Friday, August 31, 2012

Sample CPC Questions 2



Sample/Practice/Free CPT/CPC Exam Coding Questions:


1. The physician performs cone biopsy of cervix by loop electrosurgical excision procedure (LEEP). What is the CPT code for this?

Ans. 57522


2. Hysteroscopic dilation and currettage of uterus for abnorma uterine bleeding?
Ans. 58558


3. Dilation and currettege of uterus for treatment of incomplete abortion?
Ans. 59812


4. Control of epistaxis with silvernitrate?

Ans. 30901: silernitrate is used for chemical cautery 


5. Creation of arteriovenous anastomosis for dialyis by cephalic transposition?

Ans. 36818


6. Revision of arteriovenous fistula?

Ans. 36832


7. The physician performs left cariac catheterization and during the procedure also performs ventriculography and coronary angiography. What are the CPT injection and S/I codes for this procedure?

Ans. 36210 Left Heart Cath
        93543,  93545,  93555,  93556


           8. The physician performs left and right carotid angiography by using femoral vein as
              vascular access site what codes would represent this service ?

            Ans. 36215,  36216



          9. Transforaminal epidural injection of anesthetic agent or steroid at L4-L5 using  

           flouroscopic guidence?

           Ans. 66483, 77003



         10. Epidural injection of neurolytic substance at L4-L5?

         Ans. 66282



        11. Extracapsular repair of cataract with intraocular lens implantation requiring suturing?

        Ans. 66482



        12. The patient has phymosis of foreskin the physician performes surgery for repair of  

              phymosis what CPT code would represent this service?

        Ans. 54150



       13. The physician documents a diagnosis of hypertensive congestive heart failure. What
             are the ICD codes to represnt this?
 
        Ans. 402.11, 428.0



       14. The patient has candidial diaper rash what are the ICD codes for this?

         Ans. 112.3,  691.0



       15. What is LIMA?

         Ans. LIMA stands for left iternal mammary atery and is used as a graft in CABG.

Sample CPC Questions



Sample/Practice/Free CPT/CPC Exam Coding Questions:


1. What is the code for peak flow(vital capacity)?

Ans. 94150


2. The patient came with sore throat a rapid strep was ordered what is the CPT code for rapid strep?

Ans.87880 


3. The patient Urine HCG pregnency test what CPT code would represent this?

Ans.81025


4. The patient was diagnosed with cardiac arrest the physician does cardiopulmonary resuscitation and intubation what are the CPT codes that represent this?

Ans.92950, 31500


5. What is the modifier to represent a service that is repeated by the same physician on the same visit ?

Ans.76


6. The patient was given an infusion of Pepcid, Vasotec, and Benedryl from 10 a.m to 11a.m. what are the codes that will represent this service?

Ans.96365, 96368


7. The patient camw with fracture of distil tibia and the physician aplied posterior splint give the CPT code?

Ans.29515


8. The physician gives a diagnosis of micotic nails due to diabetes what ICD codes will represent this?

Ans.250.00,  111.9



            9. What is the ICD 9 code for allergic rhinoconjunctivitis?

             Ans.372.05


10. What code would represent open reduction of Galeazzi fracture?

Ans.25525


11. The physician performs lumbar L4-L5 fusion by posterior approach and partial fecetectomy, foraminotomy what are the CPT codes that represent his services?

Ans.22612,  63030


12. The physician performs posterior interbody fusion of L4-L5 interspace and minimal diskectomy give CPT codes representig this service?

Ans.22618 


13. What is the difference between morselized and structutal bone grafts?

Ans. Morselized bone grafts are pieces of bones that are used to fill spaces while structual bone graft is compact bone graft.


14. What is the difference between autograft an allograft?

Ans. Autografts are grafts that are tken from the patient's own body while allograft are taken from some other inividuals.


