The conversation lasted for 20 minutes and the nurse scheduled an appointment for the next day at 10:00 AM. In this course, you will learn the steps that you need to take in order to assign diagnosis codes in the clinical setting. These standardized formats help keep the massive amounts of health data produced every day organized—which is a big plus for providers, insurance carriers and researchers alike. The respiratory system subsection in the CPT manual is NOT limited to procedure codes for which of the following body areas? Great medical career for all the animal lovers out there. The CPT manual contains no nasal packing procedure codes. Multiple lead system is a pacemaker or pacing cardioverter-defibrillator that has pacing and sensing functions in three or more chambers of the heart. Please mark the correct code for the services performed by the doctor from Atlanta: The correct code is 9426 (Antepartum Care Only, 7 or More Visits). The code that ought to be used is 88014 (Necropsy, Gross Examination Only; Stillborn or Newborn with Brain). Certifying Organization. Get started with a career as an electrician in your state. Become an auto mechanic and launch a career as an auto technician. The tympanic membrane is referred to as the eardrum. Then, he ordered an albuterol nebulizer treatment and a post-spirometry to check the patient's reactions to the albuterol treatment. Please mark the correct code for this procedure: The correct code is 39220 (Resection of Mediastinal Tumor). How to Get Started in the Lucrative Medical Coding Field, How to Prepare For Your First Medical Coding Test, Test Your Practice Management IQ Checklist, Understanding E/M Coding Step-by-Step Guide. Students ask me often if it is necessary to take Medical Terminology, Anatomy, or Medical Billing and Coding if they either have been in the field or have taken the classes in the past. Please mark the correct code for the following procedure: An early adolescent with severe acne has undergone drainage of many complicated acne pustules and comedones. To repair the lens of the eye caused by . The coding should be done only if the procedure was not performed. Please mark the FIRST thing that ought to be determined by a coder when selecting the code of evaluation and management: The time spent with the patient by the provider. For example, a clinical coder may use a set of published codes on medical diagnoses and procedures, such as the International Classification of Diseases (ICD) or the Common Coding System for Healthcare Procedures (HCPCS), for reporting to the health insurance provider of the recipient of the care. Modifier-90 is the correct modifier in this case. The medical decision making is moderate. Then, he closed one 4 cm laceration on the right arm and two lacerations on the left arm which were 1.5 and 3 cm. Please mark the adequate code for this service: This service doesn't require reporting of codes. The doctor decides to incise the cyst and suture the lateral sided due to the size of the cyst and its area. Please mark the insurance which is billed for the well-child exam: The Blue-Cross Blue-Shield is billed first and Medicaid second. The patient was ordered to return in one week for a PCP and a follow-up check. A patient with  Bartholin's gland cyst presents is about to undergo incision and drainage of the cyst. The CPC exam is the most popular medical coding certification exam in the field of medical coding. Please mark the appropriate diagnosis codes for the respective condition of the patient: The correct codes for this condition are 421.0 (Endocarditis) and 041.10 (Infectious Organism). Please mark the correct code for the procedure in the following situation: In order to restore the gradual decline of his hearing, and prevent total deafness, a 56-year-old patient decided to undergo bilateral cochlear device implantation. They allow the deletion of codes prior to the January 1st annual update. He is treated for a lesion on his upper lip that has been suspected to be malignant. The correct code is 01490, (Anesthesia for lower leg cast application, removal, or repair). Blepharoplasty is performed to plastic repair a droopy eyelid. The anesthesia services that ought to be provided is 01990-P6. Some of them may have been simplified for space. The doctor informed the patient about the risks of ectopic pregnancy and a total hysterectomy. This procedure was essential for the implantation of the cochlear device. A 47-year-old male patient suffering from severe cancer of the lower left mandible was presented for surgical removal of the lower left jawbone with a secondary insertion of the mandibular prosthesis. AGE: 34 The doctor used an operating microscope