Unit 3 Seminar

 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

 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

 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

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

 Code the lab test:  Urinalysis a b c d

 Code the lab test:  Urinalysis a b c d

 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 b ,82374,82435,84132,84295 c ,82435,84132,84295 d ,82435,84133,84300

 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 b ,82374,82435,84132,84295 c ,82435,84132,84295 d ,82435,84133,84300

 Code the lab test  Qualitative fetal hemoglobin a b c d

 Code the lab test  Qualitative fetal hemoglobin a b c d

 Code the lab test  CBC, automated, including Hgb, Hct, RBC, WBC, and platelet count a , b c d

 Code the lab test  CBC, automated, including Hgb, Hct, RBC, WBC, and platelet count a , b c d

 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

 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

 Code the lab  Thromboplastin time, partial (PTT) in plasma a b c d

 Code the lab  Thromboplastin time, partial (PTT) in plasma a b c d

 Code the lab test  RBC antibody screen, two different techniques a b c , d ,

 Code the lab test  RBC antibody screen, two different techniques a b c , d ,

 Code the lab test  Qualitative analysis of organic acids, three specimens a , , b c , , d

 Code the lab test  Qualitative analysis of organic acids, three specimens a , , b c , , d

 Code the lab test  Thawing of ovarian tissue a b c d

 Code the lab test  Thawing of ovarian tissue a b c d

 Code the lab test  Testing of blood for LDL and HDL cholesterol a b c , d , 83719

 Code the lab test  Testing of blood for LDL and HDL cholesterol a b c , d , 83719

 Code the lab test  Blood testing for presence of Epstein-Barr virus nuclear antigens a b c d

 Code the lab test  Blood testing for presence of Epstein-Barr virus nuclear antigens a b c d

 Code the lab test  Blood testing for presence of antigen to chickenpox a b c d

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

 Code the lab test  Testing of stool for H. pylori a b c d

 Code the lab test  Testing of stool for H. pylori a b c d

 Code the lab test  Coombs test direct a b c d

 Code the lab test  Coombs test direct a b c d

 Code the lab test  Gross examination of tonsils a b c d

 Code the lab test  Gross examination of tonsils a b c d

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

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

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

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

 Code the lab test  Analysis of chromosomes from amniotic fluid a b c d

 Code the lab test  Analysis of chromosomes from amniotic fluid a b c d

 Code the lab test  Report of breast tissue submitted for frozen section during mastectomy procedure a b c d

 Code the lab test  Report of breast tissue submitted for frozen section during mastectomy procedure a b c d

 Code the lab test  Pathology analysis of organ specimen taken from patient during laparoscopic cholecystectomy a b c d

 Code the lab test  Pathology analysis of organ specimen taken from patient during laparoscopic cholecystectomy a b c d

 Code the lab test  Cell count of fluid taken from knee joint effusion a b c d

 Code the lab test  Cell count of fluid taken from knee joint effusion a b c d

 Code the lab test  Test of blood clotting factor VIII a b c d

 Code the lab test  Test of blood clotting factor VIII a b c d

 Code the lab test  Total necropsy of 3 day old infant gross and microscopic analysis a b c d

 Code the lab test  Total necropsy of 3 day old infant gross and microscopic analysis a b c d

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

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

 Code the lab test  Urine culture to rule out bacterial urinary tract infection a b c d

 Code the lab test  Urine culture to rule out bacterial urinary tract infection a b c d

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

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

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

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

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

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

Questions???