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HCPCS Level II codes are updated every quarter by:
HCPCS Level II codes are updated every quarter by CMS (Centers for Medicare and Medicaid Services). Updates to HCPCS Level II codes are published on the CMS website at the beginning of each new quarter. The HCPCS Level II manual, however, is only published once per year.
A 25-year-old female patient with ESRD received a dual renal transplant
without nephrectomy. What is the correct code for this transplant?
A. 50360 -50
D. 50365 -50
The correct code for this transplant is 50360 (Renal Allotransplantation, Implantation of Graft; without Recipient Nephrectomy) and modifier -50. Modifier -50 must be included on the claim to indicate that the service was bilateral (it was performed dually). Code 50365 is incorrect because it is used for a renal transplantation with nephrectomy, meaning that the patient's kidneys were removed before the transplants were implanted. This was not the case.
The procedure known as blepharoplasty is performed to:
Correct the muscle misalignment caused by strabismus
Correct vision loss due to glaucoma
Plastic repair a droopy eyelid
Repair the lens of the eye caused by cataracts
The procedure known as blepharoplasty is performed to plastic repair a droopy eyelid. The prefix "blephar-"• means "eyelid,"• and as such, a "blepharoplasty" would be performed to repair the skin of the eyelid. A blepharoplasty is commonly performed to correct a droopy eyelid, a condition also known as ptosis. Codes for blepharoplasty can be found in both the Eye and Ocular Adnexa subsection as well as the Integumentary subsection of the surgery Chapter in the CPT manual.
When listing both CPT and HCPCS modifiers on a claim, you:
List the HCPCS modifier first
Do not list the HCPCS modifier at all
Only list the CPT modifier
List the CPT modifier first
When listing both CPT and HCPCS modifiers on a claim, you list the CPT modifier first. When you report a procedure code with more than one modifier, you must list the modifier that will affect the payment first on the claim. Typically, CPT modifiers will affect the payment of a claim, but HCPCS modifiers may not.
A pediatric patient was seen in the office for bilateral ear pain. The pediatrician
viewed the right external ear canal and noticed large globs of reddish wax. She removed the ear wax with a removal spoon until the tympanic membrane was easily visible. Upon viewing the left external ear canal, there was no visible
buildup of ear wax, but the tympanic membrane was red and slightly bulging. The pediatrician diagnosed the patient with left otitis media and prescribed a general antibiotic. A follow-up appointment was scheduled for two weeks. How should the pediatrician code for this visit?
A. 99213, 69210-50, 382.9, 380.4
B. 99214, 382.9
C. 99213, 69210-52, 382.9-50
D. 99213, 69210, 3820.9, 380.4
The pediatrician should code the visit with 99213 (Evaluation and Management Service) and 69210 (Removal of Impacted Cerumen). Diagnosis codes: 382.9 (Otitis Media) and 380.4 (Impacted Cerumen) are also correct, in this case. The patient had an impacted cerumen in the right ear and an otitis media in the left ear, therefore both diagnosis codes should be reported.
What is the correct code for a parathyroidectomy with parathyroid
autotransplantation performed on a 42-year-old male patient?
B. 60500, 60512
C. 60500, 60512 -51
The correct codes for a parathyroidectomy with parathyroid autotransplantation on a 42-year-old male patient are: 60500 (Parathyroidectomy or Exploration of Parathyroid(s)) and 60512 (Parathyroid Autotransplantation). Code 60512 is an add-on code so it must be used in conjunction with the code for the primary procedure (without modifier -51). Add-on codes are considered modifier -51 exempt.
69. A 58-year-old patient with decreased hearing decided to undergo bilateral cochlear device implantation in order to restore the gradual decline of his hearing, and prevent total deafness. Due to the position of the device and the size of the patient's mastoid bone that was partially occluding the patient's inner ear, the physician performed a modified mastoidectomy. A mastoidectomy was necessary for the completion of the cochlear device implantation procedure. The physician used an operating microscope throughout the cochlear implantation. How would you code for the procedure?
A. 69930, 69505, 69990
B. 69930, 69501, 69900
D. 69930-50, 69900
You would code this procedure with 69930-50 (Bilateral Cochlea Device Implantation, With or Without Mastoidectomy).You would use this code because it refers to the cochlear device implantation procedure and it includes the mastoidectomy. The two procedures do not need to be reported separately. Code 69900 also needs to be included on the report to indicate that the physician used an operating microscope to aid in the procedure.
One of the most common prostatic disorders is , which is an
enlargement of the prostate gland. This disorder may require a transurethral resection of the prostate (TURP).
