code
stringlengths 4
12
| description
stringlengths 2
264
| codetype
stringclasses 8
values | context
stringlengths 160
15.5k
|
|---|---|---|---|
99288
|
HC PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROF DIRECTION OF EM
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99281
|
PROFESSIONAL FEE LEVEL 1
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
00352
|
ANESTH NECK VESSEL SURGERY
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
95250
|
PR CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
01610
|
ANESTH SURGERY OF SHOULDER
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
1810
|
PROFEE ANESTH OPEN PROCED WRIST/HA
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
77261
|
HC THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99100
|
EXTREME AGE <1 OR >70
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
00500
|
ANESTH ESOPHAGEAL SURGERY
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99391
|
PR PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
80299
|
VERAPAMIL (QUANT. DRG)
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
00797
|
Anesth surgery for obesity
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
00902
|
ANESTH ANORECTAL SURGERY
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
33010
|
Drainage of heart sac
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99091
|
PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
88230
|
Tissue culture to identify white blood cell disorders
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
90460
|
PR IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
81000
|
HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
98966
|
PR NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
P9615
|
Urine specimen collect mult
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
76999
|
US UNLISTED PROCEDURE US
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
01444
|
ANESTH KNEE ARTERY REPAIR
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99441
|
Telephone medical discussion with physician, 5-10 minutes
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
93799
|
HC UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
87001
|
Small animal inoculation
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99397
|
PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
97001
|
Pt evaluation
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
96040
|
PR MEDICAL GENETICS COUNSELING EACH 30 MINUTES
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
78000
|
Thyroid single uptake
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
P2028
|
Cephalin floculation test
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
59000
|
PR AMNIOCENTESIS DIAGNOSIC
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
98940
|
PR CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
88299
|
Unlisted cytogenetic study
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99360
|
PR PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
80100
|
DRUG SCREEN QUALITATE/MULTI
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99359
|
PR PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99444
|
Online e/m by phys/qhp
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99135
|
Anes comp ctrld hypotension
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
00474
|
ANESTH SURGERY OF RIB
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
1610
|
Anesthesia for Nerves, Muscles, Tendons, etc. Shoulder
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
97810
|
PR ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99345
|
PR HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99357
|
PR PROLONGED SVC I/P OR OBS SETTING EA ADDL 30 MIN
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
00700
|
ANESTH ABDOMINAL WALL SURG
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
99241
|
PR OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
50010
|
PR RNL EXPL X NECESSITATING OTH SPEC PX
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
90935
|
PR HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
69979
|
Unlisted px temporal bone
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
00952
|
ANESTH HYSTEROSCOPE/GRAPH
|
CPT
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
76499
|
XR UNLISTED DIAGNOSTIC PROCEDU
|
HCPCS
|
Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios
Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
|
9071
|
Capsaicin 8% patch
|
APC
|
- Category III CPT codes are provisional codes for new and developing technology, procedures, and services. The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year.
|
9201
|
Rabies ig ht&sol human im
|
APC
|
- Category III CPT codes are provisional codes for new and developing technology, procedures, and services. The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year.
|
9214
|
Bevacizumab injection
|
APC
|
- Category III CPT codes are provisional codes for new and developing technology, procedures, and services. The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year.
|
9065
|
Argatroban esrd dialysis
|
APC
|
- Category III CPT codes are provisional codes for new and developing technology, procedures, and services. The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year.
|
9071
|
Capsaicin 8% patch
|
APC
|
The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually.
|
9201
|
Rabies ig ht&sol human im
|
APC
|
The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually.
|
9214
|
Bevacizumab injection
|
APC
|
The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually.
|
9065
|
Argatroban esrd dialysis
|
APC
|
The codes were created for data collection and assessment of new services and procedures. Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually.
|
9071
|
Capsaicin 8% patch
|
APC
|
Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike.
|
9201
|
Rabies ig ht&sol human im
|
APC
|
Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike.
|
9214
|
Bevacizumab injection
|
APC
|
Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike.
|
9065
|
Argatroban esrd dialysis
|
APC
|
Modifiers are sometimes appended to CPT codes to report special circumstances. Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike.
|
9071
|
Capsaicin 8% patch
|
APC
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
9065
|
Argatroban esrd dialysis
|
APC
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
90716
|
VARIVAX PVT
|
HCPCS
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
90658
|
Iiv3 vaccine splt 0.5 ml im
|
HCPCS
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
9214
|
Bevacizumab injection
|
APC
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
99214
|
Telehealth Visit EXT
|
HCPCS
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
9201
|
Rabies ig ht&sol human im
|
APC
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
12002
|
S/LCA SCLP/NK EXTR 2.7-7.5CM
|
HCPCS
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
99397
|
PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER
|
HCPCS
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
99201
|
Office Visit New Min
|
HCPCS
|
Source: https://www.aapc.com/resources/medical-coding/cpt.aspx
What Are Examples of CPT codes
- 99201 a physical exam
- 90658 flu vaccination
- 90716 chicken pox vaccine (varicella)
- 12002 laceration repair
- 99214 may be used for an office visit
- 99397 may be used for a preventive exam if you are over 65
To complete list of CPT codes, AAPC provided a link http://coder.aapc.com/cpt-codes-range however details of codes are not available unless you are an AAPC coder subscriber. CPT codes are revised annually in November with hundreds of codes added, changed or deleted each year. If you are in the medical coding and billing field, it is strongly recommended that you have the most current edition of the CPT manual, which means you need a new book annually. Professional additions, with illustrations are helpful to both new coders and frequent users alike. You can check out some of the medical coding books resources below:
- CPT 2016 Professional Edition
- 2016 ICD-10-CM Codebook
- ICD-10-CM 2016 Code Set
- HCPCS 2016 Level II Professional Edition
- CPT Changes 2016: An Insider’s View
Related CPT Coding Posts:
- How to Look Up CPT Codes for FREE — 7 Steps!
