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PATHOLOGY

CHEMISTRY (82000-84999)

1. Esau ordered a lab test to determine the amount of chloride present in urine specimens for the same patient. The first specimen was obtained in the morning, and the second specimen was obtained in the afternoon. How should you report these lab services?
2. A direct measure of lipid cholesterol is ordered for a patient who has had high screening cholesterol to see if the total cholesterol is abnormally high due to excessive LDL .What is the appropriate coding for the lipid profile?
3. A glucose tolerance test is performed at the hospital Lab. Four samples of blood are drawn at 30 minutes intervals to quantify the amount of glucose in the patient’s blood. Code for this procedure?
4. A liquid chromatography was performed for a total of 3 analytes.In that 2 analytes were measured using a single stationary & mobile phase & the third analyte is measured using a different stationary & mobile phase? Give the correct CPT codes for the procedure performed?
5. A glucose test was planned to perform on a patient with diabetes mellitus. A GTT test was performed .First specimen was drawn before food & sent for testing, second specimen was drawn one hour after food & sent for testing.Third specimen should be drawn 2 hours after food.Since the patient has to go home immediately for some personal work, the third specimen was not taken for testing .Only 2 specimens were tested.Give the correct CPT code for the test performed?
6. A chemistry test for carbondioxide, chloride, potassium, protein total & albumin was performed for a patient. Give the correct CPT codes for the tests performed ?
7. Eli had a breath alcohol test completed at the hospital after the police arrested him for racing his four-wheeler past a McDonald’s drive through window. Marvin’s breath alcohol test was mathematically calculated. How would you report the calculation on this test?
8. Abraham, a 58-year-old male patient with abdominal pain and episodes of bright red blood in his stool reports to his physician’s office for a check-up. His physician performs a digital rectal exam and tests for occult blood. Dr. Smith documents this blood occult test was done for purposes other than colorectal cancer screening. How would you report the occult blood test?
9. Katherine has had intermittent abdominal pain, occasional diarrhea, stool frequency, and bloating. Her symptoms have worsened over the past two months. Her physician orders a fecal Calprotectin test to check for Crohn’s disease. How should you report the lab test?
10. Isaac presents to the ED with crushing chest pain radiating down the left arm and up under the chin. There are elevated S-T segments on EKG. The cardiologist sees and admits the patient to CCU. He orders three serial CPK enzymes levels with instructions that the tests are also to be done with iso-enzymes if the initial tests are elevated for that date of service. The CPK enzyme levels were elevated, the lab codes would be: