HS225 Medical coding i

1. HS225Medical coding i Seminar 5

2. Unit 5 • HCPCS • Healthcare Common Procedure Coding System • Level I codes are CPT codes (for procedures) • Level II codes are HCPCS codes (for durable medical equipment, ambulance transportation, insulin, etc.---things not covered by CPT codes)

3. Unit 5 • HCPCS codes were created in the 1980s • Codes are five characters in length • Begin with alpha A-V followed by four numbers • When people refer to HCPCS codes, they are most likely referring to the level II codes

4. Unit 5 • HCPCS level II codes are organized according to the type depending on the purpose of the codes and the entity responsible for establishing and maintaining them. The five types are: • Permanent national codes • Dental codes • Miscellaneous codes • Temporary codes • Modifiers

5. Unit 5 • HCPCS modifiers • Attached to any HCPCS level I (CPT) or level II (HCPCS) code to provide additional information regarding the product or service reported • Adds another level of detail to an item or service

6. Unit 5 • A patient was supplied with an air pressure mattress. Report the HCPCS code: • E0181 • E0184 • E0185 • E0186

7. Unit 5 • A patient was supplied with an air pressure mattress. Report the HCPCS code: • E0181 • E0184 • E0185 • E0186

8. Unit 5 • Magnetic resonance imaging without contrast followed by with contrast, left breast. • C8903-LT • C8904-LT • C8905-LT • C8908-LT

9. Unit 5 • Magnetic resonance imaging without contrast followed by with contrast, left breast. • C8903-LT • C8904-LT • C8905-LT • C8908-LT

10. Unit 5 • A patient received an injection of hydrocortisone acetate, 15mg, for contact dermatitis. • J1700 • J1700, J1700 • J1720 • J1720, J1720

11. Unit 5 • A patient received an injection of hydrocortisone acetate, 15mg, for contact dermatitis. • J1700 • J1700, J1700 • J1720 • J1720, J1720

12. Unit 5 • A patient required catheterization for the collection of a specimen. • A4300 • A4305 • P9612 • P9615

13. Unit 5 • A patient required catheterization for the collection of a specimen. • A4300 • A4305 • P9612 • P9615

14. Unit 5 • A patient received 2 mg leuprolide acetate for treatment of prostate cancer. • J1950 • J9217 • J9218, J9218 • J9219

15. Unit 5 • A patient received 2 mg leuprolide acetate for treatment of prostate cancer. • J1950 • J9217 • J9218, J9218 • J9219

16. Unit 5 • A patient in a drug and alcohol rehabilitation hospital received an injection of methadone by the treating physician • H0020 • H0029 • H0033 • J1230

17. Unit 5 • A patient in a drug and alcohol rehabilitation hospital received an injection of methadone by the treating physician • H0020 • H0029 • H0033 • J1230

18. Unit 5 • An 8 year-old boy is fitted with a long-arm cast. Service is performed in part by a resident under the direction of a teaching physician. • Q4007 • Q4007-GC • Q4008-GC • Q40010

19. Unit 5 • An 8 year-old boy is fitted with a long-arm cast. Service is performed in part by a resident under the direction of a teaching physician. • Q4007 • Q4007-GC • Q4008-GC • Q40010

20. Unit 5 • The patient’s family received 30 minutes of family training and counseling, which was provided for the purpose of child development. • T1025 • T1026 • T1027 • T1027, T1027

21. Unit 5 • The patient’s family received 30 minutes of family training and counseling, which was provided for the purpose of child development. • T1025 • T1026 • T1027 • T1027, T1027

22. Unit 5 • A patient received a hand-held low vision aid. • V2020 • V2510 • V2600 • V2610

23. Unit 5 • A patient received a hand-held low vision aid. • V2020 • V2510 • V2600 • V2610

24. Unit 5 Modifiers

25. Unit 5 • What is the HCPCS modifier AH?

26. Unit 5 • What is the HCPCS modifier AH? • Clinical psychologist

27. Unit 5 • What is the HCPCS modifier TA?

28. Unit 5 • What is the HCPCS modifier TA? • Left foot, great toe

29. Unit 5 • What is the HCPCS modifier SB?

30. Unit 5 • What is the HCPCS modifier SB? • Nurse midwife

31. Unit 5 • What is the HCPCS modifier E4?

32. Unit 5 • What is the HCPCS modifier E4? • Lower right eyelid

33. Unit 5 • What is the HCPCS modifier FA?

34. Unit 5 • What is the HCPCS modifier FA? • Left hand, thumb

35. Unit 5 • What is the HCPCS modifier NU?

36. Unit 5 • What is the HCPCS modifier NU? • New equipment

37. Unit 5 • What is the HCPCS modifier RC?

38. Unit 5 • What is the HCPCS modifier RC? • Right coronary artery

39. Unit 5 • What is the HCPCS modifier TC?

40. Unit 5 • What is the HCPCS modifier TC? • Technical component

41. Unit 5 • What is the HCPCS modifier TD?

42. Unit 5 • What is the HCPCS modifier TD? • Registered nurse

43. Unit 5 • What is the HCPCS modifier UQ?

44. Unit 5 • What is the HCPCS modifier UQ? • Four patients served

45. Unit 5 • Drugs are listed in the HCPCS Table of Drugs according to: • Dosage to be used • Generic or chemical name • Route of administration • Trade or brand name

46. Unit 5 • Drugs are listed in the HCPCS Table of Drugs according to: • Dosage to be used • Generic or chemical name • Route of administration • Trade or brand name

47. Unit 5 • Mr. William Hansberry attended a local clinic’s administration of influenza vaccine at a local shopping mall. Mr. Hansberry asks that the clinic bill Medicare for the shot. • G0001 • G0008 • G0009 • G0010

48. Unit 5 • Mr. William Hansberry attended a local clinic’s administration of influenza vaccine at a local shopping mall. Mr. Hansberry asks that the clinic bill Medicare for the shot. • G0001 • G0008 • G0009 • G0010

49. Unit 5 • Michael Lincoln presents to the dental clinic for a fluoride treatment. Michael has several cavities, and he is only 7 years of age. • D1110 • D1120 • D1203 • D1206

50. Unit 5 • Michael Lincoln presents to the dental clinic for a fluoride treatment. Michael has several cavities, and he is only 7 years of age. • D1110 • D1120 • D1203 • D1206