Activity Instructions:

Using the coding techniques you have learned, carefully read through the case study and determine the most accurate diagnostic code(s). Remember, check the chapter-specific, subchapter-specific, and category-specific notations within the Tabular List. Remember to use required punctuation and placeholders as necessary to create a complete code meeting specificity guidelines.

Then determine the most accurate CPT and/or HCPCS procedure code(s) along with any modifier(s), if appropriate. Please list the Procedure and/or HCPCS code in the appropriate column and add any appropriate modifier(s) in the column directly adjacent to the procedure column titled for modifiers.

CASE STUDY:

Mari Lou is a 55-year-old white female, S/P hysterectomy at age 41. She feels she is getting shorter, and after being measured during her physical several weeks ago, it does appear she has "lost" several inches. At her request, a bone densitometry of the axial skeleton (DXA) and blood calcium test are ordered. Her diagnosis is post-menopausal osteoporosis.
Procedure Code(s): ______________
Applicable Modifier(s): ___________
HCPCS Level II code(s): __________
Applicable Modifier(s): _______________