MedicineK

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University of Houston *

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2301

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Medicine

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Feb 20, 2024

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docx

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Uploaded by ConstableGiraffe3016

Coronary thrombolysis is performed by intracoronary infusion. How would this be billed? Correct answer: 92975 In the index of the CPT book, you would look up thrombolysis, coronary vessels, infusion. This gives you the codes 92975 and 92977, which you will look up in the Medicine section. When you look up these codes, you will see that they differ by the kind of infusion done. The question is asking for an intracoronary infusion, so code 92975 would be the correct answer. Code 92973 is for a percutaneous transluminal coronary thrombectomy mechanical. This is not what the question is asking for, so this is an incorrect answer. Code 92928 is for a percutaneous transcatheter placement of intracoronary stent, with coronary angioplasty when performed. This is not what the question is asking for either, so this is an incorrect answer. Code 92920 is for percutaneous transluminal coronary angioplasty, single major coronary artery or branch. Again, this is not what the question is asking for, so this is incorrect as well. Reference: AMA CPT® 2023 Professional Edition. Pg 756. An 80-year-old homebound patient with end-stage renal disease requires a nurse to come out three days a week to perform peritoneal dialysis. Each session lasts three hours. Also, the visiting nurse performs basic daily activities, such as cleaning and grocery shopping, once a week.  What should the monthly charges be for these services? Correct answer: 99601 x13, 99602 x13, 99509 x4 There are three codes needed to correctly answer this question. First, you will look up the code for the home infusion services, which can be found in the index. You will look up infusion therapy, home infusion procedures, which gives you the code range of 99601-99602. When you look up this code range in the Medicine section, you will see
that code 99601 is for home infusion, per visit, and code 99602 is for each additional hour for the home infusion. The question states that the home nurse infuses the patient for three hours, so you will use both of these codes. The next code will be for the basic activities the nurse performs once a week. For this part, you will go back to the index, looking up home services, activities of daily living. This gives the code 99509, so you will go back to the Medicine section to look the code up. 99509 is for a home visit for assistance with ADL and personal care, which is what the question is asking for. The next part of the answer is figuring out how many units of each code you will need. Code 99601 is for up to two hours, and code 99602 will be good for the third hour. This service is done 3 times a week, and the question would like you to figure out what should be billed monthly. Using Monday, Wednesday, and Friday as an example, there are thirteen in each month (not each, thirteen days total), so you would use thirteen units for EACH code (99601 and 99602). For code 99509, once a week for a month typically means four times a month (for example, there are four Fridays in a month), so you would bill four units for 99509. This eliminates coding 25 units for an answer, which would eliminate using 99602 with 25 units. Code 99512 is for a home visit for hemodialysis. The question states that peritoneal dialysis was performed, so this would not be a correct code. Code 90966 is for ESRD-related services for a home visit for a patient 20 years or older. This is too vague a code and cannot be used in this instance. Reference: AMA CPT® 2023 Professional Edition. Pg 855.
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