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

Tag Archives: setting

EEG coding in hospital setting

Posted on by
I work for an outpatient neurological clinic, where the doctors will interpret EEG’s done at the local hospital. My question is, one doctor always states in the report "Recording time consists of 30 minutes over an hour." While also stating "patient was recorded while awake and asleep."

Now I’ve been coding for the typical EEG CPT code of 95819, because it was awake and asleep. However, I realized since he is mentioning the length of time of recording, that I could be billing for 95813, EEG extend monitor over an hour. I did some research and found, to my knowledge, that I can replace the 95819 with the 95813. I just wanted to double check that this was correct. The other doctor never specifies the recording length of time, therefore I always bill either a 95816 or 95819 according to the notes.

Thanks in advance for the help!
Krystal

Medical Billing and Coding Forum

Infusion coding in an outpatient setting

Posted on by
When a patient receives multiple drugs during an infusion session, including both chemotherapy drugs and immunotherapy drugs, do I code Z51.11 and Z51.12 for all drugs or only the corresponding Z code for the corresponding/approriate drug? When looking over old codes, completed by others, I have seen it both ways, and I would like clarification.

Thanks,

Julie

Medical Billing and Coding Forum

Observation vs. outpatient physician billing in hospital setting

Posted on by
I do billing for a group of hospital based physicians (hospitalists). We have one facility that is notorious for having patients admitted under "extended hospital outpatient" status. Most often these are placement issues – not accepted by SNF, not appropriate for rehab, no family to care for them, etc. Oftentimes the patients start out as inpatient, but then outpatient orders (NOT observation) are dropped as the patient no longer meets inpatient criteria.

We have had a very difficult time finding clear documentation on how to bill these services. Initially we thought that the claims would be billed as observation follow up’s (99224-99226); however, the more we are looking into this, it seems as though we should be billing 99212-99214. Does anyone have resources regarding this situation (especially for Medicare patients)?

Thank you! 😀

Medical Billing and Coding Forum

HRT injections in FQHC setting

Posted on by
I work for an FQHC in California and there are so many limitations on the codes we can bill for etc. I was wondering if anyone could please share any resources they may know of regarding FQHC’s being able to bill for Hormone Replacement Therapy injections in a sort of group type setting vs. the typical face to face encounters. I can’t seem to find out any info that relates to both the visit type in an actual FQHC clinic. Please any information or resource you could direct me to would be greatly appreciated. Thank you in advance!!

Medical Billing and Coding Forum

History of cancer in the inpatient setting – presenting with appendicitis

Posted on by
Hi all,

When is it proper to report the history of cancer Z codes in the inpatient setting when there is no workup done? I thought I had read somewhere that you report the Z codes when it is or could be clinically significant to the patient’s current care only.

If a patient presents with acute appendicitis, confirmed on imaging and p/e and the patient has a history of prostate cancer- no current workup for cancer in the last 4 years- is it still suggested you report the Z code? The physician did not do any work up for the cancer history; it was simply listed in the patient’s PMH section.

This is specific to the inpatient pro-fee side.

Thank you!

Medical Billing and Coding Forum

In Urgent Care setting, Can a Physcian Assistant bill a new pt using his/her own NPI?

Posted on by
Hi coder family:)

I guess my question is can P.A’s see new patients in Urgent Care?

I am auditing our P.A.’s who see patients Monday-Sunday in Ortho Urgent Care. My question is, if a new patient comes in to be seen and a P.A. see’s them for the first time. Would the P.A. be able to bill under their own NPI or because the patient is new and a treatment plan has not been established, P.A. would need to bill incident to and bill using the Supervising doc’s NPI? I think a P.A has to use their own NPI when supervising doctor has no involvement in patients treatment?

Any help is appreciated and if anyone has reference materials to back it up, that would be awesome. Thanks!

Medical Billing and Coding Forum

S2350 & S2351 billing in an ASC setting

Posted on by
Has anyone billed or know why you would or wouldn’t bill S2350 and S2351 when OP note dictates Anterior Decompression Lumber along with either CPT 22558 or 22857?

I found the previous biller/coder was adding the S2350 and S2351 to every anterior lumbar case and getting paid but I have never heard of such a thing.

Thoughts – Comments??

Medical Billing and Coding Forum

Diabetic Eye Exam in PCP setting (Internal Medicine)

Posted on by
I work in a Primary Care office and my physician is thinking about purchasing the machine/software to perform diabetic eye exams. What would be the correct CPT code since it’s being done in the primary care office setting? We’re needing to check on reimbursement so I want to be sure I have the correct codes.

I would really appreciate any feedback if any of you have experience with this! Thanks in advance!!

Medical Billing and Coding Forum

Lab Billing in Doctor Office setting

Posted on by
Hello all,

Just had a quick question in regards to billing out labs in a doctor office (11) setting.

We use Quest Diagnostics as a lab and one of our providers needed some extensive tests done on a patient. However, the issue lies with the CPT codes being reported/billed being denied.

What was billed out:

Code:
36415 - venipuncture
87081 - C Dif w/ Reflex
83993 - Calprotectin, stool
87045, 87046, 87427 - Sal/Shig/Campy Culture and Shiga toxin test.

Now my issue is that 87081 has a CCI conflict with 87045 and 87046. Is there a modifier I might be able to use to have this reprocessed or should I not bill the less expensive test?

Thank you!

Medical Billing and Coding Forum