Using the coding techniques you have learned, carefully read through the case study and determine the most accurate diagnosis code(s). Remember, check the chapter-specific, subchapter-specific, and category-specific notations within the Tabular List.

Then, determine the most accurate procedure code(s) along with any modifier(s), if appropriate.

MEDICAL ASSOCIATES OF ENDOCRINOLOGY

6899 LYMPHATIC PATH ? NODINE, FL 32811 ? 407-555-4661

PATIENT: KELLOGG, COLE

ACCOUNT/EHR #: KELLCO001

DATE: 08/11/18

Attending Physician: Willard B. Reader, MD

Surgeon: Colleen Infanti, MD

Patient is a 28-year-old male with insulin-dependent (type 1) diabetic nephropathy and end-stage renal disease. He presents today for an arteriovenous shunt for dialysis.

A Cimino-type direct arteriovenous anastomosis is performed by incising the skin of the left antecubital fossa. Vessel clamps are placed on the vein and adjacent artery. The vein is dissected free and the downstream portion of the vein is sutured to an opening in the artery using an end-to-side technique. The skin incision is closed in layers.

Colleen Infanti, MD

CI/pw D: 08/11/18 09:50:16 T: 08/13/18 12:55:01

Be sure to list the codes, one code per box, in the correct sequence, from top to bottom, and in the proper row. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example Procedure: 43846-74 or for Anesthesia: 00797-P2.

You may not need all of the spaces provided.

Procedure Anesthesia HCPCS Level II Diagnosis code(s) and any code(s) and any code(s) and any code(s) applicable applicable applicable modifier(s) modifier(s) modifier(s) JILL