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You are here: Home / Articles / Rheumatology Coding Corner Questions: 2017 End-of-Year Quiz

Rheumatology Coding Corner Questions: 2017 End-of-Year Quiz

December 19, 2017 • By From the College

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1. A 68-year-old new female patient has an appointment to see the rheumatologist in four days. The patient has her medical records sent over from her primary care physician, neurologist and endocrinologist for the rheumatologist to review prior to the visit. Upon receipt, the rheumatologist spends 55 minutes reviewing the records and making notes. Can the physician bill for the CPT code 99358 and include it in the determination of the medical decision-making level?

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Explore This Issue
December 2017
Also By This Author
  • Providers Who Received Period 1 Relief Funds May Request to Submit Late Reports

a. Yes
b. No

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2. What is the ICD-10 code for multiple joint pain?

a. M25.50
b. M79.60
c. M25.5
d. None of the above

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3. What is the drug administration CPT code to bill for denosumab?

a. 96401
b. 96372
c. 96374
d. 96375

4. A patient returns to the office for an infliximab infusion. The physician examines the patient to clear them for the infusion. Can an evaluation and management visit be billed along with the infusion CPT code?

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a. Yes
b. No

5. The physician’s office receives a notice of a Zone Program Integrity Contractor (ZPIC) audit. What should be done about this situation?

a. Immediately notify the physician, comply with the requests, look into obtaining outside counsel and contact the ACR.
b. Just set it on the pile with the other audit request(s) and get to it when you can.
c. Bury your head in the sand.
d. Send part of the notes to make sure you give them something to review and send the other materials at your convenience.

Click here for the answers.

Filed Under: Billing/Coding, From the College, Practice Management Tagged With: audit, Billing, Coding, denosumab, Documentation, infliximab, Infusion, Medical decision making, patient care, physician, rheumatologist, rheumatology, Zone Program Integrity ContractorIssue: December 2017

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