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Overview As a medical coder, you’ll assign CPT codes for physician procedures an

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Overview
As a medical coder,
you’ll assign CPT codes for physician procedures and services. This graded
project is designed to
Test your knowledge of CPT
coding principles and procedures
Gauge your ability to
accurately apply coding guidelines with regard to CPT codes and modifiers
Analyze your accuracy with
respect to HCPCS code assignment
Determine your ability to
differentiate CPT and HCPCS
Summarize what you’ve learned
about CPT and HCPCS coding
Copy and paste all exam
questions into the Word document and add answers after reading the
assignment and following the instructions carefully.
After completing the exam,
select File, Save as, Documents, name the file, and select Save.
Instructions
Your graded project
has three parts.
Part 1
Review
the following statements and assign the correct HCPCS Level II codes. Each
answer is worth 3 points.
After repair of a hip fracture,
the physician ordered the 252-pound patient a Group 2 standard single
power wheelchair with a sling, solid seat, and back.
A patient was evaluated in the
emergency room for complaints of a chronic migraine. The
physician ordered an intramuscular injection of 1 unit Onabotulinumtoxin
A.
A patient with chronic venous
insufficiency came to the doctor’s office with complaints of bilateral leg
pain. The physician prescribed two thigh-length gradient compression
stockings, 45 mmHg each.
A patient with severe sleep apnea
was ordered a humidifier water-chamber replacement for his CPAP.
Due to a diagnosis of severe
DJD and ataxic gait, Mrs. Thompson was given a prescription for an
adjustable quad cane with tips.
Three months after sustaining a
lumbosacral injury at work, John’s physician ordered him a four-lead TENS
device.
An eight-year-old child
fell and broke his left fibula, and the orthopedist applied a short leg
fiberglass cast.
A 75-year-old patient with a
history of malignant neoplasm of the lower gastrointestinal tract presents
for his follow-up colorectal cancer screening.
After having a cervical fusion,
the patient was discharged with a semirigid, thermoplastic-foam, two-piece
cervical collar to be worn continuously until follow-up in one week.
A 14-year-old boy was evaluated
in the emergency room for a dog bite to his lower left leg. After
determining the child’s tetanus was up to date and that he didn’t have any
medication allergies, the ER physician ordered an intramuscular injection
of Rocephin 500mg before discharge.
(Part 1 is worth 30
points of your overall graded project.)
Part 2
Review
the following scenarios and assign the correct CPT codes and/or modifiers and
multipliers. Each answer is worth 5 points (10 points per question).
A 71-year-old male patient
previously diagnosed with benign prostatic hypertrophy presents to the
hospital with urinary obstruction. The physician performs a
cystourethroscopy to examine the bladder and urethra and subsequently
performs a UroLift transprostatic implant procedure using three adjustable
implants.
1A: _______ 1B: _______
A 72-year-old patient with a
history of tobacco abuse had a bronchoscopy with one biopsy from each of
the two lobes of the right lung.
2A: _______ 2B: _______
A 49-year-old patient was
diagnosed with hyperlipidemia four months ago and is currently taking
Zocor. Today, she presents to the laboratory for a lipid panel and a
hepatic function panel.
3A: _______ 3B: ________
Mr. Davis had a percutaneous
transluminal angioplasty of the left anterior descending artery and the
left circumflex branch.
4A: _______ 4B: ________
(Part 2 is worth 40
points of your overall graded project.)
Part 3
Review
the following scenarios and assign the correct codes as required, including
modifiers and/or multipliers where indicated. Each question is worth 10 points.
Dr. Hansen, an orthopedist, is
seeing Andrew, a 72-year-old established male patient who has complaints
of severe knee pain in both knees and repeated falls over the past two
months. Dr. Hansen completes a detailed history and exam, including X-rays
of each knee that show worsening osteoarthritis. Because the patient has
been experiencing repeated falls, Dr. Hansen provides the patient with an
adjustable tripod cane with instructions for safe use. Dr. Hansen
recommends the patient begin taking OTC glucosamine chondroitin sulfate
and oxycodone for pain as needed, and schedules the patient for a
follow-up appointment in one month.
E&M code: _______
ICD-10-CM code: _______
ICD-10-CM code: _______
CPT code: _______
HCPCS code: _______
Andrew returned for his
follow-up visit last week with increased pain and edema in his right knee
and was scheduled for an arthroscopy. He presents to the surgical center
today for a right-knee diagnostic arthroscopy with synovial biopsy.
Anesthesia is being performed on this 72-year-old male patient by a CRNA with
medical supervision by a physician. Other than osteoarthritis, Andrew has
essential hypertension, which is well controlled. Postoperatively, the
patient was placed in a prefabricated-canvas, longitudinal knee
immobilizer.
CPT code: _______
Anesthesia code: _______
Concurrent care modifier: _______
Physical status modifier: _______
HCPCS code: _______
A 28-year-old male patient
is being evaluated for initial treatment of a first-degree burn, back of hand,
involving 5% body surface, caused by steam, while he was repairing an
improperly connected boiler pipe at his home.
CPT code: ________
ICD-10-CM code: ________
ICD-10-CM code: ________
External cause: ________
Place of occurrence: ________

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