Chapters 27 & 28 - Coding Practice Applications - CPT Pathology & Lab Section/CPT Medicine Section

Vivian Praxis, a 3-year-old female, is at the office of her pediatrician, Dr. Ashley, for her regular checkup. Dr. Ashley notices that Vivian is very small for her age and orders a growth hormone stimulation panel to be done. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

80428 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Growth hormone tests What type of panel - Growth hormone stimulation Were all the elements of the panel performed - Yes Where any additional tests performed - No Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - No If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 80428 Overall Feedback: 80428: Index>growth hormone>growth hormone stimulation panel

Georgia Stuart, a 37-year-old female, is pregnant for the first time. Dr. Ferguson performed an amniocentesis to do a chromosome analysis, count 15 cells, 1 karyotype, with banding. The results showed that the baby is fine. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

88267 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Chromosome analysis What is being tested - Amniotic fluid Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - No If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 88267 Overall Feedback: 88267: Index>chromosome analysis>amniotic fluid

Chad Snell, a 22-day-old male, was born at 33 weeks gestation, and there is concern that he may have hyperbilirubinemia. Therefore, Dr. Bateman performed a total transcutaneous bilirubin. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

88720 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Bilirubin, total How is the test performed - Transcutaneous Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - Yes If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 88720 Overall Feedback: 88720: Index>bilirubin>total>transcutaneous

Gregg Abernathy, a 41-year-old male, was diagnosed with prostate cancer last week. Before beginning radiation treatments, which will make him unable to have children, he comes today to submit his sperm for cryopreservation. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

89259 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Cryopreservation What is being frozen/stored - Sperm Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - Yes If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 89259 Overall Feedback: 89259: Index>cryopreservation>freezing and storage>reproductive tissue>sperm

Felicia Gardener, a 6-year-old female, comes to see Dr. Kaplan for an evaluation of her cochlear implant. Dr. Kaplan reprograms the implant to improve Felicia's reception. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

92602 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Cochlear device What service - Programming What is the patient's age - 6 years Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - Yes If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 92602 Overall Feedback: 92602: Index>cochlear device>programming

Darlene Overton, an 8-year-old female, is brought to Dr. Mackinaw by her mother after a referral from the school counselor and her pediatrician. Darlene is having difficulties with classwork. Mrs. Overton also tells Dr. Mackinaw that Darlene has a problem understanding speech in noisy environments. Darlene may have a hearing deficiency that has not shown up in hearing tests before, and it may account for her declining work in class. Dr. Mackinaw performs a central auditory function evaluation, which takes 1 hour, with report. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. 92620 Fill in the BlankEdit Unavailable. 92620 correct. Explanation Principal Procedure:

92620 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Audiologic function test What type - Central auditory function What is the total length of time spend on the evaluation - 1 hour Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - No If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 92620 Overall Feedback: 92620: Index>audiologic function tests>central auditory function

Robert Kini, a 9-day-old male, was born prematurely, and Dr. Martin is concerned about Robert's heart. He performs a left heart catheterization including intraprocedural injection for left ventriculography by transseptal puncture through intact septum. Dr. Martin provides conscious sedation, 15 minutes, while the nurse monitors Robert's status during the procedure. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure(s)

93452 99151 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Cardiac catheterization What type - Left heart How is the procedure performed - Through the intact septum Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - Yes If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 93452 Second Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Sedation What type - Moderate What is the patient's age - 9 days What is the total length of time - 15 minutes Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - Yes If so what does the symbol mean - Modifier 51 exempt Is there an additional notation - No If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 99151 Overall Feedback: 93452: index>cardiac catheterization>left heart>by transseptal puncture through intact septum>with>Ventriculography 99151: Index>sedation>moderate>initial 15 minutes

Marlene Overton, a 59-year-old female, has been suffering from bronchitis off and on for 2 years. Dr. Turner has ordered a Cardiopulmonary exercise test for her. Dr. Turner notes that he wants her CO2 and O2 uptake measured during the test as well as an electrocardiogram to be recorded. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

94621 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Exercise Test What is the anatomical region - Cardiopulmonary Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - Yes If so does the notation apply - Yes Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 94621 Overall Feedback: 94621: Index>exercise test>cardiopulmonary

Paul Kensington, a 51-year-old male, is beginning chemotherapy today with the administration of methotrexate, via IV push. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

96409 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Chemotherapy What type - IV push What type of encounter - Initial Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - No If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 96409 Overall Feedback: 96409: Index>chemotherapy>intravenous>push

