According to ICD-10 CM Guidelines if the provider does not document the type of diabetes, what code do you report?

A 30-year-old patient had anesthesia for an extensive spinal procedure with instrumentation under general anesthesia. The anesthesiologist performed all required steps for medical direction while directing one CRNA. What modifier(s) and CPT® coding are reported for the anesthesiologist and CRNA services?

         The attending provider at the hospital spent 25 minutes with the patient in the morning and another 15 in the afternoon examining the patient, writing discharge orders and giving discharge instructions to the patient. What CPT® code is reported for the discharge?

A PCP transfers a patient to a cardiologist for management of the patient’s congestive heart failure. The cardiologist examines the patient, discusses treatment options and schedules a stress test for this new patient. A report is sent to the PCP detailing the findings of the office visit, results of the stress test and intent to manage and treat the congestive heart failure. An E/M code would be selected from what subcategory for the cardiologist?

        A patient with AIDS presents for follow up care. An NK (natural killer cell) total count is ordered. What CPT® code(s) is/are reported?

          Report the appropriate anesthesia code for an obstetric patient who had a planned general anesthesia for cesarean hysterectomy.

What ICD-10-CM coding is reported for a type 2 diabetic cataract in the left eye?

A 77-year-old Medicare beneficiary has a digital rectal examination for prostate cancer screening and the provider orders a PSA. How would this be reported?

A patient is visiting his provider for a follow-up visit related to his COPD that he has had for one year. Patient doesn’t express any current issues regarding his condition. Provider documents that patient’s COPD is in a stable state and renews the patient’s medication. What level is reported for number and complexity of problems addressed at the encounter?

          A CRNA is personally performing a case with medical direction from an anesthesiologist. What modifier is reported for the CRNA services?