Chart gym

Work through original fictional outpatient records with your code books. Identify the setting and service date, separate established findings from uncertainty, and explain each lookup. Write your diagnosis, service, code-set, code/modifier and sequencing choices in each worksheet, then compare the explanation. Free-text self-review does not count as a scored assessment.

1. A service interval around the operationMedicare anesthesia professional service
2. A block that also helps after surgeryMedicare anesthesia professional service
3. Overlapping care across a morningMedicare medical-direction timing review
4. Two eligible blocks with a documented interruptionMedicare anesthesia professional service
5. The route to the bronchial treeMedicare respiratory or cardiovascular professional service
6. Thoracoscopy converted to an open operationMedicare respiratory or cardiovascular professional service
7. The biopsy lies inside the resectionMedicare respiratory or cardiovascular professional service
8. One catheter across two phasesMedicare respiratory or cardiovascular professional service
9. Lead repair with the original generatorMedicare respiratory or cardiovascular professional service
10. Two marrow samples from one iliac boneMedicare respiratory or cardiovascular professional service
11. A new complaint in an established relationshipMedicare office professional service
12. An interpretation before the first office visitMedicare office professional service
13. A current plan and a copied problem listOffice professional service
14. Thirty-one eligible minutesOffice professional service
15. Shared critical care without duplicate minutesMedicare facility professional service
16. Minimal vitreous loss during cataract extractionProfessional operative service; cited Medicare NCCI relationship
17. Closing the corneal surgical incisionProfessional operative service; cited Medicare NCCI relationship
18. The opening needed for a tympanostomy tubeProfessional operative service; cited Medicare NCCI relationship
19. Two colon lesions, two techniquesMedicare outpatient digestive professional service
20. Bleeding controlled before the scope endsMedicare outpatient digestive professional service
21. Screening discovers a lesionMedicare outpatient digestive professional service
22. The completed open bowel operationMedicare outpatient digestive professional service
23. Adhesiolysis beyond the usual access workMedicare outpatient digestive professional service
24. Gallbladder within a pancreatic operationMedicare outpatient digestive professional service
25. Three bladder biopsy specimensOutpatient professional procedure; cited Medicare NCCI relationship
26. A temporary catheter removed during ureteroscopyOutpatient professional procedure; cited Medicare NCCI relationship
27. Fragments travel from ureter to bladderOutpatient professional procedure; cited Medicare NCCI relationship
28. Routine cuff fixation after vaginal hysterectomyOutpatient professional procedure; cited Medicare NCCI relationship
29. One fibroid, attempted ablation, completed removalOutpatient professional procedure; cited Medicare NCCI relationship
30. Routine incision closure at cesarean deliveryOutpatient professional procedure; cited Medicare NCCI relationship
31. Abdominal pain with an uncertain causePhysician office, outpatient
32. An active condition and a resolved history itemPhysician office, outpatient
33. Evaluation before a planned operationPhysician office, outpatient
34. Hypertension with documented CKD stageOutpatient professional service
35. An explicit unrelated-condition statementOutpatient professional service
36. Former primary site and active metastasisOutpatient professional service
37. A chemotherapy-only encounterOutpatient professional service
38. Routine healing care with a new clinicianOutpatient professional service
39. A scar after a healed traumatic woundOutpatient professional service
40. Reaction after correct medication useOutpatient professional service
41. An accidental overdose with a manifestationOutpatient professional service
42. Medication review: two current conditions, one office encounterProfessional outpatient claim; Original Medicare unless stated otherwise
43. Excision of a symptomatic epidermal cystProfessional outpatient claim; Original Medicare unless stated otherwise
44. Screening colonoscopy with one sigmoid polyp removedProfessional outpatient claim; Original Medicare unless stated otherwise
45. Active fracture treatment after temporary emergency stabilizationProfessional outpatient claim; Original Medicare unless stated otherwise
46. Two ureteral stones and a temporary catheterProfessional outpatient claim; Original Medicare unless stated otherwise
47. Three knee views and an independent interpretationProfessional outpatient claim; Original Medicare unless stated otherwise
48. A complete lipid panel with a calculated resultProfessional outpatient claim; Original Medicare unless stated otherwise
49. Timed treatment for documented dehydrationProfessional outpatient claim; Original Medicare unless stated otherwise
50. An advance notice before a potentially noncovered testProfessional outpatient claim; Original Medicare unless stated otherwise
51. Diet-controlled gestational diabetes at 32 completed weeksMaternal prenatal outpatient record; payer and maternity billing arrangement require review
