January 2025 Magazine

A physician places a peri-auricular nerve stimulation device on the left ear of a patient. This takes 10 minutes. He spends an additional 22 face-to-face minutes observing the patient to make sure they tolerate the procedure. Total face-to-face time is 32 minutes. How is this coded?

97813, 97814

A 10-year-old patient presents with symptoms of fatigue, frequent infections, and abnormal bleeding. After a series of diagnostic tests, the patient is diagnosed with Fanconi anemia. Which ICD-10-CM code should be assigned to this diagnosis?

D61.03

Which of the following is NOT one of the four categories you should evaluate when you're looking to boost practice margins?

Salaries and bonuses

A patient has latent autoimmune diabetes mellitus treated with insulin and oral saxagliptin. She is being seen for level 2 hypoglycemia after accidentally taking her morning medications twice. What ICD-10-CM codes should be reported?

T38.3X1A, E13.649, E16.A2, Z79.4, Z79.84

What is the primary purpose of assessing a patient's condition in a Botox® injection procedure?

To determine the muscles that require treatment

What is the chief purpose of a CDM review?

To ensure accuracy

True or false? Many healthcare organizations can benefit more from a department-focused approach rather than a full-scale charge description master review.

True

Which statement of praise provides the most impact?

Your workflow change in billing has really improved everyone's efficiency. Great idea.

A physician provides a patient with medical advice via telehealth from home. The patient was in the physician's office. Which place of service code should be used on the claim?

2

Which CPT® code is appropriate for the manual removal of misdirected eyelashes using forceps?

67820

A licensed acupuncturist places acupuncture needles in the feet and knees of a patient and connects an e-stim device for 20 minutes. The practitioner stays with the patient and monitors the treatment progress. After disconnecting the lead wires, the practitioner adds two more needles in the wrists, which takes 8 minutes, and then leaves the room. The practitioner returns 20 minutes later and removes the needles. Total face-to-face time is 25 minutes. Assuming the patient's insurance covers this, how is this coded?

97813, 97811

Which of the following is a reason why praise works effectively in healthcare settings?

All of the above - It boosts morale - It improves patient care - It fosters a culture of collaboration

A patient has T1DM treated with insulin, and labs reflect hyperglycemia. The patient reports she has not been able to take current insulin as prescribed due to price and requests discussion of alternatives. What ICD-10-CM codes should be reported?

E10.65, T38.3X6A, Z91.120

A patient presents for T2DM follow-up. His current regimen is Victoza and Metformin after trialing many medications and doses over the previous six months. Today's labs show great control; however, today the patient mentions having some nausea without vomiting and is wondering what to do to prevent that side effect. What ICD-10-CM codes should be reported?

E11.9, R11.0, T38.3X5A, Z79.84, Z79.85

Which category is postsurgical hypothyroidism classified under?

E89

What does EMG stand for in the context of botulinum toxin injections?

Electromyography

Which ICD-10-CM code would you use to document trichiasis of the upper right eyelid without entropion?

H02.051

Which of the following is a requirement to avoid insurance denial when billing for EMG guidance used for Botox® injections to treat muscular conditions?

Have a referring provider

What is endocrinology the study of?

Hormones

For dates of service on or after Jan. 1, 2025, which is the proper coding for a brief virtual check-in lasting 4 minutes with a new patient with Medicare Part B insurance?

None of the above