As a medical coder, you'll assign CPT codes for physician procedures and services. This graded project is designed to

1. Test your knowledge of CPT coding principles and procedures

2. Gauge your ability to accurately apply coding guidelines with regard to CPT codes and modifiers

3. Analyze your accuracy with respect to HCPCS code assignment

4. Determine your ability to differentiate CPT and HCPCS5.

Summarize what you've learned about CPT and HCPCScodingINSTRUCTIONSYour graded project has three parts. Be sure to complete all three parts prior to submitting your project.Part 1Review the following scenario.Assign the CPT code(s). Add one or more modifiers, if necessary.

A 71-year-old male patient comes to the hospital after havingbeen previously diagnosed with benign prostatic hypertrophywith urinary obstruction. Due to this condition, the patient isexperiencing increased urination, straining during urination,and a continual feeling of fullness after the bladder has beenemptied. The physician performs a cystourethroscopy to examinethe condition of the bladder and urethra, and thensubsequently performs a UroLift transprostatic implant procedureusing three adjustable implants.CPT code(s): ____________________________________________(Part 1 is worth 40 points of your overall graded project.)

Graded ProjectPart 2aReview each of the following procedures. Assign the CPTcode(s). Add one or more modifiers, if necessary.

1. An established patient comes to the office complaining ofmigraine headaches. The physician performs an expandedproblem-focused history and exam. The physician's medicaldecision making is of low complexity. During theoffice visit, the physician also removes a benign 0.5 cmlesion from the back of the patient's left hand.CPT code(s): ____________________________________________________________________

2. A physician removes an intraocular foreign body from theanterior chamber of the patient's eye. An allergy statementin the patient's medical record indicates that thepatient is allergic to local anesthesia. For this reason,general anesthesia is administered. The anesthesiologistis not available to administer anesthesia. The surgeonperforms the anesthesia administration instead.CPT code(s): ____________________________________________________________________

3. A surgeon performs a total abdominal hysterectomy withpartial removal of the vagina, lymph node sampling, andremoval of the ovary. The coder assigns code 58200-51.Is this code correct or incorrect? Why or why not?________________________________________________________________________________________________________________

Part 2bReview each of the following procedures. Assign the HCPCScode(s).

4. A patient weighing 252 pounds sustains a hip fracture.The physician prescribes a Group 2 standard singlepower wheelchair with a solid seat, solid back, and asling.HCPCS code(s): _______________________________________________________________________ Graded Project

5. A patient comes to the emergency room complaining of achronic migraine. The nurse administers a 1 unit injectionof onabotulinumtoxinA.HCPCS code(s): _______________________________________________________________________

6. A patient with chronic venous insufficiency comes to thedoctor's office complaining of leg pain. The physician prescribestwo thigh-length gradient compression stockings,45 mmHg each.HCPCS code(s): _______________________________________________________________________(Part 2 is worth 40 points of your overall graded project:20 points for Part 2a; 20 points for Part 2b.)

Part 3Review the following coding scenario. Assign the CPT code(s)for the wound repair only.

A patient comes to the emergencyroom after sustaining a 12.2-cm wound to the left side of herface. She was cut with a piece of glass during a physicalaltercation with her husband. The physician performs adetailed history and examination. Medical decision makingwas of moderate complexity. The physician repairs the facialwound without difficulty; however, the wound requires extensivecleaning to remove the glass particles beforehand. Thephysician also repaired a superficial 2.5-cm wound to the leftear. Both wounds were closed using 4-0 Vicryl.CPT code(s):________

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file 1502379213-CPT codes for physician procedures and services.docx preview (635 words )

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