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

Type of Bill Codes

I need help!

Trying to figure out the proper Type of Bill Code to submit on a UB-04 claim form for a Sub-Acute Detox/Residential Substance Abuse Rehab Treatment Center (Inpatient).

Currently, our Billing Dept is outsourced. They have been using Code 113.

After receiving a denial on a specific claim I contacted that insurance company. I was told that our Tax ID does not reflect a hospital setting and the first digit for claim type is incorrect and should be replaced with an 8-Specialty Facility. When I contacted the Billing Dept they stated that all those claims were resubmitted with bill type 163.

If we are not a Hospital how are they getting our claims paid as a "Hospital" setting?

Please help!

Medical Billing and Coding Forum

RA valid documentation type

I am wondering if anyone knows if CMS accepts patient summaries that are given to the patient post an outpatient visit as a valid f2F document.

Oftentimes these summaries are part of the patient’s chart and we are noticing 3rd party vendors are using them to abstract dx codes from them instead of abstracting the code from the actual visit progress note.

If so, could you please provide references that state that this type of document is correct.

(NOTE: I know hospital d/c summaries are acceptable)

thank you

Medical Billing and Coding Forum

Coding Opinion: Intermittent claudication and DM type II

Question: How would you code the following:

1. Claudication is documented in the patient assessment.
2. Diabetes type II is documented in the patient assessment.
3. There are no medications or test results to support peripheral angiopathy/peripheral vascular disease.
4. Claudication indexes to I73.9, and is considered as a symptom of Peripheral Vascular Disease or PVD. PVD also indexes to I73.9,
however, the term "claudication" itself is not listed under the ICD 10 Diabetes "with" manifestation list.
5. The term "claudication" is not considered a "peripheral angiopathy" and would not be linked to the DM type II based upon causal relationship.

Would it be correct to code DM type II "with" claudication as E11.51 or would it be correct to code E11.9 and I73.9?

Medical Billing and Coding Forum

Apprehension Level Dictates Medication Dosage And Type

It has always been around in the area of dental care but recently, oral conscious sedation is becoming more popular in some areas. A local area dentist said this has been part of his management for years now. The benefits that comfortable pulling of wisdom teeth, root canal and crowns can never be ignored.

Patients will become quite drowsy and relaxed, or even fall asleep, but enough consciousness will be spared to follow instructions and to respond to stimuli. A patient’s dosage and medication type does not necessarily need to be the other’s drug specification as well. It is customized for each of them depending on their level of fear or anxiousness. A pill may work for some patients but other patients will require a little more.

A responding dentist is confident in saying she has yet to encounter a problem related to oral conscious sedation. Training definitely does a lot with the assurance of safety to use this technique. You only start worrying once you took over 35 pills. As long as you are not pregnant and you are not a nursing mom, you need not worry.

Almost 145 million Americans keep themselves away from the dentists because of terror. A woman recalls her fear of the dentist originated during her high school days. All she remembers was the great pain, yet she has forgotten the particular procedure.

Not all patients you see in the dental clinics, however, are there because of anxiety. A stretched and complex procedure without the pain is the primary purpose of sedation dentistry. There are patients who copes well through the entire session even without the medication.

She said she is not afraid of the dentist. She always make it to her twice a year checkup for routine cleaning, though she admits to having had three sedation occasions for crowns. She was sleeping throughout the procedure but she can still manage to turn her head or open wider as she was told. If there is one inconvenience, it would be the need to have someone to pick them from the dentist’s office and drive them home.

Had you asked this dentist some years ago, you would not have any interesting detail from him pertaining to sedation dentistry. It was his intention to learn and educate others that pushed him to attend a course tackling the said procedure. After returning to his office, three people there volunteered to be his first patients, and he was sold.

Everything a patient goes through in the clinic entails the involvement of the whole team in the procedure. The dental team should be able to manage the clients once they have been sedated. In addition to the pleasant experience promised to the fearful and anxious patients, this process can actually extinguishing the cycle of fear. There are some patients who will need sedation even for simple procedures like cleaning and more so on challenging procedures. Impending dental problems that have long been ignored may be avoided by doing this.

Obtain further advice on cosmetic dentistry sydney and the subject of dentistry.More expert dentistry information is located at smile dentist.

type A aortic dissection repair using 30mm tube graft including hemiarch repair

Is this billed a 33860 or 33860 and 33870 59

veerbiage:

Once an adequate arrest had been obtained. the aorta was then opened transversely and was found to be dissected down just above the sinotubular junction with an obvious tear in the ascending. During this time systemic cooling was initiated. Attention was first turned to the root end of the aorta. The aorta was trimmed back to just above the sinotublular junction. the valve was resuspended with pledgeted Prolene sutures just above each commissure. The aortic layers were then reconstituted with felt outside with 3-0 Prolene in a running fashion. Around this time the physician reported that the temperature of 70 degrees Celsius had been obtained. At this point circulatory support was ceased and the aortic clamp was released. The aorta was resected back to just under the innominate. When the interior of the arch was inspected we encountered what appeared to be the start of the dissection. It was a tear between the left carotid and the left subclavian artery extending ip toward teh cranial surface of the arch. The was reapproximated with several felt pledgets including a felt strip on the outside and on the inside.

