1.
The patient, a 47-year-old male with adenoma of the prostate, is being treated in the outpatient surgery suite. The urologist inserts an endoscope in the penile urethra and dilates the structure to allow instrument p
...
1.
The patient, a 47-year-old male with adenoma of the prostate, is being treated in the outpatient surgery suite. The urologist inserts an endoscope in the penile urethra and dilates the structure to allow instrument passage. After endoscope placement, a radiofrequency stylet is inserted, and the diseased prostate is excised with radiant energy. Bleeding is controlled with electrocoagulation. Following instrument removal, a catheter is inserted and left in place. Which of the following code sets will be reported for this service?
a. 600.20, 53852
b. 600.20, 52601
c. 600.00, 53852
d. 222.2, 53850 Correct Answer: Correct Answer: A
When thermotherapy is used code 53852 is reported. Code 52601 is reported for electrosurgical resection; 53850 is reported for radiofrequency. Adenoma of the prostate is reported with 600.20 (AHIMA 2012a, 697).
2.
The HIPAA Privacy Rule requirement that covered entities must limit use, access, and disclosure of PHI to the least amount necessary to accomplish the intended purpose. What concept is this an example of?
a. Minimum necessary
b. Notice of Privacy Practice
c. Consent
d. Authorization Correct Answer: Correct Answer: A
The Privacy Rule introduced the standard of minimum necessary, a "need to know" filter that is applied to limit access to a patient's protected health information (PHI) and to limit the amount of PHI used, disclosed, and requested (Brodnik et al. 2009, 176).
3.
An infant is born by cesarean section at 27 weeks' gestation. The baby weights 945 g. The baby's lungs are immature, and the baby develops respiratory distress syndrome, requiring a 25-day hospital stay in the NICU. Discharge diagnosis: Extreme immaturity, with 27-week gestation, with respiratory distress syndrome, delivered by cesarean section. Which of the following diagnosis ICD-9-CM codes would be correct?
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