15. What modifier indicates decision for surgery?

Ans.57

Monday, August 27, 2012

STRAPPING CPT Codes



STRAPPING CPT Codes:




UPPER EXTREMITY STRAPPING


    Strapping Description                                       Examples

Thorax                                                                       Rib belt

Low back                                                                 

Shoulder                                                                   Shoulder adduction pillow
                                                                                    Humeral fracture brace
                                                                                    Sling & Swath- 
                                                                                    -(shoulder immobilization)    
                                                                                    Shoulder immobilizer
                                                                                    Figure 8 splint
                                                                                    Clavicle strap
                                                                                    Collar & cuff
                                                                                    Sling & arm strap
                                                                                    Elastic shoulder immobilizer

Elbow or Wrist                                                       Tennis elbow air pillow band
                                                                                    Tennis elbow brace
                                                                                    Ottenburg elbow splint

Hand or Finger


LOWER EXTREMITY STRAPPING


    Strapping Description                                                   Examples

Hip

Knee

Ankle

Toes

Unna Boot                                                                 Compression device (strapping)
                                                                                    Zinc wrap or dressing—use of zinc
                                                                                    instead of calamine as in the Unna


Denis-Browne splint strapping                            Probably no longer used



NOTES


1.  Do not code the following devices—they are basically supplies which do not splint or immobilize the patient’s injuries:

            Buddy taping
            DAS (sling)
            Neck collars
            TED hose
            Knee sleeves
            Ace wraps
            Orthototics
            Heel pads or cups
            Boots & shoes—i.e.  Darco shoe, wedge shoe, post op shoe, hard sole shoe, cast shoe,  ortho shoe, pressure shoe (for ulcers)
           

2.  “Dynamic”  is a brand name, so when you see the term “Dynamic splint”, do not assume  this is dynamic as opposed to static, it is most likely the brand name.  Check to see if it is set  up to move.  Even hinged devices are usually locked to provide immobilization for the current  injury.  Code to the appropriate site.


3.  Sometimes sling & swath is applied to immobilize another body site besides the shoulder.   Code to the appropriate site.

SPLINT CPT Codes




SPLINT CPT Codes:


SPLINT INFORMATION

Common devices used for orthopedic injuries
Please refer to the index by starting with the term Splint, Cast or Strapping and use this guide to find the appropriate I-9 and CPT code


UPPER EXTREMITY SPLINT


    Splint Description                                                           Examples

Long arm

Short arm; static                                                     SAS-short arm splint
                                                                                    SATS
                                                                                    SA2FS-short are, 2 finger splint
                                                                                    Ulnar Gutter splint
                                                                                    Sugar tong splint
                                                                                    Galveston splint
                                                                                    Elephant Ear splint-to top of the arm
                                                                                    Volar splint—this is hand to arm
                                                                                    Thumb spica splint
                                                                                    Velcro wrist splint
                                                                                   

Short arm; dynamic                                               This is a movable splint such as a
                                                                                    Cock-up,
                                                                                    Universal
                                                                                    Freedom


Finger; static          
                                                                                                Finger cap—plastic finger splint
                                                                                    Aluminum finger
                                                                                    Collum thumb brace
                                                                                    Umbrella
                                                                                    Volar finger splint, static
                                                                                    Stack splint

Finger; dynamic             

                                                    
LOWER EXTREMITY SPLINT


   Splint Description                                                                        Examples

Long leg                                                                    Hinged knee brace or sleeve
                                                                                    Post op knee splint
                                                                                    Range of motion knee brace
                                                                                    Posterior splint (see short left splint)
                                                                                    Knee immobilizer
           

Short leg                                                                   Ankle splint
                                                                                    Walker boot
                                                                                    Ankle air stirrup (cast-splint)
                                                                                    Swedo brace (plastic)  for ankle
                                                                                   Cam Walker
                                                                                   Posterior splint (applied to back of calf for ankle immobilization: code for long  or short depending on how applied)



NOTES


1.  Do not code the following devices—they are basically supplies which do not splint or immobilize the patient’s injuries:

            Buddy taping
            DAS (sling)
            Neck collars
            TED hose
            Knee sleeves
            Ace wraps
            Orthototics
            Heel pads or cups
            Boots & shoes—i.e.  Darco shoe, wedge shoe, post op shoe, hard sole shoe, cast      shoe ,  ortho shoe, pressure shoe (for ulcers)
           
2.  “Dynamic”  is a brand name, so when you see the term “Dynamic splint”, do not assume this  is dynamic as opposed to static, it is most likely the brand name.  Check to see if it is set up to move.  Even hinged devices are usually locked to provide immobilization for the current  injury.  Code to the appropriate site.
    

