PROCEDURE CODING ASSIGNMENTS In this chapter, the points awarded for assignments that require procedure codes are 1 point for

3. Evaluation and Management (E/M) codes are used by physicians to report a significant portion of their services. Remember,

5. Evaluation and Management (E/M) codes 99201 to 99239 are used for services provided in the physicians office or in a hosp

FORDNEY’S Medical Insurance Assignment 13.2

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PROCEDURE CODING ASSIGNMENTS In this chapter, the points awarded for assignments that require procedure codes are 1 point for each correct digit. ASSIGNMENT 13.2 INTRODUCTION TO CPT AND CODING EVALUATION AND MANAGEMENT SERVICES Performance Objective Task: Conditions: Standards: minutes Locate the correct information and/or procedure code for each question and/or case scenario. Use pen or pencil and the CPT code book. Time: Accuracy: (Note: The time element and accuracy criteria may be given by your instructor.) 1. To become acaminteith wine herections of the CPT code book, match the code number letters in the blanks. Locate each code number in the CPT code book. As you progress through the assignment, the problems get more difficult and complex.. a. Chest x-ray 99231 59400 b. 71045 c. 00600 d. Anesthesia for procedures on cervical spine and cord Subsequent hospital care Supplies and materials Routine OB care, antepartum and postpartum CBC e. 85025 99070 f. 2. Name the section of the CPT where each of the following codes is located. a. 65091 b. 86038 c. 92596 d. 75984 e. 00427 f. 01320 g. 99324 h. 0503F 3. Evaluation and Management (E/M) codes are used by physicians to report a significant portion of their services. Remember, it is the physician’s responsibility to assign E/M codes, and the exercises presented here are only for familiarization. The problems will acquaint you with terminology for this section of the CPT code book. Select the appropriate new patient office visit codes using the key components: a. This is a Level 3 case: Detailed history Detailed examination Low-complexity decision making b. This is a Level 1 case: Problem-focused history Problem-focused examination Straightforward decision making c. This is a Level 5 case: Comprehensive history Comprehensive examination High-complexity decision making 4. Select the appropriate established patient office visit codes using the key components. Coding these cases illustrates consideration of two of three components. a. This is a Level 4 case: Detailed history Detailed examination Low-complexity decision making b. This is a Level 5 case: Comprehensive history Comprehensive examination Moderate complexity decision making c. This is a Level 5 case: Detailed history Comprehensive examination High-complexity decision making 5. Evaluation and Management (E/M) codes 99201 to 99239 are used for services provided in the physician’s office or in a hospital facility. Read the brief statement and then locate the code number in the Current Procedural Terminology code book. a. Office visit of a 20-year-old patient seen within the past 3 years for instruction in diabetes injection sites by RN (minimal problem). Patient not seen by physician at this brief visit. unit. b. Office visit of a 30-year-old new patient with allergic rhinitis. This case had an expanded problem-focused history & examination and straightforward decision making. c. Discussion of medication with the son of an 80-year-old patient with dementia on discharge from the observation d. Admission to hospital of 60-year-old established patient in acute respiratory distress with bronchitis. Comprehensive history & examination and medical decision making of moderate complexity. e. Hospital visit of a 4-year-old boy, now stable, who will be discharged the next day. This is a problem-focused interval history & examination and medical decision making of low complexity. f. New patient seen in the office for chest pain, congestive heart failure, and hypertension. Comprehensive history & examination and highly complex decision making.
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