9/22/2020 1 Kathy Rock PT, MBA, CHCA, CRHC, CPC, CHC Rock Consulting Inc. 150 Questions over case studies 5 hours and 40 minutes – Running time Scoring breakdown Anatomy CPT Evaluation and Management HCPCS ICD 10 Modifier Practice Management Scores released within 7-10 business days online and mailed
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9/22/2020
1
Kathy Rock PT, MBA, CHCA, CRHC, CPC, CHC
Rock Consulting Inc.
150 Questions over case studies
5 hours and 40 minutes – Running time
Scoring breakdown
Anatomy
CPT
Evaluation and Management
HCPCS
ICD 10
Modifier
Practice Management
Scores released within 7-10 business days online and mailed
9/22/2020
2
Ensure coding resources are prepared for Exam
Confirm understanding of
Procedures and anatomy related to procedures
Medications to include reason for use, billable units and administration method
Common diagnostic services
Modifiers commonly used with E/M and procedures
Diagnoses coding guidelines
Explore Evaluation and Management coding guidelines
Book Preparation 12:00 pm – 1:30 pm
Break 1:30 pm – 1:45 pm
Case Studies 1:45 pm – 3:00 pm
Break 3:00 pm – 3:15 pm
Review of Knowledge 3:15 pm – 4:00 pm
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CPT
ICD-10
HCPCS
1995/1997 Guidelines
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1.The E/M section for this encounter is:
A. Office Consultation
B. Established Patient
C. New Patient
D. Preventive Medicine
2. Based on the '95 guidelines, what is the level of exam?
A. Problem Focused
B. Expanded Problem Focused
C. Detailed
D. Comprehensive
3. What is the level of medical decision making?
A.Straightforward
B. Low
C. Moderate
D.High
4.What is the E/M code?
A.992x1
B.992x2
C.992x3
D.992x4
E.992x5
5. What is the first listed ICD-10-CM diagnosis
code?
A. M06.09
B. M06.4
C. A69.23
D. M24.811, M24.812
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Chief Complaint: Multiple joint pains.
History of Present Illness: Dr. X, the patient's PCP, requested I see the patient for further evaluation
of multiple joint pains. He states to me that his symptoms started about 4 weeks ago, affecting his
shoulders, knees and then both his wrists and hands. He professes to have 2 to 3 hours of
morning stiffness. He feels somewhat better when taking a hot shower and after he takes medi-
cations. He states that in May he had a motorcycle accident and had dislocated hip and broken ribs.
He gradually improved and started to exercise. After a few weeks his multiple joint pains started. He
was put on Celebrex for 3 weeks, which initially helped, and then it did not. He was given Naproxen
without any relief in his symptoms. He is currently taking aspirin, 325 mg, 2 tablets every 4 hours on
an as-needed basis, alternating with Tylenol, 2 tablets every 4 hours. He had multiple blood tests
done within the past few weeks, including herpes virus-6 antibody is negative; uric acid is normal;
CBC is within normal limits except slightly elevated WBC at 11.6, and platelet count 464. RPR was
nonreactive. Complete metabolic panel was normal except slightly elevated alkaline phosphatase. He
had Lyme tests done last week. The results are not available to us. He was put on Doxycycline for
presumable Lyme disease on September 28. He reports that he had multiple insect bites a week
before the pain started. He denies any tick bites or any rash.
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4
2
ROS 1
Case Studies Page 1-3
Past Medical History:
1. Hypercholesterolemia.
2. History of colon cancer, status-post surgery in 1997.
3. GERD.
Medications:1. Doxycycline 100 mg. p.o. b.i.d.
2. Aspirin pm.
3. Tylenol pm.
4. Crestor 30 mg p.o. daily.
5. Prevacid 30 mg p.o. daily.
ALLERGIES: NKDA.
Social History: He is a retired military officer. He quit smoking in 1969. He drinks alcohol very
occasionally.
Family History: Father had prostate cancer. Mother had breast cancer. No siblings.
Review of Systems: He denies any constitutional symptoms except intentional weight, on military diet.
He denies any eye or ear symptoms, cardiovascular, respiratory, gastrointestinal, or genitourinary
symptoms. He has physical disability because of pain. He has joint pain and stiffness and difficulty with
making fists. He also has a numbness and tingling sensation in his right hand.
