HUI 771.doc

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1. Outpatient coding is much less complicated than inpatient coding. First, outpatient coding is limited to a length of stay less than 24 hours whereas inpatient stays are longer than that. The outpatient coding summarizes all diagnoses and typically includes a single procedure whereas inpatient coding requires daily coding of each service on each day of hospitalization.
2. CPT 21930 ICD-9 782.2
3. Discuss coding for obstetrics, including items covered by the global fee for antepartum and postpartum periods of normal pregnancy.
Obstetrics has a coding system that is unique in that the global fee covers three periods including: antepartum, delivery, and postpartum. Coverage includes prenatal information including the initial visit, vitals, measurements of the fetus and then followup visits including months visits up to 28 weeks with visits every two weeks between 28-36 weeks and then visits every week until delivery. Coverage related to delivery includes hospital admission and any necessary medical and/or surgical complications. Finally, normal postpartum visits 6 weeks after delivery are including as post-partum care.
Part B: Answer each of the following items in two to five sentences. Each answer is worth four points.
1. What is the difference between Excludes 1 and Excludes 2 notes in the ICD-10?
An Excludes1 note suggests that the code should not be used with the code above the the Excludes1 note because this and the condition are not able to co-exist.
An Excludes2 note suggests that a particular condition is excluded from the code. This means that the condition that is excluded is not part of the the code represented
2. What are some of the problems associated with modifiers -51 and -59?
The reason these modifiers can be confusing is that they indicate multiple levels of components. The 51 modifier refers to multiple procedures performed and can introduce some confusion with respect to the primary procedure. The 59 modifier suggests a separate location/site which can also introduce complexity as to the primary site/lcoation.
4. What are the three types of wound repair, and what must be documented to code them?
Documentation of the site and extent of repair is needed to code these three types of repair:
Simple
Intermediate
Complex
4. The ICD-10-PCS system uses a tool coders have never used before. What is it?
8. Manipulations
9. Which of the following CPT code ranges describes evocative/suppression testing procedures?
B. 80500–80502
10. A radiology center that owns its own equipment, employs its own technicians, and employs its own radiologist who supervises, interprets, and reports on the findings will code _______ radiological procedures.
D. Combination