Lower Urinary Tract Symptoms (LUTS)
Benign Prostatic Hyperplasia (BPH)
Elevated Prostate Specific Antigen (PSA)
Prostatic Intraepithelial Neoplasia III (PIN III)
One of the most common prostatic disorders is benign prostatic hyperplasia (BPH), which is an enlargement of the prostate gland. This disorder may require a transurethral resection of the prostate (TURP).Benign prostatic hyperplasia is
caused by the excessive growth of prostatic nodules. BPH can compress the urethra, leading to partial or complete obstruction of the urethra, urinary hesitancy, frequency, dysuria, urinary retention and an increased risk of urinary tract infections.
Medical AHIMA-CCS Exam (Medical Coding Specialist) Detailed Information
AHIMA-CCS Medical Coding Specialist
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Medical Coding Specialist book
licensed clinical Billing/Coding specialist with foreign Statistical Classifications of ailments - 10 (ICD - 10) Coding capabilities Hourly Pay | AHIMA-CCS Real Questions and VCE Practice Test
The general pay for a certified scientific Billing/Coding professional with overseas Statistical Classifications of illnesses - 10 (ICD - 10) Coding expertise is $16.seventy nine per hour.
The normal pay for a licensed medical Billing/Coding expert with foreign Statistical Classifications of illnesses - 10 (ICD - 10) Coding potential is $47,202 per yr.
earnings $32,000 - $sixty three,163 Bonus $120 - $4,880 total Pay (? XTotal Pay combines base annual revenue or hourly wage, bonuses, income sharing, tips, commissions, beyond regular time pay and different styles of money profits, as relevant for this job. It doesn't encompass equity (inventory) compensation, cash price of retirement advantages, or the price of other non-money merits (e.g. healthcare). ) $25,784 - $56,346 Hourly rate $12.10 - $24.06 additional time $14.ninety one - $31.forty Bonus $one hundred twenty - $4,880 total Pay (? XTotal Pay combines base annual income or hourly wage, bonuses, profit sharing, guidance, commissions, time beyond regulation pay and other kinds of money salary, as relevant for this job. It doesn't encompass equity (inventory) compensation, cash value of retirement merits, or the value of other non-money benefits (e.g. healthcare). ) $25,784 - $56,346 Job Description for certified clinical Billing/Coding expert
an authorized scientific billing/coder expert is a skilled clinical worker who services in an office-primarily based atmosphere to interpret reputable medical records into codes which can be submitted to insurance agencies for payment. The licensed medical billing/coder specialist must be expert in figuring out clinical terminology and searching the scientific provider's documentation to establish all diagnoses, situations, causes for remedy, services and tactics recorded, and to assign the acceptable billing code to each. The codes investigate the quantity that the health care professional is paid for his or her functions. The codes are contained in the clinical facts coder "bibles," the ICD-9 and CPT-four books. Working as a certified clinical billing/coder specialist requires a strong historical past no longer most effective in clinical terminology, but additionally in anatomy and physiology, pharmacology, computing device and typing skills, billing, and accounting. certified clinical
billing/coder professional students also complete a fingers-on practicum previous to graduating. licensed scientific billing/coder expert programs are provided as diploma or degree programs. Upon graduation, the coder ought to take and circulate a national certification exam. certified clinical billing/coder specialists work in a lot of settings, including hospitals, outpatient and inpatient clinics, surgical centers, and dental places of work. anywhere that gives scientific features requires the services of a licensed scientific billing/coder specialist. licensed scientific billing/coder specialists work together with physicians and different scientific providers and, apart from coding services, provide training to providers involving medical record necessities and conduct chart experiences for completeness. licensed medical billing/coder specialists have the means to make their personal schedule, and with telecommuting may work from home. (Copyright 2019 PayScale.com)
licensed medical Billing/Coding specialist initiatives
record and process patient records including medicine data, assurance tips, expenses, and funds.
Set-up charge plans for patients.
organize and determine patient statistics, expenses, and statements.
Code sufferers' diagnoses and requests payment from insurance businesses or people. Pay with the aid of adventure level for certified medical Billing/Coding professional
Pay by means of adventure for an authorized medical Billing/Coding expert has a favorable trend. An entry-level certified scientific Billing/Coding expert with under 5 years of journey can are expecting to earn a normal total compensation of $33,000 based on 83 salaries supplied via nameless clients. normal complete compensation contains tips, bonus, and beyond regular time pay. an authorized scientific Billing/Coding professional with mid-profession experience which contains employees with 5 to 10 years of adventure can predict to earn a typical total compensation of $40,000 according to 38 salaries. An skilled licensed scientific Billing/Coding professional which includes employees with 10 to twenty years of experience can expect to earn a typical complete compensation of $forty four,000 in line with 26 salaries. a licensed medical Billing/Coding expert with late-profession event which includes personnel with greater than two decades of journey can predict to earn a normal total compensation of
$50,000 in response to eleven salaries.
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