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

Practice Exam

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

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

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

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

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

Practice Exam

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

Dx code for prescribing “just in case”

Hey there,

So I have a provider who, in two separate encounters, has prescribed a patient medication in case they become ill. The first was for a patient taking a hunting trip, who was prescribed an antibiotic if he were to present with respiratory issues (no previous history of, currently healthy). The other is for a patient traveling out of country who was prescribed something if he were to present with "travelers diarrhea" again no previous history. The only code I was able to come up with was Z29.9 Encounter for prophylactic measures, unspecified. The problem I find with this code is these medications are not preventive, they are "just in case" the patient gets sick. I feel Z29.9 is an example of a patient going on a cruise and is prescribed anti-nausea for motion sickness, as it is a preventive measure.

Any idea on whether or not there is a code out there for this scenario or are we stuck with no code?

TIA

Medical Billing and Coding Forum

Labs required per drug prescribing info

Good afternoon. I have a question regarding diagnosis for certain tests that are required for patient’s receiving certain drugs. For example, Opdivo requires thyroid testing. In review of the covered codes for TSH testing, there is no code that would cover testing in this case. Another example would be administering B-12 injections for Alimta. Previously there was an ICD-9 code (V07.39) that stated need for prophylactic chemotherapy. This now transfers to either Z41.8 which is an encounter code or Z79.899 for long term/current drug therapy. In my Opdivo example, the patient has not yet received any chemotherapy, so the Z79.899 would not be valid and Z41.8 is not covered.

Also, I have had problems with commercial carriers when using the Z41.8! Any insight would be fabulous!

Thanks in advance

Rachel Brunswick, CPC, CHONC

Medical Billing and Coding | AAPC Forum