The word pathology refers to the study of:
Which word described the study of small life forms?
Which term is used with the word pathologist to describe someone specializing in legal or investigational studies?
A test determining the presence of absence of a substance is considered what type of test?
If a patient has a test result indicating a blood alcohol level of .05, what type of test was performed to determine this information?
A 24-year-old runner presented to the emergency department with dizziness, malaise, and fatigue. The ED physician performed a history, did a physical examination, and ordered carbon dioxide, chloride, potassium, sodium, and glucose tests from the hospital laboratory to check for dehydration and/or hypoglycemia. Select the appropriate laboratory code(s) for this visit.
Urine pregnancy test is performed by the office staff using the Hybritech ICON (qualitative visual color comparison test). What are the procedure code(s) for this service?
A liver transplant patient receives daily tests for cyclosporine levels to manage her immunosuppression. Choose the CPT code for this testing.
A pathologist is requested to review, evaluate, and provide a written report on data that indicates detection of a possible irregular blood grouping antibody. Code this procedure.
A lab offers a hepatic function panel with the following components: albumin, bilirubin (total and direct), alkaline phosphatase, total protein, SGOT, SGPT, and GGT. Select the CPT code(s) for these tests.
A lab performs two separate special stains to exclude the presence of acid-fast bacilli and trichrome during the examination of a specimen from a lung resection. Select the CPT code(s) for this procedure.
During an ambulatory surgery encounter, two procedures were performed on a patient. The physician excised a lipoma on the abdomen and excised a lump in the left breast (margins were not microscopically examined). The specimens were submitted to the pathology laboratory for microscopic examination. Select the CPT code(s) for this surgical pathology.
A specimen consisting of a uterus, tubes, but no ovaries was received in the pathology department. The procedure was an abdominal hysterectomy for ovarian cancer. Select the CPT code for the surgical pathology.
A forensic examination was performed on a 17-year-old who died due to stab wounds. Select the CPT code for the services.
In the Pathology and Laboratory section, what additional items may be included with special reports?
Brent had the following lab tests: Calcium, ionized, Carbon dioxide, Chloride, Creatinine, Glucose, Potassium, Sodium, Urea Nitrogen (BUN) How should you report Brent’s lab work?
Dr. Lee performed an intra-operative consultation on a bile duct tumor requiring frozen section and cytological evaluation to a bladder tumor. How would you report his professional services?
Marvin had a breath alcohol test completed at the hospital after the police arrested him for racing his four-wheeler past a McDonald’s drive through window. Marvin’s breath alcohol test was mathematically calculated. How would you report the calculation on this test?
Dr. Monday provided a comprehensive clinical pathology consultation at the request of Dr. Adams. This request was regarding a patient with various infections, drug allergies, skin rash, and Down’s syndrome. The patient is in the hospital intensive care unit being treated with intravenous antibiotics. Dr. Monday did not see the patient but he reviewed the patient’s history, complex medical records, and provided a written report back to Dr. Adams regarding his findings and recommendations for further treatment. How would Dr. Monday report his services?
A patient had a semi-quantitative urinalysis for infectious agent detection. How should you report this test?
Code 3011F describes which diagnostic or screening process?
A 58-year-old male patient with abdominal pain and episodes of bright red blood in his stool reports to his physician’s office for a check-up. His physician performs a digital rectal exam and tests for occult blood. Dr. Smith documents this blood occult test was done for purposes other than colorectal cancer screening. How would you report the occult blood test?
Kathy has had intermittent abdominal pain, occasional diarrhea, stool frequency, and bloating. Her symptoms have worsened over the past two months. Her physician orders a fecal Calprotectin test to check for Crohn’s disease. How should you report the lab test?
A surgical specimen was removed from the proximal jejunum during a resection for adenocarcinoma and was submitted to surgical pathology for gross and microscopic examination. The correct code for this service is:
The physician performs the following tests on her automated equipment: HDL, total serum cholesterol, triglycerides and a quantitative glucose. The correct codes for these procedures are:
A patient with rheumatoid arthritis is being treated with gold. The physician orders a therapeutic drug test to measure the level of gold. What is the correct code?
A patient presents to the ED with crushing chest pain radiating down the left arm and up under the chin. There are elevated S-T segments on EKG. The cardiologist sees and admits the patient to CCU. He orders three serial CPK enzymes levels with instructions that the tests are also to be done with iso-enzymes if the initial tests are elevated for that date of service. The CPK enzyme levels were elevated, the lab codes would be:
Which of the following panels does NOT include chloride?
The patient presents with burning urination and frequency. The physician performs a UA dipstick, which shows elevated WBC. He orders a urine culture with identification for each isolate to determine which antibiotic to give to the patient for the infection. What are the appropriate lab codes?
Which of the following coding combinations is an example of unbundling?
Patient is undergoing in vitro fertilization to get pregnant. Following the retrieval of follicular fluid from the patient, the physician uses a microscope to examine the fluid to identify the ooctyes. What is the code for the laboratory service?