Robin Gerstein, a 32-year-old female, comes to Duane Nettles, a licensed massage therapist, as prescribed by Dr. Luellen. Robin is pregnant and has been suffering from acute lower back pain for over a month. Duane performs therapeutic massage with effleurage on the left side and kneading on the iliac band, nerve stroking, and light compression on the gluteus for a total of 15 minutes. NOTE: The CPT Changes: An Insider's View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example: 20610-50. Principal Procedure:

97124 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Massage What type - Therapy Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No If so what does the symbol mean - Does not apply Is there an additional notation - Yes If so does the notation apply - No Do you need to add a modifier - No If so what is the modifier - Does not apply Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 97124 Overall Feedback: 97124: Index>massage>therapy

MILLARD PATHOLOGY & DIAGNOSTIC LABS 753 LITTLE WEST RD • SOMEWHERE, FL 32811 • 407-555-9371 PATIENT: MEDFORD, ROBERT ACCOUNT/EHR #: MEDFRO001 DATE: 10/17/22 Procedure Performed: Comprehensive metabolic panel Pathologist: Derrick Castel, MD Referring Physician: Oscar R. Prader, MD INDICATIONS: Routine physical exam IMPRESSIONS: Albumin 3.9 Bilirubin Small* Calcium 8.9 Carbon dioxide (CO2) 28 Chloride 96 L C Creatinine 1.2 Glucose 102 Phosphatase, alkaline 90 Potassium 3.9 Protein, total 30* Sodium 138 Transferase, alanine amino (ALT) (SGPT) 30 Transferase, aspartate amino (AST) (SGOT) 29 Urea nitrogen (BUN) 18 * = Abnormal, L = Low, H = High Derrick Castel, MD Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate pathology and laboratory CPT code(s) and modifiers, if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 80053 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Blood tests What type of panel - Comprehensive metabolic panel Were all the elements of the panel performed - Yes Where any additional tests performed - No Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 80053 Overall Feedback: 80053: Index>blood tests>panels>metabolic>comprehensive

MILLARD PATHOLOGY & DIAGNOSTIC LABS 753 LITTLE WEST RD • SOMEWHERE, FL 32811 • 407-555-9371 PATIENT: WALLER, FELIX ACCOUNT/EHR #: WALLFE001 DATE: 11/15/22 Procedure Performed: Surgical pathology, gallbladder, gross and microscopic examination Pathologist: Peter Havner, MD Referring Physician: Renee O. Bracker, MD INDICATIONS: R/O malignancy IMPRESSIONS: All tissues unremarkable Surgical pathology, gross and microscopic examination of gallbladder Peter Havner, MD Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate pathology and laboratory CPT code(s) and modifiers, if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 88304 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What is the correct section of the CPT manual - Pathology and laboratory What type of procedure - Surgical pathology What type of examination - Gross and microscopic What anatomical site - Gallbladder What is the level - III Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 88304 Overall Feedback: 88304: Index>pathology and laboratory>surgical pathology>gross and microscopic exam>level III> gallbladder

MILLARD PATHOLOGY & DIAGNOSTIC LABS 753 LITTLE WEST RD • SOMEWHERE, FL 32811 • 407-555-9371 PATIENT: INGER, TERRENCE ACCOUNT/EHR #: INGETE001 DATE: 09/29/22 Procedure Performed: Tissue, skin, head, mutation identification Pathologist: Peter Havner, MD Referring Physician: Oscar R. Prader, MD INDICATIONS: Suspected melanoma IMPRESSIONS: Abnormal cells present, by surgical pathology, gross and microscopic examination Peter Havner, MD Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices . Determine the most accurate pathology and laboratory CPT code(s) and modifiers, if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 88305 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What is the correct section of the CPT manual - Pathology and laboratory What type - Surgical pathology What type - Gross and micro What level - IV What anatomical site - Skin Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 88305 Overall Feedback: 88305: Index>pathology and laboratory>surgical pathology>gross and micro>Level IV>skin

