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Evaluation and ManagementJeremy is seen at the clinic today by his regular physician for a rash on his arm that developed while camping in the woods this past weekend. After the problem-focused history and examination the physician determines that the problem was caused by poison oak, and Jeremy is diagnosed with allergic contact dermatitis and prescribed corticosteroid skin cream to reduce the inflammation. Select the appropriate ICD-10-CM and CPT code(s):

RadiologyCT Scan of the Abdomen and PelvisHistory: Malignant testicular neoplasmTechnique: Axial CT images of the abdomen and pelvis were obtained with intravenous and oral contrast.Findings: Images of the lung bases are normal. Images of the abdomen show the liver, spleen, gallbladder, pancreas, and adrenal glands to be normal. No mass is seen. There is no evidence of cholelithiasis. A retroaortic left renal vein is seen. No obvious mass or enlarged lymph nodes are noted in the retroperitoneum. Mesenteric structures appear normal. A prominent inferior vena cava is seen. Gas is identified in the left inguinal structures, likely representing previous left orchidectomy and removal of the inguinal ring. No enlarged lymph node is identified in the pelvis.Impression: Left retroaortic renal vein is seen. No adenopathy is noted within the abdomen or pelvis. No enlarged lymph node is seen; no mass is identified.Select the appropriate ICD-10-CM and CPT code(s):

Coding Guidelines/Compliance/Practice ManagementOnce the claim is processed, the insurance company sends the following to the provider:

HCPCS Level IICPT codes are considered HCPCS _______________codes:

Medical TerminologyThe area between the lungs that contains the heart, aorta, venae cavae, esophagus, and trachea is the:

RadiologyExamination: Gastric-emptying studyReason for the examination: This is a study of elimination for gastroparesis, abdominal cramping, and pain.Interpretation: One millicurie of technetium-99m sulfur colloid was given through a gastrostomy tube in saline. The normal half-time of clearance of liquid material from the stomach is 12 minutes. The patient’s clearance is 50 minutes, which is a fourfold increase in time and is compatible with a marked delay in gastric emptying.Select the appropriate ICD-10-CM and CPT code(s):

DigestiveJeremy presented to the ED complaining of severe odynophagia after eating chicken wings. Upon initial x-rays, no perforation of the esophagus was noted. The gastrointestinal specialist was called, and the patient was taken to the endoscopy suite. There, with the patient under moderate sedation, the gastroenterologist performed an esophagoscopy and removed a small chicken bone lodged in the esophagus above the diaphragm. Select the appropriate ICD-10-CM and CPT code(s):

MedicineHolter Monitor ReportHistory: This is a 36-year-old male referred for evaluation of syncope episodes and dizziness. He also has a history of depression and anxiety.A Holter monitor was placed on April 2 for 24 hours. Recording revealed sinus rhythm with three VPCs and three isolated APCs. There were no SVTs, no VTs, and no pauses. The patient had multiple complaints of dizziness, anxiety, panic, and feeling near syncopal. Rhythms at these times documented normal sinus rhythm at rates between 80 and 104 beats per minute. No significant arrhythmias.Impression: Normal HolterSelect the appropriate ICD-10-CM and CPT code(s):

Coding Guidelines/Compliance/Practice ManagementWhich of the following HCPCS modifiers would be appended in order to report to the payer that an Advanced Beneficiary Notice is on file at the physician’s office?

Medical TerminologyA disease caused by overproduction of the growth hormone after puberty is: