Exam 4: Pathology and Laboratory

T4-2D LABORATORY WORKUP Uric serum acid laboratory tests for a 63-year-old patient with gout. T4-2D: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________

AUDIT REPORT T4.2 CYTOPATHOLOGY AND CYTOGENIC STUDIES 1. A laboratory technician performs screening by automated system of a cervical smear, under physician supervision. SERVICE CODE(S): 88141____________________________________________ 2. An amniotic fluid sample is received in the laboratory for a suspected nonneoplastic disorder. A tissue culture chromosome analysis was performed. T4.2: SERVICE CODE(S): 88267__________________________________________ INCORRECT/MISSING CODE(S): ___________________________________

T4-2A REQUISITION FORM T4-2A: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________

T4-1C SCREENING A 66-year-old male for lab screening PSA (prostate specific antigen), and patient complained of lower leg edema. Diagnosis indicates benign prostatic hyperplasia without urinary obstruction. Patient presented to the lab for a total PSA, sodium, and UA (urine analysis) (automated). T4-1C: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________

T4-2B REQUISITION FORM T4-2B: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________

T4-1D LABORATORY WORKUP Patient with pernicious anemia in for check of his B12 level. Also complaining of fatigue. The patient presents to the lab for vitamin B12, TSH (thyroid stimulating hormone), and hemoglobin. T4-1D: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________

T4-2C PREGNANCY A 27-year-old female presents for her initial obstetrical laboratory tests during her first pregnancy, which included: ABO (three main blood types) blood typing RhD blood typing Rubella antibody Hemogram with manual WBC (white blood count) and CBC (complete blood count) Hepatitis B Qualitative VDRL RBC (red blood cell) antibody screen T4-2C: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________

AUDIT REPORT T4.1 ANATOMIC PATHOLOGY 1. Forensic examination is performed on a white female, approximate age 25, who sustained multiple gunshot wounds. SERVICE CODE(S): 88045___________________________________________ 2. An autopsy is performed on a 53-year-old male who appears to have died from liver disease. Gross and microscopic to liver only. T4.1: SERVICE CODE(S): 88027____________________________________________ INCORRECT/MISSING CODE(S): _____________________________________

T4-1B REQUISITION FORM T4-1B: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________

T4-1A REQUISITION FORM T4-1A: SERVICE CODE(S): ___________________________________________________ ICD-10-CM DX CODE(S): ______________________________________________