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Week 7 Seminar

Week 7 Seminar. Coding the Medicine Section (Chapter 18). Don’t Forget Project Paper Due in Unit 8 Tip: Read directions in both Unit 2 and Unit 8. Search GEM for mapping codes. Medicine CPT Codes pg. 728. What are Noninvasive procedures Minimally invasive procedures

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Week 7 Seminar

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  1. 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 Codespg. 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 99070 or HCPCS Level II?

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

  7. Medicine CPT CodesSpecial 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 QuestionsPage 766 • An 8-year-old received DT immunization injection. 12. Binaural hearing aid check

  9. Review Practice QuestionsPage 766 ANSWERS • An 8-year-old received DT immunization injection. d. 90718, 90471 12. Binaural hearing aid check d. 92593

  10. Review Practice QuestionsPage 766 • Inhalation bronchial challenge testing with histamine 17. Physical therapy reevaluation

  11. Review Practice QuestionsPage 766 ANSWERS • Inhalation bronchial challenge testing with histamine a. 95070 • Physical therapy reevaluation b. 97002

  12. Review Practice QuestionsPage 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 QuestionsPage 766 ANSWERS • Patient and wife received 30 minutes of ftfeducation and training from a qualified NP for patient self-management of diabetic testing supplies a. 98960 • Psychiatrist used dolls to communicate with a 5-year-old during a psychiatric interview b. 90802

  14. Review Practice QuestionsPage 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 QuestionsPage 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 QuestionsPage 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 QuestionsPage 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 QuestionsPage 768 33. 40-year-old male presented for hepatitis A & B vaccine. Administered by nursing staff, IM in left arm.

  19. Review Practice QuestionsPage 768 ANSWERS = 90636, 90471 33. 40-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 QuestionsPage 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 QuestionsPage 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 QuestionsPage 768 & 770 • ESRD services for 25-year-old male for month of September. Number of services for the month totaled 12.

  24. Review Practice QuestionsPage 768 & 770 ANSWERS = 90921 = deleted To report ESRD services for patients 20 years and older see 90960-90962, 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 QuestionsPage 768 & 770 • IV infusion of chemo drugs, two hours.

  26. Review Practice QuestionsPage 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

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