1. Unit 3 Seminar

2.  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

3.  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

4.  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

5.  Modifiers:  Do not use modifier 51 for multiple procedures  Use modifier 91 for repeated clinical diagnostic lab tests

6.  Code the lab test:  Urinalysis a. 81000 b. 81001 c. 81002 d. 81003

7.  Code the lab test:  Urinalysis a. 81000 b. 81001 c. 81002 d. 81003

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 a. 80051 b. 80051,82374,82435,84132,84295 c. 82374,82435,84132,84295 d. 82374,82435,84133,84300

9.  Code the lab test:  A patient presents with symptoms of dehydration. The physician ordered an electrolyte panel, which included:  Carbon dioxide  Chloride  Potassium  Sodium a. 80051 b. 80051,82374,82435,84132,84295 c. 82374,82435,84132,84295 d. 82374,82435,84133,84300

10.  Code the lab test  Qualitative fetal hemoglobin a. 83030 b. 83033 c. 83036 d. 83045

11.  Code the lab test  Qualitative fetal hemoglobin a. 83030 b. 83033 c. 83036 d. 83045

12.  Code the lab test  CBC, automated, including Hgb, Hct, RBC, WBC, and platelet count a. 85004, 85014 b. 85025 c. 85027 d. 85032

13.  Code the lab test  CBC, automated, including Hgb, Hct, RBC, WBC, and platelet count a. 85004, 85014 b. 85025 c. 85027 d. 85032

14.  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? a. -59 b. -90 c. -91 d. -QW

15.  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? a. -59 b. -90 c. -91 d. -QW

16.  Code the lab  Thromboplastin time, partial (PTT) in plasma a. 85260 b. 85347 c. 85705 d. 85730

17.  Code the lab  Thromboplastin time, partial (PTT) in plasma a. 85260 b. 85347 c. 85705 d. 85730

18.  Code the lab test  RBC antibody screen, two different techniques a. 86850 b. 86850-51 c. 86850, 86850-51 d. 86850, 86850-91

19.  Code the lab test  RBC antibody screen, two different techniques a. 86850 b. 86850-51 c. 86850, 86850-51 d. 86850, 86850-91

20.  Code the lab test  Qualitative analysis of organic acids, three specimens a. 83918, 83918-91, 83918-91 b. 83919 c. 83919, 83919-91, 83919-91 d. 83921

21.  Code the lab test  Qualitative analysis of organic acids, three specimens a. 83918, 83918-91, 83918-91 b. 83919 c. 83919, 83919-91, 83919-91 d. 83921

22.  Code the lab test  Thawing of ovarian tissue a. 89344 b. 89352 c. 89354 d. 89356

23.  Code the lab test  Thawing of ovarian tissue a. 89344 b. 89352 c. 89354 d. 89356

24.  Code the lab test  Testing of blood for LDL and HDL cholesterol a. 83718 b. 83721 c. 83718, 83721 d. 87318, 83719

25.  Code the lab test  Testing of blood for LDL and HDL cholesterol a. 83718 b. 83721 c. 83718, 83721 d. 87318, 83719

26.  Code the lab test  Blood testing for presence of Epstein-Barr virus nuclear antigens a. 86663 b. 86664 c. 86665 d. 86666

27.  Code the lab test  Blood testing for presence of Epstein-Barr virus nuclear antigens a. 86663 b. 86664 c. 86665 d. 86666

28.  Code the lab test  Blood testing for presence of antigen to chickenpox a. 86635 b. 86644 c. 86757 d. 86787

29.  Code the lab test  Blood testing for presence of antigen to chickenpox a. 86635 b. 86644 c. 86757 d. 86787 (chickenpox is also known as varicella zoster)

