Chapters 27 & 28 - Interactive Activity -CPT Pathology & Lab Section/CPT Medicine Section Interactive Activity

Choose the correct term in the dropdown box to the appropriate definition

1. According to the Organ or Disease Oriented Panels, if a group of tests overlaps two or more panels, report the panel that incorporates the greater number of tests to fulfill the code definition. 2. You will report all remaining tests using the individual test codes. 3. For example, the physician orders a comprehensive metabolic panel and a renal function panel. 4. You will assign code 80053 for the comprehensive metabolic panel as it includes the majority of tests between the two panels. 5. You will also need to assign code 84100 to report the test for Phosphorus inorganic (phosphate) and code 84520 to report the Urea nitrogen (BUN) test. 6. These tests are reported separately because they are included in the Renal function panel but not the comprehensive metabolic panel.

Match each pathology and laboratory section code range to the appropriate pathology and laboratory section heading

80047-80076 Organ or Disease Oriented Panels 80145-80299 Therapeutic Drug Assays 80305-80377 Drug Assay Procedures 80400-80439 Evocative/Suppression Testing Procedures 80500-80502 Clinical Pathology Consultations 81000-81099 Urinalysis Procedures 81105-81479 Molecular Pathology Procedures 81410-81471 Genomic Sequencing Procedures and Other Molecular Multianalyte Assays 81490-81599 Multianalyte Assays with Algorithmic Analyses 82009-84999 Chemistry Procedures 85002-85999 Hematology and Coagulation Procedures

Match each pathology and laboratory section code range to the appropriate pathology and laboratory section heading

86015-86849 Immunology Procedures 86850-86999 Transfusion Medicine Procedures 87003-87999 Microbiology Procedures 88000-88099 Anatomic Pathology Procedures 88104-88199 Cytopathology Procedures 88230-88299 Cytogenetic Studies 88300-88399 Surgical Pathology Procedures 88720-88749 In Vivo (eg, Transcutaneous) Laboratory Procedures 89049-89240 Other Pathology and Laboratory Procedures 89250-89398 Reproductive Medicine Procedures

Match each modifier to the correct modifier description

90 Reference (Outside) Laboratory 91 Repeat Clinical Diagnostic Laboratory Test 92 Alternative Laboratory Platform Testing

Match each medicine section code to the appropriate medicine section heading

900281-90399 Immune Globulins, Serum or Recombinant Products 90460-90474 Immunization Administration for Vaccines/Toxoids 90476-90756 Vaccines, Toxoids 90785-90899 Psychiatry Services and Procedures 90901-90911 Biofeedback Services and Procedures 90935-90999 Dialysis Services and Procedures 910101-91299 Gastroenterology Procedures 92002-92499 Ophthalmology Services and Procedures 92502-92700 Special Otorhinolaryngologic Services and Procedures

Match each medicine section code to the appropriate medicine section heading

92920-93799 Cardiovascular Procedures 93880-93998 Non-Invasive Vascular Diagnostic Studies 94002-94799 Pulmonary Procedures 95004-95119 Allergy and clinical Immunology Procedures 95249-95251 Endocrinology Procedures 95782-96020 Neurology and Neuromuscular Procedures 96040-96040 Medical Genetics and Genetic Counseling Services 97151-97158 Adaptive Behavior Services 96105-96127 Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) 96156-96161, 96164-96171 Health and Behavior Assessment/Intervention Procedures

Match each medicine section code to the appropriate medicine section heading

96360-96549 Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration 96567-96574 Photodynamic Therapy Procedures 96900-96999 Special Dermatological Procedures 97010-97799 Physical Medicine and Rehabilitation Evaluations 97802-97804 Medical Nutrition Therapy Procedures 97810-97814 Acupuncture Procedures 98925-98929 Osteopathic Manipulative Treatment Procedures 98940-98943 Chiropractic Manipulative Treatment Procedures 98960-98962 Education and Training for Patient Self-Management 98966-98969 Non-Face-To-Face Nonphysician Services 99000-99082 Special Services, Procedures and Reports 99100-99140 Qualifying Circumstances for Anesthesia 99151-99157 Moderate (Conscious) Sedation 99170-99199 Other Services and Procedures 99500-99602 Home Health Procedures and Services 99605-99607 Medication Therapy Management Services