ROS 2
ROS 3 ROS 4
ROS 5
ROS 6 ROS 8ROS 7
ROS 9
ROS 10
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Physical Exam: He is an elderly male in no acute distress. Vital Signs: BP is 138/80, Temp: 98.0, Pulse: 80.
HEENT: Exam reveals no conjunctival injections or scleral icterus. There are oral mucosal ulcers. Chest:
Is clear bilaterally, without any crackles or wheezing. Equal air entry. Heart: Exam is unremarkable, with
SI, S2 regular. There is no murmur.
Abdomen: Benign. Soft, no masses or tenderness. Normal spleen. Neurological: Oriented and alert x 3.
Normal motor and sensory function.
Musculoskeletal Exam: No tenderness on both shoulders, with normal range of motion. There is no
swelling or tenderness on his elbows. He has tenderness on his right wrist with swelling. There is no
swelling on his left wrist. He has a slightly limited range of motion with flexion on both wrists, more on the
right side. He has synovitis across all MCP joints on his right hand, with no tenderness. There is a subtle
synovitis on his few PIP joints on both hands. There is a mild synovitis on his few MCP joints as well. He is
unable to make a fist on both his hands, more pronounced on the right one. He has a loss of the distal
portion of his 3rd and 4th finger at the PIP level on the left hand. He has full range of motion of hips,
without any pain. There is no effusion on his both knees. There is no increased warmth or swelling. There
is no tenderness on his ankles. Skin: Exam is unremarkable, without any nodules or rash. Warm/Dry, no
diaphoresis.
Assessment & Plan: This is a 64-year-old gentleman with inflammatory arthritis multiple sites, most
likely rheumatoid arthritis. I would like to obtain a rheumatoid factor, anti-CCP antibody, ESR and
CRP. I would like to put him on Prednisone, 10 mg in the morning, 5 mg at night for one week, then
decrease it to 5 mg p.o. b.i.d. until I see him. He will be seen in 2 weeks for further management.
He had Lyme tests done last week. The result is not available to me. He is on Doxycycline, I do not have
any clinical suspicion for Lyme disease, although I would rather wait for lab results before we make a
decision on Doxycycline at this point.
Please make sure Dr. X receives my written recommendations.
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1.The E/M section for this encounter is:
A. Office Consultation
B. Established Patient
C. New Patient
D. Preventive Medicine
2. Based on the '95 guidelines, what is the level of exam?
A. Problem Focused
B. Expanded Problem Focused
C. Detailed
D. Comprehensive
3. What is the level of medical decision making?
A.Straightforward
B. Low
C. Moderate
D.High
4.What is the E/M code?
A.992x1
B.992x2
C.992x3
D.992x4
E.992x5
5. What is the first listed ICD-10-CM diagnosis
code?
A. M06.09
B. M06.4
C. A69.23
D. M24.811, M24.812
RA is not definitive dx
AAPC states no
additional work up in
= error bc ordered
labs
Inflammatory Polyarthropathy
Per AAPC “if patient is scheduled for routine blood work to monitor side effects of medication, this would not be considered additional workup”
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A 66-year-old female patient returns for a second infusion of rituximab for her diagnosis of rheumatoid arthritis in multiple sites. She is rheumatoid factor positive. She says the pain in her knees, elbows and neck has slightly improved. She rates the severity of her pain at a 7 on a 10-point scale, which is an improvement from the 8 she reported during her last visit. The patient is currently on 7.5 mg methotrexate by mouth weekly. She reports no fevers, headaches, chest pain, dyspnea, cough, oral ulcers, rashes or depression.
Infusion note: The patient’s blood pressure is 125/88, height is 5’6”, weight is 225 lbs., body mass index is 36.3, and temperature is 97°F.
Diagnosis: Rheumatoid arthritis of multiple joints, rheumatoid factor positive.
Her IV is started with 150 cc of normal saline solution and 1000 mg of rituximab is prepared for the infusion, and 40 mg of methylprednisolone sodium succinate is pushed into the patient’s IV. The rituximab infusion is started at 9:05 a.m. and slow dripped until 1:12 p.m. The patient is observed for 15 minutes and instructed to make a follow-up appointment.
