Chapter 17 Worksheet Code It

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1 Class: Date: Chapter 17 Worksheet Code It True/False Indicate whether the statement is true or false. 1. CPT laboratory codes include collection of the specimen. 2. A dipstick is a small piece of plastic infused with a chemical that is used during laboratory testing of urine. 3. Hematology is the study of blood and blood disorders. 4. Antigen and antibody studies measure the amount of blood in a sample. 5. Immunoglobulins are proteins produced by renal cells that help fight infection. 6. To determine if a bacterium is present, a pathologist will perform a histology test. 7. A Gram stain is a method of classifying all bacteria as gram-positive or gram-negative. 8. Bronchial washings taken from a patient's bronchus are analyzed using the Bethesda System. 9. An accession number is assigned to each pathology case. 10. Partial zonal dissection is a method of sperm analysis. 11. Microtechnique is a type of preparation used for embryo transfer. 12. CPT code is assigned when a vein is punctured to collect a blood sample. 13. The CPT Pathology and Laboratory Section includes codes that can be reported for clinical consultation services. 14. A block is a thin slice of tissue prepared from a tissue section. 15. A block is a portion of tissue placed in a medium and then used for pathologic analysis. 16. Modifier -91 is added to a CPT code when pathology services are repeated on the same date of service. 17. CPT code is assigned when a glucose test is performed on an obstetric patient. 18. CPT code is assigned when a complete blood count (CBC) is performed. 19. Certification of hospital-based laboratories is provided under the Clinical Laboratory Improvement Act (CLIA). 20. Organ- and disease-oriented panels are coding and clinical tools. 21. Arterial puncture is coded as You will never use the TC modifier in laboratory coding. 23. Modifier -51 is not added to pathology and laboratory codes. 24. In the general health panel, the following labs must be included: 80053, 85025, 85027, 85009, and Code describes an automated reticulocyte count. 1

2 Completion Complete each statement. 26. Tissue preparation for drug analysis. Assign code(s). 27. Urinalysis, bacteriuria screen, except by culture or dipstick. Assign code(s). 28. Blood occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations. Assign code(s). 29. Lipoprotein, direct measurement, LDL cholesterol. Assign code(s). 30. Molecular diagnostics, enzymatic digestion, each enzyme treatment. Assign code(s). 31. Clotting factor X (Stuart-Prower). Assign code(s). 32. Cold agglutinin titer. Assign code(s). 33. Deoxyribonuclease acid (DNA) antibody native or double stranded. Assign code(s). 34. H. Pylori. Assign code(s). 35. Fresh frozen plasma, thawing, each unit. Assign code(s). 36. Pretreatment of serum for use in RBC antibody identification, incubation with inhibitors, each. Assign code(s). 37. Culture, bacterial, with isolation and presumptive identification of each isolate, urine. Assign code(s). 38. Infectious agent antigen detection by immunofluorescent technique, Herpes simplex virus type 1. Assign code(s). 39. Necropsy (autopsy), gross examination only, with brain and spinal cord. Assign code(s). 40. Sex chromatin identification, peripheral blood smear, polymorphonuclear drumsticks. Assign code(s). 41. Flow cytometry, interpretation, 9-15 markers. Assign code(s). 42. Nerve teasing preparations. Assign code(s). 43. Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report. Assign code(s). 44. Assisted embryo hatching, microtechniques (any method). Assign code(s). 45. Sperm identification from testis tissue, fresh or cryopreserved. Assign code(s). Short Answer 46. What are two methods used to collect a blood sample from a patient? 47. Why were pathology and laboratory National Coverage Determinations (NCD) developed? 48. What are the two types of assay measurements? 49. What are the two components required of a clinical pathology consultation? 2

3 ame: 50. What group of CPT pathology and laboratory codes would be referred to when a person is being tested to determine if he is a carrier for sickle cell disease? 51. What levels are tested as part of CBCs? 52. What do immunology codes classify? 53. How are transfusion codes classified? 54. What components of health record documentation must be reviewed to assign microbiology codes properly? 55. List common methods of obtaining specimens for cytopathological studies. 56. What cytology system is used to report cell shape from cervical or vaginal specimens? 57. CPT codes to are assigned for what type of laboratory testing? 58. What modifier is assigned when CLIA-waived services are reported to Medicare or Medicaid? 59. General health panel CPT code is assigned when a comprehensive metabolic panel is performed. What tests are included when this code is assigned? 60. What tests are included in an electrolyte panel? 61. CPT codes to are used when a patient has which procedure done? 62. CPT codes to are assigned when testing is done on what type of specimen? 63. What substance is administered with an antigen to enhance the response of the antigen? 64. Immunoglobulins are proteins, some of which are involved in immune responses to bacteria or foreign substances. What immunoglobulins are involved in this type of response? 65. How many times is an ambulatory payment classification (APC) transfusion payment paid if three units of blood are transfused in 1 day? Multiple Choice Identify the choice that best completes the statement or answers the question. 66. A patient undergoes the following blood tests: carbon dioxide, CBC (automated), chloride, potassium, and sodium. Report code(s) a b , c , 85027, 82435, 84232, d , 85027, 82435, 84232, 84295, Surgical pathology analysis level VI of esophageal tissue. Report code a c b d Testing of a blood sample for bleeding time. Report code(s) a c b , d

4 69. Patient undergoes a lipid panel. Because of an abnormally high triglyceride level, a repeat triglyceride is done as an individual test. Report code(s) a c , b , d , 82465, 83718, A patient underwent confirmation of three drugs by chromatography. This required one stationary phase with three mobile phases. Report code(s) a c b , 80102, d , 80102, Automated testing of urine, using microscopy. Report code a c b d CPK isoenzymes testing of blood specimen. Report code a c b d ABO blood typing of whole blood unit that will be transfused. Report code a c b d Culture of nail for presence of fungi. Report code a c b d Blood testing for presence of varicella antibodies. Report code a c b d Blood testing for presence of Chlamydia immunoglobulins. Report code a c b d Nick Miller had blood testing done to determine peroxidase activity, qualitative, feces. This was of a specimen obtained from a digital rectal exam (DRE). Report code a c b d A patient with a history of colorectal cancer underwent quantitative immunoassay of tumor antigen 242 to test for recurrence of colon cancer. Report code a c b d C peptide panel. Report code(s) a c , 84681x5, 82947x5 b , 84681, d Gross examination of a metal screw removed from a patient's ankle. Report code a c b d Analysis of semen for presence and motility. Report code a c b d

5 82. Pathology examination of tissue removed during a pancreas biopsy. Report code a c b d Testing of blood for presence of Bordetella antibody. Report code a c b d KOH slide examination of hair sample for presence of scabies. Report code a c b d Complete autopsy of a 35-year-old man found dead in his car in the parking lot of a convenience store. Report code a c b d Matching Match each surgical pathology to its level of pathological examination. a. level I d. level IV b. level II e. level V c. level III f. level VI 86. abscess 87. lung, transbronchial 88. colon, colostomy stoma 89. urinary bladder, TUR 90. nerve 91. cervix, conization 92. artery 93. lip biopsy 94. brain 95. hematoma 96. fetus with dissection 97. fallopian tube, sterilization 98. skin tag 99. bone resection 100. hernia sac, any location 5