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Summary Milestone 3.docx (1) HIM215 Milestone 3- CPT Coding HIM215 Current Procedural Terminology, referred to as CPT identifies in detail the specific medical services and procedures performed by physicians and other healthcare providers. Upon review of the$7.49
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Summary Milestone 3.docx (1) HIM215 Milestone 3- CPT Coding HIM215 Current Procedural Terminology, referred to as CPT identifies in detail the specific medical services and procedures performed by physicians and other healthcare providers. Upon review of the
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Snhu
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Southern New Hampshire University
Milestone (1) HIM215 Milestone 3- CPT Coding HIM215 Current Procedural Terminology, referred to as CPT identifies in detail the specific medical services and procedures performed by physicians and other healthcare providers. Upon review of the patients medical record, I came across the list o...
referred to as cpt identifies in detail the specific medical services and procedures performed by physicia
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HIM215
Milestone 3- CPT Coding
HIM215
Current Procedural Terminology, referred to as CPT identifies in detail the specific
medical services and procedures performed by physicians and other healthcare providers. Upon
review of the patient’s medical record, I came across the list of doctor’s orders which included
multiple procedures performed on the patient. The list of CPT procedures are as follows:
ambulance, ataxia, vertigo, urinalysis, chest x-ray, left hip x-ray, Complete Blood Count, EKG,
and lastly and E/M from the Emergency Room Visit.
As stated in Milestone 2, the patient record for Lonnie Lates shows she was admitted
initially by arriving in an ambulance and after some tests and examinations the physicians
suspected Parkinson’s disease.
The first thing I coded was laboratory information. The main term for Urinalysis is Urine
because it is the testing of the urine. The main term for Complete blood count is blood because it
is testing of a blood sample. When searching in select coder, I clicked on the COT button and
searched for “complete blood count”. I chose the code 85027 as it was the option for the
automated CBC. Then I typed in Uranalysis in the CPT search bar and it showed several options,
I chose 81005 for the qualitative or semiquantitative.
Then I began coding for the diagnosis Parkinson’s disease. This is coded as G8903 and
will be considered the primary diagnosis although, as also stated previously, she was thought to
have cerebrovascular accident.
After re-evaluating the patient record, I came across ataxia even though it was harder to
find there was other indicators that helped find the proper code and I selected 81408. This code
was chosen because it also used Parkinson’s disease as an example.
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