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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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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

high risk sexual behavior

I work for a family practice facility. They say they have standing orders for certain diseases (HIV, HEPATITIS C, ETC) for certain patient in between ages 20 something to their 40’s or 50’s. They are giving them high risk sexual behavior diagnosis. I don’t think this should be used especially if their notes state they aren’t sexually active or have only had 1 partner in the last 5 to 10 years. Can someone help me with this?

Medical Billing and Coding Forum

Psychotherapy Codes & Health & Behavior Intervention Codes

Good afternoon, all,
We are a pain management practice who employees a LCSW in our practice, so this billing is new to our practice. She basically uses 90791 (Psych Eval), 90837 (Psychotherapy) and 96152 (H&B intervention). This may be a silly question, but we want to be sure we are billing correctly. Could a patient be seen on a visit and receive psychotherapy services and be seen on the next visit for H&B intervention services? I could not find anything that indicated we could not. Just need some reassurance or guidance.

Thank you for your assistance.

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

Medical Cause Of A Aggressive Dog Behavior

There are some reasons in which different breed shows aggressive dog behavior. This aggressive dog behavior may be the cause of some environmental problem, sometimes the genetic problem might be the reason. Another main cause of aggressive dog behavior is mainly due to some medical illness. In this article the main focus is on medical cause of aggressive dog behavior and there proper treatment.

If a dog has any physical injury, disease or a genetic abnormality defect and if these problems swing the mood of the dog towards aggression, then no training process will be effective to minimize or overcome this problem. There are many problems under medical case which can cause aggressive dog behavior, like the problems with eyesight or teeth. If the aggressive dog behavior or his temperament problem is congenital, then the cure of the aggression can be minimal by the likelihood of the dog. The physical injury of the dog may occur due to some accident and it can be treated by proper medical care or exercise. The disease which can cause aggressive dog behavior may occur due to change in atmosphere or consuming any contaminated food. In this case exercise is strictly prohibited but proper medical checkup is required with treatment.

The genetic abnormality may include hypothyroidism, which means the deficiency of thyroid hormones in vertebrates, which can also cause aggressive dog behavior. However this is very difficult to overcome or minimize but there are some medication for this disease. There are certain conditions which cause inflammation of the brain of the dog resulting neurological problem which also include aggression thus developing aggressive dog behavior. Sometime a chemical imbalance can make the behavior of the dog unstable and proper medication is required for this treatment to remove aggression. The reason why these problem cause aggression is that it develops a rage syndrome which are actually partial seizures and occurs in the region of the brain which is very helpful in controlling aggression, and can cause sudden aggression. These are some common medical problems which normally cause aggression in dog’s behavior and can be treated if above mentioned precautionary measures are properly taken.

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