Hello!  Could I get some help with this please??   Directions…

Question
Answered step-by-step
Asked by CaptainManateeMaster451

Hello! 

Could I get some help with this please??

 

Directions

Review the five scenarios below and assign the appropriate HCPCS Level II and/or CPT code.   
Visit the Medicare Coverage Database to find and assign the LCD Article ID or NCD Manual Section Number associated with the assigned HCPCS Level II/CPT code.   
Provide a rationale as to whether or not the HCPCS Level II/CPT code will meet medical necessity based on the LCD Article ID or NCD Manual Section Number. 

 

Scenario 1

Patient has been recently diagnosed with plantar fasciitis.  The provider orders a static foot orthosis. 

 

CPT/HCPCS Level II code for static foot orthosis:    
LCD Article ID:  
State:    Indiana

Rationale:   

 

 

 

Scenario 2 

Morbid obese patient is scheduled to have a laparoscopic sleeve gastrectomy. The patient has been non-compliant with other forms of medical treatment to lose weight and fails to quit smoking cigarettes. 

 

CPT/HCPCS Level II code for laparoscopic sleeve gastrectomy:  
LCD Article ID:   
State:    California 

Rationale:   

 

 

 

Scenario 3 

Patient has a 0.9 cm benign skin lesion located on her forearm.  She does not like the appearance of it and requested it to be removed.  When the provider asked about the associated symptoms, the patient indicated that there were none; she just does not like the appearance. 

 

CPT/HCPCS Level II code for removal of 0.9 cm benign skin lesion on forearm, simple repair:   
LCD Article ID:   
State:  Indiana

Rationale:   

 

 

 

Scenario 4

Patient has had fibromyalgia for 2 years.  She is requesting acupuncture of her muscles in her legs (sartorius, semimembranosus, semitendinosus, and gastrocnemius) as that is where she experiences most of her pain. 

 

CPT/HCPCS Level II code for acupuncture of 3 or more muscles:     
NCD Manual Section Number:   

Rationale: 

 

 

 

Scenario 5

Patient has a kidney stone and is scheduled for removal of the stone via nephrolithotomy. 

 

CPT/HCPCS Level II code for nephrolithotomy:  
NCD Manual Section Number:   

Rationale:   

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
MCCG 137

 

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."