during the cochlear implantation. Please mark the adequate ICD-9 diagnosis code for a patient that was diagnosed with acute bronchitis and Chronic Obstructive Pulmonary Disease and was seen in the office: The correct ICD-9 code is 491.22 (Obstructive Chronic Bronchitis with Acute Bronchitis). Please mark the correct way to report the telephone services for a phone call in the following case: A toddler with cystic fibrosis was evaluated through a test whose outcome was suspicious enough to make the physician order additional tests. MEDICAL CODING EXAMPLE Medical billing and coding are two closely related aspects of the modern health care industry. All rights reserved. Search Medical Billing and Coding Programs. Please mark the correct code for the service regarding a physician who took an impression of a 47-year-old woman's left orbital socket and created a custom prosthesis: The correct code for this service is 21077 (Impression and Custom Preparation; Orbital Prosthesis). The topics included in this exam are: coding by body system, coding by a procedure (CPT®) and department, ICD-9-CM, HCPCS Level II, Anatomy and Vocabulary, Practice and Evaluation and General Coding Guidelines. The physician's office billed for the lab service, although the sample was sent to an outside lab. Certification as a medical coder demonstrates one's knowledge and skill in the field of medical coding and can help one get a job as a medical coder and earn more in pay. Please visit using a browser with javascript enabled. The adequate codes are: 9214 (E&M service), 94060 (Bronchodilation Responsiveness, Spirometry), 94010 (Pre and Post Bronchodilator Administration), 94760 (Pulse Oximetry Reading) and 94640 (Nebulizer Treatment). A 15-year-old patient who suffers from the abscessed tooth is suspected to have sepsis. During the last month of life, he was administered with dialysis once a day between June 1st and June 14th. What should you do when listing both CPT and HCPCS modifiers on a claim? In the morning, the patient reported excessive vaginal bleeding and pain in the abdominal area. Find physical therapist assistant schools in your area. 9. Learn how to become a phlebotomist in your state. A 46-year-old male patient has had implantation of prosthetic mesh for support and underwent a thoracoabdominal diaphragmatic hernia. He also decides to leave one side open for drainage. If loading fails, click here to try again. The physician also treated a 5 cm laceration on the boy's chest, which required the removal of particulate glass and a single layer closure. It’s actually very simple. Become a licensed security guard in your home state. Alicia lives in the middle of Texas with her husband who is a Pastor, five of her six children, three dogs and two cats. A patient with Type II diabetes and her physician have been trying to develop a strategy of exercise and nutrition that would ease her symptoms. The spleen, tonsils, Peyer's patches, and thymus gland. A patient has undergone excision of two 1.5 cm malignant lesions on his upper back. HIPAA was created to protect patient privacy, find ways to uncover fraud and abuse and to create standards of electronic transactions. The gynecologist performed a laparoscopic sling operation using synthetic materials to reinforce the patient's muscles and provide additional urinary control: The correct code is 51992 (Laparoscopy, Surgical; Sling Operation for Stress Incontinence). Medical coding is a field that is in very high demand. The purpose of temporary national codes in the HCPCS Level II manual is to allow the establishment of codes prior to the January 1st annual update. All other elements should be coded except this element. He received anesthesia and the doctor manipulated the fractures back into place and applied a cast on his left leg. After the doctor writes the orders, the nurse obtains the patient's blood sample through a venipuncture. He’s had a fever, a cough, some slight chest pain, and … Please mark the appropriate code that ought to be given by a pathologist who performed an analysis of 2 distinctive biopsies from the vaginal wall and 1 from the cervix. This is a new patient with a detailed history, comprehensive exam and moderate medical decision making which supports 99203. The emergency department has received a patient with a serious work injury in the need for a severe laceration to the right forearm. When a CPT code has the words "separate procedure" in parenthesis after the code description, you this procedure should be coded only if it was the only thing performed. ICD-9-CM Diagnosis Files: ICD-9-CM Procedures Files : HCPCS Files: ICD-10 Files (English) ICD-10 Files (Francais) ICD-9-CM Diagnosis: Code: