JustCoding’s Clinical Scenario: 2018 CPT® Edition

Real-world coding simulation to sharpen your coding skills

JustCoding’s Clinical Scenario: 2018 CPT® Edition provides an opportunity for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios. Coders will determine the correct CPT and ICD-10-CM codes to report for each case scenario based on provided documentation, evidence of sufficient medical necessity, and any conditions present that would allow for Hierarchical Condition Category capture.

With this workbook, coders will determine the correct ICD-10-CM and ICD-10-PCS codes to report for each case scenario based on provided documentation, evidence of sufficient medical necessity, and any conditions present that would allow for MS-DRG capture.

This book will help coders by:

• Simulating real-world coding by actively reporting ICD-10-CM and CPT codes for each case scenario
• Providing answers for every case with rationales from experts who explain why certain codes should or should not be reported
• Giving a refresher on certain standards, bundling policies, and coding guidelines necessary for compliance

Interested in an online training version of this workbook?

Click here to learn more and view a demo of the online training course.  

Published: December 2017

Page Count: 338
Dimensions: 8.5” x 11” 
ISBN: 978-1-68308-679-6

About the Authors

Contributors

• Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, president and senior consultant at RadRx in Stuart, Florida
• Yvette DeVay, MHA, CPMA, CPC, CIC, CPC-I, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Laura Legg, RHIT, CCS, CDIP, director of HIM optimization at Healthcare Resource Group in Spokane Valley, Washington
• Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, director of HIM and coding at HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Lori-Lynne Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, coding, compliance, data charge entry, and HIPAA privacy specialist in Melba, Idaho

Reviewers

• Peggy Blue, MPH, CCS, CPC, CCS-P, CEMC, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Yvette DeVay, MHA, CPMA, CPC, CIC, CPC-I, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, director of HIM and coding at HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts

List of Case Scenarios

See below for a complete list of cases included in both the print and digital version of the CPT workbook:

• Cardiovascular System Scenarios
  • Abdominal aortic aneurysm repair
  • Carotid artery stenosis
  • Chest port placement
  • Deep vein thrombosis
  • Dialysis access
  • Femoral-peroneal artery bypass graft
  • Iliac aneurysm repair
  • Ischemic heart disease
  • Possible superior mesenteric artery occlusion
  • Pre-operative evaluation for heart surgery
  • Subclavian artery stenosis
  • Subclavian vein occlusion
  • Undeveloped primary fistula in left forearm
• Digestive System Scenarios
  • Bile duct stone
  • Hepatitis C
  • Multiple bile duct stones
  • Obstructed biliary tube
  • Removal of portion of the stomach
• Endocrine System Scenarios
  • Diabetes mellitus
  • Subsequent visit for diabetic ketoacidosis
• Integumentary System Scenarios
  • Breast reconstruction
  • Post-surgical wound infection
• Musculoskeletal System Scenarios
  • Amputation of right toe
  • Crushed thumb
  • Forearm surgery
  • Foreign body in the foot
  • Imaging post-resection of neck mass
  • Numerous spinal compression fractures
  • Postoperative infection
  • Spinal fusion/arthrodesis
  • Torn rotator cuff
  • Total hip replacement
• Nervous System Scenarios
  • Leg weakness
  • Sleep breathing disorder
• Renal/Urinary System Scenarios
  • Bladder instillation
  • Hernia mesh complication
  • Neonatal circumcision
  • Resection of bladder tumor
  • Transurethral microwave therapy
  • Transurethral resection of prostate
• Reproductive System Scenarios
  • Annual OB/GYN exam
    • Hysterectomy
    • Maternal care for breech presentation
    • Miscarriage
  • Pregnancy test
• Respiratory System Scenarios
  • Cough
  • Possible bronchitis
  • Respiratory distress
  • Shortness of breath
  • Sinus surgery