Medical Billing and Coding
Name:_________________________________
ICD-9 Codes
1. Use the ICD-9 Manual to find codes for the following:
Diagnosis:
1. Tinea pedis
2. Chronic hepatitis C
3. Mycobacterium pulmonary infection
4. Acute prostatitis due to Streptococcus (2 codes)
5. Hypokalemic syndrome
6. Malignant neoplasm of the tail of the
pancreas,primary
7.
8.
9.
10.
11.
12.
13.
Mixed hyperlipidemia
Toxic shock syndrome
Chronic follicular conjunctivitis
Parkinson’s disease
Panic attack without agoraphobia
Tobacco abuse
Malignant hypertensive heart disease, with heart
failure
14.
15.
16.
17.
18.
Carpal tunnel syndrome
Abscess of the lung
Acute frontal sinus
Saddle embolus
Type II cerebral poliomyelitis with dysphonia
(2 codes)
19.
20.
21.
22.
Malignant ascites, primary site unknown (2 codes)
Paroxysmal supraventricular tachycardia
Aphthous stomatitis
Hiatal hernia with obstruction
ICD-9 code:
23. Pyelitis due to tuberculosis (2 codes)
24. Amenorrhea
25. Arthritis due to ulcerative colitis (2 codes)
2. A patient dies from an accidental overdose of heroin. What are the codes?
___________________________, _____________________________, ___________________________
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CPT Codes
1. Use the CPT manual to find codes for the following:
Procedural Statements:
CPT Codes:
1. Umbilectomy
2. Femoral – popliteal bypass graft
3. Trigger finger release
4. Direct repair of cerebral artery aneurysm
5. Layer closure of 3 inch stab wound of the neck
6. Successful cochlear implant
7. Incisional biopsy of the prostate
8. Pelvimetry
9. Barium enema
10. Gastroesophageal reflux study
11. KOH prep
12. Red blood cell count
13. HIV antibody and confirmatory test
14. Glucose tolerance test, three specimens
15. Herpes simplex virus, quantification
16. Hypnotherapy
17. Massage therapy, 45 minutes
18. Medical testimony
19. Right heart catheterization, for congenital
cardiac anomalies
20. Educational videotapes provided to patient
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HCPCS Codes
Determine the HCPCS codes for the following procedures and services:
Procedures and Services:
HCPCS Codes:
1. Advanced life support, level 2
2. Wheelchair van transporting patient from assisted
living facility to doctor’s office
3. One pint of pHisoHex solution
4. Replacement adapter for breast pump
5. Ostomy belt
6. Rubber pessary
7. DME delivery and setup
8. Parenteral nutrition supply kit; home mix, per day
9. Enteral infusion pump with alarm
10. Implantable joint device
11. Portable sitz bath
12. Four-lead TENS unit
13. Quad cane with tips
14. PET imaging for initial diagnosis of breast cancer
15. Prolotherapy
16. Partial foot prosthesis, shoe insert with
longitudinal arch, toe filler
17. Behavioral health counseling and therapy, 30
minutes
18. Silicone breast prosthesis
19. Platelets, each unit
20. Assessment for hearing aids
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Modifiers
1. A patient is admitted and has bilateral arthroscopy of the knees due to Baker’s cyst.
a. ICD-9 - ___________________________
b. Modifier - _________________________
2. Ben Gone, surgical resident, assists Dr. Medic, chief cardiologist, in a coronary artery bypass procedure due to
coronary arteriosclerosis of a native artery.
a. ICD-9 - ___________________________
b. Would there be a modifier code? ______________
3. Dr. Medic began surgery for right knee replacement due to severe osteoarthritis on an 86 year old female with
controlled hypertension. The patient was satisfactorily anesthetized and the site opened to view. Shortly
thereafter, the patient’s blood pressure dropped significantly, and the physician was unable to stabilize the
patient. The surgical procedure was discontinued.
a. ICD-9 - ___________________________, ___________________________, _______________________
b. Modifier - _________________________
4. A patient is seen at the direction of Worker’s Compensation for a complete physical examination for insurance
certification.
a. ICD-9 - ___________________________
b. Modifier - ________________________
5. Anesthesia provided by an ENT physician during a tympanoplasty for repair of a tympanic membrane
perforation.
a. ICD-9 - ___________________________
b. Modifier - ________________________
6. A radiological examination of a gastrointestinal tract was ordered by a third-party payer for a confirmation of
Crohn’s disease (regional enteritis) of the large bowel.
a. ICD-9 - ___________________________
b. Modifier - ________________________
7. A patient has a surgical procedure on Tuesday, and later that day the physician must take the patient back to the
operating room to repeat a coronary bypass, due to complications of initial procedure.
a. Modifier - ________________________
8. What Level II modifier indicates the upper left eyelid?
a. Modifier - ________________________
9. A surgeon performs a procedure on a neonate weighing 9 kg; the procedure was extremely complicated. What
modifier would you use to indicate this service, which has an increased level of complexity?
a. Modifier - ________________________
10. Dr Merryweather serves as an assistant surgeon to Dr. Tauber. What modifier would you add to the procedure
code to indicate Dr Merryweather’s status during the surgery?
a. Modifier - _______________________
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E/M Services
1. The patient was admitted to the hospital 3 days ago with severe dehydration and hyponatremia. The patient is
now being discharged. Discharge takes 30 minutes.
a. ICD-9 - __________________________, ____________________________
b. CPT - ___________________________
2. A 32 year old female patient admitted for observation after an allergic reaction to her pain medication. She is
alert and oriented, but has severe pruritus and shortness of breath. A detailed history and examination is
performed after she takes her medication for the pruritus; the breathing improved and the patient was
discharged from observation on the same day.
a. ICD-9 - _________________________, _____________________________, _______________________
b. CPT - __________________________
3. Gene Green, an established patient, came into the office for his yearly physical examination. He is 72 and in
good health.
a. ICD-9 - _________________________
b. CPT - __________________________
Combinations of codes
1. Joanne, an established patient, comes into the office to have an intermediate repair of a 2.6 cm wound on her
right arm. A surgical tray was used.
a. ICD-9 - _________________________
b. CPT - __________________________, _________________________
2. Rita, has an excision of an axillary hidradenitis, complex repair
a. ICD-9 - _________________________
b. CPT - __________________________
General Information
1. How many levels of HCPCS are there?________________
2. HCPCS level II codes have how many digits? _______________
3. What are modifiers?
4. What are permanent national codes?
5. What are dental codes?
6. What are miscellaneous codes?
7. What are temporary codes?
8. Who are the governing agencies for HIPAA?
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