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86825
|
X-MATCHAHG
|
HCPCS
|
Added Hematopoietic Stem-Cell Transplantation, Conventional Preparative Conditioning for Hematopietic Stem-Cell Transplantation, Reduced-Intensity Conditioning for Allogeneic SCT, SCT in Solid Tumors, and staging and therapy language for Germ-Cell Tumors. Policy Exceptions section was revised to include language about FEP and State/and School Employee subscribers. Code Reference section was updated as follows: added instructions for coding in conjunction with 38207 - 38215; added ICD-9 procedure code 41.00 to covered code table; revised descriptions of ICD-9 procedure codes 41.04 & 41.07; added ICD-9 diagnosis code 158.9 to covered code table; removed deleted HCPCS Code G0363; added CPT Codes 86825 and 86826 to non-covered codes table and added HCPCS Codes S2140 & S2142 to non-covered codes table. 04/28/2010: Policy description updated. Policy statement added to indicate that tandem-sequential autologous SCT may be considered medically necessary in certain types of testicular cancers.
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38207
|
PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR
|
HCPCS
|
Added Hematopoietic Stem-Cell Transplantation, Conventional Preparative Conditioning for Hematopietic Stem-Cell Transplantation, Reduced-Intensity Conditioning for Allogeneic SCT, SCT in Solid Tumors, and staging and therapy language for Germ-Cell Tumors. Policy Exceptions section was revised to include language about FEP and State/and School Employee subscribers. Code Reference section was updated as follows: added instructions for coding in conjunction with 38207 - 38215; added ICD-9 procedure code 41.00 to covered code table; revised descriptions of ICD-9 procedure codes 41.04 & 41.07; added ICD-9 diagnosis code 158.9 to covered code table; removed deleted HCPCS Code G0363; added CPT Codes 86825 and 86826 to non-covered codes table and added HCPCS Codes S2140 & S2142 to non-covered codes table. 04/28/2010: Policy description updated. Policy statement added to indicate that tandem-sequential autologous SCT may be considered medically necessary in certain types of testicular cancers.
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S2142
|
Cord blood-derived stem-cell transplantation, allogeneic
|
HCPCS
|
Added Hematopoietic Stem-Cell Transplantation, Conventional Preparative Conditioning for Hematopietic Stem-Cell Transplantation, Reduced-Intensity Conditioning for Allogeneic SCT, SCT in Solid Tumors, and staging and therapy language for Germ-Cell Tumors. Policy Exceptions section was revised to include language about FEP and State/and School Employee subscribers. Code Reference section was updated as follows: added instructions for coding in conjunction with 38207 - 38215; added ICD-9 procedure code 41.00 to covered code table; revised descriptions of ICD-9 procedure codes 41.04 & 41.07; added ICD-9 diagnosis code 158.9 to covered code table; removed deleted HCPCS Code G0363; added CPT Codes 86825 and 86826 to non-covered codes table and added HCPCS Codes S2140 & S2142 to non-covered codes table. 04/28/2010: Policy description updated. Policy statement added to indicate that tandem-sequential autologous SCT may be considered medically necessary in certain types of testicular cancers.
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00216
|
ANESTH HEAD VESSEL SURGERY
|
CPT
|
For this procedure, we’d code 35471 for “transluminal balloon angioplasty, percutaneous; renal or other visceral artery,” and we’d add the modifier -66 for “surgical team.” So we’d end up with 35471-66. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/
Physical Status Modifier (For Anesthesia)
Anesthesia procedures have their own special set of modifiers, which are simple and correspond to the condition of the patient as the anesthesia is administered. These codes are:
- P1 – a normal, healthy patient
- P2 – a patient with mild systemic disease
- P3 – a patient with severe systemic disease
- P4 – a patient with severe systemic disease that is a constant threat to life
- P5 – a moribund patient who is not expected to survive without the operation
- P6 – a declared brain-dead patient whose organs are being removed for donor purposes
These are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1.
