List and define the 3 Rs that are used for consultation codes.
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Q. 2) Define the term observation status.
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Q. 3) Dr. Smith saw his patient Samantha Jones at 9:00 a.m. at Sunnyside Nursing Home to admit her to the facility. Later that day, he is called back to the facility because the patient is experiencing an abnormal heartbeat and is complaining of chest pains. He reports to his coder that he would like to bill the following codes for these services: 99304 and 99308. Is this correct? If not, explain why.
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Q. 4) Using a CPT manual, select the appropriate code for the following:
Tom Jump, a 5-month-old male, was admitted to the pediatric critical care unit due to difficulty breathing. Dr. Peds performed endotracheal intubation and determined that the child is in critical condition.
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Q. 5) Using a CPT manual, select the appropriate code for the following:
Mr. Hinds is a patient in the ICU who is listed in critical condition. Because of his condition, Dr. Jones spends 1 hour evaluating the patient. During this time, Dr. Jones reviewed X-rays that were taken, reviewed ECGs, and performed ventilation management.
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Q. 6) Using a CPT manual, select the appropriate code for the following:
Emergency Room report
Tom Pounds was transported to the ER via ambulance following a motorcycle accident. On arrival, the patient was unconscious. He was evaluated, and it was determined that he had massive internal injuries and abdominal bleeding. He was sent to the operating room for exploratory surgery.
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Q. 7) Using a CPT manual, select the appropriate code for the following:
Bill Many was admitted for observation on 2/4/XX for management of left upper quadrant pain. A detailed history was obtained, and a comprehensive examination was completed. Diagnostic testing was inconclusive. Medical decision making was of low complexity. He was discharged from observation on 2/4/XX.
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Q. 8) Using a CPT manual, select the appropriate code for the following:
Office visit report
BP 120-78 Temperature 98.9
Mary is a new patient seen today for a mild rash on her left arm.
Her skin was examined, and it is noted that the rash is only on her left arm.
She has no other complaints at this time.
She was instructed to apply an over-the-counter anti-rash cream.
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Q. 9) Using a CPT manual, select the appropriate code for the following:
Dr. Jones is the admitting physician for patient Sally Smith. On the first day of hospitalization, Dr. Jones completes a comprehensive history and examination, and the medical decision making is of moderate complexity.
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Q. 10) Prolonged evaluation and management service before and/or after direct patient care; first hour is reported with code ____________________.
Fill in the blank(s) with correct word
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