Even though physicians will continue to use CPT to report procedures performed in their offices, they will still be affected by ICD-10-PCS documentation requirements. Why is this?
A) Because CMS will compare the physician office documentation to their hospital documentation to make sure it is consistent.
B) CMS mandates hospitals to have clinical documentation improvement programs that have strict ICD-10-PCS documentation requirements.
C) Because hospitals will be using PCS codes to report inpatient procedures these same physicians perform.
D) Payers, especially managed care plans, expect the new documentation requirements to be met before they will approve payment for claims.
C
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The use of estrogen–progestin combinations for postmenopausal women is:
A. highly recommended B. extremely safe C. very controversial D. widely untested
Using the CPT manual, select the appropriate code for the following report
Patient age: 4 days old Preoperative and postoperative diagnosis: Diaphragmatic hernia Procedure: Hernia repair The patient was prepped and draped in the usual fashion. A transabdominal incision was made, and the herniated stomach was visualized. The stomach was returned to the appropriate position in the abdominal cavity. The hernia sac was cut away and removed. Sutures were placed in the diaphragm to narrow the enlarged opening. A chest tube was inserted. The abdomen was closed. Drains were placed, and the wound was sutured. The patient tolerated the procedure and was sent to the recovery room in stable condition.