Medicine
WHAT IS MEDICINE ?
Medicine is the most diverse section of the Current Procedural Terminology (CPT) manual. The Medicine section covers everything from vaccination to acupuncture, making it often very difficult to navigate.
KEY NOTES
1. Route of administration (vaccines)
2. Time for injections and infusions
3. Moderate sedation.
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Question 1 |
Left heart catheterization retrograde from the femoral artery with injection procedures for selective coronary angiography and selective left ventriculography including imaging supervision and interpretation with report, are performed. The cardiologist performed all of the services at the hospital. The CPT® codes are:
A | 93458-26 |
B | 93459-26 |
C | 93452-26 |
D | 93460-26 |
Question 1 Explanation:
Because a left retrograde heart catheterization is performed for a coronary angiography and left ventriculography, multiple choices C and D are eliminated. There is no mention of catheterization in bypass graft(s), which eliminates multiple choices B. The procedure is performed in the hospital. There is a professional and technical component for the
cardiac catheterization codes in which modifier 26 is appended
Question 2 |
A patient is coming in to have osteopathic manipulative treatment (OMT) performed on two regions one in cervical region and one in thoracic region. Which code is reported by the physician for the OMT?
A | 98927 |
B | 98940 |
C | 98925 |
D | 98942 |
Question 2 Explanation:
OMT performed on two regions one in cervical region and one in thoracic region (98925).
Question 3 |
A patient presents to her oncologist’s office for schedule chemotherapy. The patient is severely dehydrated. The physician decides to schedule the chemotherapy for another day and orders hydration therapy to be performed today instead of the chemotherapy. The therapy is ordered and administered for one hour and 10 minutes. Select the code(s).
A | 96413-53, 96360 |
B | 96360 |
C | 96360, 96361 |
D | 96413, 96361 |
Question 3 Explanation:
Although the patient is scheduled for chemotherapy, only hydration therapy is performed. Hydration therapy codes are selected based on time. The total time for this procedure
is one hour and 10 minutes. There is a parenthetical note following code 96361 which states: Report 96361 for infusion intervals greater than 30 minutes beyond one hour increments. There are only 10 additional minutes beyond the first hour, so only 96360 is reported.
Question 4 |
The patient is admitted to the hospital for a radio16 channel EEG to determine the focus of her cerebral seizures. The test also consists of video recording and interpretation with nurse attendance. The EEG is performed in 12 hours. Select the appropriate coding.
A | 95950-26 |
B | 95953-26-52 |
C | 95951-26 |
D | 95956-26-52 |
Question 4 Explanation:
(95956-26-52) The key to this encounter is time and the cerebral seizures monitoring using a radio 16 channel EEG. A nurse is in attendance during the test. CPT® guidelines state: Codes 95950-95953 and 95956 are used per 24 hours of recording. For
recording of 12 hours or less, use modifier 52.
Question 5 |
A patient is coming in to have osteopathic manipulative treatment (OMT) performed on two root lesions in his cervical region and three root lesions in the thoracic region. Which code is reported by the physician for the OMT?
A | 98927 |
B | 98940 |
C | 98925 |
D | 98925 x5 |
Question 5 Explanation:
OMT was only performed on two body regions (cervical and thoracic). The OMT codes are only reported for the number of body regions involved, not the number of lesions in a particular body region.
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