Description: 383.3: POSTMASTOID COMPL NOS: 383.31: POSTMASTOID MUCOSAL CYST: 383.32: POSTMASTOID CHOLESTEATMA: 383.33: POSTMASTOID GRANULATIONS: 383.81: POSTAURICULAR FISTULA: … Follow our tips and get that interview. The appropriate category of E&M service is the first thing that needs to be determined when selecting an evaluation and management code. The bladder of the patient was emptied as he was catheterized. The Certified Professional Coder exam is a computer-based, open code book exam with 150 multiple choice questions. He suffered severe pain and a closed fracture to the left tibia and fibula and a severe sprain to the left wrist. The left external ear canal showed no visible buildup of ear wax, but the tympanic membrane was red. The patient's age and whether the hernia is acute or chronic divide the diaphragmatic hernia repair codes. Certified Coding Associate (CCA) Exam Content Outline. The obstetrician incises the perineum in an episiotomy. Embark on a journey to a fabulous career in cosmetology! When does the time reported for an anesthesia service begins and when does it end? They allow the establishment of codes prior to the January 1st annual update. Our medical coding questions cover all the need-to-know information for aspiring medical coders. He also performed vaginal delivery and postpartum care including checkups for  6 weeks after the delivery. Please mark the correct code for the collection of the blood: The correct code for the collection of the blood is 36415 (Collection of Venous Blood by Venipuncture). Prerequisites and more. Esophagitis is the infection or irritation of the esophagus which becomes inflamed. What is the correct ICD-9 for her diabetes? CPC Preparation Course: Prepares students for a medical coding career in outpatient coding and may be taken online or in the classroom; Official CPC Certification Study Guide: This study guide reviews each section of the CPC exam in detail and provides practical examples/sample questions/test taking techniques. It is found along the outer layer of bones. The topics included in this exam are: coding by body system, coding by a procedure (CPT®) and department, ICD-9-CM, HCPCS Level II, Anatomy and Vocabulary, Practice and Evaluation and General Coding Guidelines. The mother of the child covers the daughter's health insurance through her work, with a commercial Blue-Cross-Blue-Shield insurance plan. The samples have shown traces of the bacteria Staphylococcus and made the doctor realize that it is the cause of the endocarditis. Practice 30 Medical Coder Interview Questions with professional interview answer examples with advice on how to answer each question. In the CPT manual, Appendix C lists clinical examples of evaluation and management procedures. A child patient has suffered a severe asthma attack. The patient's age and the site of the hernia. Become an ultrasound technician in your state. The doctor performed a modified mastoidectomy due to the position of the device and the size of the patient's mastoid bone that was partially occluding the patient's inner ear. Black Book Market Research projects the medical transcription, clinical documentation and coding market will grow by 12.9 percent from 2016 to 2020. You should list the HCPCS modifier first. Spleen, tonsils, Peyer's patches, and thymus, Tonsils, Peyer's patches, thymus, and bone marrow. If you leave this page, your progress will be lost. Alicia has taught medical coding, billing and medical law and ethics at a private college. Sandy Smith, the health information technology program director at Tulsa Community College, has partnered with Kelli Horn, coding education manager at Ardent, to provide CCS examination preparation, study strategies, education on the non-coding portion of the exam, hands-on CPT and ICD-10 coding, and a partial mock examination. Learn about becoming an LPN in your state, it’s in demand! Our medical coding questions cover all the need-to-know information for aspiring medical coders. For these practice exams, it’s not that they’re trying to be tricky and everything, and if you’re exposed to it, you’ll remember it. PROGRESS NOTE You should you list the CPT modifier first when listing both CPT and HCPCS modifiers on a claim. Learn how to become a pharmacy tech in your state. Please mark the adequate code for this procedure: The correct code for this procedure is 43337 (Repair, Paraesophageal Hiatal Hernia, via Thoracoabdominal Incision, Except Neonatal with Implantation of Mesh or Other Prosthesis). The use of any trade name or trademark is for identification and reference purposes only and does not imply any association with the trademark holder of their product brand. The code used to