MILLARD PATHOLOGY & DIAGNOSTIC LABS 753 LITTLE WEST RD • SOMEWHERE, FL 32811 • 407-555-9371 PATIENT: DALTON, ANGELA ACCOUNT/EHR #: DALTAN001 DATE: 09/23/22 Procedure Performed: Rectal biopsies, gross and microscopic examination Pathologist: Walter Alchemy, MD Referring Physician: Matthew Appellet, MD INDICATIONS: Inflammatory bowel disease IMPRESSIONS: All tissues normal Surgical pathology, gross and microscopic examination, colon biopsy Walter Alchemy, MD Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate pathology and laboratory CPT code(s) and modifiers, if appropriate . The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 88305 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What is the correct section of the CPT manual - Pathology and laboratory What type of procedure - Surgical pathology What type of examination - Gross and microscopic What anatomical site - Colon, biopsy What is the level - IV Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 88305 Overall Feedback: 88305: Index>pathology and laboratory>surgical pathology>gross and microscopic exam>level IV> colon, biopsy

MILLARD PATHOLOGY & DIAGNOSTIC LABS 753 LITTLE WEST RD • SOMEWHERE, FL 32811 • 407-555-9371 PATIENT: PRIMERO, GINO ACCOUNT/EHR #: PRIMGI001 DATE: 06/17/22 Procedure Performed: Mass (fat tissue), upper eyelid gross and microscopic examination Pathologist: Derrick Castel, MD Referring Physician: Renee O. Bracker, MD INDICATIONS: Herniated orbital fat pad, OD IMPRESSIONS: Carcinoma in situ Surgical pathology, gross and microscopic examination, soft tissue tumor, extensive resection Derrick Castel, MD Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate pathology and laboratory CPT code(s) and modifiers, if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 88309 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What is the correct section of the CPT manual - Pathology and laboratory What type of procedure - Surgical pathology What type of examination - Gross and microscopic What anatomical site - Upper eyelid, soft tissue tumor, extensive resection What is the level - VI Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - Yes Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 88309 Overall Feedback: 88309: Index> pathology and laboratory>surgical pathology>gross and microscopic exam>level VI> soft tissue tumor, extensive resection

WESTON HOSPITAL 629 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6541 PATIENT: HAUPTON, NICHOLAS ACCOUNT/EHR #: HAUPNI001 DATE: 10/13/22 Attending Physician: Jessica P. Turner, MD PATIENT SERVICES: IV fluid replacement for dehydration, intravenous, 58 minutes Continuous pulse oximetry Therapeutic warm water enema for intussusception Robin P. Moss, RN Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate Medicine section CPT code(s) and modifier(s), if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 96360 94762-52 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Hydration What route - Intravenous What type of encounter - Initial What is the total time - 58 minutes Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - Yes Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 96360 Second Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Oximetry (noninvasive) What is the determination - Blood O2 saturation determination What is the location - Ear or pulse Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - Yes Do you need to add a modifier - Yes Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 94762-52 Overall Feedback: 96360: CPT index>Hydration>Intravenous>initial, 31 minutes to 1 hour 94762-52: CPT index>Oximetry (noninvasive)>Blood O2 Saturation Determination>Ear or Pulse

NORTHSIDE PHYSICAL THERAPY CENTER 955 East Main Ave. • SOMEWHERE, FL 32811 • 407-555-1191 PATIENT: TRAULER, CASIE ACCOUNT/EHR #: TRAUCA001 DATE: 09/30/22 Attending Physician: Laverne Aspiras, MD Physical Therapist: Harvey Shaw DX: Postsurgical carpal tunnel (CT) release LT TYPE OF THERAPY: Occupational therapy (hand) BIW × 3 weeks VISIT # 1/6: Reported Pain Level: 6/10 Patient reports: "I am still having pain in my hand and fingers." Ultrasound for 10 minutes, 3 mgHz, 0.4 u/cm2 100% to scar at LT CT area Massage: Retrograde, 4 minutes to LT hand Manual therapy: soft tissue mobilization, 7 minutes to scar at LT wrist AROM and stretching, 4 minutes Therapeutic exercise: 12 minutes, tendon glides, joint blocking, digit extension, median nerve glides, and desensitization with cold towels (tolerated up until #5) Pain level: 4-5/10. Pt still with heavy scar tissue adhesions in CT area. Pt still having pain in fingertips and numbness, reportedly up arm and into his neck. Harvey Shaw Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate Medicine section CPT code(s) and modifier(s), if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 97110 97140 97124 97035 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Physical medicine/therapy/occupational therapy What type - Ultrasound What is the total time - 10 minutes Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 97035 Second Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Physical medicine/therapy/occupational therapy What type - Therapeutic exercises What is the total time - 12 minutes Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 97110 Third Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Physical medicine/therapy/occupational therapy What type - Manual therapy What is the total time - 7 minutes Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 97140 Fourth Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Physical medicine/therapy/occupational therapy What type - Massage therapy What is the total time - 4 minutes Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - Yes Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 97124 Overall Feedback: 97035: CPT manual>index>Physical Medicine/Therapy/Occupational Therapy>Modalities>Ultrasound 97110: CPT manual>index> Physical Medicine/Therapy/Occupational Therapy>Procedures>Therapeutic Exercises 97140: CPT manual>index> Physical Medicine/Therapy/Occupational Therapy>Manual Therapy 97124: CPT manual>index> Physical Medicine/Therapy/Occupational Therapy>Procedures>Massage Therapy

