Name:
Medical Billing and Coding Practicum
05 Assignment
Complete all components of this assignment in this worksheet and then upload the completed worksheet for grading. This assignment is worth a total of 80 points.
Part I
In your textbook (65 points):
For this portion of this assignment, answer the coding challenges found in your Physician Coding Exam Review: The Certification Step textbook. Use your CPT and ICD-9-CM manuals to determine the correct codes. Remember, your goal is to complete each question within two minutes!
1) Unit 4 Coding Challenge, Final Examination, pages 537-540: Urinary, Male Genital System, Female Genital System, and Maternity Care and Delivery questions 84-93 (10 points)
84.
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93.
2) Unit 4 Coding Challenge, Final Examination, pages 540-542: Endocrine System, Nervous System, Eye and Ocular Adnexa questions 94-103 (10 points)
94.
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103.
3) Unit 4 Coding Challenge, Final Examination, pages 547- 550: Radiology questions 122-130 (1-2 points each, 10 points total)
122.
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4) Unit 4 Coding Challenge, Final Examination, pages 550-552: Pathology and Laboratory questions 131-140 (10 points)
131.
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5) Unit 4 Coding Challenge, Final Examination, pages 552-554: Medicine Section questions 141-150 (10 points)
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150.
6) Unit 4 Coding Challenge, Final Examination, pages 521-522: ICD-9-CM, questions 17-26 (10 points)
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7) Unit IV Coding Challenge, Final Examination, pages 522: HCPCS, questions 27-31 (5 points)
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Part II
Using your coding manual (15 points)
For the second portion of this assignment, please code the following reports using your CPT and ICD-9-CM manuals:
1) Radiology Report (4 points)
EXAMINATION OF: Abdomen and pelvis.
CLINICAL SYMPTOMS: Ascites.
CT OF ABDOMEN AND PELVIS: Technique: CT of the abdomen and pelvis was performed without oral or IV contrast material per physician request. No previous CT scans for comparison.
FINDINGS: No ascites. Moderate-sized pleural effusion on the right
CPT Code(s): ______ICD-9-CM Code(s): ______
2) Procedure Report #3 (7 Points)
DIALYSIS INPATIENT NOTE: This 24-year-old male patient is on continuous ambulatory peritoneal dialysis (CAPD) using 1.5%. He drains more than 600 mL. He is tolerating dialysis well. He continues to have some abdominal pain, but his abdomen is not distended. He has some diarrhea. His abdomen does not look like acute abdomen. His vitals, other than blood pressure in the 190s over 100s, are fine. He is afebrile.
At this time, I will continue with 1.5% dialysate. Because of diarrhea, I am going to check stool for white cells, culture. Next we will see what the primary physician says today. His HIDA scan was normal. The patient suffers from ESRD and has had 6 encounters this month. Code this service.
CPT Code(s):______ICD-9-CM Code(s): ______
3) OPERATIVE REPORT (4 points)
PREOPERATIVE DIAGNOSIS: Mechanical ectropion, left lower eye.
PROCEDURE PERFORMED: Medial tarsorrhaphy, left lower eye.
In the operating room, after intravenous sedation, the patient was given a total of about 0.5 mL of local infiltrative anesthetic. The skin surfaces on the medial area of the lid, medial to the punctum, were denude. A bolster had been prepared and double 5-0 silk suture was passed through the bolster, which was passed through the inferior skin and raw lid margin, then through the superior margin, and out through the skin. A superior bolster was then applied. The puncta were probed with wire instrument and found not to be obstructed. The suture was then fully tied and trimmed. Bacitracin ointment was placed on the surface of the skin. The patient left the operating room in stable condition, without complications, having tolerated the procedure well.
CPT Code(s): ______ICD-9-CM Code(s): ______