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When assigning and sequencing neoplasm codes in this scenario for metastatic prostate cancer to the lungs, you will need to know and apply the ICD-10-CM coding guidelines related to neoplasms. This post has been updated to reflect the FY 2020 coding guidelines. Question: A 67-year-old male patient with primary prostate cancer with metastasis to the left…
When all else fails and the weight doesn’t come off, a patient may choose to have a procedure done to limit the amount of food the stomach can hold. This coding exercise involves the coding of laparoscopic gastric banding procedures. See if you can assign the correct CPT code and then check it against the…
Learn the definition of a screening colonoscopy, instructions for coding a screening colonoscopy with polyp removal in CPT and ICD-10-CM, and the appropriate use of modifier 33. Question: A 60-year-old female patient presents to the outpatient surgery area for a screening colonoscopy. She has no signs or symptoms, nor any personal or family history of…
Brain herniation is a serious and often fatal problem that requires immediate medical care. Therefore, when a patient presents with possible brain herniation, a surgeon may elect to perform a ventricular puncture to drain cerebrospinal fluid (CSF). Question: Patient is brought to the operating room with possible brain herniation. The surgeon performs a ventricular puncture…
Coding for Crohn’s disease with an abscess doesn’t have to be difficult as long as you know the coding guidelines and what to look for in the documentation. Anatomy of the digestive system will also help here. Question: Patient is a 72-year-old male admitted to the hospital after having complaints of a “belly ache.” Patient has…
Coding for ICD-10 coding for HIV and AIDS Question: Patient is diagnosed with symptomatic HIV. What ICD-10-CM code is reported? Answer: B20, Human immunodeficiency virus [HIV] disease Locate and Verify In the ICD-10-CM Alphabetic Index, see HIV, B20. You can also look under Human immunodeficiency virus (HIV) disease, (infection), B20. In the Tabular, B20 can be verified…