JustCoding’s Clinical Scenario Workbook: CPT® Edition

JustCoding’s Clinical Scenario Workbook: 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.

This book will help coders by:

• Simulating real-world coding, letting coders actively report 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 standards, bundling policies, and coding guidelines necessary for compliance

Published: February 2021

Page Count: 344
Dimensions: 8.5” x 11” perfect bound
ISBN: 978-1-64535-128-3

Table of Contents

Chapter 1: Cardiovascular System Scenarios

• Case 1: Abdominal Aortic Aneurysm Repair
• Case 2: Carotid Artery Stenosis
• Case 3: Chest Port Placement
• Case 4: Deep Vein Thrombosis
• Case 5: Angioplasty and Stent Placement in the Iliac Artery
• Case 6: Femoral-Peroneal Artery Bypass Graf
• Case 7: Lower Extremity Arteriogram
• Case 8: Ischemic Heart Disease
• Case 9: Preoperative Evaluation for Heart Surgery
• Case 10: Subclavian Vein Occlusion
• Cardiovascular System Answers

Chapter 2: Eye/Ocular System Scenarios

• Case 1: Nasal Endoscopy
• Case 2: Lateral Orbitotomy
• Case 3: Strabismus Surgery
• Eye/Ocular System Answers

Chapter 3: Digestive System Scenarios

• Case 1: Bile Duct Stone
• Case 2: Multiple Bile Duct Stones
• Case 3: Obstructed Biliary Tube
• Case 4: Removal of Portion of the Stomach
• Digestive System Answers

Chapter 4: Integumentary System Scenarios

• Case 1: Breast Reconstruction
• Case 2: Post-Surgical Wound Infection
• Integumentary System Answers

Chapter 5: Musculoskeletal System Scenarios

• Case 1: Revision for Capsulorrhaphy of the Shoulder
• Case 2: Repair of a Crush Fracture
• Case 3: Forearm Surgery
• Case 4: Repair for Knee Dislocation
• Case 5: Imaging Post-Resection of Neck Mass
• Case 6: Numerous Spinal Compression Fractures
• Case 7: Postoperative Infection
• Case 8: Lumbar Fusion
• Case 9: Torn Rotator Cuff
• Case 10: Total Hip Replacement
• Musculoskeletal System Answers

Chapter 6: Renal/Urinary System Scenarios

• Case 1: Bladder Instillation
• Case 2: Hernia Mesh Complication
• Case 3: Neonatal Circumcision
• Case 4: Resection of Bladder Tumor
• Case 5: Transurethral Microwave Therapy
• Case 6: Transurethral Resection of Prostate
• Renal/Urinary System Answers

Chapter 7: Reproductive System Scenarios

• Case 1: Hysterectomy
• Case 2: Maternal Care for Breech Presentation
• Case 3: Miscarriage
• Case 4: Diagnostic Laparoscopy and Chromotubation
• Case 5: Hysteroscopy
• Case 6: Trans-Obturator Tape Sling
• Reproductive System Answers

Chapter 8: Respiratory System Scenarios

• Case 1: Sinus Surgery         
• Case 2: Bronchoscopy With Biopsies
• Case 3: Tracheostomy
• Respiratory System Answers            

Chapter 9: Evaluation and Management Scenarios

• Case 1: Hospital Consultation
• Case 2: Inpatient Visit
• Case 3: Observation Services
• Case 4: Office Visit 1
• Case 5: Office Visit 2
• Case 6: Office Visit 3
• Case 7: Office Visit 4
• Case 8: Office Visit 5
• Evaluation and Management Answers

About the Authors

Contributors

• Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, president and senior consultant at RadRx in Stuart, Florida
• 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 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
• Edward O’Beirne, PA, MHS, CCS, CDIP, director of HIM revenue integrity at HRG and an ICD-10 educator of providers and coders with a specialization in ICD-10-PCS and CPT, in Richmond, Virginia
• Laura Evans, CPC, editor at DecisionHealth in Washington, D.C.

Reviewers

• Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, director of HIM and coding at HCPro in Middleton, Massachusetts

Chapter Previews

Check out these chapter previews for a full idea of what you can expect!