The posterior surface of the aortic arch appeared normal. At this point, the ylayers were reapproximated using a felt strip outside and running 3-0 Prolene. The aorta had been measure at the sinotubular juction and the arch. A 30mm graft was then obtained ad then anastomosed using 3-0 Prolene. As soon as the anastomosis was complete, the graft was coated with bioglue exteriorly. circulatory support was slowly support was slowly reinstituted. Attention was turned to the root end of the anastomosis. the graft was then cut to fit and anastomosed using 3-0 Prolene in a running fashion.. the initial rhythm was fibrillation which converted to sinus rhythm with single cardioversion.

Medical Billing and Coding Forum

Perc fixation of ankle syndesmotic Maisonneuve type injury

I’m so confused on the appropriate CPT for this following procedure. What am I missing? Provider diagnoses: Comminuted fracture involving the mid diaphysis of the left fibula, 5 mm lateral and 5 mm posterior displacement of the free fracture fragment. As well as ankle syndesmotic Maisonneuve type injury.

Operative report reads as follows:
DIAGNOSIS:
Left ankle fibula fracture with syndesmotic injury
PROCEDURE PERFORMED:
Left ankle closed reduction and percutaneous pinning

….A small stab incision was made over the medial malleolus and lateral malleolus. Using a large reduction clamp, the synostosis was then reduced. At this point in time, 2, 3.5 mm fully threaded cortical screws were placed through the fibula into the tibia, getting all 4 cortices and holding the syndesmosis in place. The reduction clamp was removed. X-rays showed appropriate
reduction and hardware placement. At this point in time, tourniquet was let down and there was no significant bleeding. #3-0 Nylon suture was used to close the incisions.
10 cc’s 0.25% Marcaine was injected into the incision site. A sterile, soft dressing was placed.

Medical Billing and Coding Forum

Billing Type II diabetic eye exams

I recently received a denial from an insurance company for "invalid second diagnosis code". The patient has Type II diabetes and code E11.9 was used.
The 2017 ICD-10 book shows that you need to use an additional code to identify "control using" …either insulin or an oral drug. I have corrected this code but the question that came up is – what do you use if the patient is diet controlled? I believe it will be denied if I don’t have a second code now and I have been unable to come up with an answer. Thank in advance for any advice.

Medical Billing and Coding Forum

Psd To WordPress Conversion: WordPress Coding Techniques For Custom Post Type

In the web development industry, the demand of PSD to WordPress conversion is incredibly gaining momentum. The reason is simple – this CMS comes with advanced multi-functionalities. As per market reports, it has been outlined that blog publishing app WordPress is often used by majority of web developers to manage their website content through custom post type. What does custom post type stands for? It is an amazing technique seamlessly used by WordPress programmers to create post types according to their needs.

First Glance at some useful WordPress coding snippets for custom post type through high-quality PSD to WordPress conversion:

Individual Style Post: Style blog post individually by using ” post_class() function ” and the post ID. Simply open single PHP based file and replace the loop.

Use thumbnails to display recent post: Say yes to thumbnails for displaying a list of all the related blog posts below latest post to offer online readers something extra.

Multiple Sidebars: Sidebars are mostly used to display large amount of information such as related posts, author info, a blog roll etc. Unfortunately, different sidebars become very busy and readers unable to find what they are looking for. To make multiple sidebars available simply duplicate sidebar php file then include information to be post and save file as sidebar > content > php.

Drop-Down Menu For Tag Navigation: It is always good have tags to categorize content but displaying cloud tags is the biggest challenge. Therefore, it is advisable to create drop-down menu of easy navigation of the tags on particular web-page.

However, converting PSD to WordPress template for custom post style by using the above mentioned WordPress coding techniques is not so tricky for people with solid understanding of HTML/XHTML/CSS mark-ups. On the other hand, if you are unaccustomed with HTML/XHTML codes then it is advisable to hire WordPress developer otherwise digging around code can really become nightmare for you. Ease down the entire process of PSD to WordPress conversion bit by considering the above discussed WordPress coding snippets.

For more information to PSD to WordPress conversion and WordPress developer please visit CSSCHOPPER.com today.

Diagnostic Coding for Type 2 Myocardial Infarction

Regarding coding for Type 2 Myocardial Infarction, per Coding Clinic (1st Quarter 2017): Question: If a provider documents type 2 myocardial infarction (T2MI) due to demand ischemia, how should it be coded? Answer: Assign code I21.4, Non-ST elevation (NSTEMI) myocardial infarction, for a T2MI. Typically, a type 2 myocardial infarction is marked by non-ST elevation, […]
AAPC Knowledge Center