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Home Coding Challenges > Questions

 
 
 

Test your coding knowledge...-ICD-9-CM HCPCS CPT®
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Family Practice

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Q

1) A 7 year old is brought into the office unexpectedly by his mother on a very buisy clinic day. He is coughing and wheezing. He has no known history of asthma, but frequently gets like this while playing soccer. You take a history, perform an exam, do a spirometry, check oximetry, and give him a nebulizer treatment. He is in moderate distress, so you frequently monitor oximetry. He needs a second albuterol nebulizer treatment and the nurse does teaching on use of the inhaler before his departure. How would you code this?

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3) A 25 Year old patient comes to the office for a head laceration from a MVA. She has a headache and is nauseated. You perform a complete neuro exam, sew the laceration and order a CT. How would you code this?

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4) Now say you are still seeing the same patient and she says she has a sore throat she wants you to check. Can you bundle this E/M with the E/M for the head injury and submit the charge to auto insurance company? What do you do?

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5) 20 Year old healthy male comes in with a simple laceration of his arm. You suture it. How would you code this? Then 3 days later he decides he wants a mole removal. Do you need to do anything extra to be reimbursed since you are in the global period for the laceration repair?

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6) A 35 year old pregnant woman comes into your Urgent care department, which is part of the same practice where she sees her OB/GYN. She is vomitting and dehydrated. The baby is doing fine. She is rehydrated and remains with you for 2 hours. You document a total of 60 minutes face to face contact with her(not continuous). She recieves 2 liters of IV normal saline and finally goes home feeling much better. How would you code this, remembering she is in the pregnancy global period?

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