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Which is NOT considered inclusive to hydration services?
A. Catheter declotting
B. Flush solution
C. Subcutaneous catheter access
D. Catheter flush
Answer: A
Explanation:
Catheter access, standard supplies such as a flush solution, and the flush at the end of the infusion are all considered necessary to facilitate the infusion and are inclusive to CPT codes
96360-96361. Declotting a catheter involves the injection of a thrombolytic agent to dissolve the clot and is separately reportable with CPT 36593.
NEW QUESTION # 56
A 92-year old female with Medicare part A coverage receives ongoing hospice care due to dementi a. She goes to a physician's office to receive closed treatment of a hip dislocation following a fall. No anesthesia was used. How should the provider submit this claim?
A. 27250-GW, 99202-25, S73.003A W19XXYuA
B. 27250-GW, S73.003A, W19XXXA
C. 27250, 99213-25, S73.003A
D. 27250, S73.003A, W19XXXA
Answer: B
Explanation:
When a patient is receiving hospice care, Medicare will not reimburse the physician for services rendered that are unrelated to the terminal illness unless submitted with modifier GW. In Answers C and D, a separate, identifiable E/M is not to be billed because the procedure is considered minor (1- to 10-day global period) and includes an inherent E/M component.
NEW QUESTION # 57
Code the following procedure note:
A selective catheter is placed into the thoracic aorta, where it is then manipulated into the left coronary artery and followed through into the right common carotid artery. Contrast injections are made, and digital imaging is performed. Upon completion, the catheter is removed, pressure is applied at the puncture site, and the patient is discharged.
A. 0
B. 36200, 36215, 36216-59
C. 1
D. 36215, 36216-59
Answer: D
Explanation:
The left coronary artery and the right common carotid artery would each be considered their own vascular family. Therefore, when the starting point of selective catheterization is the aorta, the left coronary artery would be considered first order (36215) in the vascular family and the right common carotid artery would be considered the second order (36216). Modifier 59 is appended to indicate that a different vascular family was examined in one session. Contrast materials and catheterization into the aorta are inclusive to the nvo procedures and are not to be separately coded.
NEW QUESTION # 58
What is NOT a condition related to the thyroid gland?
A. Acosta disease
B. Graves, disease
C. Hashimoto,s disease
D. Toxic adenoma
Answer: A
Explanation:
Toxic adenoma E05.2- is a thyroid nodule that may secrete hormones into the body that results in an overactive thyroid. Graves' disease E05.0- is an autoimmune disorder that attacks the thyroid, resulting in overactivity. Hashimoto's disease E06.3 is also an autoimmune disorder:
however, it usually results in an underactive thyroid. Acosta disease T 70.29- is altitude sickness.
Even if a coder is unfamiliar with these terms, by locating the ICD-IO-CM code that correlates to the condition, a coder can infer which body system a diagnosis relates to.
NEW QUESTION # 59
Based on the following documentation for an established patient, which CPT code should be reported?
Number and complexity of problems addressed: Moderate
Amount or complexity of data to be reviewed and analyzed: Straightforward Risk of complications, morbidity, or mortality of patient management: Low Total time: 35 minutes
A. 0
B. 1
C. 2
D. 3
Answer: C
Explanation:
When leveling a visit based on the documentation, the lower of the two highest components should be used to determine the level of complexity. In this case, because the number and complexity of problems addressed is moderate and level of risk of complications and/or morbidity or mortality of patient management is low, the MDM is low. On the other hand, because total time is documented and would constitute a higher level of service, total time should be used to select CPT
99214.
NEW QUESTION # 60
......
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