Match each wound care modifier to the appropriate modifier description

A1 Dressing for one wound A2 Dressing for two wounds A3 Dressing for three wounds A4 Dressing for four wounds A5 Dressing for five wounds A6 Dressing for six wounds A7 Dressing for seven wounds A8 Dressing for eight wounds A9 Dressing for nine wounds or more

Match each ophthalmology/optometry modifier to the appropriate modifier description

AP Determination of refractive state was not performed in the course of diagnostic ophthalmologic examination LS FDA-monitored intraocular lens implant PL Progressive addition lenses VP Aphakic patient

Match the following code with the appropriate chemistry test in the CPT coding manual

Aluminum 82108 Triglycerides 84478 Magnesium 83735 Phosphatase, acid; total 84060 Nickel 83885 Tyrosine 84510 Vitamine K 84597 Myeloperoxidase (MPO) 83876 Lipase 83690 Insuline; total 83525

Match each lab test to the appropriate indicating condition or disorder

Blood glucose Can indicate conditions such as diabetes mellitus (hyperglycemia) or hypoglycemia Electrolytes Can indicate metabolic or kidney disorders Enzymes Can indicate damage after a heart attack, or may be a sign of cancer of the pancreas and/or pancreatitis Hormones Can indicate the malfunction of the patient's adrenal glands Lipids Can indicate coronary heart disease or liver disease Metabolic substances Can indicate the presence of gout Proteins Can indicate malnutrition or certain infections

Match each ESRD/dialysis modifier to the appropriate modifier description

CB Service ordered by a renal dialysis facility (RDF) physician as part of the beneficiary's benefit is not part of the composite rate and is separately reimbursable CE AMCC test has been ordered by an ESRD facility or MCP physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity EM Emergency reserve supply (for ESRD benefit only) G1 Most recent urea reduction ratio (URR) reading of less than 60 G3 Most recent URR reading of 65 to 69.9 G6 ESRD patient for whom less than six dialysis sessions have been provided in a month

Match each lab test acronym to the appropriate description

CBC Complete blood count WBC White blood count RBC Red blood count PLT Platelet count HCT Hematocrit HGB Hemoglobin concentration DIFF Differential blood count PT Prothrombin time BUN Blood urea nitrogen UA Urinalysis

Match the acronym to the appropriate description

EEG electroencephalogram EMG electromyogram EOG electrooculogram MEG magnetoencephalography MMR measles, mumps, rubella SC subcutaneous IM intramuscular INH intranasal IA intra-arterial IV intravenous ESRD end-stage renal disease EPS electrophysiological studies TCD transcranial doppler CPAP continuous positive airway pressure ventilation

Pathology lab tests can only be performed on blood samples

False

The codes in the Medicine section are used to report the administration of a drug (medication) only

False Explanation The codes in this section are used to report those procedures, services, and treatments used in the practice of medicine, including the administration of medication.

Label each of the terms as either spinal or extraspinal

Spinal regions Cervical Thoracic Sacral Lumbar Pelvic Extraspinal regions Rib cage Lower extremities Upper extremities Abdomen Head

Choose the correct surgical pathology level in the dropdown box for the specimenT

Tooth - Level I Kidney, biopsy - Level IV Finger nail - Level I Colon, biopsy - Level IV Foreskin, newborn - Level II Appendix, incidental - Level II Bone Resection - Level VI Intervertebral disc - Level III Myocardium, biopsy - Level V Thyroid, total/lobe - Level V

The medicine section of CPT contains codes that report alternative methods of health care, such as

acupuncture

When a specimen from a surgical procedure is sent to the lab, and the pathologist examines the tissue by looking at it (with the naked eye) this is a _____ examination.

gross

When a lab test is performed to identify a quantity of substance such as a WBC (white blood cell) count, this a(n) ____ test

quantitative

Label the anatomical name or injection route

see image

When a health care professional gives the patient a medication, such as a subcutaneous injection, it requires

two codes, one for administration, one for the medication