Milestone 3.docx (1) HIM215 Milestone 3- CPT Coding HIM215 Current Procedural Terminol

Milestone 3.docx (1)  HIM215  Milestone 3- CPT Coding  HIM215  Current Procedural Terminology, referred to as CPT identifies in detail the specific medical services and procedures performed by physicians and other healthcare providers.  Upon review of the patient™s medical record, I came across the list of doctor™s orders which included multiple procedures performed on the patient. The list of CPT procedures are as follows: ambulance, ataxia, vertigo, urinalysis, chest x-ray, left hip x-ray, Complete Blood Count, EKG, and lastly and E/M from the Emergency Room Visit.  As stated in Milestone 2, the patient record for Lonnie Lates shows she was admitted initially by arriving in an ambulance and after some tests and examinations the physicians suspected Parkinson™s disease.  The first thing I coded was laboratory information. The main term for Urinalysis is Urine because it is the testing of the urine. The main term for Complete blood count is blood because it is testing of a blood sample. When searching in select coder, I clicked on the COT button and searched for œcomplete blood count. I chose the code 85027 as it was the option for the automated CBC. Then I typed in Uranalysis in the CPT search bar and it showed several options, I chose 81005 for the qualitative or semiquantitative.  Then I began coding for the diagnosis Parkinson™s disease. This is coded as G8903 and will be considered the primary diagnosis although, as also stated previously, she was thought to have cerebrovascular accident.  Af