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AHIMA CCA CASE STUDIES QUESTIONS AND ANSWERS
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AHIMA CCA CASE STUDIES QUESTIONS AND ANSWERS
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AHIMA CCA CASE STUDIES QUESTIONSAND ANSWERS 2024 - 2025
CASE,INSTRUCTIONS:
To,view,this,health,record:
Click,on,the,tabs,above.
Scroll,to,the,bottom,of,each,document.
For,your,referance,,the,Coding,Guidelines,tab,includes,information,from,your,codebooks.
To,answer,the,questions,in,this,case:
Enter,the,appropriate,codes,in,the,boxes,on,the,right.
Enter,a,DX,code,in,every,box.
Any,necessary,decimal,point,must,be,present,and,correctly,placed.
Do,not,include,spaces,with,your,answer.
----------
CODING,GUIDELINES
*Candidates,will,need,to,click,on,each,tab,to,review,the,reports.,Candidates,will,be,instructed,on,exactly,
how,many,codes,are,required.,The,key,will,be,displayed,as,to,which,codes,are,required,,meaning,Diagnos
is,or,Procedure,and,how,many.,In,this,sample,question,,the,case,requires,1,Diagnosis,code,and,1,Procedu
re,code.,If,the,candidate,gets,both,codes,correct,they,will,receive,two,(2),points.,If,they,get,one,(1),correc
t,and,one,(1),incorrect,they,will,receive,1,poi,,ANS,,-,Case,Studies
PDX,337.22,Reflex,sympathetic,dystrophy,of,the,lower,limb
PP1,64520-LT,Injection,,anesthetic,agent;,lumbar,or,thoracic,(paravertebral,sympathetic)
PR2,77003,Fluoroscopic,guidance,and,localization,of,needle,or,catheter,tip,for,spine,or,paraspinous,diagn
ostic,or,therapeutic,injection,procedures,(epidural,or,subarachnoid)
Notes,for,Practice,Outpatient,Case—Patient,3
, 337.22,The,diagnostic,code,is,needed,to,establish,the,medical,necessity,for,the,procedure,and,a,pain,ma
nagement,code,is,not,appropriate,because,the,underlying,condition,is,being,treated,(Brown,2012,,163).6
4520-
LT,When,coding,paravertebral,spinal,nerves,and,branches,,it,is,appropriate,to,use,the,modifiers,to,note,t
he,laterality,(CPT,Assistant,July,1998,,10;,April,2005,,13).
77003,Fluoroscopic,guidance,is,not,included,in,the,64520,code;,hence,,it,is,therefore,appropriate,to,code
,a,second,code,(CPT,Assistant,March,2007,,7;,July,2008,,9;,February,2010,,12).
(Garvin,2013,,55,,251.)
AMBULATORY,RECORD
DATE:,8/12/20XX
SURGERY,RECORD:
PATIENT,HISTORY:,This,patient,is,seen,today,to,insert,an,intrathecal,pump,for,pain,management,due,to,d
uctal,carcinoma,of,the,left,upper,breast,metastatic,to,the,spine.,She,previously,underwent,modified,radi
cal,mastectomy,with,general,anesthesia,and,had,no,adverse,effects.,No,other,surgical,history,is,given.,No
,known,allergies,,no,current,medications.,Review,of,systems,is,normal,ASA,=,2.
Following,preoperative,evaluation,and,discussion,with,the,patient,,local,anesthesia,was,used,to,implant,
an,intrathecal,programmable,pump,surgically,placed,and,attached,to,a,previously,placed,catheter.,The,p
atient,tolerated,the,procedure,well.,There,were,no,adverse,effects,of,anesthesia.
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Enter,three,diagnosis,codes,and,one,procedure,code.
PDX
DX2
DX3
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