30.  Code the lab test  Testing of stool for H. pylori a. 83013 b. 86677 c. 87338 d. 87339

31.  Code the lab test  Testing of stool for H. pylori a. 83013 b. 86677 c. 87338 d. 87339

32.  Code the lab test  Coombs test direct a. 86880 b. 86885 c. 86886 d. 86900

33.  Code the lab test  Coombs test direct a. 86880 b. 86885 c. 86886 d. 86900

34.  Code the lab test  Gross examination of tonsils a. 88300 b. 88302 c. 88305 d. 88309

35.  Code the lab test  Gross examination of tonsils a. 88300 b. 88302 c. 88305 d. 88309

36.  Code the lab test  Acute hepatitis panel including: Hep A antibody Hep B core antibody Hep B surface antigen Hep C antibody a. 80074 b. 80074, 80076 c. 80074, 86709, 86705, 87340, 86603 d. 86709, 86705, 87340, 86603

37.  Code the lab test  Acute hepatitis panel including: Hep A antibody Hep B core antibody Hep B surface antigen Hep C antibody a. 80074 b. 80074, 80076 c. 80074, 86709, 86705, 87340, 86603 d. 86709, 86705, 87340, 86603

38.  Code the lab test  Testing of blood for lead a. 83015 b. 83655 c. 83735 d. 83655, 83015

39.  Code the lab test  Testing of blood for lead a. 83015 b. 83655 c. 83735 d. 83655, 83015

40.  Code the lab test  Analysis of chromosomes from amniotic fluid a. 88267 b. 88280 c. 88271 d. 88285

41.  Code the lab test  Analysis of chromosomes from amniotic fluid a. 88267 b. 88280 c. 88271 d. 88285

42.  Code the lab test  Report of breast tissue submitted for frozen section during mastectomy procedure a. 88307 b. 88309 c. 88329 d. 88331

43.  Code the lab test  Report of breast tissue submitted for frozen section during mastectomy procedure a. 88307 b. 88309 c. 88329 d. 88331

44.  Code the lab test  Pathology analysis of organ specimen taken from patient during laparoscopic cholecystectomy a. 88300 b. 88302 c. 88304 d. 88305

45.  Code the lab test  Pathology analysis of organ specimen taken from patient during laparoscopic cholecystectomy a. 88300 b. 88302 c. 88304 d. 88305

46.  Code the lab test  Cell count of fluid taken from knee joint effusion a. 87070 b. 87075 c. 89050 d. 89051

47.  Code the lab test  Cell count of fluid taken from knee joint effusion a. 87070 b. 87075 c. 89050 d. 89051

48.  Code the lab test  Test of blood clotting factor VIII a. 85230 b. 85240 c. 85250 d. 82590

49.  Code the lab test  Test of blood clotting factor VIII a. 85230 b. 85240 c. 85250 d. 82590

50.  Code the lab test  Total necropsy of 3 day old infant gross and microscopic analysis a. 88012 b. 88028 c. 88029 d. 88036

51.  Code the lab test  Total necropsy of 3 day old infant gross and microscopic analysis a. 88012 b. 88028 c. 88029 d. 88036

52.  Code the lab test  Basic metabolic blood panel for Dr. Wolfe’s office includes: Calcium Glucose Sodium a. 80048 b. 80048-52 c. 80048-52, 82310, 82947, 84295 d. 82310, 82947, 84295

53.  Code the lab test  Basic metabolic blood panel for Dr. Wolfe’s office includes: Calcium Glucose Sodium a. 80048 b. 80048-52 c. 80048-52, 82310, 82947, 84295 d. 82310, 82947, 84295

54.  Code the lab test  Urine culture to rule out bacterial urinary tract infection a. 87000 b. 87076 c. 87086 d. 88000

55.  Code the lab test  Urine culture to rule out bacterial urinary tract infection a. 87000 b. 87076 c. 87086 d. 88000

56.  Code the lab test  Select a code for the following: Laryngeal function studies (ie, areodynamic testing and acoustic testing)

57.  Code the lab test  Select a code for the following: Laryngeal function studies (ie, areodynamic testing and acoustic testing)  92520

58.  Code the lab test  Select a code for the following: chemistry for corticosterone

59.  Code the lab test  Select a code for the following: chemistry for corticosterone  82528

60.  Code the lab test  Select a code for the following: pregnancy- associated plasma protein-A (PAPP-A).

61.  Code the lab test  Select a code for the following: pregnancy- associated plasma protein-A (PAPP-A).  84163

62. Questions???