HS225 Medical coding i Seminar 8

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

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 component—make sure to read the code description completely

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 performed—these services are considered part of the originally ordered test and are not separately reported

Unit 8 Modifiers: Do not use modifier 51 for multiple procedures Use modifier 91 for repeated clinical diagnostic lab tests

Unit 8 Code the lab test: Urinalysis 81000 81001 81002 81003

Unit 8 Code the lab test: Urinalysis 81000 81001 81002 81003

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

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

Unit 8 Qualitative fetal hemoglobin 83030 83033 83036 83045 Code the lab test Qualitative fetal hemoglobin 83030 83033 83036 83045

Unit 8 83033 Qualitative fetal hemoglobin 83030 83036 83045 Code the lab test Qualitative fetal hemoglobin 83030 83033 83036 83045

Unit 8 Code the lab test CBC, automated, including Hgb, Hct, RBC, WBC, and platelet count 85004, 85014 85025 85027 85032

Unit 8 Code the lab test CBC, automated, including Hgb, Hct, RBC, WBC, and platelet count 85004, 85014 85025 85027 85032

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

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

Unit 8 Code the lab Thromboplastin time, partial (PTT) in plasma 85260 85347 85705 85730

Unit 8 Code the lab Thromboplastin time, partial (PTT) in plasma 85260 85347 85705 85730

Unit 8 Code the lab test RBC antibody screen, two different techniques 86850 86850-51 86850, 86850-51 86850, 86850-91

Unit 8 Code the lab test RBC antibody screen, two different techniques 86850 86850-51 86850, 86850-51 86850, 86850-91

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

Unit 8 83919, 83919-91, 83919-91 Code the lab test Qualitative analysis of organic acids, three specimens 83918, 83918-91, 83918-91 83919 83919, 83919-91, 83919-91 83921

Unit 8 Code the lab test Testing of specimen from digital rectal exam for blood 82270 82271 82272 82274

Unit 8 Code the lab test Testing of specimen from digital rectal exam for blood 82270 82271 82272 82274

Unit 8 Code the lab test Thawing of ovarian tissue 89344 89352 89354 89356

Unit 8 89354 Code the lab test Thawing of ovarian tissue 89344 89352 89356

Unit 8 Code the lab test Testing of blood for LDL and HDL cholesterol 83718 83721 83718, 83721 87318, 83719

Unit 8 Code the lab test Testing of blood for LDL and HDL cholesterol 83718 83721 83718, 83721 87318, 83719

Unit 8 Code the lab test Blood testing for presence of Epstein-Barr virus nuclear antigens 86663 86664 86665 86666

Unit 8 Code the lab test Blood testing for presence of Epstein-Barr virus nuclear antigens 86663 86664 86665 86666

Unit 8 Code the lab test Blood testing for presence of antigen to chickenpox 86635 86644 86757 86787

Unit 8 86787 (chickenpox is also known as varicella zoster) Code the lab test Blood testing for presence of antigen to chickenpox 86635 86644 86757 86787 (chickenpox is also known as varicella zoster)

Unit 8 Code the lab test Testing of stool for H. pylori 83013 86677 87338 87339

Unit 8 87338 Code the lab test Testing of stool for H. pylori 83013 86677 87338 87339

Unit 8 Code the lab test Coombs test direct 86880 86885 86886 86900

Unit 8 Code the lab test Coombs test direct 86880 86885 86886 86900

Unit 8 Code the lab test Gross examination of tonsils 88300 88302 88305 88309

Unit 8 88300 Code the lab test Gross examination of tonsils 88302 88305 88309

Unit 8 Code the lab test Specimen from the peripheral nerve of the patient’s left ankle submitted for morphometric analysis 88300 88309 88321 88356

Unit 8 Code the lab test Specimen from the peripheral nerve of the patient’s left ankle submitted for morphometric analysis 88300 88309 88321 88356

Unit 8 Code the lab test Acute hepatitis panel including: 80074 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

Unit 8 80074 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

Unit 8 Code the lab test Testing of blood for lead 83015 83655 83735 83655, 83015

Unit 8 83655 Code the lab test Testing of blood for lead 83015 83735 83655, 83015

Unit 8 Code the lab test Analysis of chromosomes from amniotic fluid 88267 88280 88271 88285

Unit 8 Code the lab test Analysis of chromosomes from amniotic fluid 88267 88280 88271 88285

Unit 8 Code the lab test Report of breast tissue submitted for frozen section during mastectomy procedure 88307 88309 88329 88331

Unit 8 Code the lab test Report of breast tissue submitted for frozen section during mastectomy procedure 88307 88309 88329 88331

Unit 8 Code the lab test Pathology analysis of organ specimen taken from patient during laparoscopic cholecystectomy 88300 88302 88304 88305

Unit 8 Code the lab test Pathology analysis of organ specimen taken from patient during laparoscopic cholecystectomy 88300 88302 88304 88305

Unit 8 Code the lab test Cell count of fluid taken from knee joint effusion 87070 87075 89050 89051

Unit 8 Code the lab test Cell count of fluid taken from knee joint effusion 87070 87075 89050 89051

Unit 8 Code the lab test Test of blood clotting factor VIII 85230 85240 85250 82590

Unit 8 85240 Code the lab test Test of blood clotting factor VIII 85230 85240 85250 82590

Unit 8 Code the lab test Total necropsy of 3 day old infant gross and microscopic analysis 88012 88028 88029 88036

Unit 8 Code the lab test Total necropsy of 3 day old infant gross and microscopic analysis 88012 88028 88029 88036

Unit 8 Code the lab test Bethesda analysis of vaginal specimens, manual method under direction of pathologist 88142 88147 88164 88165

Unit 8 Code the lab test Bethesda analysis of vaginal specimens, manual method under direction of pathologist 88142 88147 88164 88165

Unit 8 Code the lab test Basic metabolic blood panel for Dr. Wolfe’s office includes: Calcium Glucose Sodium 80048 80048-52 80048-52, 82310, 82947, 84295 82310, 82947, 84295

Unit 8 Code the lab test Basic metabolic blood panel for Dr. Wolfe’s office includes: Calcium Glucose Sodium 80048 80048-52 80048-52, 82310, 82947, 84295 82310, 82947, 84295

Unit 8 Code the lab test Stool culture to test for presence of Shigella 87000 87044 87045 87006

Unit 8 Code the lab test Stool culture to test for presence of Shigella 87000 87044 87045 87006

Unit 8 Code the lab test Urine culture to rule out bacterial urinary tract infection 87000 87076 87086 88000

Unit 8 Code the lab test Urine culture to rule out bacterial urinary tract infection 87000 87076 87086 88000

Unit 8 Questions???