A patient has an iliac crest bone marrow biopsy. The physician suspects the patient has myelofibrosis. The bone marrow specimen is sent to pathology for gross and microscopic exam. What is the appropriate code for the pathologist’s service?
A pathologist performs a comprehensive consultation and report after reviewing a patient’s records, specimens and official findings from other sources. What is the correct code?
Patient is coming in for a pathological examination for ischemia in the left leg. The first specimen is 1.5 cm of a single portion of arterial plaque taken from the left common femoral artery. The second specimen is 8.5 x 2.7 cm across x 1.5 cm in thickness of a cutaneous ulceration with fibropurulent material on the left leg. What surgical pathology codes should be reported for the pathologist?
During a craniectomy the surgeon performed a frozen section of a large piece of tumor and sent it to pathology. The pathologist received a rubbery pinkish tan tissue measuring in aggregate 3 x 0.8 x 0.8 cm. The entire specimen is submitted in one block and a microscope was used to examine the tissue. The frozen section and the pathology report are sent back to the surgeon indicating that the tumor was a medulloblastoma. What CPT® code(s) will the pathologist report?
Physician orders a comprehensive metabolic panel but also wants blood work on calcium ions and also orders a basic metabolic panel. Select the code(s) on how this is reported.
18-year-old female with a history of depression comes into the ER in a coma. The ER physician orders a drug screen on antidepressants, phenothiazines, and benzodiazepines. The lab performs a screening for each single drug class using an immunoassay in a random access analyzer. Presence of antidepressants is found and a drug confirmation is performed to identify the particular antidepressant. What correct CPT® codes are reported?
A patient uses Topiramate to control his seizures. He comes in every two months to have a therapeutic drug testing performed to assess serum plasma levels of this medication. What lab code is reported for this testing?
Patient that is a borderline diabetic has been sent to the laboratory to have an oral glucose tolerance test. Patient drank the glucose and five blood specimens were taken every 30 to 60 minutes up to three hours to determine how quickly the glucose is cleared from the blood. What code(s) should be reported for this test?
A patient with severe asthma exacerbation has been admitted. The admitting physician orders a blood glass for oxygen saturation only. The admitting physician performs the arterial puncture drawing blood for a blood gas reading on oxygen saturation only. The physician draws it again in an hour to measure how much oxygen the blood is carrying. Select the codes for reporting this service.
Cells were taken from amniotic fluid for analyzation of the chromosomes for possible Down’s syndrome. The geneticist performs the analysis with two G-banded karyotypes analyzing 30 cells. Select the lab codes for reporting this service.
Sperm is being prepared through a washing method to get it ready for the insemination of five oocytes for fertilization by directly injecting the sperm into each oocyte. Choose the CPT® codes to report this service.
A pathologist performs a comprehensive consultation and report after reviewing a patient’s records and specimens from another facility. The correct CPT® code to report this service is:
CLINICAL HISTORY: Boil, left groin. SPECIMEN RECEIVED: Necrotic fascia left groin and leg (anterior and posterior). GROSS DESCRIPTION: The specimen is labeled with the patient's name and "fascia left groin and leg" and consists of multiple segments of skin and soft tissue measuring up to 30 cm in greatest dimension. The skin is unremarkable, with the soft tissue being hemorrhagic and friable and foul smelling. MICROSCOPIC DESCRIPTION: Sections of skin and soft tissue show coagulative necrosis with neutrophilic exudates. DIAGNOSIS: Skin and soft tissue, left groin and leg, anterior and posterior showing coagulative necrosis and acute inflammation.
Report the global service. CLINICAL HISTORY: Mass, left atrium. SPECIMEN RECEIVED: Left atrium. GROSS DESCRIPTION: The specimen is labeled with patient's name and "left atrial myxoma" and consists of a 4 × 4 × 2-cm ovoid mass with a partially calcified hemorrhagic white-tan tissue. INTRAOPERATIVE FROZEN SECTION DIAGNOSIS: Myxoma. MICROSCOPIC DESCRIPTION: Sections show a well-circumscribed mass consisting of fibromyxoid tissue showing numerous vascular channels. Areas of superficial ulceration and chronic inflammatory infiltrate are noted. Areas of calcification are also present. DIAGNOSIS: Myxoma, benign, left atrium.
This patient is in for a kidney biopsy (50200) because a mass was identified by ultrasound. The specimen is sent to pathology for gross and microscopic examination. Report the technical and professional components for this service. The results were inconclusive.
This 69-year-old female presents to the laboratory after her physician orderedquantitative and qualitative assays for troponin to assist in the diagnosis of her chief complaint of acute onset of chest pain.
