This is the anesthesia formula - Answers B + T + M
If the anesthesia service were provided to a patient who had severe systemic
disease, what would the physical status modifier be? - Answers P3
What qualifying circumstances code would be used to identify the administration
of anesthesia that is complicated by an emergency condition? - Answers 99140
Anesthesia service for a needle biopsy of the pleura, 32400. - Answers 00522
EXAMINATION OF: Cervical spine.
CLINICAL SYMPTOMS: Herniated disc.
FINDINGS: A single spot fluoroscopic film from the operating room is submitted
for interpretation. The cervical spine is not well demonstrated above the level of
the inferior aspect of C6. There is a metallic surgical plate seen anterior to the
cervical spine. The cephalic portion of the plate is at the level of C6 at its superior
endplate. That extends in an inferior direction, presumably anterior to C7;
however, there is not adequate visualization of C7 to confirm location. Density
overlies the C6-7 intervertebral disc space, suggesting the presence of a bone
plug in this area; however, again visualization is not adequate in this area. Further
evaluation with plain radiographs is recommended - Answers 72020-26, 722.0
This patient undergoes a gallbladder sonogram due to epigastric pain. The report
indicates that the visualized portions of the liver are normal. No free fluid noted
within Morison's pouch. The gallbladder is identified and is empty. No evidence of
wall thickening or surrounding fluid is seen. There is no ductal dilatation. The
common hepatic duct and common bile duct measure 0.4 and 0.8 cm,
respectively. The common bile duct measurement is at the upper limits of normal. - Answers 76705-
26, 789.06
Report the professional component of the following service: This 68-year-old male
is seen in Radiation Oncology Department for prostate cancer. The oncologist
performs a complex clinical treatment planning, approves a dosimetry calculation,
manages a complex isodose plan and orders treatment devices which include
blocks, special shields, and wedges. He also performs treatment management.
The patient had 5 days of radiation treatments for 2 weeks, a total of 10 days of
treatment. - Answers 77263, 77300-26, 77307-26, 77334-26, 77427 × 2, 185
EXAMINATION OF: Chest.
CLINICAL SYMPTOMS: Pneumonia.
PA AND LATERAL CHEST X-RAY WITH FLUOROSCOPY.
CONCLUSION: Ventilation within the lung fields has improved compared with
previous study. - Answers 71023-26, 486
This 69-year-old female presents to the laboratory after her physician ordered
quantitative and qualitative assays for troponin to assist in the diagnosis of her
chief complaint of acute onset of chest pain. - Answers 84484, 84512, 786.50
This 34-year-old established female patient is in for her yearly physical and lab.
The physician orders a comprehensive metabolic panel, automated hemogram
and manual differential WBC count (CBC), and a thyroid-stimulating hormone.
Code the lab only. - Answers 80050
CLINICAL HISTORY: Necrotic soleus muscle, right leg.
SPECIMEN RECEIVED: Soleus muscle, right leg.
GROSS DESCRIPTION: Submitted in formalin, labeled with the patient's name
and "soleus muscle right leg," are multiple irregular fragments of tan, gray, and
brown soft tissue measuring 8 × 8 × 2.5 cm in aggregate. Multiple representative
fragments are submitted in four cassettes.
MICROSCOPIC DESCRIPTION: The slides show multiple sections of skeletal
muscle showing severe coagulative and liquefactive necrosis. Patchy neutrophilic
infiltrates are present within the necrotic tissue.
DIAGNOSIS: Soft tissue, soleus muscle, right leg debridement; necrosis and
patchy acute inflammation, skeletal muscle—infective myositis. - Answers 88304-26, 728.0
This patient is in for a kidney biopsy (50200) because a mass was identified by