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NEW QUESTION # 73
Which type of anesthesia is NOT separately reportable?
Answer: D
Explanation:
CPT surgery guidelines uphold that local infiltration, metacarpal/metatarsal/digital block, or topical anesthesia is always included in the surgical package. Under monitored anesthesia care (MAC), a patient is sedated but typically still aware, and the presence of qualified anesthesia personnel is required. Spinal and regional anesthesia is used for a variety of different procedures and is also separately reportable.
NEW QUESTION # 74
An obstetrical patient carrying twins is seen. The physician performs a fetal non stress test on each fetus. How should the CPT code(s) be reported?
Answer: D
Explanation:
Modifier 76 is used to identify a repeated procedure, but the test was performed on a separate fetus. Modifier 22 indicates increased procedural services: however, the services were not increased. Rather, a separate, identifiable test was rendered, and the modifier 59 would therefore apply to the second fetal nonstress test.
NEW QUESTION # 75
A patient receives a positron emission technology (PET) scan at rest, where a metabolic evaluation study, including ventricular wall motion was performed using PET imaging. A computed tomography (CT) was performed at the same time. What CPT code(s) should the radiologist report?
Answer: B
Explanation:
PET scans are reported using CPT codes 78429-78434. The documentation specifies that a metabolic study was performed versus a perfusion study, thus eliminating answers B and D. A CT scan is included in the description of CPT 78429, thus making it unable to be separately reportable.
NEW QUESTION # 76
A new, 29-year-old female patient is seen for a preventative visit and receives counseling that totals 30 minutes about contraceptive management. How would the provider code the CPT code(s) for this visit?
Answer: A
Explanation:
If 99402 is part of a more complex service, it would not be separately identifiable, thus eliminating answer A Because 99385 includes counseling/anticipatory guidance/risk factor reduction interventions, the additional 30 minutes that the provider spent discussing contraceptives would not be considered a significant, separately identifiable E/M service, eliminating answer B. Last, because time is not a factor when selecting a preventative service,
99417 reflected in answer C, indicating a prolonged outpatient E/M service totaling 30 minutes would not apply.
NEW QUESTION # 77
If a patient is receiving hospice care in a physician's office, which place of service code should be reported on the claim?
Answer: A
Explanation:
Place of service (POS) codes "specify the entity where service(s) were rendered." In this case, hospice care was provided in an office, which would correspond to POS 11. POS 34 is hospice care provided in a facility, POS 71 is a public health clinic that provides ambulatory medical care, and POS 62 is an outpatient rehabilitation facility providing services that would include physical and occupational therapy.
NEW QUESTION # 78
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