Coding the Medicine Section (Chapter 18) 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 What’s special/unique about the medicine codes? What guidelines are in the medicine section?

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

Medicine CPT Codes Guidelines Bundled Codes OCE NCCI Unbundling Unlisted Service or Procedure Materials CPT 99070 or HCPCS Level II?

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?

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

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

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

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

Review Practice Questions Page 766 ANSWERS Inhalation bronchial challenge testing with histamine a. 95070 Physical therapy reevaluation b. 97002

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

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. 98960 Psychiatrist used dolls to communicate with a 5-year-old during a psychiatric interview b. 90802

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.

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.

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.

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.

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

Review Practice Questions Page 768 ANSWERS = 90636, 90471 33. 40-year-old male presented for hepatitis A & B vaccine. Administered by nursing staff, IM in left arm.

Abbreviation check EEG EMG EKG

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.

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.

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.

Review Practice Questions Page 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.

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

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

Questions? Next Week Lab and X-Ray