AC210615_Full Answer Key 2017.docx

Index immunization administration one vaccinetoxoid

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Index: Immunization Administration, One Vaccine/Toxoid Vaccines, Meningococus, meningococcal, serogroup B (MenB) Code(s): 90471 Immunization administration, IM, one vaccine 90621 Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB), 3 dose schedule, for intramuscular use Case Study #4 A 45-year-old patient with end-stage renal disease (ESRD) is seen in the outpatient dialysis clinic for services on July 2, 5, 9, 15, 18, 21, 24, and 28. Index: End-Stage Renal Disease Services Code(s): 90960 End-stage renal disease related services per full month; for patients 20 years of age and older
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Instructor's Guide AC210614: Basic CPT/HCPCS Exercises Page 90 of 100 Case Study #5 A 45-year-old patient complains of sneezing, coughing, and occasional episodes of wheezing. The physician wants to determine the cause of these allergic symptoms and performs 30 percutaneous skin tests. Index: Allergy Tests, Skin Tests, Allergen Extract Code(s): 95004 Percutaneous tests (Would need to specify the number of tests for claims processing) Case Study #6 Arterial Study A 52-year-old female has a history of hypertension and now, during an examination, the physician hears carotid bruit. The physician orders a complete, bilateral extracranial duplex ultrasound examination. Index: Duplex Scan, Arterial Studies, Extracranial Code(s): 93880 Duplex scan of extracranial arteries; complete bilateral study Case Study #7 Photodynamic Therapy (PDT) Patient was diagnosed with actinic keratosis with lesions on several locations of the face. The physician prepares a topical solution and applies photosensitizing agent in topical solution form to each lesion. Index: Photodynamic Therapy, For Tissue Ablation Code(s): 96567 Photodynamic therapy Case Study #8 SLP Evaluation Index: Swallowing Evaluation Code(s): 92610 Evaluation of oral and pharyngeal swallowing function Case Study #9 A patient is seen in the Emergency Department with severe vomiting and diarrhea due to viral gastroenteritis. IV hydration is prescribed and takes one hour to administer. Index: Hydration, Intravenous Code(s): 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour
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Instructor's Guide AC210614: Basic CPT/HCPCS Exercises Page 91 of 100 Case Study #10 Electroencepthalogram Complaint: Altered mental status Current Medications: Vasotec, Lanoxin, and Lasix State of patient during recording: Awake and drowsy Description: The background is characterized by diffuse slowing and disorganization consisting of medium-voltage theta rhythm at 4–6 Hz seen from all head areas. From anterior head areas, faster activity at beta range. Eye movements and muscle artifacts are noted. Photic stimulation and hyperventilation were not performed. Total recording time was 40 minutes. Impression: This is a moderately abnormal record due to diffuse slowing and disorganization of the background, with the slowing being at theta range.
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