QUESTION 12 A 76-year-old male
QUESTION 12
A 76-year-old male presents to the OP surgical suite forinvestigation of suspected bladder tumors. A diagnostic cystoscopyis performed, revealing a normal urethra. However, two bladdertumors of approximately 1.5 cm were identified. At that time, acystoscopicfulguration of the tumors was accomplished. Prior tofulgeration, a biopsy of the tumors was taken and sent topathology. The surgeon’s operative report lists a post-operativediagnosis of “suspected bladder cancer.” The pathology reportindicates transitional cell carcinoma in both bladder tumors.
Select the mostappropriate reporting for the hospital’s services and documentedmedical necessity.
|
A. |
52234, 88305 DX: C67.9 |
|
|
B. |
88307, 52235 DX: C79.11 |
|
|
C. |
52234 X 2 DX: C67.5 |
|
|
D. |
52000, 52234, 88305 DX: D49.0 |
A patient presents on an outpatient basis for an AP and lateralchest x-ray for cough. The radiology report indicates “no abnormalfindings.” What would be the correct coding for the hospitaloutpatient radiology department?
|
A. |
71035-26; Z00.00 |
|
|
B. |
71010, 71010-76; J41.0 |
|
|
C. |
71022; Z01.811, R05 |
|
|
D. |
71020; R05 |
Answer:
CPT, ICD10 CM coding are used forhospital services, diagnosis, treatment procedure. These codes arehelpful for insurance claim, reimbursement and CMS form.
Q1. Answer is optionA
While answering multiple choicequestion always use method of elimination and analytical thinkingit will help to identify accurate answer
OPTION A possible because in thegive case the tumor is unspecified
|
52234 – cystoscopicfulguration at level 4 88305- microscopic examination ofcell to see the gross and minute view DX: C67.9- malignant neoplasm ofbladder, unspecified |
B is not possible because ICD CODEC79.11 which means secondary malignant of neoplam ofbladder,
In the given case there is not signof seconday malignacy is approached
C is not possible as coding DX:C67.5 which means malignant cancer of bladder neck, and in thegiven case tumor position in the bladder is unspecified.
D is also not possible because DX:D49.0 which means neoplasm of digestive system which is not at allpossible, as case is from urinary system.
Q2. Although new CPT codes havebeen introduced in radiology since 2018
So may be option in question areinvalid, if questions asked for previous code knowledge checkingthen it will fine.
While answering multiple choicequestion always use method of elimination and analytical thinkingit will help to identify accurate answer
a.71035-26; Z00.00
This option is not possible becausecode Z00.00 is used for general examination of body without anycomplain but client comes in outpatient department for complain ofcough.
b.71010, 71010-76; J41.0
J41.0coding used for simple and mucopurulent chronicbronchitis
In thegiven case chest x-ray result is no abnormal finding, in chronicbronchitis
Chestx-ray result have increased bronchovesicular marking andcardiomegaly.
Option BIS NOT POSSIBLE
c.71022, Z01.811, R05
Thisoption is not possible because given CPT code in option is foroblique -projection in the x-ray, which doesn’t go with the givecase scenario
Othercode may be match with scenario but CPT code doesn’t match withcase
d.71020,R05
OPTION D is answer because in CPT code 71022 frontal and lateralview
And inthe given case AP and lateral view is taken in chest x-ray so idealCPT code is 71022 and client is complaining cough, ICD code forcough is R05.
FOR ANYDOUBT POST QUSTION, IT WILL BE HIGHLY APPRECIATED THANKYOU
"Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!"
