A 71-year-old male patient comes to the hospital after having been previously diagnosed with benign prostatic hypertrophy with urinary obstruction.

A 71-year-old male patient comes to the hospital after having been previously diagnosed with benign prostatic hypertrophy with urinary obstruction.

Intermediate Medical Coding Project

HIT204, Intermediate Medical Coding Project Number: 38166000. As a medical coder, you’ll assign CPT codes for physician procedures and services
As a medical coder (Intermediate Medical Coding Project), you’ll assign CPT codes for physician procedures and services. This graded project is designed to

1. Test your knowledge of CPT coding principles and procedures

2. Gauge your ability to accurately apply coding guidelines with regard to CPT codes and modifiers

3. Analyze your accuracy with respect to HCPCS code assignment

4. Determine your ability to differentiate CPT and HCPCS5.

Summarize what you’ve learned about CPT and HCPCS coding INSTRUCTIONS your graded project has three parts. Be sure to complete all three parts prior to submitting your project.

Part 1

Review the following scenario. Assign the CPT code(s). Add one or more modifiers, if necessary.

A 71-year-old male patient comes to the hospital after having been previously diagnosed with benign prostatic hypertrophy with urinary obstruction. Due to this condition, the patient is experiencing increased urination, straining during urination, and a continual feeling of fullness after the bladder has been emptied. The physician performs a cystourethroscopy to examine the condition of the bladder and urethra, and then subsequently performs a UroLift transprostatic implant procedure using three adjustable implants. CPT code(s): __600.01__ (2013 ICD-9-CM Diagnosis Code 600.01 ) (Barisa, 2016). Comment by Joyce, Barbara: -20Highlighted codes incorrect missing two cpt codesMissing unit amountCorrect coding _ _ _ _ _ , _ _ _ _ _ x ___ (units)

Part 2a (Intermediate Medical Coding Intermediate Medical Coding Project)

Review each of the following procedures. Assign the CPT code(s). Add one or more modifiers, if necessary.

1. An established patient comes to the office complaining of migraine headaches. The physician performs an expanded problem-focused history and exam. The physician’s medical decision making is of low complexity. During the office visit, the physician also removes a benign 0.5 cm lesion from the back of the patient’s left hand. CPT code(s): CPT Code G43.909 Comment by Joyce, Barbara: -10Highlighted code incorrect missing one E/M code with modifier Missing one cpt code with modifier

2. A physician removes an intraocular foreign body from the anterior chamber of the patient’s eye. An allergy statement in the patient’s medical record indicates that the patient is allergic to local anesthesia. For this reason, general anesthesia is administered. The anesthesiologist is not available to administer anesthesia. The surgeon performs the anesthesia administration instead. CPT code(s): CPT code 65273 Comment by Joyce, Barbara: -10Incorrect cpt code digits Missing two modifiers Correct coding 652_ _ – _ _ – _ _

3. A surgeon performs a total abdominal hysterectomy with partial removal of the vagina, lymph node sampling, and removal of the ovary. The coder assigns code 58200-51. Is this code correct or incorrect? Why or why not? Correct. Reasons – Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) (Barisa, 2016). Comment by Joyce, Barbara: -5The cpt code is correct but the modifier should be omitted because the procedures are bundled into code 58200

Part 2b (Intermediate Medical Coding Intermediate Medical Coding Project)

Review each of the following procedures. Assign the HCPCS code(s).

4. A patient weighing 252 pounds sustains a hip fracture. The physician prescribes a Group 2 standard single power wheelchair with a solid seat, solid back, and as ling. Code 27267, Code 27268, and Code 27269 Comment by Joyce, Barbara: -10Highlighted codes incorrect missing one HCPCS code

5. A patient comes to the emergency room complaining of chronic migraine. The nurse administers a 1 unit injection of on botulinum toxin AN .HCPCS code(s): HCPCS 2016 Code: J0585 (Barisa, 2016).

6. A patient with chronic venous insufficiency comes to the doctor’s office complaining of leg pain. The physician prescribes two thigh-length gradient compression stockings, 45 mmHg each. HCPCS code(s): I83.811 – I83.819 (Barisa, 2016). Comment by Joyce, Barbara: -10Highlighted codes incorrect missing one HCPCS code missing unit amount correct coding _ _ _ _ _ x ___ (units)

Part 3

Review the following coding scenario. Assign the CPT code(s) for the wound repair only.

A patient comes to the emergency room after sustaining a 12.2-cm wound to the left side of her face. She was cut with a piece of glass during a physical altercation with her husband. The physician performs a detailed history and examination. Medical decision making was of moderate complexity. The physician repairs the facial wound without difficulty; however, the wound requires extensive cleaning to remove the glass particles beforehand. The physician also repaired a superficial 2.5-cm wound to the left ear. Both wounds were closed using 4-0 Vicryl.CPT code(s): 12001-12021_and G0168 (Barisa, 2016). Comment by Joyce, Barbara: -20Incorrect cpt code digitsMissing one modifierIncorrect code G0168 (not needed)Correct coding 120_ _ , 120_1 – _ _

References

Barisa, M. T. (2016). CPT Codes. Practical Psychology in Medical Rehabilitation, 491-504. doi:10.1007/978-3-319-34034-0_54

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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