3.  Sometimes sling & swath is applied to immobilize another body site besides the shoulder.    Code to the appropriate site.



Friday, August 24, 2012

Self Introduction in Coding Interview



Introduce myself: (Introduction yourself in Medical Coding Interview)


Good Morning Sir/Madam, My name is _______(Your Name), I have born and bought up in ________(Name of City/Town/Village).

I have completed my Master’s in _________(Name of PG Course) from ________(Name of College) College of Arts and Science, _______(Name of Village/Town/City), completed my Graduation in _______, ______, _________(Name of Subjects) from _____(Name of University) University, ______(Name of Village/Town/City), and intermediate/10+2 from ______(Name of College) College and Matriculation from ______(Name of School) School.  Currently I am pursuing _________(If you are pursuing any other course) from ______(Name of Institute/University), _______(City/Town Name).

I am good thinker and quick learner, I am an Optimistic person, and flexible to work in any shift.  I have an ability to complete the assignment in the given interval of time.  I can work for longer hours without any break.

I like playing chess, cricket, and listening to the music (Add your interests here)

If you are experienced Coder, Add the following to your introduction

I have total X years (Mention your number of years) of work experience in Medical Coding. I have worked for ________(Name of Organization) from _____(Month) 20XX to _____(Month) 20YY as a junior Medical Coder.  Here I have worked in ______(Type of speciality) Coding.  After that I was joined in ________(Name of Organization) here I have worked in so many specialties like _________(Mention your Specialties’ here) from _____(Month) 20XX to ______(Month) 20YY as a Medical Coding Associate. 

            Right now i am working with _________(Name of Organization) since _______(Month) 20YY as a Senior Medical Coding Associate (Mention your designation, If it is different).  Here I am working in _________(Mention your coding speciality) coding.

I am Certified Coder from AHIMA and AAPC. I have both Credentials CPC and CCS (Mention your Credentials, If those are different)

And coming to my personal details my Father is a _______(Mention your father occupation) and mother is Home Maker. I have only one brother/sister and he is working with _______(Name of Organization, If He/She is working)  in _______(Name of City/Town/Village)

“This is a just sample format”

Interview Questions 2


Medical Coding Interview Questions


1)     What is the basic difference between 95 and 97 guidelines?

a.      95 guidelines are based on body systems 97 systems based on bullet points.

2)     What is the basic difference between emergency and outpatient department?

a.      The basic difference between ED outpatient departments is that in Emergency there is no differentiation between new or established, but in outpatient there is new or established.

3)     Abbreviation of HCPCS? Mention about level 1,level 2,level 3?

a.      HCPCS:  Health Care Common Procedure Coding System.

b.      Level 1: Outpatient Setup Modifiers

c.      Level 2: HCPCS National Modifiers Alphanumerical.

d.      Level 3: Local Modifiers.

4)     Difference between inpatient and outpatient?

a.      Outpatient is the patient comes gets treated and leaves the same day.

b.     Inpatient is the patient gets admitted with a overnight stay, gets treated and gets discharged.

5)     What is MDM?

a.   MDM refers to the complexity of establishing a diagnosis or selecting a management option from the History and Examination part.

6)     What is UHDDS?

a.      Uniform Hospital Discharge Data Set(UHDDS) is defined as “all conditions that coexist at the time of admission, that develop subsequently, or that affect the treatment  received or the length of stay”. Diagnoses that relate to an earlier episode which have no bearing on the current hospital stay are to be excluded.

