By Thomas J. Falen MA RHIA LHRM, Alice Noblin PhD MBA RHIA LHRM CCS, Brandy Ziesemer MA RHIA CCS
3rd yr - 2011 ANNUAL UPDATE
Updated for 2011, this e-book often is the basic textbook for CPT/HCPCS coding classes for overall healthiness info administration (HIM), clinical Billing coverage and Coding (MBIC), health and wellbeing details expertise (HIT) and healthiness management companies (HSA) courses. utilizing a template just like our Learning to Code with ICD-9-CM textbook, this ebook teaches scholars tips on how to code with CPT/HCPCS utilizing genuine global scientific checklist examples.
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Extra resources for Learning to code with CPT/HCPCS 2011
Within this demanding health-care environment, the need to provide quality patient care at reduced costs will continue to advance the need to develop best care practices far into the future; medical coding is a valuable communication tool used to locate the data needed to support this ongoing endeavor. History of CPT When the AMA first published the Physicians’ Current Procedural Terminology (CPT) in 1966, it consisted mainly of surgical codes. It was a system developed by and for physicians to report their professional services to insurance companies for reimbursement.
48120-22 Modifier-22 is not to be used with E/M codes Patient with bipolar disorder sustains a closed fracture of the ankle during a panic attack. Patient becomes agitated when the physician prepares to set the fracture and does not respond to efforts to calm him. Anesthesia is administered so the fracture can be reduced without the patient causing himself further injury. Anesthesia for all closed procedures on lower leg, ankle and foot. 01462-23 24—Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period Patient recovering from a C-section with complication presents to her OB/GYN’s office complaining of a vaginal yeast infection.
50760-53 NOT used when patient elects to cancel the procedure before it is started. 54—Surgical Care Only Used only when the surgeon does not manage the patient’s postoperative care. Indicates a reduced reimbursement amount is warranted for the surgical procedure because the preoperative or postoperative management will be carried out by another physician. 55—Postoperative Management Only Reimbursement for postoperative care is generally included in the global reimbursement amount for the surgeon.
Learning to code with CPT/HCPCS 2011 by Thomas J. Falen MA RHIA LHRM, Alice Noblin PhD MBA RHIA LHRM CCS, Brandy Ziesemer MA RHIA CCS