Exam 2: Hospital Coding Overview

Explain the "package concept" referred to in the surgery section of the CPT manual.

Explain what category/look-up of ICD-9/10 procedure code is utilized when a lesion is removed.

Which of the following are examples of external cause codes?

To ensure timely reimbursement, the outpatient facility coder must be sure not to use a separate anesthesia code if the anesthesia service was included in the procedure code.

This notation indicates that the underlying condition must be coded first, followed by the underlying disease that caused the manifestation.

When reviewing chart documentation, brackets [ ] indicate you must consult the physician before assigning a diagnosis code.

Assign the ICD-9 procedural code to this procedure: Below the knee amputation, left

When a bruise surrounds a laceration, it would be coded as a contusion.

ICD-10 Assign the appropriate ICD-10-CM diagnostic code and CPT code for the following scenario: Patient presents for replacement of pulse generator on her dual-chamber pacemaker due to battery life. The pacemaker only needs replacing. The patient has had satisfactory results with her pacemaker over the past eight years. An incision is made, the pacemaker pocket is entered, and the pulse generator is disconnected from the leads. The pulse generator is changed out, the leads are reconnected, and the pacemaker pocket is closed with sutures.

When hypertension presents prior to pregnancy and is managed during pregnancy, codes from what section should be utilized during the pregnancy?

ICD-10-CM and CPT Assign ICD-10-CM diagnostic codes and CPT codes to the following: The scope was introduced and passed easily to the cecum. There was a small polyp in the ascending colon as well as the distal transverse colon. Both of these were removed with snare polypectomy. An additional polyp was found in the descending colon and this was removed with hot biopsy forceps. The patient tolerated the procedure well and was transferred to the recovery room in good condition.

Assign the appropriate ICD-9-CM diagnostic code and CPT code for the following scenario: Patient presents for replacement of pulse generator on her dual-chamber pacemaker due to battery life. The pacemaker only needs replacing. The patient has had satisfactory results with her pacemaker over the past eight years. An incision is made, the pacemaker pocket is entered, and the pulse generator is disconnected from the leads. The pulse generator is changed out, the leads are reconnected, and the pacemaker pocket is closed with sutures.

Why is it important to ensure proper assignment of codes?

Assignment of anesthesia codes for outpatient facility services is usually not necessary.

Assign ICD-9-CM diagnostic codes for the following: Patient presented to ED with complaint of a laceration to the wrist as a result of a fall at home in the bathtub.

There are a number of combination codes on the hypertension table that are used specifically when the provider has provided appropriate documentation to include "crisis" or "uncontrolled."

The radiology section of the CPT manual is divided into four subsections. Which of the following is not a subsection?

If documentation does not exist to define the neoplasm as benign or malignant, the neoplasm should be coded as __________ __________.

Which of the following coding conventions can be used interchangeably?

All CPT codes must also have a modifier code to describe the circumstances.