What is ICD 10 code? What CPT and HCPCS codes can be billed?
Case Study Page 29-30
ICD 10: M05.79
CPT Codes:
Infusion Administration 96413, 96415 x 3
Medication J9312 x 100
IV Push 96375 (subséquent to Infusion), J2920
AAPC Question – I changed dose to typical scenario
AAPC Answer – Review due to error
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Which systems are reviewed in the ROS?
A. Respiratory, CardiovascularB. Constitutional, GIC. Constitutional, RespiratoryD. Respiratory, Integumentary
Based on '97 guidelines, what is the level of exam?
A. Problem FocusedB. Expanded Problem FocusedC. DetailedD. Comprehensive
What is the E/M code?
A. 992x1
B. 992x2
C. 992x3
D. 992x4
E. 992x5
What is the first listed ICD-10-CM diagnosis code?
A. M32.10B. M35.9C. K75.4D. K83.8
What are the additional diagnoses codes for this encounter?
A. R76.9,178.8, D70.8B. R68.89,178.1, D70.3C. R68.89,178.8, D70.4D. R76.9,178.1, D70.9
What is neutropenia?
A. Abnormally high number of neutrophilsB. Abnormally low number of neutrophilsC. Irregular shaped neutrophilsD. Enlargement of neutrophils
Subjective: Follow up for history of strongly positive ANA, suspect connective tissue disease. She has
telangiectasias of the fingers; mild leucopoenia that has been intermittent; and possibility of
autoimmune hepatitis was raised, although this really seemed to be cholestatic in nature. She is taking
Urso 500 mg twice a day and she has had no complications. She has a history of asthma on
medications but no inflammatory lung disease. She has a history of a hiatal hernia. No significant
dismotility syndrome. She also has mild osteoarthritis in the fingers. She is feeling fine; she has no SOB
or cough. No fevers or chills. She had some recent Synvisc injections for her right knee that seemed to
work pretty well. Since her last visit, she has had a bladder stimulator implantation for chronic over-
active bladder. This has been present for about a month and has allowed her to stop the Detrol, which
was causing her dryness.
Current Medications: Aspirin once a day, Protonix once a day, Advair Diskus twice a day, Urso 500
mg twice a day, Os-Cal 500 mg twice a day, fish oil 1,000 mg a day, Altace has been discontinued.
ROS 1
ROS 2
Location Severity Assoc SS Timing
Case Studies Page 5-6
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Physical Exam: She is alert and oriented, obese white female. BP: 126/80. Pulse: 70. Respirations: 12.
Lungs: Clear. Heart: Rate and rhythm are regular. Peripheral pulses: 2+ and equal bilaterally. Skin: No
suspicious lesions. There are small telangiectasias of the finger pads, actually unchanged. No sclerodactyly
or morphia or rashes on exam. There are a few scattered dilated capillary nail beds. These are unchanged as
well.
Musculoskeletal Exam: There is bony hypertrophy of the DIP and PIP joints. There is no synovitis.
There is medial joint line tenderness of the knees bilaterally without any effusion.
Review of Laboratory Data: (09/12/xx) Metabolic panel: Normal, GFR greater than 60; transaminases and
alk phos were normal. C-reactive protein .8, urine for micro-albumin is 66 mg/deciliter. But the micro-
albumin to creatinine ratio is 7, which is normal. CBC: WBC 3.9, otherwise normal, sed rate 1. Urinalysis:
No protein, WBCs, RBCs or casts. ANA was confirmed at a titer of 1:1280, which is essentially unchanged.
Assessment: The patient has connective tissue disease with a positive ANA, mild telangiectasias, possible
autoimmune hepatitis versus cholestasis, and mild chronic neutropenia.
Plan: Monitoring is indicated at this time. I would like to see her in six months or certainly sooner as needed.
Repeat labs at that time, which will include a metabolic panel, CBC, complements C3, C4, ANA, and a
urinalysis.
1997 Exam General System
Physical Exam: She is alert and oriented, obese white female. BP: 126/80. Pulse: 70. Respirations: 12.
