Pathology And Laboratory

Front 1

Multiple laboratory and pathology services can be done on the same day for one patient, and it is appropriate for these services to be billed as separate entries. (Remember if it’s the same service, same patient, same day, a modifier

Back 1

91

Front 2

A. To determine it's qualitative or quantitative analysis of a metal or ore to determine its components.
b. A substance to be so analyzed.
c. The result of such an analysis.
2. An analysis or examination.
3. A bioassay.
4. Archaic An attempt; an essay.

Back 2

Assay

Front 3

Turn to the Microbiology sub-section and read the introductory paragraphs. What modifier is reported when multiple specimens are obtained?

Back 3

59

Front 4

Locate the codes 80047–80076 under the sub-category Organ and Disease Oriented Panels. Which code cannot be used in addition to codes 80047, 80048, or 80076?

Back 4

80053

Front 5

PROCEDURE: Carbon dioxide, chloride, potassium, and sodium.

Back 5

1. Google description
2. Electrolyte
3. Organ or Disease-Oriented Panel
4. Electrolyte 80051

Front 6

PROCEDURE: Calcium total, carbon dioxide, chloride, creatinine, glucose, potassium, sodium, urea nitrogen (BUN), and serum albumin

Back 6

1. Google
2. Metabolic
Basic
3. Organ or Disease-Oriented Panel
4. 80048

Front 7

Drug testing is performed to identify the presence or absence of a drug. The test used to determine the presence or absence of a drug is called blank (the drug is either present or not present in the specimen). When the presence of a drug is found in the blank test a confirmation test is performed using a second testing method. The code 80102 is reported for the confirmation test.

Back 7

qualitative

Front 8

Drug assays test for a specific drug and the amount of that drug. Drug Assays codes are reported when qualitative testing does not provide enough information. This type of testing is called quantitative. Quantitative testing determines the presence of the drug and the exact amount present. Codes are located in the index under the main term drug assay and the sub-terms of the drug tested, for example digoxin.

Back 8

80150–80299 – Therapeutic Drug Assays

Front 9

when qualitative testing does not provide enough information

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Quantitative testing determines the presence of the drug and the exact amount present.

Front 10

when qualitative testing does not provide enough information.

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Drug Assays codes are reported

Front 11

PROCEDURE: Quantitative testing of theophylline level

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Drug assay
Theophylline 80198

Front 12

Drug assays test

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for a specific drug and the amount of that drug

Front 13

PROCEDURE: Quantitative testing of theophylline level

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Drug assay
Theophylline 80198
PROCEDURE: Quantitative testing of theophylline level. 80198

Front 14

A patient underwent laboratory testing to determine whether glucagon is being stimulated for production in the body. This test was done to determine if the patient has insulinoma (type of benign tumor of cells in the islets of Langerhans portion of the pancreas).

Back 14

Glucagon
Tolerance Panel 80422–80424
PROCEDURE: Glucagon stimulation test to determine if the patient has insulinoma. 80422

Hint 14

Remember that Glucagon raises glucose levels and insulin lowers glucose levels

Front 15

A patient had several laboratory tests performed today. The patient's primary care physician reviewed the laboratory test results and requested a clinical pathologist also review, interpret, and prepare a written report on the findings. The clinical pathologist reviewed the patient's past medical history and medical record prior to reporting the findings of the laboratory tests.

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Consultation
Clinical Pathology 80500-80502
PROCEDURE: Clinical pathology consultation with review of the patient's past medical history and medical record. 80502

Front 16

Possitive Pregnancy Test
Diagnosis:

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Examination, Pregnancy, Positgive Result: V72.42

Front 17

The patient is a 22-year-old female whose occupation as a public transit driver requires mandatory drug testing for cocaine and marijuana. A urinalysis by a single mobile and stationary phase chromatography was done today and was negative for both cocaine and marijuana.

Indicate the diagnosis code:

Back 17

Examination, Laboratory and Specified: V72.69

Front 18

This patient suspects she is pregnant. She had a urine visual color comparison pregnancy test performed to determine if she is pregnant. The test came back positive

List the CPT Code

Back 18

Pregnancy Test
Urinalysis 81025

Front 19

PROCEDURE: Occult stool blood test was performed for colorectal neoplasm screening and was negative for blood; the control was positive

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Occult Blood 82270–82272

82270
Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)

PROCEDURE: Occult stool blood test was performed for colorectal neoplasm screening and was negative for blood but the control was positive. 82270

Front 20

Automated urinalysis with microscopy

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Urinalysis 81000–81099
Automated 81001, 81003

PROCEDURE: Automated urinalysis with microscopy. 81001

Front 21

The patient was recently increased on his metformin with good result in blood sugars; however, since he has been sick, his blood sugars have been very high. His hemoglobin glycosylated A1C was 9.9 today. We will change his metformin to 1000 mg twice a day. I will call him next week to find out how his blood sugars are doing.

List the CPT code:

Back 21

Hemoglobin
Glycosylated (A1C) 83036-83037

PROCEDURE: Hemoglobin glycosylated A1C. 83036

Front 22

Do the ICD-9 diagnosis coding for this patient. What is the correct diagnosis code?

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DIAGNOSIS: Diabetes mellitus type 2