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
The Healthcare Common Procedure Coding System (HCPCS) is a two-tiered system that includes Common Procedure Terminology, at Level I, which is usually referred to as CPT codes. More specialized codes are used for reporting services to Medicare and other payers at Level II. Since these codes do not have an equivalent in any other manual but the Center for Medicare and Medicaid Services HCPCS manual, these codes are referred to as HCPCS in the field, to differentiate them from the more universal CPT codes. The use of HCPCS for all medical transactions was mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPPA). While HIPPA established a number of regulations governing the transmission of Protected Health Information (PHI), its enactment also mandated the use of the same codes across the industry to describe medical procedures.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
More specialized codes are used for reporting services to Medicare and other payers at Level II. Since these codes do not have an equivalent in any other manual but the Center for Medicare and Medicaid Services HCPCS manual, these codes are referred to as HCPCS in the field, to differentiate them from the more universal CPT codes. The use of HCPCS for all medical transactions was mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPPA). While HIPPA established a number of regulations governing the transmission of Protected Health Information (PHI), its enactment also mandated the use of the same codes across the industry to describe medical procedures. For this reason, both medical billers and medical coders need a solid understanding of how these codes are meant to be used, the kind of understanding that can only be gained through a formal education program of study.
|
95810
|
Sleep study in sleep lab (6 years or older)
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95807
|
Sleep study including heart rate and breathing attended by technician
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95811
|
SLEEP STUDY W INTITIATION OF CPAP TX/VEN
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
G0400
|
PR HOME SLEEP TEST/TYPE 4 PORTA
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95801
|
Slp stdy unatnd w/anal
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95806
|
Sleep study unatt&resp efft
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95805
|
Sleep study, multiple trials
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95782
|
PR POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
G0398
|
PR HOME SLEEP TEST/TYPE 2 PORTA
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
G0399
|
PR HOME SLEEP TEST/TYPE 3 PORTA
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95800
|
Slp stdy unattended
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95808
|
PR POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95803
|
PR ACTIGRAPHY TESTING RECORDING ANALYSIS I&R
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95783
|
PR POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM
|
HCPCS
|
Although there is no cure for this sleep condition, the symptoms (EDS and symptoms of abnormal REM sleep, such as cataplexy) can be controlled in most people with drug treatment. Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging.
|
95810
|
Sleep study in sleep lab (6 years or older)
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95807
|
Sleep study including heart rate and breathing attended by technician
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95811
|
SLEEP STUDY W INTITIATION OF CPAP TX/VEN
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
G0400
|
PR HOME SLEEP TEST/TYPE 4 PORTA
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95801
|
Slp stdy unatnd w/anal
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95806
|
Sleep study unatt&resp efft
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95805
|
Sleep study, multiple trials
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95782
|
PR POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
G0398
|
PR HOME SLEEP TEST/TYPE 2 PORTA
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
G0399
|
PR HOME SLEEP TEST/TYPE 3 PORTA
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95800
|
Slp stdy unattended
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
95808
|
PR POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND
|
HCPCS
|
Medications include – Stimulants (like Modafinil (Provigil) or Armodafinil (Nuvigil), Amphetamine-like stimulants, Methylphenidate (Aptensio XR, Concerta, and Ritalin), Sodium oxybate and other antidepressant drugs. Incorporating lifestyle adjustments such avoiding the intake of caffeine, alcohol and nicotine, regulating sleep schedules, establishing a normal exercise pattern and meal schedule and scheduling short naps (10-15 minutes in length) at regular intervals during the day may help reduce symptoms in the long-run. Allergy and sleep medicine medical coding involves using the specific ICD-10 diagnosis codes, CPT codes and HCPCS codes for reporting narcolepsy on the medical claims providers submit to health insurers for reimbursement. ICD-10 Codes to Use for “Narcolepsy”
G47.4 – Narcolepsy and cataplexy
G47.41 – Narcolepsy
- G47.411 – Narcolepsy and cataplexy, with cataplexy
- G47.419 – Narcolepsy and cataplexy, without cataplexy
G47.42 – Narcolepsy in conditions classified elsewhere
- G47.421 – Narcolepsy in conditions classified elsewhere, with cataplexy
- G47.429 – Narcolepsy in conditions classified elsewhere, without cataplexy
CPT Codes for Narcolepsy Diagnostic Testing
- 95782 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95783 – Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- 95800 – Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (e.g., by airflow or peripheral arterial tone), and sleep time
- 95801 – Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (e.g., by airflow or peripheral arterial tone)
- 95803 – Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
- 95805- Multiple Sleep Latency or Maintenance Of Wakefulness Testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
- 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoraco abdominal movement)
- 95807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
- 95808 – Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
- 95810 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
- 95811 – Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of Continuous Positive Airway Pressure therapy or bi-level ventilation, attended by a technologist
- G0398 – Home Sleep Study Test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation
- G0399 – Home Sleep Test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- G0400 – Home Sleep Test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Dealing with narcolepsy can be challenging. Making necessary adjustments in your daily schedule may help.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.