E/M Dr. Bob saw Jeremy in the office.He took a detailed history and...

Question Answered step-by-step E/M Dr. Bob saw Jeremy in the office.He took a detailed history and… E/MDr. Bob saw Jeremy in the office. He took a detailed history and performed a detailed exam for Jeremy, a new patient. Jeremy has end stage renal disease and diabetes. There was an extensive amount of data for Dr. Bob to review with Jeremy. Dr. Bob’s documentation shows that 40 minutes out of the total 60 minutes of encounter was spent on counseling Jeremy on his diseases. CPT Code: Dr. Russell admitted Mr. Jones to the hospital. Due to the sudden change in Mr. Jones health status, Dr. Russell discharged him that same day. Dr. Russell documented a comprehensive history, comprehensive exam and his decision making was moderate complexity. CPT Code Joe was seen in the ER. The provider did a comprehensive HPI and Exam and MDM was moderate. CPT Code Mark was being admitted overnight into observation with Comprehensive HPI, Detailed Exam, and Low decision making. CPT Code AnesthesiaA pediatric surgeon performs surgery on an otherwise healthy eleven-month old baby to correct a unilateral undescended testis. The anesthesiologist administers general anesthesia. How should the anesthesia services be reported? CPT Code Integumentary SystemMr. Smith presents to a general surgeon’s office to have a 4.0 cm benign arm lesion excised. Because of the size the general surgeon had to do a 4.0cm layer closure. CPT Code Joe had a benign lesion taken off his arm and forehead. They were both 1.0 cm. CPT Code ModifiersIn the morning, Dr. Jones attempted to treat a humeral shaft fracture with manipulation. The procedure appeared to be successful. However, later that evening the patient developed additional problems relating to the fracture. Dr. Williams re-manipulated the fracture. The repeat procedure was a success. What modifier should be appended to the repeat procedure? CPT Code Barb broke her arm 3 weeks ago and now she was in for the flu. What modifier is need on the E/M? CPT Code John had a lesion taken off a couple days ago and now he is in for a fracture ankle. What modifier goes on the procedure of the fracture ankle? CPT Code Joe was having lots of pain in his side. The provider made the decision to go surgery today. What modifier goes on the E/M? CPT Code Musculoskeletal SystemA general surgeon removes a deep foreign body form a patient’s knee area. How would these services be reported? CPT Code Ortho surgeon provides closed fracture care to a distal fibula that was manipulated? CPT Code Respiratory SystemSeven-year old Johnnie presented to the physician office with nosebleed after being hit by a softball. The physician determined that the bleed was posterior, and places a posterior pack. How should the physician’s services be reported? CPT Code Digestive SystemA general surgeon performs an initial femoral hernia repair on a 37 year-old patient, followed by implantation of mesh. The hernia was reducible. How would these services be coded? CPT Code A general surgeon does a colonoscopy with removal of polys by hot biopsy. CPT Code Urinary SystemA patient requires a vasovasostomy. The surgeon operates on the patient while utilizing an operating microscope. How should these services be reported? CPT Code Genital System A physician performs a vaginal hysterectomy with removal of the patient’s tubes. The uterus was 230 grams. How should these services be reported? CPT Code A physician does an exploration for undescended testis bilateral. CPT Code ObstetricsAn OBGYN physician performs routine antepartum care, delivers the baby by cesarean and does the post-partum care.Family practice sees the patient for 6 antepartum visits when the patient runs into complications and is referred over to the OBGYN. Bill for the family practice provider. CPT Code Nervous SystemA physician injected alcohol into an intercostals nerve for purposes of destroying the nerve. How should these services be reported? CPT Code EyeMr. Roberts was hit in the eye by a staple form an electric staple gun. A piece of the staple lodged in the posterior segment of the eye. The piece of the staple was removed with a magnet via an anterior route. How should the physician’s services be reported? CPT Code Destruction of a lesion on the Iris. CPT Code AuditoryA physician performs a biopsy of the external auditory canal. How should these services be reported? CPT Code RadiologyA physician interpreted a CT study of cervical spine (C2 – C4 area) with IV contrast. How should the physician’s professional services be reported? CPT Code The physician does a 2 view chest x-ray and also does the interpretation and a report. CPT Code Lab & Pathology Betty came to the clinic for her annual exam. The physician orders calcium, carbon dioxide, chloride, creatinine, glucose, potassium sodium and a BUN. He also decides to order a free T-4 to see how her thyroid is doing. CPT Code Mark was in for a sodium serum test. CPT Code MedicineSue was in for chicken pox vaccine. The provider came in to counsel the patient on why she needed the booster shots. CPT Code A physical therapist placed a hot pact on Jane’s right should and left the hot pack in place for 15 minutes while he attended to other patients. The therapist then returned and provided 15 minutes of ultrasound treatment on Jane’s same shoulder. How should you code these charges? CPT Code 38- Year -old Mark was in for a sleep study with 6 parameters and included CPAP. CPT Code Provider did the supervision of the treadmill for his 61 year old patient. The results are going to be sent to the cardiologist. Bill for both providers. CPT Code Health Science Science Nursing HIT 244 Share QuestionEmailCopy link Comments (0)