Athenahealth Technology Senior Medical Coding Analyst Interview Questions and Answers

In fusion procedure, if autologous and non-autologous tissue graft are used, the appropriate coding would depend on the specific details of the procedure.

• Assign separate codes for autologous and non-autologous tissue grafts

• Use the appropriate CPT codes for each type of tissue graft used

• Ensure accurate documentation of the specific types of tissue grafts used in the fusion procedure

The primary diagnosis (PDx) in this case would be sepsis.

• PDx would be sepsis as it is the main reason for hospitalization and treatment.

• Secondary diagnoses would include UTI and urinary catheter.

• The focus should be on treating the sepsis while also addressing the underlying UTI and catheter issues.

To code severe preeclampsia, use O14.1 with POA indicator 1 for present on admission.

• Code severe preeclampsia as O14.1

• Use POA indicator 1 to indicate it was present on admission

• Document any additional details or complications in the medical record

• Assign additional codes for any associated conditions or symptoms

• Review official coding guidelines for accurate coding

Excisional debridement involves removal of tissue, while non-excisional debridement does not involve tissue removal.

• Excisional debridement involves cutting away dead or damaged tissue from a wound

• Non-excisional debridement includes methods like enzymatic debridement or autolytic debridement

• To find excisional debridement in medical records, look for codes such as 11042-11047 in CPT codes

• For non-excisional debridement, look for codes like 97602-97606 in CPT codes

Approaches in PCS coding include root operation, body part, approach, device, qualifier, and body system.

• Root operation: The main action performed on the body part.

• Body part: The specific body part involved in the procedure.

• Approach: The method used to reach the body part for the procedure.

• Device: Any tools or devices used during the procedure.

• Qualifier: Additional information about the procedure.

• Body system: The anatomical system related to the procedure.

The root operation for cardiac ablation is Destruction.

• The root operation for cardiac ablation is Destruction, which involves eliminating all or a portion of a body part.

• Other examples of procedures with the root operation of Destruction include excision of a lesion and removal of a foreign body.

• Understanding the root operation is crucial in medical coding to accurately assign the correct procedure code.