Pernicious Anemia Procedural and Diagnostic Coding Health Case Study

Answer the following questions for ICD-10 and CPT coding

1.What do letter ‘X’ and ‘A’ ‘mean in the code below. (2 points)

S94.02XA – Injury of lateral plantar nerve,right leg

2. A patient presents with difficulty breathing and fever. The physician takes a sputum culture and orders a chest x-ray. Patient is diagnosed with acute pneumonia. What is the first listed diagnosis and main term in the diagnosis. (2 points)

3. For the diagnosis below what is the main term? (1 point)

D51.0 Pernicious anemia –

4. A patient has been diagnosed with ganglion of the right hand. The diagnostic code for this condition is M67.441. What are the three characters after the decimal point called? (1 point)

5. A 30-year old woman is seen for an initial consultation for a large and uncomfortable bunion on her right foot. The orthopedic surgeon performs a problem-focused history and problem-focused physical examination. When the MA has to look up for the codes, which section of the CPT manual will the codes for this procedure be located in? (1 point)

6. A 22-year-old male was in a mountain bike accident that involved flying over the handlebars of his bike when the front tire hit a sandy patch. Upon admission to ER, a CT scan was performed, without contrast, to his head. Identify the procedure done on this patient and which section of the CPT manual would these codes be available in? (1 point)

7. A 12-year-old female suffered an open wound to her right thigh while skateboarding. An intermediate (layered) repair of the open wound was performed. The repair was 7.2 cm in length. Identify the procedure done on this patient and which section of the CPT manual would these codes be available in? (1 point)

8. A 25 year old female patient visits her primary care provider with a chief complaint of nausea, vomiting. She also mentions that she has an irregular menstrual cycle. Based on her history, the doctor puts in the order for a urine pregnancy test by visual color comparison method. What is medical necessity and according to the medical necessity guidelines, what should a medical assistant verify in this scenario? (1 point)