Lungs: Clear. Heart: Rate and rhythm are regular. Peripheral pulses: 2+ and equal bilaterally. Skin: No
suspicious lesions. There are small telangiectasias of the finger pads, actually unchanged. No sclerodactyly
or morphia or rashes on exam. There are a few scattered dilated capillary nail beds. These are unchanged as
well.
Musculoskeletal Exam: There is bony hypertrophy of the DIP and PIP joints. There is no synovitis.
There is medial joint line tenderness of the knees bilaterally without any effusion.
Review of Laboratory Data: (09/12/xx) Metabolic panel: Normal, GFR greater than 60; transaminases and
alk phos were normal. C-reactive protein .8, urine for micro-albumin is 66 mg/deciliter. But the micro-
albumin to creatinine ratio is 7, which is normal. CBC: WBC 3.9, otherwise normal, sed rate 1. Urinalysis:
No protein, WBCs, RBCs or casts. ANA was confirmed at a titer of 1:1280, which is essentially unchanged.
Assessment: The patient has connective tissue disease with a positive ANA, mild telangiectasias,
possible autoimmune hepatitis versus cholestasis, and mild chronic neutropenia.
Plan: Monitoring is indicated at this time. I would like to see her in six months or certainly sooner as needed.
Repeat labs at that time, which will include a metabolic panel, CBC, complements C3, C4, ANA, and a
urinalysis.
1995 Exam - Extended
Table of Risk – Presenting problem
AAPC worsening?
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Which systems are reviewed in the ROS?
A. Respiratory, CardiovascularB. Constitutional, GIC. Constitutional, RespiratoryD. Respiratory, Integumentary
Based on '97 guidelines, what is the level of exam?
A. Problem FocusedB. Expanded Problem FocusedC. DetailedD. Comprehensive
What is the E/M code?
A. 992x1
B. 992x2
C. 992x3
D. 992x4
E. 992x5
What is the first listed ICD-10-CM diagnosis code?
A. M32.10B. M35.9C. K75.4 Digestive System PossibleD. K83.8 Digestive System Possible
What are the additional diagnoses codes for this encounter?
A. R76.9,178.8, D70.8B. R68.89,178.1, D70.3C. R68.89,178.8, D70.4D R76.9,178.1, D70.9
What is neutropenia?
A. bnormally high number of neutrophilsB. Abnormally low number of neutrophilsC. Irregular shaped neutrophilsD. Enlargement of neutrophils
Penia = deficiency
D70 Neutropenia Pg 506
What is the E/M code?
A. 992x1B. 992x2C. 992x3D. 992x4E. 992x5
What is the appropriate CPT" code for the DEXA
scan that was ordered?
A. 77086B. 77078C. 77081D. 77080
What are the ICD-10-CM diagnosis codes for the
encounter?
A. M15.0, M81.0B. M15.9, M81.6C. M06.09, M81.0D. M06.09, M81.8
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Problem List:
1. Seronegative rheumatoid arthritis
2. Osteoporosis. Last DEXA scan from over one year
3. Hyperlipidemia
4. Anxiety disorder/depression
5. Benign essential tremor
6. Abnormal glucose tolerance
7. Status-post cortisone injection for right trochanteric bursitis on 7/9/xx
History—The history of present illness was extended. The review of systems was comprehensive, and one of the three past, family and social history were documented. This makes the history level Expanded Problem Focused.
Eight systems were examined. This makes the exam level comprehensive.
Medical decision making—The diagnoses are four established problems stable. Labs were ordered, and the labs were done to monitor toxicity of medication. Prescription Management occurred. This makes the MDM Moderate.
The ANA test is a test helping to diagnose a suspected autoimmune discorder or rule out other conditions with similar signs and symptoms.
ANA = Antinuclear antibodies
Titer = the concentration of an antibody, as determined by finding the highest dilution at which it is still able to cause agglutination of the antigen.
