Name:
Medical Billing and Coding Practicum
05 Assignment
Complete all components of this assignment in this worksheet and then upload the
completed worksheet for grading. This assignment is worth a total of 80 points.
Part I
In your textbook (65 points):
For this portion of this assignment, answer the coding challenges found in your Physician
Coding Exam Review: The Certification Step textbook. Use your CPT and ICD-9-CM
manuals to determine the correct codes. Remember, your goal is to complete each
question within two minutes!
1) Unit 4 Coding Challenge, Final Examination, pages 537-540: Urinary, Male
Genital System, Female Genital System, and Maternity Care and Delivery questions
84-93 (10 points)
84.
85.
86.
87.
88.
89.
90.
91.
92.
93.
2) Unit 4 Coding Challenge, Final Examination, pages 540-542: Endocrine System,
Nervous System, Eye and Ocular Adnexa questions 94-103 (10 points)
94.
95.
96.
97.
98.
99.
100.
101.
102.
103.
3) Unit 4 Coding Challenge, Final Examination, pages 547- 550: Radiology questions
122-130 (1-2 points each, 10 points total)
122.
123.
124.
125.
126.
127.
128.
129.
130.
4) Unit 4 Coding Challenge, Final Examination, pages 550-552: Pathology and
Laboratory questions 131-140 (10 points)
131.
132.
133.
134.
135.
136.
137.
139.
140.
5) Unit 4 Coding Challenge, Final Examination, pages 552-554: Medicine Section
questions 141-150 (10 points)
141.
142.
143.
144.
145.
146.
147.
148.
149.
150.
6) Unit 4 Coding Challenge, Final Examination, pages 521-522: ICD-9-CM,
questions 17-26 (10 points)
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
7) Unit IV Coding Challenge, Final Examination, pages 522: HCPCS, questions 2731 (5 points)
27.
28.
29.
30.
31.
Part II
Using your coding manual (15 points)
For the second portion of this assignment, please code the following reports using your
CPT and ICD-9-CM manuals:
1) Radiology Report (4 points)
EXAMINATION OF: Abdomen and pelvis.
CLINICAL SYMPTOMS: Ascites.
CT OF ABDOMEN AND PELVIS: Technique: CT of the abdomen and pelvis was
performed without oral or IV contrast material per physician request. No previous CT
scans for comparison.
FINDINGS: No ascites. Moderate-sized pleural effusion on the right
CPT Code(s): _________________ ICD-9-CM Code(s): ____________________
2) Procedure Report #3 (7 Points)
DIALYSIS INPATIENT NOTE: This 24-year-old male patient is on continuous
ambulatory peritoneal dialysis (CAPD) using 1.5%. He drains more than 600 mL. He is
tolerating dialysis well. He continues to have some abdominal pain, but his abdomen is
not distended. He has some diarrhea. His abdomen does not look like acute abdomen. His
vitals, other than blood pressure in the 190s over 100s, are fine. He is afebrile.
At this time, I will continue with 1.5% dialysate. Because of diarrhea, I am going to
check stool for white cells, culture. Next we will see what the primary physician says
today. His HIDA scan was normal. The patient suffers from ESRD and has had 6
encounters this month. Code this service.
CPT Code(s): __________________ ICD-9-CM Code(s): __________________
3) OPERATIVE REPORT (4 points)
PREOPERATIVE DIAGNOSIS: Mechanical ectropion, left lower eye.
PROCEDURE PERFORMED: Medial tarsorrhaphy, left lower eye.
In the operating room, after intravenous sedation, the patient was given a total of about
0.5 mL of local infiltrative anesthetic. The skin surfaces on the medial area of the lid,
medial to the punctum, were denude. A bolster had been prepared and double 5-0 silk
suture was passed through the bolster, which was passed through the inferior skin and
raw lid margin, then through the superior margin, and out through the skin. A superior
bolster was then applied. The puncta were probed with wire instrument and found not to
be obstructed. The suture was then fully tied and trimmed. Bacitracin ointment was
placed on the surface of the skin. The patient left the operating room in stable condition,
without complications, having tolerated the procedure well.
CPT Code(s): _________________ ICD-9-CM Code(s): ____________________