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1. Outpatient Case 2: Laboratory Visit - Hospital
(2-3) A Medicare patient presents at the hospital laboratory department with a physician order for hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody studies. Indications for the laboratory procedures are chronic flu-like symptoms and jaundice coloring of the patient. Blood was drawn and studies performed that indicate viral hepatitis A. A laboratory report is sent to the physician.

Indicate what claim form will be used to submit charges for this visit.
         
2. Outpatient Case 2: Laboratory Visit - Hospital
(2-4) A Medicare patient presents at the hospital laboratory department with a physician order for hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody studies. Indications for the laboratory procedures are chronic flu-like symptoms and jaundice coloring of the patient. Blood was drawn and studies performed that indicate viral hepatitis A. A laboratory report is sent to the physician.

State the field(s) on the claim form in which the diagnosis code(s) will be recorded.
         
3. Outpatient Case 2: Laboratory Visit - Hospital
(2-5) A Medicare patient presents at the hospital laboratory department with a physician order for hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody studies. Indications for the laboratory procedures are chronic flu-like symptoms and jaundice coloring of the patient. Blood was drawn and studies performed that indicate viral hepatitis A. A laboratory report is sent to the physician.

State the field(s) on the claim form in which the procedure code(s) will be recorded.
      
4. Ambulatory Surgery Case 3
(3-4) The patient arrived for scheduled arthroscopy. Indications for the procedure include left knee chondromalacia, medical femoral condyle, and medial meniscus tear. The patient is brought to the operating room and is given intravenous sedation followed by general anesthesia. A tourniquet is applied to the left lower extremity and inflated. Portals, medial and lateral of the patella femoral joint, were made. A scope was introduced and the knee was inspected revealing Grade II chondromalacia of the patella femoral joint. A complex meniscus tear was visualized in the medial compartment. The surgeon performed a partial medial meniscectomy and chondroplasty, medial femoral condyle. The patient tolerated the procedure well. The patient is given a set of aluminum crutches and instructed to use the crutches for 5 days.

Indicate what claim form will be used and where the diagnosis code(s) will be recorded on the claim form.
   
5. Ambulatory Surgery Case 3
(3-5) The patient arrived for scheduled arthroscopy. Indications for the procedure include left knee chondromalacia, medical femoral condyle, and medial meniscus tear. The patient is brought to the operating room and is given intravenous sedation followed by general anesthesia. A tourniquet is applied to the left lower extremity and inflated. Portals, medial and lateral of the patella femoral joint, were made. A scope was introduced and the knee was inspected revealing Grade II chondromalacia of the patella femoral joint. A complex meniscus tear was visualized in the medial compartment. The surgeon performed a partial medial meniscectomy and chondroplasty, medial femoral condyle. The patient tolerated the procedure well. The patient is given a set of aluminum crutches and instructed to use the crutches for 5 days.

State where HCPCS Level I and Level II codes will be recorded on the claim form.
         
6. Inpatient Case 1
(1-4) A patient is admitted for shortness of breath, dyspnea on exertion, sweats, and myalgias. A CT scan showed a mass and massive pericardial effusion on the right side. Drainage of the pericardium was performed. A bronchoscopy with biopsy revealed adenocarcinoma of the lung. The patient underwent chemotherapy. The diagnosis was chronic obstructive pulmonary disease and acute malignant pericardial effusion due to the carcinoma.

State the field(s) on the claim form in which the diagnosis code(s) will be recorded.
            
7. Inpatient Case 1
(1-5) A patient is admitted for shortness of breath, dyspnea on exertion, sweats, and myalgias. A CT scan showed a mass and massive pericardial effusion on the right side. Drainage of the pericardium was performed. A bronchoscopy with biopsy revealed adenocarcinoma of the lung. The patient underwent chemotherapy. The diagnosis was chronic obstructive pulmonary disease and acute malignant pericardial effusion due to the carcinoma.

State the field(s) on the claim form in which the principal and other procedure code(s) will be recorded.

All the questions have what needs to be done to each question.
Also would it help to know what book these questions are cooming from if there is a book for these questions

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1. Outpatient Case 2: Laboratory Visit - Hospital
(2-3) A Medicare patient presents at the hospital laboratory department with a physician order for hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody studies. Indications for the laboratory procedures are chronic flu-like symptoms and jaundice coloring of the patient. Blood was drawn and studies performed that indicate viral hepatitis A. A laboratory report is sent to the physician.

Indicate what claim form will be used to submit charges for this visit.
CMS – 1450 (UB-04) claim form should be used for this visit. All the outpatient hospital procedure claims are submitted through this form unless otherwise stated.

2. Outpatient Case 2: Laboratory Visit - Hospital
(2-4) A Medicare patient presents at the hospital laboratory department with a physician order for hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody studies. Indications for the laboratory procedures are chronic flu-like symptoms and jaundice coloring of the patient. Blood was drawn and studies performed that indicate viral hepatitis A. A laboratory report is sent to the physician.

State the field(s) on the claim form in which the diagnosis code(s) will be recorded.
Section IV, Field Locator No.67 of UB-04 form records the primary diagnosis code while section IV, field locators 67 (A to Q) records additional diagnosis codes, if any.

3. Outpatient Case 2: Laboratory Visit - Hospital
(2-5) A Medicare patient presents at the hospital laboratory department with a physician order for hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody studies. Indications for the laboratory procedures are chronic flu-like symptoms and jaundice coloring of the patient. Blood was drawn and studies performed that indicate viral hepatitis A. A laboratory report is sent to the physician.

State the field(s) on the claim form in which the procedure code(s) will be recorded.
Section IV, Field locator 74 records the procedure codes....
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