Click here for more sample CPC practice exam questions with Full Rationale Answers

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Coding Signs and Symptoms not documented in the Assessment portion of Exam

Hi ,

I know you probably see this question a lot. My scenario is a patient is possibly schizophrenia. The rheumatologist provider does not establish medical necessity to support patient is schizophrenia. Provider mentions that patient has memory loss in both the HPI and exam. Is is acceptable for me to report memory loss in conjunction to schizophrenia? Can you please put valid sources?

Medical Billing and Coding Forum

Alzheimers Assessment Scale billing (ADAS-COG) Help!

My provider is asking about being able to bill for the ADAS-COG test (Alzheimer’s Disease Assessment Scale-Cognitive Subscale). I’ve been doing some research and I haven’t been able to find anything that states if we can bill for the test and the interpretation and scoring. (We are a PCP office by the way)

I can’t find a CPT code correlates to this test. CPT 99483 keeps coming up but the billing requirements are much more detailed. I’m wondering if in order to bill for something like this, we would also need to meet all the requirements in that code.

I know it’s pretty specific and a long shot but if anyone can help with me this, I’d be so appreciative.

Medical Billing and Coding Forum

pre-employment coding assessment

I have my first interview coming up and was told I will have a 20-30 minute coding assessment following the interview. Wondering from those of you who have taken a pre-employment assessment, what degree of difficulty should I expect? Did you find it easier or harder than the CPC exam? I took the exam in September and scored in the 90’s on my first try, but I have zero experience in coding or in the medical field in general. I am nervous that if this assessment is not multiple choice I may forget to add a necessary code or something. This is also the first job I applied to and am kind of discouraged from browsing through this forum and reading about how difficult it is for inexperienced coders to get a job. Thanks in advance for any input.

Medical Billing and Coding Forum

New Risk Assessment Codes

Hi. My pain management practice is using 2 forms of risk assessment questioning for our pain management patients. One is computer-based – w/ staff assistance. The other is done on paper and interpreted by the provider. We were using 96103 for the computerized risk assessment. 2019 codes are completely different. Can we code both 96146 for the automated testing and scoring and 96160 for the paper risk assessment that is scored by the provider? Or is there another code more suitable? Any guidance is appreciated.

Medical Billing and Coding Forum

Health and behavior assessment codes (96152-96154)

Hello,

I am having a hard time figuring out the correct way to bill these codes. Per the definition, they must used to "bill for services provided to patients who are not diagnosed with a psychiatric problem, but whose cognitive, emotional, social, or behavioral functioning affect prevention, treatment, or management of a physical health problem."

An example given to me was a person who has stomach aches due to their anxiety. I found a resource online from Optum360 that gives a list of diagnostic codes to use with these CPT codes, but they do not make sense to me. I was hoping for some insight from my fellow coders. How do these codes fit under a physical health problem? I do understand that they could have physical health problems due to these issues, but as a standalone issue?

Z59.7 Insufficient social insurance and welfare support
Z60.0 Problems of adjustment to life-cycle transition
Z60.2 Problems related to living alone
Z62.29 Other upbringing away from parents
Z62.891 Sibling rivalry
Z63.0 Problems in relationship with in-laws
Z63.8 Other specified problems related to primary support group
Z64.4 Discord with counselors

Plus many more that fall along those lines.

Thank you!
Erin

Medical Billing and Coding Forum

Vertigo assessment

Hello!

I’m a new coder and I think I know the answer to my own question, but I would just like a 2nd opinion.

I am coding an urgent care visit. Diagnosis is otitis media, Pharyngitis and Vertigo. He has documented enough for the OM and pharyngitis, but there is really nothing to support the vertigo dx. In the ROS under Neuro, he has circled "dizzy". However, it is not mentioned ANYWHERE else on the encounter form. I know that dizziness can certainly be caused by ear problems, but I’m not comfortable putting "vertigo" as a dx. I just coded for the OM and Pharyngitis. Am I right?

Thanks for any insight you can offer!

Amy

Medical Billing and Coding Forum

CPT 96127- which is Brief emotional/behavioral assessment (depression inventory, ADHD

Hi,

Urgent Question:

For Mental Health/Behavioral Health/Substance Abuse Services- Nebraska Medicaid- will not allow this code to be billed but said to look for similar CPT codes that would service this purpose and are billable.

Does anyone know of other CPT codes that would cover the same type of service as 96127- for MDs, Nurse Practitioners, and Licensed Therapists?

Thanks.

Medical Billing and Coding Forum

CPT 96127- which is Brief emotional/behavioral assessment (depression inventory, ADHD

Hi,

Urgent Question:

For Mental Health/Behavioral Health/Substance Abuse Services- Nebraska Medicaid- will not allow this code to be billed but said to look for similar CPT codes that would service this purpose and are billable.

Does anyone know of other CPT codes that would cover the same type of service as 96127- for MDs, Nurse Practitioners, and Licensed Therapists?

Thanks.

Medical Billing and Coding Forum