Bc3030 Wk 2 Coding Test
Course BC3030X: Billing and Coding Applications with Simulations (12-17-2012) Section 8
Test Week 2 - Coding Applications Test
I
• Question 1
Needs Grading LOCATION: Outpatient, Hospital
PATIENT: Kim Fields
PHYSICIAN: Gregory Dawson. MO
ENTRANCE DIAGNOSIS: Dyspnea on ascending hills and stairs. Frequent wheezing and productive cough in a patient with a 0.75-pack-year smoking history; quit 1 year ago. Gave good consistent effort.
INTERPRETATION:
I. Baseline spirometry is normal with maybe a hint of concavity towards the volume axis at the terminal portion of the curve. The spirometry does show only a 61%
FEF2S-7S indicating peripheral dysfunction, i.e., mild COPD/emphysema.
II. Baseline FEVI of 3.02. which was 84% of predicted dropping to a low of 1.33 after only 24.5 cumulative units of methacholine. Five minutes later it was 1.78, both values, which are greater than 20% drop from baseline.
III. Baseline FEV25-75 was 2.50 dropping to 0. With the provocation doses 5 minutes later it was 0, both values which are greater than a 50% drop from baseline.
IV. Ten minutes after bronchodilator, FEV1 rose to 2.89. The FEV25-75 rose to 2.12.
OVERALL IMPRESSION: This study demonstrates bronchial hyperactivity as well as reversibility with a clinical diagnosis of asthma. It would be interesting to see if this patient can turn her baseline to normal after a good month of intense bronchodilator therapy. She may have some underlying peripheral airway dysfunction from poorly controlled asthma and/or smoking. It would be nice to see what it is when she is as well controlled as we can get her.
CPT SERVICE CODE(S):___________________________________
ICD-9-CM DX CODE(S): ________________________________
Answer
Selected Answer: [None Given]
Correct Answer:
Professional Services: 94060-26 (Pulmonology, Diagnostic, Spirometry, Evaluation), 94720-26 (Pulmonology, Diagnostic, Carbon Monoxide Diffusion Capacity), 94260-26 (Pulmonology,
Test Week 2 - Coding Applications Test
I
• Question 1
Needs Grading LOCATION: Outpatient, Hospital
PATIENT: Kim Fields
PHYSICIAN: Gregory Dawson. MO
ENTRANCE DIAGNOSIS: Dyspnea on ascending hills and stairs. Frequent wheezing and productive cough in a patient with a 0.75-pack-year smoking history; quit 1 year ago. Gave good consistent effort.
INTERPRETATION:
I. Baseline spirometry is normal with maybe a hint of concavity towards the volume axis at the terminal portion of the curve. The spirometry does show only a 61%
FEF2S-7S indicating peripheral dysfunction, i.e., mild COPD/emphysema.
II. Baseline FEVI of 3.02. which was 84% of predicted dropping to a low of 1.33 after only 24.5 cumulative units of methacholine. Five minutes later it was 1.78, both values, which are greater than 20% drop from baseline.
III. Baseline FEV25-75 was 2.50 dropping to 0. With the provocation doses 5 minutes later it was 0, both values which are greater than a 50% drop from baseline.
IV. Ten minutes after bronchodilator, FEV1 rose to 2.89. The FEV25-75 rose to 2.12.
OVERALL IMPRESSION: This study demonstrates bronchial hyperactivity as well as reversibility with a clinical diagnosis of asthma. It would be interesting to see if this patient can turn her baseline to normal after a good month of intense bronchodilator therapy. She may have some underlying peripheral airway dysfunction from poorly controlled asthma and/or smoking. It would be nice to see what it is when she is as well controlled as we can get her.
CPT SERVICE CODE(S):___________________________________
ICD-9-CM DX CODE(S): ________________________________
Answer
Selected Answer: [None Given]
Correct Answer:
Professional Services: 94060-26 (Pulmonology, Diagnostic, Spirometry, Evaluation), 94720-26 (Pulmonology, Diagnostic, Carbon Monoxide Diffusion Capacity), 94260-26 (Pulmonology,