The following is an excerpt from The Coder’s Guide to Physician Queries byAdrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP,with contributions from Rose T. Dunn, MBA, RHIA, CPA, CHPS, FACH. Chapter 2, “Understanding the Regulatory Environment,” provides valuable information for coders ongovernment payer initiatives to ensure ethical query submissions.
This case is excerpted from JustCoding’s Clinical Scenario Workbook: 2018 CPT Edition. The book contains 52 cases covering a wide variety of procedures and has been reviewed by HCPro’s coding regulatory specialists. See answers on p. 2.
This case is excerpted from JustCoding’s Clinical Scenario Workbook: 2018 CPT Edition. The book contains 52 cases covering a wide variety of procedures and has been reviewed by HCPro’s coding regulatory specialists. See answers on p. 2.
After reviewing each attached clinical scenario, coders should report the most applicable ICD-10-CM diagnosis codes and all relevant CPT codes. Answers are provided at the bottom of each page. Clinical scenarios are written by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC.