Medical Coding Prep Test

Question

Patient comes into office due to confirmed home pregnancy results. Urine test confirms she is at 6 weeks gestation. Doctor Smith performs the initial prenatal history exam. Three months into her pregnancy the patient moves to California. She had a total of 3 visits with Dr. Smith before moving. Her new physician, Dr. Johnson takes over her antepartum care. Patient had a Cesarean Section and Dr. Johnson also documented nine prenatal visits and care. How would Dr. Smith and Dr. Johnson bill for their charges?

1) Dr. Smith-59525

Dr. Johnson-59526, 59430

2) Dr. Smith-three E/M visit for prenatal care

Dr. Johnson-59510

3) Dr. Smith-three E/M visits for prenatal care

Dr. Johnson-59426, 59515

4) Dr. Smith-three E/M visit s for prenatal care

Dr. Johnson-59425, 59514, 59430

Answer 1

The question as posed could have used some clarity. However, based on the list of answers, here is some help. Note each of the doctors and what services they provided the patient. In your code search, answering these questions will be key to to arriving at your answer.

1. Is there a code that is designated for a comprehensive service? Will this be the code to use? NO
2. Are there codes for services that are separate? YES
3. How many visits do each of these codes cover?
4. Is there a specific guideline in the section concerning less than four antepartum (aka prenatal) visits?
5. What services did the second doctor provide the patient?
6. Is there a code that covers it all?

Still struggling with this and other coding related questions? Book a tutoring session today, so we can delve deeper to help your understanding. Hope that helps.