be listed with a different number. What is the name of the condition that occurs when the lining of the esophagus becomes inflamed? The doctor sent a blood sample from the patient to the lab due to the patient's chronic inflammation of the heart's lining. Learn one of the most in-demand healthcare careers out there. If you are able to solve these sample medical coding reports, you can then start preparing for medical coding certification exams. The code 98967 (Telephone Assessment and Management Services Provided by a Qualified Non-Physician HealthCare Professional to an Established Patient, Parent, or Guardian not Originating from a Related Assessment and Management Service Provided within the Previous 7 Days nor Leading to an Assessment and Management Service or Procedure within the Next 24 Hours or Soonest Available Appointment). In addition, duct radiography is performed to visualize ejaculatory duct system. Learn how to become a dental assistant in your state. Please mark the CPT codes that ought to be reported during a cystourethroscopy performed with an ejaculatory duct catheterization and irrigation. Please mark the correct code for a lymphangiography with  insertion of radioactive tracer for identification of sentinel node: The correct code and primary procedure is 38792 (Injection Procedure; Radioactive Tracer for Identification of Sentinel Node). There are three universal medical coding systems— This exam consists of medical coding questions which cover all the necessary information for medical coders and medical billing specialists. An anticarcinogenic agent was introduced into the bladder at 0100 hours. The physician who performed the operation noticed four additional lesions of 0.3, 0.7, 1.0, and 1.45 cm which seemed pre-malignant. The CPC certification is offered by the American Academy of Professional Coders (AAPC), which is the largest organization of its kind with more than 170,000 members. The time reported for an anesthesia service begins when the anesthesiologist begins prepping the patient and ends when the anesthesiologist is no longer in personal post-operative attendance. Free Medical Coding Practice Exams – One of the things that we always constantly get from our community is yes, we sell courses, and yes, we sell lower-priced courses to help with your coding and higher priced, but we also have a lot of FREE resources from our YouTube channel, to our FREE medical coding practice exams. CPC Exam Tips — How to Flip to the Codes Faster - … What kind of clinical examples are listed from Appendix C in the CPT manual? 12 Medical Coding, Part 1 Once you’ve determined the principal diagnosis, you can find the appropriate ICD-9-CM code by looking up the main term of the diagnosis in Volume 2 of the ICD-9-CM manual. Please mark the adequate code for this service: The correct code for this service is with 62270 (Spinal Puncture, Lumbar, Diagnostic) with modifier -63 (meaning that the patient weighs less than 4 kg). About This Quiz & Worksheet. Only the Blue-Cross Blue-Shield is billed. Body Areas for Exams in E/M Coding (CPT ® Guidelines and 1995 Documentation Guidelines) Head, including the face; Neck; Chest, including breasts and axilla; Abdomen; Genitalia, groin, buttocks; Back (the 1995 Documentation Guidelines add “including spine”) Each extremity [Laughs] But really, truly, it’s the guidelines that you need to know these guidelines. A 2-day-old premature infant, weighing 2.5 kg, with possible meningitis, underwent a lumbar puncture. Also, this page requires javascript. Please mark the appropriate code for this procedure: The correct code for this procedure is 40490 (Biopsy of Lip). Work alongside with pets, a very fulfilling career option! The pediatrician checked the right external ear canal and noticed large globs of reddish wax which she removed with a removal spoon until the tympanic membrane became visible. Test what you've learned about ICD-10-CM medical coding. Each question is paired with an explanatory answer. The patient was supposed to be checked up in two weeks time: The pediatrician should code the visit with 99213 (Evaluation and Management Service) and 69210 (Removal of Impacted Cerumen). Underwent a lumbar puncture leave one side open for drainage 15-year-old patient who from... Cast application, removal, or repair ) have been simplified for space between... That needs to be used is 88014 ( Necropsy, Gross Examination Only ; Stillborn or with! Or chronic divide the diaphragmatic hernia repair codes will be lost was essential the. The Certified Professional Coder exam is the infection or irritation of the esophagus which becomes inflamed medical and! 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