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00216
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ANESTH HEAD VESSEL SURGERY
|
CPT
|
These codes are:
- P1 – a normal, healthy patient
- P2 – a patient with mild systemic disease
- P3 – a patient with severe systemic disease
- P4 – a patient with severe systemic disease that is a constant threat to life
- P5 – a moribund patient who is not expected to survive without the operation
- P6 – a declared brain-dead patient whose organs are being removed for donor purposes
These are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/
Complete List of CPT Modifiers 2015
To view a complete list of CPT Modifiers, you can check out these resources below:
As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we’ve done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates.
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00216
|
ANESTH HEAD VESSEL SURGERY
|
CPT
|
Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/
Complete List of CPT Modifiers 2015
To view a complete list of CPT Modifiers, you can check out these resources below:
As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we’ve done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates. In this webinar, you will learn about the 143 deleted codes and why they were given the boot.
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00216
|
ANESTH HEAD VESSEL SURGERY
|
CPT
|
The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/
Complete List of CPT Modifiers 2015
To view a complete list of CPT Modifiers, you can check out these resources below:
As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we’ve done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates. In this webinar, you will learn about the 143 deleted codes and why they were given the boot. You will also learn the 264 New codes and when to use them and if they replaced older codes and more.
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00100
|
ANESTH SALIVARY GLAND
|
CPT
|
In this blog post, we’ll extensively explore these three coding systems, highlighting their unique roles and differences. Understanding these coding systems is essential for healthcare professionals, medical coders, and anyone interested in the intricate workings of the healthcare industry. CPT (Current Procedural Terminology):
CPT, or Current Procedural Terminology, is a coding system developed and maintained by the American Medical Association (AMA). It primarily focuses on coding medical procedures and services provided by healthcare professionals. CPT codes are numeric and range from 00100 to 99999, with each code representing a specific medical service or procedure.
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00100
|
ANESTH SALIVARY GLAND
|
CPT
|
CPT (Current Procedural Terminology):
CPT, or Current Procedural Terminology, is a coding system developed and maintained by the American Medical Association (AMA). It primarily focuses on coding medical procedures and services provided by healthcare professionals. CPT codes are numeric and range from 00100 to 99999, with each code representing a specific medical service or procedure. These codes are essential for healthcare providers to accurately bill insurance companies and maintain a standardized record of patient treatments. ICD-10 (International Classification of Diseases, 10th Edition):
ICD-10 is an internationally recognized system for classifying diseases and medical conditions.
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00100
|
ANESTH SALIVARY GLAND
|
CPT
|
CPT codes are numeric and range from 00100 to 99999, with each code representing a specific medical service or procedure. These codes are essential for healthcare providers to accurately bill insurance companies and maintain a standardized record of patient treatments. ICD-10 (International Classification of Diseases, 10th Edition):
ICD-10 is an internationally recognized system for classifying diseases and medical conditions. It is used for diagnostic coding and is maintained by the World Health Organization (WHO). Unlike CPT codes, which focus on procedures, ICD-10 codes are alphanumeric and cover a broad spectrum of diseases, conditions, and injuries.
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96040
|
PR MEDICAL GENETICS COUNSELING EACH 30 MINUTES
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HCPCS
|
Some genetic counselors evaluate multiple types of genetic cases, i.e., cancer, pediatrics, prenatal, cardiac, etc., while others provide counseling for one specific area. Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC).
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99245
|
PR OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES
|
HCPCS
|
Some genetic counselors evaluate multiple types of genetic cases, i.e., cancer, pediatrics, prenatal, cardiac, etc., while others provide counseling for one specific area. Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC).
|
99213
|
Telehealth visit INT
|
HCPCS
|
Some genetic counselors evaluate multiple types of genetic cases, i.e., cancer, pediatrics, prenatal, cardiac, etc., while others provide counseling for one specific area. Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC).
|
99215
|
PSYCHIATRIC ASSESST/EVAL-EP 60
|
HCPCS
|
Some genetic counselors evaluate multiple types of genetic cases, i.e., cancer, pediatrics, prenatal, cardiac, etc., while others provide counseling for one specific area. Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC).
