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Using the CPT manual, assign the proper codes from the Radiology,

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Using the CPT manual, assign the proper codes from the Radiology, Pathology, Medicine and Level II Code sections.


Procedure Code
1. Echoencephalography, B-scan, and/or real time with image documentation, including A-mode encephalography as a secondary component where indicated 1.
2. Radiological examination, nasal bones, complete, minimum of three views 2.
3. Limited study of cardiac magnetic resonance imaging for function without morphology, without contrast 3.
4. Bilateral diagnostic mammography for a patient whose previous screening mammogram showed areas of suspicious infiltrate 4.
5. Cardiac blood pooling imaging, first pass technique, multiple studies, with stress, with wall motion study plus ejection fraction without quantification 5.
6. Supervision and interpretation of a hysterosalpingography 6.
7. Static liver imaging with vascular flow 7.
8. Vitamin B12 absorption study with intrinsic factor 8.
9. A chorionic gonadotropin stimulation panel with an estradiol response 9.
10. Serum amylase 10.
11. Pap smear utilizing the Bethesda system done by manual screening and computer assisted re-screening under physician supervision 11.
12. A blood count, CBC, automated with a differential 12.
13. Alkaloids, quantitative, urine 13.
14. Postmortem examination, gross only with brain and spinal cord 14.
15. Electroconvulsive therapy 15.
16. Fluorescein angiography with interpretation and report 16.
17. Neurofunctional testing during brain mapping, by physician with test review 17.
18. Hot packs applied to two areas 18.
19. Audiologic function screening test for pure tone, air only 19.
20. Fitting and prescription of contact lens for one eye with medical supervision of adaptation of corneal lens 20.
21. Total body plethysmography, with interpretation and report 21.
22. Electrocardiogram with 15 leads including the interpretation and report 22.
23. Home visit for stoma care and maintenance of a patient’s colostomy 23.
24. Bronchodilation responsiveness spirometry done before and after an aerosol bronchodilator was administered 24.
25. A 14-year-old is seen in the office for a 70 minute assessment of the child’s attention span. The child is experiencing increasingly severe episodes of daydreaming. The physician conducts a clinical assessment of the child’s cognitive function. 25.

Provide diagnosis and procedure codes for each of the case studies below in a Word document and submit your file.

CASE 1:



Location: Outpatient clinic
RADIOLOGY REPORT

BILATERAL SCREENING MAMMOGRAM:

The tissue of both breasts is heterogeneously dense. This may reduce the sensitivity of mammography. No significant masses, calcifications, or other findings are seen in either breast.

IMPRESSION: NEGATIVE MAMMOGRAM

There is no mammographic evidence of malignancy. A 1-year screening mammogram is recommended.



Diagnosis:

1.Screening Mammogram. Answer: _____
Procedure:

1.Mammogram. Answer: _____
CASE 2:

Location: Outpatient hospital
RADIOLOGY REPORT

EXAMINATION OF: X-ray of left ankle

CLINICAL SYMPTOMS: Charcot joint

LEFT ANKLE RADIOGRAPHS, 2:05 PM: Three views were submitted of the left ankle. No prior studies. There is some soft tissue swelling adjacent to the distal fibula. Plantar catcaneat spurring is seen. There are radiopaque densities seen along the plantar aspect of the foot, including hindfoot and midfoot. Question if there is overlying bandage with radiopaque densities or that could relate to soft tissue calcifications. Suggest clinical correlation. No obvious acute fracture or dislocation is seen. Suggest clinical correlation regarding further assessment of the foot with left foot radiographs.

Diagnosis:

1.Charcot joint disease. Answer: _____, _____
Procedure:

1.X-ray of left ankle. Answer: _____


CASE 3:

SURGICAL PATHOLOGY
CLINICAL HISTORY: BENIGN HYPERTROPHY OF PROSTATE

SPECIMEN RECEIVED: PROSTATE CHIPS

GROSS DESCRIPTION:
The specimen is labeled with the patient's name and "prostate," which consists of approximately 27 gm of pink-tan rubbery prostate fragments. Representative sections in 10 cassettes.

MICROSCOPIC DESCRIPTION:
Sections of prostate show both glandular and stromal nodular hyperptasia. Focally, glands show variable cystic dilatation, basal cell hyperplasia and there are focal mild acute and chronic inflammatory infiltrates. A few fragments show prostatic urethra with benign urothetium and mild chronic inflammatory infiltrates. There is a focus of infiltrative single, separate, loosely packed, small uniform tow grade malignant glands with slightly enlarged hyperchromatic nuclei with nucleoli, with some cautery artifact, involving less than 1% of the specimen.

DIAGNOSIS:
Transurethral resection prostate:

Focal adenocarcinoma, primary Gleason grade 2, involving less than 1% of the specimen and adenomyomatous hyperplasia with mild acute and chronic inflammation.

Diagnosis:

1.Adenocarcinoma of the prostate. Answer: _____
Procedure:

1.Transurethral resection of prostate, pathology. Answer: _____
Submitted: 3 years ago.
Category: Homework
Expert:  BMW MD replied 3 years ago.
I may be able to help. Please respond with the due date. Thank you! I look forward to working with you! BMW
Customer: replied 3 years ago.

Thank you for responding. I was beginning to get a little worried that my request did not go through.

 

My due date is Sunday, Novemver 28, 2010 by 11pm (central time).

 

Thanks

Expert:  BMW MD replied 3 years ago.
THIS ANSWER IS LOCKED!

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BMW MD, Professor
Category: Homework
Satisfied Customers: 1597
Experience: Currently teaching, excellent writer
BMW MD and 7 other Homework Specialists are ready to help you
Expert:  BMW MD replied 3 years ago.
Thank you. Please be sure to study hard and learn this information before you go out in to a medical practice... we all (including the patients) need you to know what you're doing! I'm glad I could help in the meantime. BMW Smile
Customer: replied 3 years ago.

Dr. Wildemore

I just would like to say thank you for attempting to help me on my medical assignment, however I received a "D" on it! This is the reason she stated why:


The following were incorrect: 5,7,8,9,14,19,20,25,c2,c3. Please note that I did not require ICD-9-CM on C1, c2 and c3. The answers will be posted in the announcements today, but will only appear for a short period of time. Each exercise was worth 5 points.

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