Question

In: Nursing

PCMA Chapter (On the Job) 16-"Sophia DiStefano, a five-year-old female, experienced three bouts of otitis media...

PCMA Chapter (On the Job) 16-"Sophia DiStefano, a five-year-old female, experienced three bouts of otitis media within the past seven months and was diagnosed with chronic otitis media. Following an audiometry screen two weeks ago, Dr. Salpega recommended surgery to correct the underlying problem. Sophia's mother signed an informed consent for the procedure. Today, Dr. Salpega performs a bilateral tympanostomy (tube placement) for a more permanent treatment of the condition. David Dolan, a Registered Medical Assistant, needs to code for the procedure."

  1. Should David code and bill for the audiometry screening? Why or why not?
  2. What is the diagnosis related to Sophia's procedure? How can David ensure that the diagnosis is correct?
  3. What procedure code should be assigned for a bilateral tympanostomy with local anesthesia? Is a modifier necessary?

Solutions

Expert Solution

Answer :-( 01 )Yes David code and bill for audiometery screening pure tone audiometery (air only)

The medical billing CPT code 92552 test pure tone audiometery done beacuse it have a ability to change both intensity and frequency .

Answer:-(2) The diagnosis of chronic otitis based on previous 4 episodes of ear infection and pain

01)tempnocentsis

David use is use of otoscope and check typmpanic membrane inflammed and fluid peresent there

also medical billing code pure tone audiometery test done so David is confrim about diagnosis of chronic otitis media

Answer :- 03

The procedure code for assign bilateral tympnostomy is (69433).

Tmypanostomy requires insertion a ventilating tube.

Note :- modifier adds on cod generally not need in thier primary code


Modifications with or without if use modification in first procedure then not use in second procedure
Providers are use the (50) modifier ( bilateral procedure) with appropriate CPT code and place (1) in the units field of the claim form

the site specific modification LT ( left side) an RT right side may be used appropriately CPT codes only when procedure performed on either left or right side.

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

PCMA Chapter 15-"Sophia DiStefano, a 5-year-old female, is seen by Dr. Salpega. He diagnoses Sophia with...
PCMA Chapter 15-"Sophia DiStefano, a 5-year-old female, is seen by Dr. Salpega. He diagnoses Sophia with bilateral chronic serous otitis media because this visit is the third bout of otitis media she has had within the past seven months. Dr. Salpega asks that David Dolan, a Registered Medical Assistant, conduct an audiometry screening on Sophia. He also suggests that Edvige, Sophia's mother, consider having Sophia undergo a bilateral tympanostomy and tube placement for a more permanent treatment of the chronic...
Otitis Media An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear...
Otitis Media An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging. Answer the following questions: What else should you ask the client? What teaching would you reinforce to prevent the recurrence of otitis media? What expected outcomes would be specific to this situation?
Written Assignment - Otitis Media An 8-year-old girl comes to your ambulatory care clinic with complaints...
Written Assignment - Otitis Media An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging. Answer the following questions: What else should you ask the client? What teaching would you reinforce to prevent the recurrence of otitis media? What expected outcomes would be specific to this situation?
The patient in this case is a 57 year old female that has experienced joint pain...
The patient in this case is a 57 year old female that has experienced joint pain for ~ 5 years. Her joints are becoming progressively deformed with swelling. Her physician decides to order a synovial fluid analysis, including a cell count, differential, RF, protein, glucose, LDH, and crystal analysis if indicated. He also orders blood work: Rheumatoid Factor and glucose level. Her results are as follows: Synovial Fluid Analysis Serum Results Appearance Yellow/Cloudy Protein 3.7 g/dL Glucose 81 mg/dL 100...
a. Mrs. Ho is a 55 year old female with a five year history of type...
a. Mrs. Ho is a 55 year old female with a five year history of type 2 diabetes and hypertension. She has been brought into the ER via an ambulance. While at home watching TV on her sofa, she developed crushing sub-sternal chest pain (9/10) which radiates to her back and left arm. She took a S.L. nitroglycerin and five minutes later took another when the pain did not subside. She called 911. She is very frightened because her chest...
Jeannie is a 16-year-old female that has gone in for an evaluation of her episodes of...
Jeannie is a 16-year-old female that has gone in for an evaluation of her episodes of wheezing and shortness of breath. These episodes resolve spontaneously, but her incidence of them seems to be increasing. While playing sports she is having shortness of breath and wheezing. She uses her friend’s bronchodilating inhaler on occasions when her symptoms seem especially bad, and interfere with her playing of lacrosse. Of late, Jeannie has been dealing with itchy, watery eyes and sneezing with the...
Enterprise Risk Management is the title of this chapter. In words that a five year old...
Enterprise Risk Management is the title of this chapter. In words that a five year old could understand, tell the class what this means to financial managers working for a public corporation?
2. Sophia, a 58-year-old moderately obese woman, is seeing her primary health care provider. Sophia is...
2. Sophia, a 58-year-old moderately obese woman, is seeing her primary health care provider. Sophia is concerned because she cut her foot two weeks ago and the wound is not healing. The health care provider notes that Sophia has lost 30 pounds since her last appointment. Despite her weight loss, she states that she has been very hungry lately, and is eating much more than usual. She also reports that she is constantly thirsty, and is experiencing frequent urination. Based...
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath...
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath while playing volleyball. She has been in good health until about six months ago. During these six months, she has had several colds and flu events where she was unable to do normal activities. Her mother reports she spends a great deal of time sleeping, sometimes twelve hours, and complains of fatigue when she awakens. She is pale and appears to have little energy....
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath...
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath while playing volleyball. She has been in good health until about six months ago. During these six months, she has had several colds and flu events where she was unable to do normal activities. Her mother reports she spends a great deal of time sleeping, sometimes twelve hours, and complains of fatigue when she awakens. She is pale and appears to have little energy....
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT