HS225 Medical coding i

1
HS225Medical coding i

• Seminar 8

2
Unit 8

• Lab tests
• Laboratory codes describe the performance of lab
  tests
• A specimen includes
• Tissue (e.g. blood and urine)
• The CPT lab tests do not include collection of
  the specimen used to perform the test

3
Unit 8

• Venipuncture or phlebotomy is the puncture of a
  vein using a needle for the purpose of drawing
  blood
• Most common method of collecting blood specimens
• Certain lab tests contain both a professional and
  technical componentmake sure to read the code
  description completely

4
Unit 8

• More than one procedure
• It is appropriate to separately code and report
  multiple pathology and laboratory procedures that
  are provided on the same date of service
• It is NOT appropriate to report tests that are
  repeated simply to confirm initial results, or
  when a series of tests is performedthese
  services are considered part of the originally
  ordered test and are not separately reported

5
Unit 8

• Modifiers
• Do not use modifier 51 for multiple procedures
• Use modifier 91 for repeated clinical diagnostic
  lab tests

6
Unit 8

• Code the lab test
• Urinalysis
• 81000
• 81001
• 81002
• 81003

7
Unit 8

• Code the lab test
• Urinalysis
• 81000
• 81001
• 81002
• 81003

8
Unit 8

• Code the lab test
• A patient presents with symptoms of dehydration.
  The physician ordered an electrolyte panel, which
  included
• Carbon dioxide
• Chloride
• Potassium
• Sodium
• 80051
• 80051,82374,82435,84132,84295
• 82374,82435,84132,84295
• 82374,82435,84133,84300

9
Unit 8

• Code the lab test
• A patient presents with symptoms of dehydration.
  The physician ordered an electrolyte panel, which
  included
• Carbon dioxide
• Chloride
• Potassium
• Sodium
• 80051
• 80051,82374,82435,84132,84295
• 82374,82435,84132,84295
• 82374,82435,84133,84300

10
Unit 8

• Code the lab test
• Qualitative fetal hemoglobin
• 83030
• 83033
• 83036
• 83045

11
Unit 8

• Code the lab test
• Qualitative fetal hemoglobin
• 83030
• 83033
• 83036
• 83045

12
Unit 8

• Code the lab test
• CBC, automated, including Hgb, Hct, RBC, WBC, and
  platelet count
• 85004, 85014
• 85025
• 85027
• 85032

13
Unit 8

• Code the lab test
• CBC, automated, including Hgb, Hct, RBC, WBC, and
  platelet count
• 85004, 85014
• 85025
• 85027
• 85032

14
Unit 8

• Which modifier is added to pathology and lab
  codes when procedures or services are repeated on
  the same date of service to obtain multiple
  results?
• -59
• -90
• -91
• -QW

15
Unit 8

• Which modifier is added to pathology and lab
  codes when procedures or services are repeated on
  the same date of service to obtain multiple
  results?
• -59
• -90
• -91
• -QW

16
Unit 8

• Code the lab
• Thromboplastin time, partial (PTT) in plasma
• 85260
• 85347
• 85705
• 85730

17
Unit 8

• Code the lab
• Thromboplastin time, partial (PTT) in plasma
• 85260
• 85347
• 85705
• 85730

18
Unit 8

• Code the lab test
• RBC antibody screen, two different techniques
• 86850
• 86850-51
• 86850, 86850-51
• 86850, 86850-91

19
Unit 8

• Code the lab test
• RBC antibody screen, two different techniques
• 86850
• 86850-51
• 86850, 86850-51
• 86850, 86850-91

20
Unit 8

• Code the lab test
• Qualitative analysis of organic acids, three
  specimens
• 83918, 83918-91, 83918-91
• 83919
• 83919, 83919-91, 83919-91
• 83921

21
Unit 8

• Code the lab test
• Qualitative analysis of organic acids, three
  specimens
• 83918, 83918-91, 83918-91
• 83919
• 83919, 83919-91, 83919-91
• 83921

22
Unit 8

• Code the lab test
• Testing of specimen from digital rectal exam for
  blood
• 82270
• 82271
• 82272
• 82274

23
Unit 8

• Code the lab test
• Testing of specimen from digital rectal exam for
  blood
• 82270
• 82271
• 82272
• 82274

24
Unit 8

• Code the lab test
• Thawing of ovarian tissue
• 89344
• 89352
• 89354
• 89356

25
Unit 8

• Code the lab test
• Thawing of ovarian tissue
• 89344
• 89352
• 89354
• 89356

26
Unit 8

• Code the lab test
• Testing of blood for LDL and HDL cholesterol
• 83718
• 83721
• 83718, 83721
• 87318, 83719

27
Unit 8

• Code the lab test
• Testing of blood for LDL and HDL cholesterol
• 83718
• 83721
• 83718, 83721
• 87318, 83719

28
Unit 8

• Code the lab test
• Blood testing for presence of Epstein-Barr virus
  nuclear antigens
• 86663
• 86664
• 86665
• 86666

29
Unit 8

• Code the lab test
• Blood testing for presence of Epstein-Barr virus
  nuclear antigens
• 86663
• 86664
• 86665
• 86666

30
Unit 8

• Code the lab test
• Blood testing for presence of antigen to
  chickenpox
• 86635
• 86644
• 86757
• 86787

