admits Raymond into the hospital with a diagnosis of bacterial pneumonia. At Raymond’s admittance, his vitals showed a temperature of 38.3°C (101°F), with a mild rash on his torso. The following day, Dr. Servina performed a problem-focused history and examination with MDM of low complexity. Code Dr. Servina’s visit on the second day. Overall Feedback: 99231: Index>evaluation and management>Hospital>subsequent hospital care Problem-focused history Problem-focused examination MDM of straightforward or low complexity Royce Onoton’s legs have finally healed to the point that he can be discharged from the nursing facility, where he has been for the last 6 weeks. Before he can go home, Dr. Zandi comes in for the final examination and to provide continuing care instructions to Royce’s wife, who will be caring for Royce at home. Dr. Zandi prepares the discharge records and writes a prescription for Royce for pain. This whole process takes Dr. Zani about 45 minutes to complete. Overall Feedback: 99316: Index>evaluation and management>nursing facility>discharge day management; more than 30 minutes Before beginning a series of treatments, Anna Hogan came to the Diagnostic Imaging Center for a metabolic evaluation PET scan of her brain. 78608: Index>positron emission tomography>brain>metabolic evaluation Howard Shires, a 78-year-old male, was diagnosed with advanced Alzheimer’s disease about 1 year ago and has been in this facility for approximately 10 months. He was seen today by the nursing facility’s physician, Dr. Bowyer, over concern of the development of urinary and fecal incontinence, as well as a number of other medical problems that have appeared to increase in severity. In addition to the detailed interval history, the physician spoke with family members and the nursing staff. Then, Dr. Bowyer reviewed the patient’s record to create an extended history necessary for an extended review of systems (ROS). Dr. Bowyer performed a comprehensive physical exam to assess all body systems. Afterward, he wrote all new orders due to the dramatic change in the patient’s physical and mental condition. A new complex treatment plan was created. Downloaded by LaShawn Forrest (lalaforrest0304@outlook.com) lOMoARcPSD|30654871
Overall Feedback: 99310: Index>evaluation and management>nursing facility>subsequent care Comprehensive interval history Comprehensive examination MDM of high complexity Dennis Lederrick, a 39-year-old male, had surgery on his left foot. To enable him to take a shower safely, Dr. Willrodt gave him a tub stool to sit on. Overall Feedback: E0245: Index>bathtub>stool Shirley Loveichelle, an 82-year-old female, was having trouble eating for such a long period of time that she was exhibiting signs of malnutrition. Therefore, Dr. Milliner ordered enteral formula (Ensure) to be administered through a feeding tube at 500 calories per day. Code for the nutritional supplement only. Overall Feedback: B4150 x 5: Index>enteral>formulae>5 (100 x 5 = 500 calories) Edith Shapin, a 24-year-old female, is pregnant for the first time and is at approximately 11 weeks gestation. She is brought into the diagnostic center for a fetal biophysical profile with nonstress testing. Overall Feedback: 76818: Index>fetal nonstress test>ultrasound Dr. Sloan provided a complete set of dentures, maxillary and mandibular, for Cheryl Delaney. Overall Feedback: D5110: Index>dentures>maxillary D5120: Index>dentures>mandibular Zena Awtrey, a 58-year-old female, sees Dr. Lunden for the first time for a variety of medical problems. She was diagnosed 5 years ago with insulin-dependent diabetes mellitus with complicating eye and renal problems. In addition, she suffers from hypertensive heart disease with episodes of congestive heart failure. Her peripheral vascular disease has worsened, and she can walk only a block before being crippled with extreme leg pain. The patient reports that a new problem has surfaced: throbbing headaches with radiating neck pain. Dr. Lunden and Zena thoroughly discuss her health concerns and issues. In order to manage and investigate the multiplicity of problems, Dr. Lunden takes a complete PFSH. A complete review of systems (ROS) is performed and comprehensive physical exam is completed. Dr. Lunden has to take a multitude of factors into consideration, as the patient’s problems are highly complex. Overall Feedback: 99205: Index>evaluation and management>office or other outpatient services>new patient Downloaded by LaShawn Forrest (lalaforrest0304@outlook.com) lOMoARcPSD|30654871
Comprehensive history Comprehensive examination MDM of high complexity Maxine Zeigleman, newly diagnosed with metastatic lumbar spinal tumors, has been referred to Dr. Appleton for the creation of a simple radiation therapy plan. Overall Feedback: 77261: Index>radiation therapy>planning>simple Premier Life & Health Insurance Company required David Harrison, a 39-year-old male, to get Dr. Dijohn, his regular physician, to complete a certificate confirming that David’s current disability prevents him from working at his regular job and makes him eligible for disability insurance. Overall Feedback: 99455-32: Index>evaluation and management>work-related and/or medical disability Evaluation ~ append modifier -32 because it is a mandated encounter. Muddy Hambaugh, a 27-year-old female with a history of bipolar disorder, was given an injection IM of Thorazine, 45 mg. Code for the drug. Overall Feedback: J3230: Index>drug table>Thorazine>up to 50 mg Petula Carter, a 4-day-old female, currently weighs 2,000 grams and requires intensive cardiac and respiratory monitoring. This is her third day in the NICU, and Dr. Wadhwa comes in to do his E/M of her condition. Overall Feedback: 99479: Index>evaluation and management>low birth weight infant>subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant, 