ASSIGNMENT 13.8 PROCEDURAL CODING CASE SCENARIOS Performance Objective Task: Conditions: Use pen or pencil and Current Proced

of removal may be reported. 2. Mr. Hart is seen again in the office on May 12.On May 25. he is seen at home at 2 AM With asth

Assignment 13.8 from FORDNEY’S Medical Insurance, alsoplease explain

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ASSIGNMENT 13.8 PROCEDURAL CODING CASE SCENARIOS Performance Objective Task: Conditions: Use pen or pencil and Current Procedural Terminology code book. Standards: Time: Locate the correct procedure code and modifier, if necessary, for each case scenario. minutes Accuracy: (Note: The time element and accuracy criteria may be given by your instructor.) Directions: Find the correct procedure codes and modifiers, if necessary, for each case scenario. 1. The physician sees Horace Hart, a 60-year-old new patient, in the office for bronchial asthma, arteriosclerotic heart disease (ASHD), and hypertension. He performs an electrocardiogram (ECG) and urinalysis (UA) without microscopy and obtains x-rays Comprehensive metabolic and lipid panels and a complete blood count (CBC) are done by an outside laboratory. Code Number Description Physician’s bill: a. b. c. Initial OV, comprehensive history & examination, high-complexity decision making ECG with interpret and report UA, routine, nonautomated Chest x-ray, two views Routine venipuncture for handling of specimen Handling of specimen d. e. f. Laboratory’s bill: g. ” h. 80061 Comprehensive metabolic panel: albumin, bilirubin, calcium, carbon dioxide, chloride, creatinine, glucose, phosphatase (alkaline), potassium, protein, sodium, ALT, AST, and urea nitrogen Lipid panel CBC, completely automated with complete automated differential i. If the doctor decides to have the chest x-rays interpreted by a radiologist, the procedural code billed by the radiologist would be 178 Chapter of removal may be reported. 2. Mr. Hart is seen again in the office on May 12.On May 25. he is seen at home at 2 AM With asthma exacerbation, possible myocard cufarce, and congestive heart failure. The doctor consulted with a thoracic cardiovascular surgeon by telephone. He also called to make arrangements for hospitalization. To complete the patient care, these services required 2 hours and 40 minutes of non-face-to-face time in addition to the time spent examining the patient during the house call Description OV, problem-focused history & examination, straightforward decision making Home visit, detailed interval history & examination. b. high- complexity decision making Detention time, prolonged (list time required) Code Number a. C. 3. On June 9, Horace Hart is seen again in the hospital. The thoracic cardiovascular sur- geon who was telephoned the previous day was called in for consultation to formally examine the patient and says that surgery is necessary, which is scheduled the following day. The patient’s physician sees the patient for his asthmatic condition and acts as as sistant surgeon. The surgeon does the follow-up care and assumes care in the case. Code Number Description Primary care physician/assistant surgeon’s bill: Hospital visit, problem-focused history & examination. low-complexity decision making b. Pericardiotomy Thoracic cardiovascular surgeon’s bill: c. Consultation, comprehensive history & examination, moderate-complexity decision making d. Pericardiotomy a.
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