1. A nurse practitioner who is trained genetic counsellor met with a couple and their child who has Duchenne’s muscular dystrophy. The couple us considering another child but wants to know the potential risk of the disorder in other children. The session lasted 1.5 hours

2. A patient needs a renal transplant. The patient has been on dialysis and is awaiting a suitable donor. A clinical psychologist meets with the patient to assess the patient’s ability to comply with the requirements and drug regimen if a donor match is found. The session lasts 2 hours.

3. Sally suffered from dehydration after running a marathon. She was taken into her primary care doctor’s office. Dr. Small checked Sally and ordered hydration therapy with normal saline. The hydration lasted 45 minutes. How would you report this service?

4. A patient presents to her oncologist’s office for schedule chemotherapy. The patient is severely dehydrated. The physician decides to schedule the chemotherapy for another day and orders hydration therapy to be performed today instead of the chemotherapy. The therapy is ordered and administered for one hour and 10 minutes. Select the code(s)

5. The patient presents to see the nurse for his scheduled vitamin B12 injection. The physician ordered the injection at the patient’s last visit. The physician is in the office seeing other patients. The nurse administers the 1000 mcg of vitamin B12 intramuscularly. She schedules the patient for his next appointment.

6. A cancer patient is coming in to have a chemotherapy infusion. The physician notes the patient is dehydrated and will first administer a hydration infusion. The infusion time was 1 hour and 30 minutes. Select the code(s) that should be reported for this encounter?

7. A patient had a bronchoscopy with destruction for relief of stenosis by laser therapy. During this procedure photodynamic therapy by endoscopic application of light was used to ablate abnormal tissue via activation of photosensitive drugs. The photodynamic therapy lasted 60 minutes. How would you report this procedure?

8. Photodynamic therapy involving application of light externally to destroy premalignant lesions on the lower lip was provided to a 63-year-old patient. Code the encounter

9. Jane has a family history of skin melanoma. Her primary care doctor asked for a consult with Dr. John. During Jane’s first visit with her new dermatologist, Dr. John, he documented a comprehensive history, comprehensive examination, and medical decision-making of moderate complexity. Dr. John also performed a whole body integumentary photography for monitoring of Jane’s skin. Dr. John sent a report back to her PCP and told Jane she should return in one year or before then if anything should change on her skin. What code(s) would you use to report Dr. John’s services?

10. Patient with hemiparesis on the dominant side due to having a CVA lives at home alone and has a therapist at his home site to evaluate meal preparation. The therapist observes the patient’s functional level of performing kitchen management activities within safe limits. The therapist then teaches meal preparation using one handed techniques along with adaptive equipment to handle different kitchen appliances. The total time spent on this visit was 45 minutes. Report the CPT® and ICD-10-CM codes for this encounter