Exam 7: Outpatient Coding

What modifier code would be appropriate when multiple Emergency Department (ED) visits are performed on the same date?

In those instances where ICD-9-CM procedure codes are required by a carrier, when procedures are converted from laparoscopic to open, both procedures should be assigned ICD-9-CM procedure codes as appropriate.

When multiple chest x-rays are performed on the same calendar date, how should these be indicated?

ICD-10 In some instances, the assignment of more than one ICD-10 PCS procedure code will be required for one surgical procedure?

When reduction of a fracture is performed, the application of the cast/splint following the reduction is included and not separately reportable.

ICD-10-CM and CPT ​ Assign the appropriate ICD-10-CM diagnostic codes and CPT code(s) for the following: ​ Left breast needle localization/excisional biopsy ​ Incision made through the subcutaneous tissue and the guide wire and breast lesion were grasped with hemostat. The wire and lesion were removed in toto. The patient tolerated the procedure well. ​ ​

ICD-10 In those instances where ICD-10 PCS procedure codes are required by a carrier, when procedures are converted from laparoscopic to open, both procedures should be assigned ICD-10 PCS procedure codes as appropriate?

ICD-10-CM and CPT ​ Assign the appropriate ICD-10-CM diagnostic codes and CPT codes for the following: ​ Patient brought to the endoscopy suite and video endoscope was introduced and advanced into the gastric fundus. The duodenum was difficult to intubate but appeared normal. Biopsy was taken for Helicobacter pylori. There was minimal bleeding and the patient tolerated the procedure well. ​ IMPRESSION: Reflux esophagitis Moderate hiatal hernia Antral gastritis, biopsy pending ​ ​

An excisional biopsy of the breast that included the preoperative placement of a radiological marker and excision of the breast lesion would be assigned which codes?

When a diagnostic knee arthroscopy (29870-RT) and a arthroscopic medial meniscectomy (29881-RT) are performed during the same surgical session, would both services be assigned? If not, please explain.

Outpatient diagnostic code may utilize documented conditions of "rule out."

When excision of a skin lesion is performed and five separate biopsies are obtained and placed in one surgical specimen jar, what would be the appropriate codes for this scenario?

Disorders of the heart would be found in what code range of the ICD-9-CM code book?

ICD-9 and CPT ​ Assign the appropriate ICD-9-CM codes and CPT codes for the following: ​ Preoperative diagnosis: Acalculus cholecystitis Postoperative diagnosis: Same ​ ​ Patient brought to the operating room (OR) and a supraumbilical incision made and the Veress needle introduced followed by laparoscope. Additional instruments and trocars were introduced. The gallbladder was grasped, removed from the liver bed, and brought out through the subxyphoid incision. No calculi were noted on the gallbladder during the procedure or pathologically. ​ ​

Multiple lesions excised should be assigned multiple codes.

A diagnostic upper gastrointestinal (GI) endoscopy was performed that identified a lesion in the gastroesophageal junction, which was biopsied. What would be the appropriate codes?

The assignment of hospital outpatient facility acuity levels are defined by CMS in the Outpatient prospective payment system (OPPS) guidelines.

ICD-9-CM Code 042 should be assigned what conditions?

When a colonoscopy with snare polypectomy is performed as well as a biopsy of an unrelated lesion, how should this be coded?

Excision of a 2.5-cm benign lesion of the back with .0.5-cm margins is performed with closure of the skin and dermis. What would be the correct coding assignment for this scenario?