Dr. Roberts called Mr. Davis to discuss the recent change in his asthma medication. Mr. Davis doesn't think the new medication is working as well as the previous medication. Dr. Roberts discussed the pros and cons of the new medication and Mr. Davis decided to continue using it for another month. The phone call lasted 15 minutes.
How would Dr. Roberts report the telephone service?
A. 99442
B. 99447
C. 98967
D. 99422
A Medicare patient in a partial hospitalization program received occupational therapy services from a qualified occupational therapist. What is the HCPCS Level II code for this service?
A. G0128
B. G0153
C. G0152
D. G0129
A CRNA is personally performing a case without supervision of an anesthesiologist. What modifier is reported for the CRNA services?
A. QX
B. QY
C. QS
D. QZ
An 85-year-old tripped over a rug and hit her shoulder against a cabinet in her bathroom. The fall resulted in a fractured humeral head. Shoulder X-rays revealed bone fragments and the physician replaced the humeral head with a prosthesis. The patient is taken to the operating room where anesthesia is administered.
Report the CPT?coding for the anesthesiologist.
A. 01630, 99100
B. 01630
C. 01638
D. 01638, 99100
A 25-year-old patient, P3, was given general anesthesia by an anesthesiologist for an emergency appendectomy in the lower abdomen.
Report the service of the anesthesiologist.
A. 00790-AA-P3, 99140
B. 00840-AA-P3, 99140
C. 00790-AA-P3
D. 00840-AA-P3
View MT 004268
MT 004268
Operative Report
Preoperative Diagnosis: History of colon polyps
Postoperative Diagnosis: Sigmoid diverticulosis
Procedure: Diagnostic colonoscopy
Anesthesia: IV sedation
Technique: The patient was brought to the endoscopy suite and placed in the lateral decubitus position. Digital rectal examination was then performed The colonoscope was then inserted under videoscopic visualization with minimal insufflation. The scope went beyond the splenic flexure. The sigmoid colon did reveal some diverticulosis. Further advancement of the colonoscope was unable to be accomplished and did not reach the cecum due to retained stool in the transverse colon. It was decided not to advance the scope further due to poor prep. The colonoscope was then removed and the patient was given instruction to go back after one week for repeat colonoscopy.
How is the surgeon's service reported?
A. 45330
B. 45379-52
C. 45378-52
D. 45378-53
View MR 099403
MR 099403
New Patient Office Visit
Patient presents for initial 1-week well-child visit. Had jaundice since birth but now is resolved. Mother does not have any current concerns, but wants to talk about blood-work. Baby has home health nurse x 1 visit to date. Baby eating well:
approximately 15 minutes each breast.
Having BM qd. Urination: Normal.
Patient accompanied by both parents and older sister; parents have no specific concerns.
Newborn screening is normal.
Diet: Breastfeeds q 2 to 3 hrs. Breastfeeding is going well overall. Patient is interested in nursing. Awakens to nursing regularly: left side 15 minutes, right side 15 minutes. Audible signs of milk transfer. Patient appears satisfied after
breastfeeding; is alternating breasts. Mother does not use feeding supplement. Patient experiencing 6 to 8 wet diapers per day. Stools appear yellow glow and seedy. No difficulties with constipation or diarrhea. Sleeps on back and side.
Wakes up to feed every 2 to 4 hours. Patient alert. Cries intermittently but is easily consoled. Infant able to lift head, turn head side to side and exhibit equal movements on extremities. Patient is able to startle to sound. Alert to voice.
Discussed feeding schedule and feeding tips with parents. Advised no bottle propping. Discussed bathing tips. Discussed: Noisy breathing, burping, cool mist humidifier use, hiccups and immunizations. Discussed bonding and use of pacifier.
Emphasized importance of proper usage of car seat. Also reminded importance of patient sleeping on back. Discussed animals in home and proper precautions.
Past Family Medical and Social History: Reviewed and updated.
Exam:
Weight: 7 lbs. 9 oz. Rectal Temp: 97.9. Height: 19 inches. Head Circ: 18.7
Healthy appearing infant. Well-nourished and alert. Weight: Within normal range for stated age. Mucus membranes: Moist and pink. Capillary refill: Brisk-less than two seconds. Respiratory pattern: Unremarkable. No grunting or nasal flaring.
Umbilical cord: Not present.
Head proportion: Normal. Head: Normocephalic and symmetrical. Palpation reveals smooth, symmetric skull.
Anterior fontanelle: Slightly concave and soft. Posterior fontanelle is present.
PERRLA: EOMI ENMT: External ears: Inspection reveals ears normal in size, position and alignment. Auditory canals are patent. Tympanic membranes: Normal landmarks. No fluid or erythema. Nares: Bilaterally are patent.
Nasal mucosa: No discharge. Palate: Normal in appearance. Rooting reflex: Present. Sucking reflex: Present.
Neck: Supple, no masses.
Resp: Lungs clear bilaterally.
CV: PMI is not displaced. Rhythm: Regular. No heart murmur. Pulses: Femorals 2+ bilaterally.
GI: Abdomen: Non-distended, nontender and soft. Umbilicus: Inverted and absent.
Bowel sounds: Normal and active. No palpable hepatosplenomegaly.
Anus/Perineum: Normal
Musculoskeletal:
Spine: Spinal contour: Normal. Gluteal fold: Normal. Upper Extremities: Normal to inspection and palpation.
Shoulders: Palpate smooth. Clavicles: Normal, stable.
Skin: No rash, lesions or petechiae. No jaundice.
Neurological: Babinski reflex: Present bilaterally. Moro reflex: Present.
Assessment: Routine infant child check: Patient doing well post-op with no obvious sign of jaundice.
What E/M code is reported?
A. 99381
B. 99203
C. 99213
D. 99391
Nowadays, the certification exams become more and more important and required by more and more enterprises when applying for a job. But how to prepare for the exam effectively? How to prepare for the exam in a short time with less efforts? How to get a ideal result and how to find the most reliable resources? Here on Vcedump.com, you will find all the answers. Vcedump.com provide not only AAPC exam questions, answers and explanations but also complete assistance on your exam preparation and certification application. If you are confused on your AAPC-CPC exam preparations and AAPC certification application, do not hesitate to visit our Vcedump.com to find your solutions here.