NOTE: / This revised answer key contains updated 2006codes.
Chapter 3: Managed Health Care
Page 45, #9, b: Delete “gatekeeper” and enter “primary care provider.”
Chapter 6: ICD-9-CM Coding
Page 147, Exercise 6-4
1.Pregnancy complicated by chronic gonorrhea;647.10 – fifth digit required
chronic gonococcal endometritis098.36 – use additional code
Chapter 7: CPT Coding
Page 185: Delete “confirmatory consultation”
Page 199: Delete row of content for modifier -60 (CPT modifier -60 was deleted in 2006)
For modifier -63, delete X from E/M, Anesthesia, Radiology, Pathology & Laboratory, and Medicine columns. (Modifier -63 is reported with Surgery codes only.)
Page 204, Delete row of content for modifier -60 (CPT modifier -60 was deleted in 2006)
Page 219, Infusions and Injections – Delete the first paragraph and substitute the
statements below:
CPT deleted codes that classify injections of antibiotics and intravenous therapy
in 2006. Refer to HCPCS level II Gxxxx codes to classify infusions and injections.
Page 219, Infusions and Injections – Second paragraph … Add the following phrase in front of “J” in sentence 1, sentence 2, and sentence 3 (which is in parentheses).
“G” and
Page 219, Psychiatry (90801-90899)
In paragraph 2, delete (96100-96117), and insert (96116-96120).
(CPT codes 96100-96117 were deleted in 2006. CPT codes 96116-96120 were added in 2006.)
Page 223, Consultations (Clinical Pathology) – Line 3, delete 99275 and insert 99255.
(CPT code 99275 was deleted in 2006.)
Page 237, Consultations
In paragraph 3, delete the first sentence, Codes 99261-99263 cover follow-up
inpatient consultations.
(CPT codes 99261 and 99263 were deleted in 2006.)
Page 238, Confirmatory Consultation
Under heading, delete paragraph, and change to “Confirmatory consultation codes were deleted in CPT 2006.”
(CPT confirmatory consultation codes were deleted in 2006.)
Chapter 14: Medicare
Page 410, Block 32: for line 2, change instructions to “box, enter the name and address of the facility or …”
Appendix I – Case Studies: Set One
Case 1-1Change 404.02 to 414.02.
Case 1-9Change 99312 to 99308.
(CPT code 99312 was deleted in 2006. However, UHI CD-ROM software requires entry of code 99312. CPT code 99308 was added in 2006, and the 9th edition of the UHI CD-ROM software will be updated to include that code.)
Appendix II – Case Studies: Set Two
Case 2-14Change level II to level III
Appendix IV – Answers to Coding Exercises
Exercise 6-1
2.Congenital candidiasis
Exercise 6-2
6.Contusion, abdomen922.2
Exercise 6-4
1.Pregnancy complicated by chronic gonorrhea;647.10 – fifth digit required
chronic gonococcal endometritis098.36 – use additional code
Exercise 6-7
6.191.9
EXERCISE 6-11
- NOTE: Do not assign code 695.1 (scalded skin syndrome), which is assigned for conditions due to allergies, etc.
Exercise 7-1
7.FalseParenthetical statements beginning with “eg” provide examples of
terms that may be in the health care provider’s description of the service performed. These examples do not have to be included in the documentation.
9.TrueThe bullet () located to the left of a CPT code indicates a new
code for that edition of CPT.
10.FalseCode 50620 would be reported for a ureterolithotomyperformed on
themiddle one-third of the ureter.
Exercise 7-2
2.Marsupialization means creating a pouch to exteriorize a cyst.
Exercise 7-3
5.-56
Exercise 7-4
1.25660
2.57800, 57820
5.Delete “(Spine Lumbar)”
7.Manual CBC (See Blood Cell Count, Complete Blood Count [CBC]) 85032
9.See Hydatidiform Mole 59100
Exercise 7-6
1.Diagnostic arthroscopy, right wrist, with synovial biopsy29840
4.Diagnostic thoracoscopy, lungs and pleural space, with right lung biopsy32605
- Biopsy of larynx via laryngoscopy and laryngoplasty31510
31588-51
Exercise 7-8
5.27332, 29870-51
Exercise 7-10
1.Delete “,with conscious sedation, IV”93501
2.Change “ECG to “EKG”
6.Influenza vaccine90657
90471
NOTE: Code 90658 or 90660 could be assigned instead of 90657.
7.Whirlpool and paraffin bath therapy97022
97018-51
8.WAIS-R and MMPI psychological tests and report, 1 hour
(Psychiatric Diagnosis, Psychological Testing)96101
(CPT code 96101 was added in 2006.)
Exercise 7-11
1.Change (x-ray) to (X-ray)
2.Change x-ray to X-ray
3.Change x-ray to X-ray
5.Change (x-ray) to (X-ray)
6.Change (x-ray) to (X-ray)
Exercise 7-12
12.Microhematocrit, spun (Blood Cell Count)85013
13.Monospot86308
14.Strep test, rapid (Streptococcus, Group A, Direct Optical Observation)87880
NOTE: Identifying the correct CPT code for “strep” testing performed in an
office setting often causes confusion. CPT code 87880 is reported for all
immunologically based commercial Streptococcus Group A testing kits where the
interpretation relies on a visual reaction that is observed by the naked eye.
Exercise 7-13
2.ED service, new patient, low complexity; DX: low-grade99282
chest pain (Emergency Department Services)
5.ED care, established patient, problem focused, counseling 15
minutes; DX: bladder infection (Emergency Department Services)99281
6.99244
8.Follow-up consultation, office, problem focused, counseling 1599214
minutes, encounter was 25 minutes. (There is no follow-up outpatient
consult code; use Est. Office Visit. Counseling becomes the key factor,
selection is based on time.)
9.Follow-up consultation, inpatient, detailed, 35 minutes.99253
10.Blood pressure check by nurse (established patient). (Office and/or99211
Other Outpatient Services)
Exercise 7-14
3.99308(CPT code 99308 was added in 2006.)
8.99336(CPT code 99336 was added in 2006.)
Exercise 10-1
1.Acute pharyngitis
2.Musculoligamentous sprain, left ankle
3.Benign prostatic hypertrophy (BPH) with urinary retention
4.Bacterial endocarditis
5.Partial drop foot gait, right
Exercise 10-2
Case 4NOTE: Malaise and fatigue are assigned the same ICD code, so
report the Ref # just once.
Exercise 10-3
2.93797 (or 93798) (Delete S9472)
Exercise 10-4
NOTE: The underlined term in the Diagnoses column is the first-listed diagnosis or condition.
4.99383 (Delete 99239)575.0 (Delete 575.10)
Exercise 10-5
Change “ICD Code No.” to “ICD-9-CM Codes”
2.Aftercare, surgeryV58.3
Metastatic adenocarcinoma (liver)197.7
Diabetes mellitus250.00
Exercise 10-6 Coding Operative Reports
Case 1Procedure:Excision, lesion, scalp, benign (0.3 cm)11420
Case 2Procedures:Excision, lesion, benign (return to OR) (5.0 cm, skin of back)
Layered closure, intermediate
Case 4Diagnosis: Serous otitis media381.4
Procedure:Myringotomy (Tympanostomy) with insertion69436-50
of ventilating tubes (Procedure performed
bilaterally)
Glossary
Page 644, delete “confirmatory consultation (7)” and its definition
(CPT confirmatory consultation codes were deleted in 2006.)