CPT 86039
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95908 - as 4 NCSs were performed. Each motor nerve with F-wave study is considered a single NCS
72114 Radiologic examination, spine, lumbosacral; complete including bending views, minimum of 6 views
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20611
20611 59
Modifier 59 indicates the second service was a distinct procedure
72146 Magnetic resonance imaging, spinal canal and contents, thoracic; without contrast
**Assume no contrast unless mentioned**
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M32.9 Systemic lupus erythematosus unspecified
SLE NOS
Systemic lupus erythematosus NOS
Systemic lupus erythematosus without organ involvement
unilateral sural sensory nerve,- unilateral peroneal motor nerve recording from extensor digitorum brevis (EDB) with F-wave
- unitateral tibial motor nerve with F-wave?
95908 - three NCSs were performed
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Ulna
Radius
Carpals
Metacarpals
Phalanges
E/M level 99213
No it will NOT be billed “Incident to” because the case study does not indicate the physician is providing “direct” supervision. The NP NPI will be listed as the rendering provider on the claim to Medicare
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Modifier 26
Radiology Services
Professional component: 26 modifier
Technical component: TC modifier
Place of Service 21 indicates the service was performed in an Inpatient Hospital setting
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Report code 95908 in addition to the EMG studies, as four NCSs were performed. For the EMG studies, there were three muscles tested, therefore, report add-on code 95885 for limited EMG studies less than five muscles. If five or more muscles were tested, report code 95886 for complete limb
Extended
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M07.661 enteropathic arthropathies right knee
M07 Notes
“Code also associated enteropathy such as regional enteritis “
Excludes 1 PSA (L40.5X)
K50.00 Crohn’s disease of the small intestine without complications
Modifier 24
Apply ONLY to E/M code
The procedure billed previously may have 10 or 90 day global period
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Written or verbal request for consult documented in medical record
Consult is documented with provider’s opinion
Written report is sent to the requesting physician
No, Modifier 25 can only be added to an Evaluation and Management service
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R68.2 Dry Mouth
Alpha Index: Dry/Mouth R68.2
Tabular: Dry Mouth Unspecified R68.2
Excludes dry mouth due to Sicca Syndrome (Sjogren) (M35.0X)
Modifier 25 would be reported with the Evaluation and Management service
Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration Guidelines
“For same day E/M service, a different diagnosis is not required”
Pg 717
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Advanced Beneficiary Notice required by Medicare when provider determines services may not be covered and the provider plans to collect from the patient for services
Alpha Index: Fibromyalgia M79.7
Tabular:
M79.7 Fibromyalgia
Fibromyositis
Fibrositis
Myofibrositis
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80053 Comprehensive Metabolic Panel
36415 Collection of venous blood by venipuncture
72200 Radiologic examination, sacroiliac joint; less than 3 views
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CPT Index
Hepatitis/Hepatitis Antibody/Panel/Acute vs Obstetric
80074 Acute hepatitis panel
Page 539
20600 F7 Small joint injection 3rd Right finger
20600 F1 Small joint injection 2nd Left finger
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71046 Radiological examination, chest, 2 views,
Old Code maybe on test - 71020
History of Present Illness (HPI)
Review of Systems (ROS)
Past, Family, Social History (PFSH)
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20611 RT – 1 unit
20611 LT – 1 unit
OR
20611 50 – 1 unit
Under column “Presenting Problem”, you will see One or more chronic illnesses with mild exacerbation, progression or side effect of treatment which indicates Moderate Risk
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Femoral Head
Acetabulum
sheath
DX: M77.11 Right Lateral Epicondylitis
20550 Tendon sheath injection
J1020 Methylpredisolone Acetate (Depomedrol) 20mg
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72202 Radiologic examination, sacroiliac joint; 3 or more views
Place of Service
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76881 US Complete Examination to include real time scan of muscle, bone, tendon, joint and soft tissue within a specific musculoskeletal area
76882 US Limited Examination – specific anatomical structure examined
POS 11 indicates the service was performed at an office
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27096 RT
E/M level 99214
It will be billed “Incident to” because the physician is providing “direct” supervision; the physician’s NPI will be listed as the rendering provider on the claim to Medicare
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Add the GA modifier to the procedure
Three
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Alpha Index:
Back (see condition)
Pain/low back M54.5
OR
Sciatic (see condition)
Sciatica with lumbago M54.4X
Tabular: M54.41 Lumbago with sciatica, Right side
Tibia
Fibula (Not weight bearing)
Tarsals
Metatarsals
Phalanges
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Three
Head
Eyes
Ears, Nose, Mouth, Throat
Remember each would need to be documented
Past history
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Under Management Option – Est problem worsening
Table of Risk – Moderate due to pharmacological management
Add the GC modifier
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85025 Complete CBC, automated and automated differential WBC count.
