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22 Cards in this Set
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Multiple laboratory and pathology services can be done on the same day for one patient, and it is appropriate for these services to be billed as separate entries. (Remember if it’s the same service, same patient, same day, a modifier
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91
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A. To determine it's qualitative or quantitative analysis of a metal or ore to determine its components.
b. A substance to be so analyzed. c. The result of such an analysis. 2. An analysis or examination. 3. A bioassay. 4. Archaic An attempt; an essay. |
Assay
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Turn to the Microbiology sub-section and read the introductory paragraphs. What modifier is reported when multiple specimens are obtained?
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59
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Locate the codes 80047–80076 under the sub-category Organ and Disease Oriented Panels. Which code cannot be used in addition to codes 80047, 80048, or 80076?
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80053
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PROCEDURE: Carbon dioxide, chloride, potassium, and sodium.
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1. Google description
2. Electrolyte 3. Organ or Disease-Oriented Panel 4. Electrolyte 80051 |
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PROCEDURE: Calcium total, carbon dioxide, chloride, creatinine, glucose, potassium, sodium, urea nitrogen (BUN), and serum albumin
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1. Google
2. Metabolic Basic 3. Organ or Disease-Oriented Panel 4. 80048 |
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Drug testing is performed to identify the presence or absence of a drug. The test used to determine the presence or absence of a drug is called blank (the drug is either present or not present in the specimen). When the presence of a drug is found in the blank test a confirmation test is performed using a second testing method. The code 80102 is reported for the confirmation test.
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qualitative
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Drug assays test for a specific drug and the amount of that drug. Drug Assays codes are reported when qualitative testing does not provide enough information. This type of testing is called quantitative. Quantitative testing determines the presence of the drug and the exact amount present. Codes are located in the index under the main term drug assay and the sub-terms of the drug tested, for example digoxin.
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80150–80299 – Therapeutic Drug Assays
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when qualitative testing does not provide enough information
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Quantitative testing determines the presence of the drug and the exact amount present.
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when qualitative testing does not provide enough information.
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Drug Assays codes are reported
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PROCEDURE: Quantitative testing of theophylline level
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Drug assay
Theophylline 80198 |
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Drug assays test
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for a specific drug and the amount of that drug
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PROCEDURE: Quantitative testing of theophylline level
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Drug assay
Theophylline 80198 PROCEDURE: Quantitative testing of theophylline level. 80198 |
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A patient underwent laboratory testing to determine whether glucagon is being stimulated for production in the body. This test was done to determine if the patient has insulinoma (type of benign tumor of cells in the islets of Langerhans portion of the pancreas).
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Glucagon
Tolerance Panel 80422–80424 PROCEDURE: Glucagon stimulation test to determine if the patient has insulinoma. 80422 |
Remember that Glucagon raises glucose levels and insulin lowers glucose levels
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A patient had several laboratory tests performed today. The patient's primary care physician reviewed the laboratory test results and requested a clinical pathologist also review, interpret, and prepare a written report on the findings. The clinical pathologist reviewed the patient's past medical history and medical record prior to reporting the findings of the laboratory tests.
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Consultation
Clinical Pathology 80500-80502 PROCEDURE: Clinical pathology consultation with review of the patient's past medical history and medical record. 80502 |
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Possitive Pregnancy Test
Diagnosis: |
Examination, Pregnancy, Positgive Result: V72.42
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The patient is a 22-year-old female whose occupation as a public transit driver requires mandatory drug testing for cocaine and marijuana. A urinalysis by a single mobile and stationary phase chromatography was done today and was negative for both cocaine and marijuana.
Indicate the diagnosis code: |
Examination, Laboratory and Specified: V72.69
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This patient suspects she is pregnant. She had a urine visual color comparison pregnancy test performed to determine if she is pregnant. The test came back positive
List the CPT Code |
Pregnancy Test
Urinalysis 81025 |
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PROCEDURE: Occult stool blood test was performed for colorectal neoplasm screening and was negative for blood; the control was positive
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Occult Blood 82270–82272
82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection) PROCEDURE: Occult stool blood test was performed for colorectal neoplasm screening and was negative for blood but the control was positive. 82270 |
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Automated urinalysis with microscopy
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Urinalysis 81000–81099
Automated 81001, 81003 PROCEDURE: Automated urinalysis with microscopy. 81001 |
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The patient was recently increased on his metformin with good result in blood sugars; however, since he has been sick, his blood sugars have been very high. His hemoglobin glycosylated A1C was 9.9 today. We will change his metformin to 1000 mg twice a day. I will call him next week to find out how his blood sugars are doing.
List the CPT code: |
Hemoglobin
Glycosylated (A1C) 83036-83037 PROCEDURE: Hemoglobin glycosylated A1C. 83036 |
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Do the ICD-9 diagnosis coding for this patient. What is the correct diagnosis code?
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DIAGNOSIS: Diabetes mellitus type 2
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