5.Using the coding techniques described in this chapter,carefully read through the case study and determine the mostaccurate CPT code(s) and HCPCS code(s) andmodifier(s), if appropriate. Answer the question as it guides youthrough the coding process.

NOTE: The CPT Changes: AnInsider’s View; CPT Assistant and ClinicalExamples are not considered symbols or notations for thisexercise.

Marlene Carrington, a healthy 42-year-old female, was taken tothe operating room (OR) for an anterior cervical discectomy withdecompression of a single interspace of the spinal cord and nerveroots and including osteophytectomy.

Please list modifiers with the code they relate to asnecessary. Include a hyphen in between the code and the modifier.Example: 20610-50.

What is the principal procedure code?

6. Using the coding techniques described in thischapter, carefully read through the case study and determine themost accurate CPT code(s) and HCPCS code(s) andmodifier(s), if appropriate. Answer each question as it guides youthrough the coding process.

NOTE: The CPT Changes: AnInsider’s View; CPT Assistant and ClinicalExamples are not considered symbols or notations for thisexercise.

Rosa Phillips, a 34-year-old female, presents today for apercutaneous breast biopsy, needle core.

Please list modifiers with the code they relate to asnecessary. Include a hyphen in between the code and the modifier.Example: 20610-50.

Where should you begin to look up the code in the coding manual? (Click to select) HCPCS Level IIIndex CPT Alphabetic Index ICD-10-PCSAlphabetic Index Surgery Section in CPT

What is the key term? (Click toselect) Cervical Anterior Biopsy Needle

What is the anatomic site? (Click toselect) Lumbar Breast Thoracic Sacral

What is the approach? (Click toselect) Posterior Percutaneous Anterior Anterolateral

What else do we know about it? (Click toselect) Ablation Incisional Using imaging guidance Needle core

Begin to code the encounter.

Did you verify the code in the numerical listing? (Click to select) Yes No

Is there a symbol for this code? (Click toselect) Yes No

If so what does the symbol mean? (Click toselect) New code Telemedicine Add-on code Does not apply

Is there an additional notation? (Click toselect) Yes No

If so does the notation apply? (Click toselect) Yes Does not apply

Do you need to add a modifier? (Click toselect) Yes No

If so, what is the modifier? (Click toselect) -RT -LT -50 Modifier does not apply

Did you check the guidelines? (Click toselect) Yes No

Did you code to the highest level of specificity? (Click to select) Yes No

What is the correct procedure code?

7. Using the coding techniques described in thischapter, carefully read through the case study and determine themost accurate CPT code(s) and HCPCS code(s) andmodifier(s), if appropriate. Answer the question as it guides youthrough the coding process.

NOTE: The CPT Changes: AnInsider’s View; CPT Assistant and ClinicalExamples are not considered symbols or notations for thisexercise.

Rosa Phillips, a 34-year-old female, presents today for apercutaneous breast biopsy, needle core.

Please list modifiers with the code they relate to asnecessary. Include a hyphen in between the code and the modifier.Example: 20610-50.

What is the principal procedure code?

8. Using the coding techniques described in thischapter, carefully read through the case study and determine themost accurate CPT code(s) and HCPCS code(s) andmodifier(s), if appropriate. Answer each question as it guides youthrough the coding process.

NOTE: The CPT Changes: AnInsider’s View; CPT Assistant and ClinicalExamples are not considered symbols or notations for thisexercise.

Sandra Lewis, a 55-year-old female, has been experiencing painin her lower left back that wraps around to her inner thigh. Dr.Janson does a renal ultrasound, limited, real time with imagedocumentation.

Please list modifiers with the code they relate to asnecessary. Include a hyphen in between the code and the modifier.Example: 20610-50.

Where should you begin to look up the code in the coding manual? (Click to select) HCPCS Level IIIndex CPT Alphabetic Index ICD-10-PCSAlphabetic Index Surgery Section in CPT

What is the key term? (Click toselect) Ultrasound MRI CT X-ray

What is the anatomic site? (Click toselect) Lumbar Back Retroperitoneal Sacral

Begin to code the encounter.

Did you verify the code in the numerical listing? (Click to select) Yes No

Is there a symbol for this code? (Click toselect) Yes No

If so what does the symbol mean? (Click toselect) New code Telemedicine Add-on code Does not apply

Is there an additional notation? (Click toselect) Yes No

If so does the notation apply? (Click toselect) Yes Does not apply

Do you need to add a modifier? (Click toselect) Yes No

If so, what is the modifier? (Click toselect) -RT -LT -50 Modifier does not apply

Did you check the guidelines? (Click toselect) Yes No

Did you code to the highest level of specificity? (Click to select) Yes No

What is the correct procedure code?