Coding Challenge 1

Hi Everyone-

Ok, it’s been a few days since the facebook poll, and many of you said you wanted to do a weekly coding challenge! Here is the first one. Please code the CPT and ICD-10-CM code for this report. I will post the answer on Wednesday, August 8th. Also, just so everyone is aware, this is HIPAA compliant. This is not a “real” report and does not contain PHI or identifying info.

 

Jon Doe

ABC Hospital

7/31/18

Ordered by Dr. Jones

 

Exam-

US Soft tissue had and neck

Clinical History-

Neck lump x 3 weeks

Comparison-

None

Technique-

Multiplanar grayscale ultrasound of the thyroid

Findings-

Right lobe is 4.4 x 1.2×1.4 cm  with a 1.5 mm nodule

Left lobe is 4.3x 1.1 x 1.2 cm with a 1.2 mm nodule

Isthmus is 2mm in thickness without a nodule

Normal homogeneous echo density and normal vascularity of the thyroid is present

Impression-

Stable exam showing normal size thyroid glad with normal vascularity with 2 small nodules.

Recommendation-

None

Signed Dr Smith 7/31/18

Ok everyone, this post has been updated with the answers! See the link below! Who got it right? Questions? Comments? Please feel free to write something in the comment section!

Click here for the answers.