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Week 7 Seminar Coding the Medicine Section (Chapter 18)

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Presentation on theme: "Week 7 Seminar Coding the Medicine Section (Chapter 18)"— Presentation transcript:

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

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

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

5 Medicine CPT Codes Guidelines Bundled CodesBundled Codes OCEOCE NCCINCCI UnbundlingUnbundling Unlisted Service or ProcedureUnlisted Service or Procedure MaterialsMaterials CPT or HCPCS Level II?CPT or HCPCS Level II?

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

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

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

9 Review Practice Questions Page 766 ANSWERS 11.An 8-year-old received DT immunization injection. d , Binaural hearing aid check d

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

11 Review Practice Questions Page 766 ANSWERS 15.Inhalation bronchial challenge testing with histamine a Physical therapy reevaluation b

12 Review Practice Questions Page 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 18.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 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 = 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 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 = 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 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.

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21 Review Practice Questions Page 768 & 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 = 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 & 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, So answer is? 49. 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 & IV infusion of chemo drugs, two hours.

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

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