20526 Carpal Tunnel Injection
76942 Ultrasound Guidance
J3301 x 1 unit Kenalog
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20552 Trigger Point injection because no fluoroscopy was used
J1020 Depomedrol x 1 unit
20611 Aspiration of Baker’s cyst with USG
Alpha index:
Baker’s Cyst – see Cyst, Bakers
Cyst, Bakers M71.2X
M71.21 Synovial cyst of popliteal space (Baker’s) right knee
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1997 because I can count an update of 3 chronic conditions as an extended HPI
Tabular: Z79.52 Long term (current) use of Systemic Steroids
You would look under the column “Presenting Problem” and view One stable chronic illness to conclude Low Risk
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ROS - Eyes
ROS - Respiratory
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86580 Tuberculosis test, intradermal
20606 AC joint injection (medium joint) with USG
J1020 Methylpredisolone Acetate 20mg
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ROS – Allergic/Immunologic or Eyes
Under General Multi-System Exam 12 elements in at least 2 organ systems or body areas
Under Single Organ System Exam 12 elements identified by a bullet
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ROS - Gastrointestinal
Timing
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20553 Trigger point injections 3 or more muscles
J3301 X 4 four muscles injected with 10mg each= 40 mg total
ROS – Psychiatric OR Constitutional
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Unable to code RA because it has not been confirmed
We may code the symptoms if documented
ENA = Extractable Nuclear Antigen CPT 86235
Detection of antibodies to the extractable nuclear antigens Sm (Smith), RNP, SS-A (Ro), SS-B (La), Scl-70, and Jo-1 in serum. The results will be reported in ENA Units with corresponding interpretations of negative, borderline or positive.
Report each antibody
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CREST
Alpha Index CREST syndrome M34.1
Tabular: CREST syndrome M34.1
OR look at your tabs
Erythrocyte sedimentation rate
ESR
Sed Rate
CPT Sedimentation Rate, Erythrocyte; non automated 85651
VS Automated 85652
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If bone density (DEXA or DXA) is performed under 2 years and patient is not taking steroids.
ABN also would not be needed for first bone density
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mc
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CPT 80305 Drug Test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only
Review Page 546 Drug Testing codes
In the HPI, patient will show complaints in a specific anatomical area or disease process
During the exam, the provider may note abnormal findings
The provider changes the medication or increases the dose
The provider orders additional diagnostic tests
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72148 Magnetic resonance imaging, spinal canal and contents, lumbar, without contrast material
**Assume no contrast unless mentioned**
ROS - Neurological
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J1745 Remicade/Infliximab per 10mg X 50 units
96413 First hour X 1
96415 Additional hours X 2
80048 Basic Metabolic Panel (Calcium Total)
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ROS – Endocrine or Integumentary
DX: M17.11 Unilateral primary osteoarthritis of the knee
J7321 X 1 unit EJ modifier
20611 X 1 unit
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ROS - Integumentary
You must meet 2 out of 3 to achieve the MDM level (Straightforward, Low Complexity, Moderate Complexity, High Complexity)
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95910 - eight NCSs performed + 95886 for complete limb EMG.
No – for a comprehensive level, you can only use organ systems
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ROS - Hematologic
Context
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1997 Evaluation and Management Guidelines because “using only the Musculoskeletal system”
Perform all elements identified by a bullet; document every element in each box with a shaded border and at least one element in each box with an unshaded border
96413 Chemotherapy administration, intravenous infusion; up to 1 hour
J0129 Orencia, Abatacept per 10mg X 100 units
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DX M81.0 Age-related osteoporosis
J1740 Boniva x 3 mg (dose is always 3mg)
96374 Boniva is administered through an IV push
Select the BEST answer - 59
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Radiology (7000s series)
Iodine and Barium
50 for bilateral
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Alpha Index: Raynaud;s disease (secondary) I73.0
Tabular: I73.00 Raynaud’s syndrome without gangrene
“NOT coded here”
An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together.