Practical Application Workbook—Instructor

2012

Medical Coding Training: CPC?

Practical Application Workbook--Instructor

Disclaimer

This course was current when it was published. Every reasonable effort has been made to assure the accuracy of the information within these pages. The ultimate responsibility lies with readers to ensure they are using the codes, and following applicable guidelines, correctly. AAPC employees, agents, and staff make no representation, warranty, or guarantee that this compilation of information is error-free, and will bear no responsibility or liability for the results or consequences of the use of this course. This guide is a general summary that explains guidelines and principles in profitable, efficient health care organizations.

Notice Regarding Clinical Examples Used in this Book

AAPC believes it is important in training and testing to reflect as accurate a coding setting as possible to students and examinees. All examples and case studies used in our study guides, exams, and workbooks are actual, redacted office visit and procedure notes donated by AAPC members.

To preserve the real world quality of these notes for educational purposes, we have not re-written or edited the notes to the stringent grammatical or stylistic standards found in the text of our products. Some minor changes have been made for clarity or to correct spelling errors originally in the notes, but essentially they are as one would find them in a coding setting.

US Government Rights

This product includes CPT?, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995), as applicable, for U.S. Depart?ment of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provision of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

AMA Disclaimer

CPT? copyright 2011 American Medical Association. All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT?, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT? is a registered trademark of the American Medical Association.

? 2011 AAPC 2480 South 3850 West, Suite B, Salt Lake City, Utah 84120 800-626-CODE (2633), Fax 801-236-2258,

Revised 091211. All rights reserved. ISBN# 978-1-935809-73-9

CPC?, CPC-H?, CPC-P?, CIRCC?, CPMA?, and CPCOTM are trademarks of AAPC.

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2012 Medical Coding Training: CPC Practical Application Workbook--Instructor CPT? copyright 2011 American Medical Association. All rights reserved.

Acknowledgements

Authors:

Katherine Abel, CPC, CPMA, CPC-I, CRMS Debra A. Apfel, RN, BA, CPC, CPMA Carrie Bosela, CPC, CPC-I Rhonda Buckholtz, CPC, CPC-I, CPMA, CGSC, CPEDC, COBGC, CENTC Marcella Bucknam, CPC, CPC-H, CPC-P, CPC-I, CCC, COBGC Shelly Cronin, CPC, CPMA, CANPC, CGIC, CGSC Kelly Dennis, CPC, CPC-I, CANPC Mary Divine, CPC, CPC-H, CPC-I, CUC Brad Ericson, MPC, CPC, COSC Raemarie Jimenez, CPC, CPMA, CPC-I CANPC, CRHC Betty Johnson, CPC, CPC-H, CPC-I, CPCD Dolly Perrine, CPC, CPMA, CPC-I, CUC Jean Pryor, CPC, CPMA, CPC-I, CIMC Dorothy Steed, CPC-H, CPMA, CPC-I, CEMC, CFPC Kate Tierney, CPC, CPC-P, CEDC, CEMC, CGSC, COBGC G. John Verhovshek, MA, CPC Susan Ward, CPC, CPC-H, CPC-I, CEMC, CPCD, CPRC

Reviewers: Lynn Anderanin, CPC, CPC-I, COSC

Nicole Benjamin, CPC, CPC-I, CEDC Glade B. Curtis, MD, MPH, FACOG, CPC, CPC-I, COBGC Jennifer Hume, CPC, CPMA, CEMC Lindsay-Anne McDonald Jenkins, CPC, CPC-H, CPC-I, CPMA, CANPC, CIRCC, RN, CRNA (retired) Vandna Kejariwal, CPC, CPC-H, CPC-I, CEDC Barbara Pross, CPC, CPMA, CPC-I, CEDC, CEMC, COBGC Carrie Lynn Rawlings, CPC, CPMA, CPC-I, CCVTC, CEMC Alice Reybitz, RN, BA, CPC, CPC-H, CPC-I, CHI Carrie Severson, CPC, CPC-H, CPC-P, CPMA, CPC-I Kathy Skolnick, CPC, CPC-I Charleen Yamasato, CPC, CPC-I

Production: Dianne Allred, Designer, Desktop Publishing

Tina M. Smith, Desktop Publishing

CPT? copyright 2011 American Medical Association. All rights reserved.



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Contents

The Business of Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.1 Exercise 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.1

Medical Terminology and Anatomy Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1 Questions 1?10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1?2.2

Introduction to ICD-9-CM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.1 Exercise 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.1

ICD-9-CM Coding Chapters 1?9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1 Case 1?Case 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1?4.11

ICD-9-CM Coding Chapters 10?19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1 Case 1?Case 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1?5.11

Introduction to CPT?, Surgery Guidelines, HCPCS, and Modifiers . . . . . . . . . . . . 6.1 Exercise 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.1 Exercise 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.3

Integumentary System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.1 Case 1?Case 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.1?7.17

Musculoskeletal System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.1 Case 1?Case 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.1?8.19

Respiratory, Hemic, Lymphatic, Mediastinum, and Diaphragm . . . . . . . . . . . . . . 9.1 Case 1?Case 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.1?9.12

Cardiovascular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.1 Case 1?Case 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.1?10.15

Digestive System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.1 Case 1?Case 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.1?11.12

CPT? copyright 2011 American Medical Association. All rights reserved.



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