31
Unit 8

• Code the lab test
• Blood testing for presence of antigen to
  chickenpox
• 86635
• 86644
• 86757
• 86787 (chickenpox is also known as varicella
  zoster)

32
Unit 8

• Code the lab test
• Testing of stool for H. pylori
• 83013
• 86677
• 87338
• 87339

33
Unit 8

• Code the lab test
• Testing of stool for H. pylori
• 83013
• 86677
• 87338
• 87339

34
Unit 8

• Code the lab test
• Coombs test direct
• 86880
• 86885
• 86886
• 86900

35
Unit 8

• Code the lab test
• Coombs test direct
• 86880
• 86885
• 86886
• 86900

36
Unit 8

• Code the lab test
• Gross examination of tonsils
• 88300
• 88302
• 88305
• 88309

37
Unit 8

• Code the lab test
• Gross examination of tonsils
• 88300
• 88302
• 88305
• 88309

38
Unit 8

• Code the lab test
• Specimen from the peripheral nerve of the
  patients left ankle submitted for morphometric
  analysis
• 88300
• 88309
• 88321
• 88356

39
Unit 8

• Code the lab test
• Specimen from the peripheral nerve of the
  patients left ankle submitted for morphometric
  analysis
• 88300
• 88309
• 88321
• 88356

40
Unit 8

• Code the lab test
• Acute hepatitis panel including
• Hep A antibody
• Hep B core antibody
• Hep B surface antigen
• Hep C antibody
• 80074
• 80074, 80076
• 80074, 86709, 86705, 87340, 86603
• 86709, 86705, 87340, 86603

41
Unit 8

• Code the lab test
• Acute hepatitis panel including
• Hep A antibody
• Hep B core antibody
• Hep B surface antigen
• Hep C antibody
• 80074
• 80074, 80076
• 80074, 86709, 86705, 87340, 86603
• 86709, 86705, 87340, 86603

42
Unit 8

• Code the lab test
• Testing of blood for lead
• 83015
• 83655
• 83735
• 83655, 83015

43
Unit 8

• Code the lab test
• Testing of blood for lead
• 83015
• 83655
• 83735
• 83655, 83015

44
Unit 8

• Code the lab test
• Analysis of chromosomes from amniotic fluid
• 88267
• 88280
• 88271
• 88285

45
Unit 8

• Code the lab test
• Analysis of chromosomes from amniotic fluid
• 88267
• 88280
• 88271
• 88285

46
Unit 8

• Code the lab test
• Report of breast tissue submitted for frozen
  section during mastectomy procedure
• 88307
• 88309
• 88329
• 88331

47
Unit 8

• Code the lab test
• Report of breast tissue submitted for frozen
  section during mastectomy procedure
• 88307
• 88309
• 88329
• 88331

48
Unit 8

• Code the lab test
• Pathology analysis of organ specimen taken from
  patient during laparoscopic cholecystectomy
• 88300
• 88302
• 88304
• 88305

49
Unit 8

• Code the lab test
• Pathology analysis of organ specimen taken from
  patient during laparoscopic cholecystectomy
• 88300
• 88302
• 88304
• 88305

50
Unit 8

• Code the lab test
• Cell count of fluid taken from knee joint
  effusion
• 87070
• 87075
• 89050
• 89051

51
Unit 8

• Code the lab test
• Cell count of fluid taken from knee joint
  effusion
• 87070
• 87075
• 89050
• 89051

52
Unit 8

• Code the lab test
• Test of blood clotting factor VIII
• 85230
• 85240
• 85250
• 82590

53
Unit 8

• Code the lab test
• Test of blood clotting factor VIII
• 85230
• 85240
• 85250
• 82590

54
Unit 8

• Code the lab test
• Total necropsy of 3 day old infant gross and
  microscopic analysis
• 88012
• 88028
• 88029
• 88036

55
Unit 8

• Code the lab test
• Total necropsy of 3 day old infant gross and
  microscopic analysis
• 88012
• 88028
• 88029
• 88036

56
Unit 8

• Code the lab test
• Bethesda analysis of vaginal specimens, manual
  method under direction of pathologist
• 88142
• 88147
• 88164
• 88165

57
Unit 8

• Code the lab test
• Bethesda analysis of vaginal specimens, manual
  method under direction of pathologist
• 88142
• 88147
• 88164
• 88165

58
Unit 8

• Code the lab test
• Basic metabolic blood panel for Dr. Wolfes
  office includes
• Calcium
• Glucose
• Sodium
• 80048
• 80048-52
• 80048-52, 82310, 82947, 84295
• 82310, 82947, 84295

59
Unit 8

• Code the lab test
• Basic metabolic blood panel for Dr. Wolfes
  office includes
• Calcium
• Glucose
• Sodium
• 80048
• 80048-52
• 80048-52, 82310, 82947, 84295
• 82310, 82947, 84295

60
Unit 8

• Code the lab test
• Stool culture to test for presence of Shigella
• 87000
• 87044
• 87045
• 87006

61
Unit 8

• Code the lab test
• Stool culture to test for presence of Shigella
• 87000
• 87044
• 87045
• 87006

62
Unit 8

• Code the lab test
• Urine culture to rule out bacterial urinary tract
  infection
• 87000
• 87076
• 87086
• 88000

63
Unit 8

• Code the lab test
• Urine culture to rule out bacterial urinary tract
  infection
• 87000
• 87076
• 87086
• 88000

64
Unit 8

• Questions???