52. Three traumatic wounds with two repair groupsProfessional outpatient claim; Original Medicare unless stated otherwise
53. Right-eye cataract surgery and included local anesthesiaProfessional outpatient claim; Original Medicare unless stated otherwise
54. Personally performed anesthesia with a precise handoff timeProfessional outpatient claim; Original Medicare unless stated otherwise
55. One thyroid lobe removed for a confirmed nontoxic noduleProfessional outpatient claim; Original Medicare unless stated otherwise
56. Endoscopic carpal tunnel release completed through an open approachProfessional outpatient claim; Original Medicare unless stated otherwise
57. Two colon specimens, several fragments and one pathology reportProfessional outpatient claim; Original Medicare unless stated otherwise
58. Gallbladder surgery and a separate planned umbilical-hernia repairProfessional outpatient claim; Original Medicare unless stated otherwise
59. A rerun to confirm the first resultOutpatient laboratory; Medicare reporting relationship
60. A new result after treatmentOutpatient laboratory; Medicare reporting relationship
61. The result is calculatedOutpatient laboratory; Medicare reporting relationship
62. A product already includes irradiationOutpatient laboratory; Medicare reporting relationship
63. Several passes before one adequacy assessmentOutpatient laboratory; Medicare reporting relationship
64. One stain across several levelsOutpatient laboratory; Medicare reporting relationship
65. Preparation inside a molecular assayOutpatient laboratory; Medicare reporting relationship
66. Validity measurements for a drug specimenOutpatient laboratory; Medicare reporting relationship
67. Typing a monoclonal band without an orderOutpatient laboratory; Medicare reporting relationship
68. Two lumens at one vascular siteOutpatient professional or facility service as stated; Medicare relationship
69. Eighty minutes of one infusionOutpatient professional or facility service as stated; Medicare relationship
70. Line fluid during the drug administrationOutpatient professional or facility service as stated; Medicare relationship
71. Repeated evaluation in one dialysis sessionOutpatient professional or facility service as stated; Medicare relationship
72. A monitor strip during a procedureOutpatient professional or facility service as stated; Medicare relationship
73. Bronchodilator response as a diagnostic studyOutpatient professional or facility service as stated; Medicare relationship
74. Allocate forty timed therapy minutesOutpatient professional or facility service as stated; Medicare relationship
75. Brief family input during individual psychotherapyOutpatient professional or facility service as stated; Medicare relationship
76. Routine progress check during a therapy courseOutpatient professional or facility service as stated; Medicare relationship
77. An interpretation furnished by a separate practiceMedicare radiology professional service
78. Necessary serial laboratory resultsMedicare clinical diagnostic laboratory service
79. An unplanned but related return to the operating roomMedicare postoperative professional service
80. Reduction and the first castMedicare musculoskeletal professional service
81. The cast comes off in the same practiceMedicare musculoskeletal professional service
82. Two fractures share one treatmentMedicare musculoskeletal professional service
83. Hardware removed as part of revisionMedicare musculoskeletal professional service
84. An arthroscopic repair becomes openMedicare musculoskeletal professional service
85. One joint and its surrounding bursaeMedicare musculoskeletal professional service
86. Replacing the flap made during this craniotomyProfessional operative service; cited Medicare NCCI relationship
87. A dural leak repaired during the operationProfessional operative service; cited Medicare NCCI relationship
88. The original generator moves to another pocketProfessional operative service; cited Medicare NCCI relationship
89. The blurred image is repeatedOutpatient diagnostic or treatment service; stated component and Medicare relationship
90. The radiologist provides the interpretation onlyOutpatient diagnostic or treatment service; stated component and Medicare relationship
91. One acquisition produces two reportsOutpatient diagnostic or treatment service; stated component and Medicare relationship
92. Three placements under one guidance serviceOutpatient diagnostic or treatment service; stated component and Medicare relationship
93. CT used only to localize a PET studyOutpatient diagnostic or treatment service; stated component and Medicare relationship
94. Catheters placed before radiation-source applicationOutpatient diagnostic or treatment service; stated component and Medicare relationship
95. A lesion diameter and a longer closureWPS Medicare office skin procedure
96. One removal and a separate lesion sampleOffice integumentary professional service
97. Several passes into one targetFine-needle aspiration professional service
98. Direct closure after underminingOffice wound repair professional service
99. A flap includes its local component workMedicare integumentary professional service
100. Adding lengths only after groupingWPS Medicare wound-repair documentation exercise