1,500-2,500 grams Keith Pawley, a 34-year-old male, came to see Dr. Praylow, his dentist, for an implant- supported porcelain crown on his back tooth. Overall Feedback: D6065: Index>dental>implants Dr. Anderson works in a very small town in Ohio and travels up to 200 miles to see his patients in the surrounding rural areas. His patient Brenda Viard gave birth at her home the previous day to a 6-lb 3-oz baby girl, Alice Rose. Dr. Anderson sees Alice Rose for the first time today, does a complete history and exam, and prepares her medical chart. Alice Rose is a healthy newborn. Overall Feedback: 99461: Index>evaluation and management>newborn care>initial care, per day, for evaluation and management of normal newborn infant seen in other than a hospital or birthing center Downloaded by LaShawn Forrest (lalaforrest0304@outlook.com) lOMoARcPSD|30654871
Daniel Hair, a 56-year-old male with end-stage renal disease (ESRD), was fitted for a reciprocating peritoneal dialysis system. Code the supply of the equipment. Overall Feedback: E1630: Index>reciprocating>peritoneal dialysis system Sandra Lewis, a 55-year-old female, has been experiencing pain in her lower left back that wraps around to her inner thigh. Dr. Janson does a renal ultrasound, limited, real time with image documentation. Overall Feedback: 76775: Index>ultrasound>retroperitoneal Martha Lightfood, an 82-year-old female, was brought into Dr. Morrison’s office by her daughter because Martha was complaining of a sharp pain in her chest. After a negative EKG, Dr. Morrison had a quantitative differential pulmonary perfusion and ventilation study performed, which confirmed a pulmonary embolism. Martha was taken immediately by ambulance to the hospital. Code the quantitative differential pulmonary perfusion and ventilation study only. Overall Feedback: 78598: Index>perfusion>imaging>pulmonary>quantitative differential pulmonary perfusion and ventilation including imaging when performed Jamie Farmer, a 32-year-old male, goes to his family physician, Dr. Mitchell, for a tetanus shot after stepping on a rusty nail at the beach. While there, he asks Dr. Mitchell to look at a cut on his left hand. Dr. Mitchell examines the wound and tells him to keep the wound clean and bandaged. Dr. Mitchell documents a brief HPI and performs a limited exam of the left hand, MDM straightforward. Code only the E/M. Overall Feedback: 99212-25: Index>evaluation and management>office or other outpatient services>established patient ~ append modifier -25 because patient came in for the tetanus shot and physician also evaluated a cut on hand. Problem-focused history Problem-focused examination MDM of straightforward complexity Tom Seihill, a 23-year-old male, was admitted into the hospital 2 days ago for bronchitis. While in the hospital, Tom requested that his family physician, Dr. Selbiger, perform a circumcision, so Dr. Selbiger called in Dr. Wacker, a urologist, for a consultation. Dr. Wacker discussed the request with Tom and took a brief history and performed a limited genitalia examination. Afterward, Dr. Wacker made a straightforward decision and recommended that Raymond have the surgical procedure done at a later date as an outpatient procedure. Code for Dr. Wacker’s services. Overall Feedback: 99251: Index>evaluation and management>consultation>inpatient consultation>new or established. Problem-focused history Downloaded by LaShawn Forrest (lalaforrest0304@outlook.com) lOMoARcPSD|30654871
Problem-focused examination MDM of straightforward complexity William Browne, a 15-year-old male, is brought into Dr. Jenkins’s office with severe right leg pain. Dr. Jenkins takes x-rays of his right femur, AP and PA, to determine whether or not Bill’s leg is fractured. Overall Feedback: 73552-RT: Index>x-ray>femur>2 views Dr. Harrington provided care plan oversight services for Verniece Dantini, one of her patients at the Bracker Assisted Living Center. It took her 20 minutes. Overall Feedback: 99339: Index>evaluation and management>care plan oversight services>15-29 minutes Roberta Henthorne, a 52-year-old female, was recuperating from surgery to repair a complex fracture of her tibia and a compound fracture of her ankle. To help her be more comfortable, Dr. Locklear ordered a fixedheight hospital bed, without side rails and with a mattress, for her to use at home. Code for the DME only. Overall Feedback: E0290: Index>hospital>bed Owen Unger, a 19-month-old male, is admitted to the hospital by his pediatrician, Dr. Curtis, after a chest x-ray confirmed the child has pneumonia. Dr. Curtis and Mrs. Unger, Owen’s mother, discuss the child’s fever, cough, and diarrhea. Mrs. Unger provides a pertinent PFSH. An extended problem-focused ROS is completed and an extended examination of the cardiovascular and respiratory systems is performed. The course of treatment planned by Dr. Curtis is straightforward as the child’s condition is of low severity. Overall Feedback: 99221: Index>evaluation and management>hospital>initial hospital care>new or established patient Detailed history Detailed examination MDM straightforward or low complexity Jonelle Graybar, a 73-year-old female, was experiencing pain in her back that radiated around her trunk. She was also suffering with spastic muscle weakness. Dr. Maxwell ordered a radioisotope bone scan of Jonelle’s lumbar spinal area. The scan identified a metastatic invasion of L1–L3. Overall Feedback: 78300: Index>nuclear medicine>diagnostic>bone and joint>imaging>limited area Carl Gadsden, a 66-year-old male, was diagnosed with intrinsic laryngeal cancer, supraglottic T1 tumor. With the tumor confined to one subsite in the supraglottis, Dr. Downloaded by LaShawn Forrest (lalaforrest0304@outlook.com) lOMoARcPSD|30654871
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