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The March 2014 Medical Coding Webinar Q & A from www.codingcertification.org discussed several Medical Coding topics of interest to medical coders including Adverse Effect – ICD-10-CM, Modifier 26, ICD-10 Atherosclerosis, Transport 99466, Burns, Gallbladder Ultrasound, Thyroid Profile, and an a coding example from Practicode. The highlights of CodingCertification.Org’s product line were discussed. Attendees’ questions on various coding topics were answered. Laureen Jandroep, CPC, CPC-I and Alicia Scott, CPC, CPC-I, were the presenters, and Boyd Staszewski hosted this webinar.
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Coding Certification Q & A Webinar- March 2014
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Adverse Effect - ICD-10-CM
A patient with upper respiratory infection is prescribed
penicillin. She returns 5 days later with pruritus of scalp
following ingestion of penicillin prescribed and taken
correctly. Please explain whether to choose A or S for 7th
character on the adverse effect code? Would it always be
an S for any code in the Adverse Effect column?
ANSWER
I was reviewing Laureen's Blitz video yesterday on
Radiology and I wanted you to clear up something for
me. She stated "supervision and administration is not
the same as modifier 26" Now I understand that modifier
26 is interpretation and REPORT. but I'm not really
following what is she meaning by "supervision and
administration"
ANSWER
Modifier 26
ICD-10 Atherosclerosis
Atherosclerosis of the left internal mammary artery
bypass graft? I see nothing specific on the mammary.
How would you code this?
ANSWER
A 20 month old critically ill child needs to be moved from the County Hospital
to Children's Hospital in a nearby city. Dr. West provides face-to-face critical
care services during the 32 min. transport of the child by helicopter. During the
transport he provides monitoring of heart rate, respiratory rate, blood pressure
and pulse oximetry. Upon arriving at Children's Hospital, he provided analysis
of clinical data stored on computers regarding blood pressure and hematologic
data. What are the CPT codes?
A)99466
B)99466, 99090
C)99466, 99467
D)99485
ANSWER
Transport 99466
Burns
I need some help 2014 cpt book new code like burn (how
many % body area burn that, because old book is % new
book table so how to use it?
ANSWER
If the radiology report states Procedure: Gallbladder
Ultrasound-----Technique: High resolution sonographic
examination was performed on the abdomen. Which
code is best 76700 US Exam Abdomen Complete or
76705 Echo Exam of Abdomen? The findings were
inconclusive with a probable cholesterol-type polyps.
Due to probable status would this be coded Abnormal
findings 793.3? ANSWER
Gallbladder Ultrasound
Thyroid Profile
Can you please tell me the code for thyroid profile? Is
there any profile code for it or separately billable?
ANSWER
Practicode ICD-10
Practicode Case
ANSWER
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