7)     What is 24, 57,62 and 73 modifier?

a.    24 – Unrelated Evaluation and Management Service by the Same Physician during a Postoperative Period

57 – Decision for Surgery

62  - Two Surgeons

73 - Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure prior to the Administration of Anesthesia

8)     Doctor diagnosis foreign body in eye, he prescribed eye drops? What is MDM level?

a.      MDM level is Low or Straight forward(Level 2)

9)     Basic coding guidelines between inpatient and outpatient coding?

a.      Uncertain conditions can be coded such a possible, probable, suggestive when it is documented on discharge day but uncertain conditions should not be coded in Outpatient coding

10)What is abbreviation of NCC coding and use?

a.      NCC-National Correct Coding Initiative. 
Used for identifying bundling and unbundling of services.

11)Lesion is 2X3 cm and the margin is 0.5 mm calculate the lesion size?

a.      Add lesion size and margins size .  Here it is 2 cms.+0.5mm+0.5mm=2.1 cms.

12)Abbreviation of POA?

a.      Present On Admission-POA

13)Brief about E and M?

a.      E/M service Medical practice Any diagnostic and therapeutic procedure that may be performed by a health care provider at a specific location. See History of present illness, General multi-system examination, Past, family and/or social history, Review of Systems, Single organ system examination. Cf Physican test, Procedure.

14)How to define new and established patient?

a.      A new patient is one who has not received any professional service from the physician or another physician of the same specialty who belongs to the same group practice, within the past 3 years

b.      An established patient is one who has received professional services from the physician or another physician of the same specialty who belongs to the same group practice, within the last 3 years.

15)Define consultation?

a.      A Consultation is a type of E/M Service provided by a physician at the request of another physician or appropriate source to either recommended care for a specific condition or problem or to determine whether to accept responsibility for ongoing management of the patient’s entire care or for the care of a specific condition or problem.

16)What is critical care?

a.      Critical care is the direct delivery of service by physician of medical care for a critically ill or critically injured patient.

b.      A Critical illness or injury is one which accurately impairs one or more vital organ systems such that there is a life threatening event in the patient’s condition.

17)What isClosed  fracture and open fracture?

a.      Closed fracture is one in which the fractured site  is not exposed to outside environment.

b.  Open fracture is one in which the fracture site is exposed to outside environment(air)

18)Abbreviation of CCI and CPT?

a.      CCI- Correct Coding Initiative and CPT- Current Procedural Terminology.

19)Difference between principal diagnosis and primary diagnosis?

a.      The Primary Diagnosis is an outdated term in outpatient settings. The term was changed to First-listed Diagnosis some years ago, and it is the main condition treated or investigated during the relevant episode of outpatient (ambulatory)healthcare.

In an inpatient setting, the term "Primary Diagnosis" is still used to reference the condition that was the most serious and/or resource intensive during that hospitalization.
20)What is Surgical pathology?

a.     Surgical pathology involves the gross and microscopic examination of surgical specimens, as well as biopsies submitted by surgeons and non-surgeons such as general internists, medical subspecialists, dermatologists, and interventional radiologists.

21)Abbreviation of BCC?

a.      Basal Cell Carcinoma

22)Common modifiers  used in radiology?

a.      26, TC, 50, LT and RT

23)Difference between critical care and emergency care?

a.      Emergency Care:

·        Emergency department

·  Emergency Physicians (trained and qualified in the specialty of emergency medicine after mbbs graduation) Emergency department

·        Diagnosis is not required for initiation of treatment

Critical Care:

·        Intensive care units

·   Intensivists (qualified in critical care medicine after completion of postgraduation in medicine, surgery or anesthesia)

·        Diagnosis necessary and required for continuation of treatment

24)what is inpatient and emergency room coding?

a.      Emergency Coding is 24-hours without appointment can walk in, get treatment and discharged.

b.      Inpatient Coding is getting admitted with an overnight stay.