SPELLING CHIROPRACTIC CENTER A Complete Health Care Facility 159 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6789 PATIENT: CARMICHAEL, ABIGAIL ACCOUNT/EHR #: CARMAB001 DATE: 10/21/22 Attending Physician: Philip M. Osburn, DC Diagnosis: Lumbar stenosis, sciatica Procedure: CMT; traction, manual PROCEDURE: The patient was placed on the table. Chiropractic manipulative treatment: spinal, thoracic Chiropractic manipulative treatment: lower extremity, left Manual traction: cervical & lumbar regions × 30 minutes Be sure to list the codes, one code per box, in the correct order, from top to bottom. If there are 2 or more similar codes, repeat the codes to the same number of times by entering one code per box. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate Medicine section CPT code(s) and modifier(s), if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 98940 98943-51 97140x2 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Chiropractic treatment What anatomical location - Spinal What type - Extraspinal Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 98940 Second Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Chiropractic treatment What anatomical location - Spinal What type - Extraspinal Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - Yes Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 98943-51 Third Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Traction What type - Manual Total time - 30 minutes Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Do you need a multiplier - Yes Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 97140x2 Overall Feedback: 98940: CPT manual>index>Chiropractic Treatment>spinal>Extraspinal 98943-51: CPT manual>index>Chiropractic Treatment>spinal>Extraspinal 97140x2: CPT manual>index>Traction>Manual>each 15 minutes>2 (15 x 2 = 30 minutes)

RAILS RADIOLOGY A Complete Health Care Facility 159 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6789 PATIENT: CRESSENA, FRANCIE ACCOUNT/EHR #: CRESFR001 DATE: 10/15/22 Attending Physician: James I. Cipher, MD Radiologist: Rhonda E. Beardall, MD Reason for Exam: MD order—pre-op clearance EXAMINATION: 1. Chest two views Chest—AP and lateral views. Clinical history states evaluation: kidney stone with obstruction. Slightly elongated thoracic aorta. Prominent left ventricle. No pulmonary vascular congestion. No acute inflammatory infiltrates in the lungs. 2. ECG, 12 leads Unremarkable. Rhonda E. Beardall, MD Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate Medicine section CPT code(s) and modifier(s), if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 71046 93000 Explanation Primary Procedure: Where should you begin to look up the code in the coding manual - Alphabetic index What type of procedure - X-ray What is the anatomical site - Chest How many views - 2 Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 71046 Second Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Electrocardiography How many leads - 12 Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 93000 Overall Feedback: 71046: CPT manual>x-ray>chest>2 views 93000: CPT manual>index>Electrocardiography>12 lead

PRADER, BRACKER, & ASSOCIATES A Complete Health Care Facility 159 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6789 PATIENT: PASTNERNAC, ELSA ACCOUNT/EHR #: PASTEL001 DATE: 10/07/22 Attending Physician: Walter P. Henricks, MD Referring Physician: Renee O. Bracker, MD Pt is a 69-year-old female who recently had a stroke. She is here on referral from Dr. Bracker for an assessment of her aphasia. Assessment of expressive and receptive speech and language function; language comprehension, speech production ability, reading, spelling, writing, using Boston Diagnostic Aphasia Examination. Interpretation and report to follow. Total time: 60 minutes Walter P. Henricks, DC Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Determine the most accurate Medicine section CPT code(s) and modifier(s), if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

CPT Code 96105 Explanation Principal Procedure: Where should you begin to look up the code in the coding manual - Alphabetic Index What type of procedure - Aphasia testing What type - Speech and language function Begin to code the encounter Did you verify the code in the numerical listing - Yes Is there a symbol for this code - No Is there an additional notation - No Do you need to add a modifier - No Did you check the guidelines - Yes Did you code to the highest level of specificity - Yes What is the correct procedure code - 96105 Overall Feedback: 96105: CPT Index>aphasia testing>speech and language function