AAPC February 21, 2007
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Issue #71

Top News

Americans Walking Away from Physical Activity

New Pediatric Immunization Schedules Reflect Changes to CPT® Codes

Study Data Could Help Relieve that Pain in your Wrist

EdgeBlast Test Yourself

Read the EdgeBlast and Earn CEUs Toward Your Annual Renewal

You can now earn continuing education units (CEUs) by reading the Academy’s EdgeBlast. Simply answer the five questions found in the EdgeBlast Test Yourself at the end and submit your answers at the time of your renewal, using the same process you follow monthly for the Test Yourself in the Cutting Edge. Each EdgeBlast (there are two issued each month) will feature five questions that can earn you .5 CEUs, for a total of 12 CEUs annually.

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Chris Fraizer Top News

by Chris Fraizer, MA, CPC

Americans Walking Away from Physical Activity
According to the results of a recent study available from the National Center for Health Statistics (NCHS), physical activity keeps declining among Americans, as fewer and fewer adults find the time to make physical activity a part of their daily routine.


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New Pediatric Immunization Schedules Reflect Changes to CPT® Codes
CPT® vaccine codes for 2007 reflect the new pediatric immunization schedule that for the first time divides the schedule into two: one for children from birth to six years of age and the second for those seven to 18 years of age.


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Study Data Could Help Relieve that Pain in your Wrist
Are co-workers saying the sharp pain shooting up your wrist is nothing more than a passing cramp? Or, maybe similar to you, do they daily encounter risk factors that could cause carpal tunnel syndrome (CTS), but lack the information to modify their work styles?


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EdgeBlast Test Yourself
By answering the following questions you can earn .5 continuing education units to apply toward your annual AAPC certification renewal. Simply answer the questions and send in a copy of your work when submitting your CEU package. Put the number of each EdgeBlast included in your submission. The number is available at the top of the page.

Answers to the questions are not always found directly (word for word) in the EdgeBlast in which they appear. While often related to the EdgeBlast content, they require additional resources such as your ICD-9-CM, CPT® and HCPCS manuals.

1. The following is a medically necessary immunization example provided by CMS:

A woman who has diabetes is working in her barn and steps on a rusty nail, which causes a jagged open wound in her foot. An internist examines her and determines that since she has not had a tetanus shot in 20 years he should administer a booster. Assuming the physician has never seen this patient before. What are the correct procedure and diagnosis codes for this service?

Answer:

2. A 4-month-old established patient is at a physician’s office for his well child exam. The patient is scheduled to receive his second rotavirus vaccine. After the physician distributes the VIS and discusses the risks and benefits of the immunization with his parents, the vaccine is administered. What are the correct procedure and diagnosis codes for this service?

Answer:

3. A physician repairs injuries known as the “unhappy triad”—meniscus tear (lateral), a torn anterior cruciate ligament and a sprained lateral collateral ligament (LCL)—affecting a football player hit on the outside of the knee during the Superbowl Game. The repairs made arthroscopically are a lateral meniscus repair and an anterior cruciate ligament repair. The LCL injury is treated non-surgically (ice packs). What are the procedure and diagnosis codes?

Answer:

4. The physician performs carpal tunnel release surgery for the treatment of CTS for a patient that has not responded to conservative treatment options, such as wrist splint use and steroidal injections. The surgery involves an enlargement of the carpal tunnel, performed endoscopically, to reduce the pressure on the nerve. What are the diagnosis and procedure codes?

Answer:

5. A study published recently in the New England Journal of Medicine found that nasal-spray version of the flu vaccine protects some young children better than flu shots. What is the CPT® code for the nasal-spray version of the flu vaccine? Incidentally, the nasal flu shot is not approved for children under five.

Answer:

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