1. Coding the Medicine Section (Chapter 18)
Week 7 Seminar
Coding the Medicine Section
(Chapter 18)

2. Don’t Forget Project Paper Due in Unit 8
Tip: Read directions in both Unit 2 and
Unit 8. Search GEM for mapping codes.

3. Medicine CPT Codes pg. 728 What are Noninvasive procedures
Minimally invasive procedures
What’s special/unique about the medicine codes?
What guidelines are in the medicine section?

4. Medicine CPT Codes Guidelines
Multiple Procedures
Same date service
Add-On Codes
+ = addition to primary code
Parenthetical note = primary
Separate Procedures
Comprehensive vs. Separate
Modifier -59

5. Medicine CPT Codes Guidelines
Bundled Codes
OCE
NCCI
Unbundling
Unlisted Service or Procedure
Materials
CPT or HCPCS Level II?

6. Medicine CPT Codes Special Considerations
Immune Globulins
Supply vs. Administration
Modifier -51?
Immunizations – how many codes?
Administrative codes
Vaccine codes
Modifier -51?
New vaccine identifier?

7. Medicine CPT Codes Special Considerations
Psychiatry
Who can report an E&M (office visit) code?
What “alternative” therapies are in the Medicine section?
Difference between Hemodialysis and Peritoneal Dialysis
Qualifying Anesthesia Circumstances
QC vs. Anesthesia P Modifiers
Conscious Moderate Sedation

8. Review Practice Questions Page 766
An 8-year-old received DT immunization injection.
12. Binaural hearing aid check

9. Review Practice Questions Page 766
ANSWERS
An 8-year-old received DT immunization injection.
d , 90471
12. Binaural hearing aid check d

10. Review Practice Questions Page 766
Inhalation bronchial challenge testing with histamine
17. Physical therapy reevaluation

11. Review Practice Questions Page 766
ANSWERS
Inhalation bronchial challenge testing with histamine a
Physical therapy reevaluation b

12. Review Practice Questions Page 766
Patient and wife received 30 minutes of ftf education and training from a qualified NP for patient self-management of diabetic testing supplies
20. Psychiatrist used dolls to communicate with a 5-year-old during a psychiatric interview

13. Review Practice Questions Page 766
ANSWERS
Patient and wife received 30 minutes of ftf education and training from a qualified NP for patient self-management of diabetic testing supplies a
Psychiatrist used dolls to communicate with a 5-year-old during a psychiatric interview b

14. Review Practice Questions Page 768
14-year-old with cystic fibrosis, was seen for chest wall cupping to help clear mucous secretion. Initial demo observed by patient’s mother as teaching opportunity for home care by parent.

15. Review Practice Questions Page 768
ANSWERS = 94667
14-year-old with cystic fibrosis, was seen for chest wall cupping to help clear mucous secretion. Initial demo observed by patient’s mother as teaching opportunity for home care by parent.

16. Review Practice Questions Page 768
After placing patient on adjustment table, chiropractic manipulation of C7, T4, and L1 were performed to reduce subluxation and increase blood flow. The patient was scheduled for another appointment in one week’s time.

17. Review Practice Questions Page 768
ANSWERS = 98941
After placing patient on adjustment table, chiropractic manipulation of C7, T4, and L1 were performed to reduce subluxation and increase blood flow. The patient was scheduled for another appointment in one week’s time.

18. Review Practice Questions Page 768
year-old male presented for hepatitis A & B vaccine. Administered by nursing staff, IM in left arm.

19. Review Practice Questions Page 768
ANSWERS = 90636, year-old male presented for hepatitis A & B vaccine. Administered by nursing staff, IM in left arm.

20. Abbreviation check
EEG
EMG
EKG

21. Review Practice Questions Page 768 & 770
Patient was awake when electrodes were placed on his head for recording. An extended EEG was performed during a 3 hour period. Patient was awake for entire EEG.

22. Review Practice Questions Page 768 & 770
ANSWERS = 95813
Patient was awake when electrodes were placed on his head for recording. An extended EEG was performed during a 3 hour period. Patient was awake for entire EEG.

23. Review Practice Questions Page 768 & 770
ESRD services for 25-year-old male for month of September. Number of services for the month totaled 12.

24. Review Practice Questions Page 768 & 770
ANSWERS = = deleted
To report ESRD services for patients 20 years and older see , 90966, 90970
So answer is?
ESRD services for 25-year-old male for month of September. Number of services for the month totaled 12.

25. Review Practice Questions Page 768 & 770
IV infusion of chemo drugs, two hours.

26. Review Practice Questions Page 768 & 770
ANSWERS = 96413, 96415
What kind of code is 96415?
50. IV infusion of chemo drugs, two hours.

27. Questions?
Next Week
Lab and X-Ray