Question

QUESTION 12

A 76-year-old male presents to the OP surgical suite for investigation of suspected bladder tumors. A diagnostic cystoscopy is performed, revealing a normal urethra. However, two bladder tumors of approximately 1.5 cm were identified. At that time, a cystoscopicfulguration of the tumors was accomplished. Prior to fulgeration, a biopsy of the tumors was taken and sent to pathology. The surgeon's operative report lists a post-operative diagnosis of "suspected bladder cancer." The pathology report indicates transitional cell carcinoma in both bladder tumors.

Select the most appropriate reporting for the hospital's services and documented medical necessity.

	A.	52234, 88305 DX: C67.9
	B.	88307, 52235 DX: C79.11
	C.	52234 X 2 DX: C67.5
	D.	52000, 52234, 88305 DX: D49.0

A patient presents on an outpatient basis for an AP and lateral chest x-ray for cough. The radiology report indicates "no abnormal findings." What would be the correct coding for the hospital outpatient radiology department?

	A.	71035-26; Z00.00
	B.	71010, 71010-76; J41.0
	C.	71022; Z01.811, R05
	D.	71020; R05

Answer 1

CPT, ICD10 CM coding are used for hospital services, diagnosis, treatment procedure. These codes are helpful for insurance claim, reimbursement and CMS form.

Q1. Answer is option A

While answering multiple choice question always use method of elimination and analytical thinking it will help to identify accurate answer

OPTION A possible because in the give case the tumor is unspecified

52234 - cystoscopicfulguration at level 4 88305- microscopic examination of cell to see the gross and minute view DX: C67.9- malignant neoplasm of bladder, unspecified

B is not possible because ICD CODE C79.11 which means secondary malignant of neoplam of bladder,

In the given case there is not sign of seconday malignacy is approached

C is not possible as coding DX: C67.5 which means malignant cancer of bladder neck, and in the given case tumor position in the bladder is unspecified.

D is also not possible because DX: D49.0 which means neoplasm of digestive system which is not at all possible, as case is from urinary system.

Q2. Although new CPT codes have been introduced in radiology since 2018

So may be option in question are invalid, if questions asked for previous code knowledge checking then it will fine.

While answering multiple choice question always use method of elimination and analytical thinking it will help to identify accurate answer

a. 71035-26; Z00.00

This option is not possible because code Z00.00 is used for general examination of body without any complain but client comes in outpatient department for complain of cough.

b. 71010, 71010-76; J41.0

J41.0 coding used for simple and mucopurulent chronic bronchitis

In the given case chest x-ray result is no abnormal finding, in chronic bronchitis

Chest x-ray result have increased bronchovesicular marking and cardiomegaly.

Option B IS NOT POSSIBLE

c. 71022, Z01.811, R05

This option is not possible because given CPT code in option is for oblique -projection in the x-ray, which doesn’t go with the give case scenario

Other code may be match with scenario but CPT code doesn’t match with case

d. 71020,R05

OPTION D is answer because in CPT code 71022 frontal and lateral view

And in the given case AP and lateral view is taken in chest x-ray so ideal CPT code is 71022 and client is complaining cough, ICD code for cough is R05.

FOR ANY DOUBT POST QUSTION, IT WILL BE HIGHLY APPRECIATED THANK YOU