Errata – Appendix IV, UHI 8E Textbook



Errata – UHI 8E Textbook | |

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|NOTE: |This revised answer key contains updated 2006 codes. |

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|Chapter 3: Managed Health Care |

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|Page 45, #9, b: Delete “gatekeeper” and enter “primary care provider.” |

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|Chapter 6: ICD-9-CM Coding |

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|Page 147, Exercise 6-4 |

|1. Pregnancy complicated by chronic gonorrhea; 647.10 – fifth digit required |

| chronic gonococcal endometritis 098.36 – use additional code |

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|Chapter 7: CPT Coding |

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|Page 185: Delete “confirmatory consultation” |

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|Page 199: Delete row of content for modifier -60 (CPT modifier -60 was deleted in 2006) |

|For modifier -63, delete X from E/M, Anesthesia, Radiology, Pathology & Laboratory, and Medicine columns. (Modifier -63 is reported with |

|Surgery codes only.) |

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|Page 204, Delete row of content for modifier -60 (CPT modifier -60 was deleted in 2006) |

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|Page 219, Infusions and Injections – Delete the first paragraph and substitute the |

|statements below: |

| CPT deleted codes that classify injections of antibiotics and intravenous therapy |

|in 2006. Refer to HCPCS level II Gxxxx codes to classify infusions and injections. |

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|Page 219, Infusions and Injections – Second paragraph … Add the following phrase in front of “J” in sentence 1, sentence 2, and sentence 3 |

|(which is in parentheses). |

| “G” and |

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|Page 219, Psychiatry (90801-90899) |

| In paragraph 2, delete (96100-96117), and insert (96116-96120). |

| (CPT codes 96100-96117 were deleted in 2006. CPT codes 96116-96120 were added in 2006.) |

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|Page 223, Consultations (Clinical Pathology) – Line 3, delete 99275 and insert 99255. |

| (CPT code 99275 was deleted in 2006.) |

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|Page 237, Consultations |

| In paragraph 3, delete the first sentence, Codes 99261-99263 cover follow-up |

|inpatient consultations. |

| (CPT codes 99261 and 99263 were deleted in 2006.) |

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|Page 238, Confirmatory Consultation |

| Under heading, delete paragraph, and change to “Confirmatory consultation codes were deleted in CPT 2006.” |

| (CPT confirmatory consultation codes were deleted in 2006.) |

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|Chapter 14: Medicare |

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|Page 410, Block 32: for line 2, change instructions to “box, enter the name and address of the facility or …” |

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|Appendix I – Case Studies: Set One |

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|Case 1-1 Change 404.02 to 414.02. |

|Case 1-9 Change 99312 to 99308. |

|(CPT code 99312 was deleted in 2006. However, UHI CD-ROM software requires entry of code 99312. CPT code 99308 was added in 2006, and the 9th |

|edition of the UHI CD-ROM software will be updated to include that code.) |

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|Appendix II – Case Studies: Set Two |

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|Case 2-14 Change level II to level III |

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|Appendix IV – Answers to Coding Exercises |

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|Exercise 6-1 |

|2. Congenital candidiasis |

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|Exercise 6-2 |

|6. Contusion, abdomen 922.2 |

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|Exercise 6-4 |

|1. Pregnancy complicated by chronic gonorrhea; 647.10 – fifth digit required |

| chronic gonococcal endometritis 098.36 – use additional code |

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|Exercise 6-7 |

|6. 191.9 |

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|EXERCISE 6-11 |

|NOTE: Do not assign code 695.1 (scalded skin syndrome), which is assigned for conditions due to allergies, etc. |

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|Exercise 7-1 |

|7. False Parenthetical statements beginning with “eg” provide examples of |

|terms that may be in the health care provider’s description of the service performed. These examples do not have to be included in the|

|documentation. |

|9. True The bullet (() located to the left of a CPT code indicates a new |

|code for that edition of CPT. |

|10. False Code 50620 would be reported for a ureterolithotomy performed on |

|the middle one-third of the ureter. |

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|Exercise 7-2 |

|2. Marsupialization means creating a pouch to exteriorize a cyst. |

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|Exercise 7-3 |

|5. -56 |

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|Exercise 7-4 |

|1. 25660 |

|2. 57800, 57820 |

|5. Delete “(Spine Lumbar)” |

|7. Manual CBC (See Blood Cell Count, Complete Blood Count [CBC]) 85032 |

|9. See Hydatidiform Mole 59100 |

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|Exercise 7-6 |

|1. Diagnostic arthroscopy, right wrist, with synovial biopsy 29840 |

|4. Diagnostic thoracoscopy, lungs and pleural space, with right lung biopsy 32605 |

|Biopsy of larynx via laryngoscopy and laryngoplasty 31510 |

|31588-51 |

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|Exercise 7-8 |

|5. 27332, 29870-51 |

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|Exercise 7-10 |

|1. Delete “,with conscious sedation, IV” 93501 |

|2. Change “ECG to “EKG” |

|6. Influenza vaccine 90657 |

|90471 |

|NOTE: Code 90658 or 90660 could be assigned instead of 90657. |

|7. Whirlpool and paraffin bath therapy 97022 |

|97018-51 |

|8. WAIS-R and MMPI psychological tests and report, 1 hour |

| (Psychiatric Diagnosis, Psychological Testing) 96101 |

| (CPT code 96101 was added in 2006.) |

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|Exercise 7-11 |

|1. Change (x-ray) to (X-ray) |

|2. Change x-ray to X-ray |

|3. Change x-ray to X-ray |

|5. Change (x-ray) to (X-ray) |

|6. Change (x-ray) to (X-ray) |

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|Exercise 7-12 |

|12. Microhematocrit, spun (Blood Cell Count) 85013 |

|13. Monospot 86308 |

|14. Strep test, rapid (Streptococcus, Group A, Direct Optical Observation) 87880 |

| NOTE: Identifying the correct CPT code for “strep” testing performed in an |

| office setting often causes confusion. CPT code 87880 is reported for all |

| immunologically based commercial Streptococcus Group A testing kits where the |

| interpretation relies on a visual reaction that is observed by the naked eye. |

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|Exercise 7-13 |

|2. ED service, new patient, low complexity; DX: low-grade 99282 |

| chest pain (Emergency Department Services) |

|5. ED care, established patient, problem focused, counseling 15 |

| minutes; DX: bladder infection (Emergency Department Services) 99281 |

|6. 99244 |

|8. Follow-up consultation, office, problem focused, counseling 15 99214 |

| minutes, encounter was 25 minutes. (There is no follow-up outpatient |

| consult code; use Est. Office Visit. Counseling becomes the key factor, |

| selection is based on time.) |

|9. Follow-up consultation, inpatient, detailed, 35 minutes. 99253 |

|10. Blood pressure check by nurse (established patient). (Office and/or 99211 |

| Other Outpatient Services) |

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|Exercise 7-14 |

|3. 99308 (CPT code 99308 was added in 2006.) |

|8. 99336 (CPT code 99336 was added in 2006.) |

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|Exercise 10-1 |

|1. Acute pharyngitis |

|2. Musculoligamentous sprain, left ankle |

|3. Benign prostatic hypertrophy (BPH) with urinary retention |

|4. Bacterial endocarditis |

|5. Partial drop foot gait, right |

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|Exercise 10-2 |

|Case 4 NOTE: Malaise and fatigue are assigned the same ICD code, so |

| report the Ref # just once. |

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|Exercise 10-3 |

|2. 93797 (or 93798) (Delete S9472) |

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|Exercise 10-4 |

|NOTE: The underlined term in the Diagnoses column is the first-listed diagnosis or condition. |

|4. 99383 (Delete 99239) 575.0 (Delete 575.10) |

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|Exercise 10-5 |

|Change “ICD Code No.” to “ICD-9-CM Codes” |

|2. Aftercare, surgery V58.3 |

|Metastatic adenocarcinoma (liver) 197.7 |

|Diabetes mellitus 250.00 |

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|Exercise 10-6 Coding Operative Reports |

|Case 1 Procedure: Excision, lesion, scalp, benign (0.3 cm) 11420 |

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|Case 2 Procedures: Excision, lesion, benign (return to OR) (5.0 cm, skin of back) |

| Layered closure, intermediate |

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|Case 4 Diagnosis: Serous otitis media 381.4 |

| Procedure: Myringotomy (Tympanostomy) with insertion 69436-50 |

| of ventilating tubes (Procedure performed |

| bilaterally) |

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|Glossary |

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|Page 644, delete “confirmatory consultation (7)” and its definition |

| (CPT confirmatory consultation codes were deleted in 2006.) |

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