CLINICAL HISTORY: Necrotic soleus muscle, right leg. SPECIMEN RECEIVED: Soleus muscle, right leg. GROSS DESCRIPTION: Submitted in formalin, labeled with the patient's name and "soleus muscle right leg," are multiple irregular fragments of tan, gray, brown soft tissue measuring 8 × 8 × 2.5 cm in aggregate. Multiple representative fragments are submitted in four cassettes. MICROSCOPIC DESCRIPTION: The slides show multiple sections of skeletal muscle showing severe coagulative and liquefactive necrosis. Patchy neutrophilic infiltrates are present within the necrotic tissue. DIAGNOSIS: Soft tissue, soleus muscle, right leg debridement; necrosis and patchy acute inflammation, skeletal muscle—infective myositis.
This 34-year-old established female patient is in for her yearly physical and lab. The physician orders a comprehensive metabolic panel, hemogram automated and manual differential WBC count (CBC), and a thyroid-stimulating hormone. Code the lab only.
This is a patient with atrial fibrillation who comes to the clinic laboratory routinely for a quantitative digoxin level.
This patient presented to the laboratory yesterday for a creatine measurement. The results came back at higher than normal levels; therefore, the patient was asked to return to the laboratory today for a repeat creatine test before the nephrologist is consulted. Report the second day of test only.
Code a pregnancy test, urine.
What CPT code would you use to code a bilirubin, total (transcutaneous)?
A drug screen (multiple classes, one procedure) was performed on a comatose patient presenting at the ED. The presence of opiates and barbiturates was noted. Confirmatory test for each of these drug classes were rum. Code all procedures performed.
A qualitative test found traces of benzodiazepines. The hospital did a quantitative examination to find out the quantity for benzodiazepines in the specimen. Code for the quantitative examination.
The specimen is taken from the prostate. The procedure was a transurethral resection of the prostate. Code the surgical pathology.
A patient presented to her hospital clinic physician for a routine general physical examination. The physician ordered the following test: an automated hemogram and platelet count; an automated complete differential WBC count (CBC); glucose; urea nitrogen (BUN); carbon dioxide; creatinine; uric acid; calcium; potassium; sodium; chloride; transferase, aspartate amino (AST) (SGOT); phosphatase, alkaline; total bilirubin; total protein; albumin; TSH; and transferase, alanine amino transferase (ALT) (SGPT). What are the procedure and diagnostic codes?
Code an automated urinalysis without microscopy.
A patient being treated for essential hypertension has a basic metabolic panel drawn (calcium, ionized). Tests in the panel include: calcium, ionized carbon dioxide, chloride, creatinine, glucose, potassium, sodium, and BUN. Code this procedure and diagnosis.
An established patient comes in the outpatient hospital clinic for a follow-up visist for chronic hepatitis. After being examined, the physician ordered the patient to have a hepatic function panel drawn. The panel includes the following elements: bilirubin, total and direct; SGPT; and SGOT. Code for the procedures and diagnosis.
Dr. Ross, a pathologist, completed both gross and microscopic surgical pathology after a lung wedge biopsy. Dr. Miles, the surgeon, sent a single specimen to the laboratory after the completion of a limited biopsy by thoracotomy. How would Dr. Ross report her services?
Give the CPT for quantitative high performance liquid chromatography (HPLC) using multiple analytes with single stationery and mobile phase.
After obtaining capillary blood, a glucose screening by Dextrostix method (reagent strip)was performed. Select the CPT code for the service.
During an ambulatory surgery encounter, the surgeon excises a lipoma on the abdomen and a lump in the left breast. The specimens are submitted to the pathology for microscopic examination select the CPT codes for the surgical pathology service.
A patient undergoes a bone marrow procedure for suspected malignancy. The doctor performs aspiration of his bone marrow from the hip, evaluates the aspirate smear, and provides interpretation. Give the appropriate CPT code(s) for it.
A person with haemophilia comes in for clotting study. The pathologist conducts tests for factor V and VIII. What CPT code with the pathologist bill for?
A pathologist performs a test for the following elements: Calcium, carbon dioxide, chloride, creatinine, glucose, potassium, sodium, urea nitrogen, and blood typing (both ABO and D). Give the CPT for these procedures.
What is the CPT for an autopsy ordered by a coroner to investigate in the murder of a person.
Patient with history of hypertriglyceridemia but with normal cholesterol levels has triglyceride level drawn.
vPatient with symptoms of toxic metal poisoning underwent screening for the presence of arsenic.
A patient with deep vein thrombosis requires heparin to maintain therapeutic anticoagulation levels. He has regular PTTs drawn to monitor his level of anticoagulation. What codes describes this testing?
What is the code and any required modifier(s) for dipstick analysis, non-automated without microscopy performed in a physician office for a Medicare patient?
A patient present with right upper quadrant pain, nausea, and other symptoms of liver disease as well as complaints of decreased urination. Her physician orders an albumin, bilirubin, both total and direct, alkaline phosphatase, total protein, alanine amino transferase, aspartate amino tranferase and creatinine. How should this be coded?
A 27 year old male dies of a gunshot wound. An autopsy is performed to gain evidence for the police investigation and any subsequent trial. What codes describes this service?
A patient with AIDS presents for follow-up care. The total T-cell count is ordered to evaluate progression of the disease. Choose the code(s) for this study.