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99211
|
WND CARE
|
HCPCS
|
Some genetic counselors evaluate multiple types of genetic cases, i.e., cancer, pediatrics, prenatal, cardiac, etc., while others provide counseling for one specific area. Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC).
|
96040
|
PR MEDICAL GENETICS COUNSELING EACH 30 MINUTES
|
HCPCS
|
Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance.
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99245
|
PR OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES
|
HCPCS
|
Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance.
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99213
|
Telehealth visit INT
|
HCPCS
|
Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance.
|
99215
|
PSYCHIATRIC ASSESST/EVAL-EP 60
|
HCPCS
|
Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance.
|
99211
|
WND CARE
|
HCPCS
|
Some provide all the care from marketing, educating the community and providers, performing the actual assessment, collecting the specimen, to post-education while others may have a team to even the work load. ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance.
|
96040
|
PR MEDICAL GENETICS COUNSELING EACH 30 MINUTES
|
HCPCS
|
ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance. Some programs are able to offer free evaluations and some genetics laboratories offer financial assistance or even free testing to those that are underinsured or uninsured.
|
99245
|
PR OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES
|
HCPCS
|
ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance. Some programs are able to offer free evaluations and some genetics laboratories offer financial assistance or even free testing to those that are underinsured or uninsured.
|
99213
|
Telehealth visit INT
|
HCPCS
|
ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance. Some programs are able to offer free evaluations and some genetics laboratories offer financial assistance or even free testing to those that are underinsured or uninsured.
|
99215
|
PSYCHIATRIC ASSESST/EVAL-EP 60
|
HCPCS
|
ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance. Some programs are able to offer free evaluations and some genetics laboratories offer financial assistance or even free testing to those that are underinsured or uninsured.
|
99211
|
WND CARE
|
HCPCS
|
ICD-10 Codes Z84.89 HCPCS codes 99211-99245
A nurse counselor reports: I bill 99211 but a NP can bill a 99213 or 14. Usually not a 99215 level. CPT code (96040) to cover genetic counseling visits provided by Certified Genetic Counselors only (CGC). The Affordable Care Act preventive services for women include counseling and testing for BRCA mutation in women at “higher risk” without co-pay or co-insurance. Some programs are able to offer free evaluations and some genetics laboratories offer financial assistance or even free testing to those that are underinsured or uninsured.
|
1500
|
New Technology - Level 1
|
APC
|
The American Academy of Professionals Coders (AAPC) provides physician-based coding certification courses, such as CPC certification. The organization offers both classroom and online training, which can be completed in less than 5 months. The course fee is $1500. The American Health Information Management Association (AHIMA) offers facility-based training courses – both certificate and degree programs. The coding training with AHIMA usually takes about 15 months to complete.
|
53899
|
HC UNLISTED PROCEDURE, URINARY SYSTEM
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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01860
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ANESTH LOWER ARM CASTING
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CPT
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Don’t worry about ICD-10, either. 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
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97802
|
Therapy procedure for nutrition management, each 15 minutes
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HCPCS
|
Don’t worry about ICD-10, either. 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
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99116
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PR ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
88741
|
Transcutaneous methb
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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99354
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PR PROLONGED SVC OUTPATIENT SETTING 1ST HOUR
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
96125
|
Test to assess the ability to complete specific functional tasks applicable to environment
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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90801
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Psy dx interview
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HCPCS
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Don’t worry about ICD-10, either. 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
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98925
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PR OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS
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HCPCS
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Don’t worry about ICD-10, either. 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
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99201
|
Office Visit New Min
|
HCPCS
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Don’t worry about ICD-10, either. 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.
|
99150
|
Mod sed diff phys/qhp add on
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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86000
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Measurement of antibody to infectious organism
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
88399
|
HC UNLISTED SURGICAL PATHOLOGY PROCEDURE
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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|
99500
|
Home visit prenatal
|
HCPCS
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Don’t worry about ICD-10, either. 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.
|
96101
|
Psycho testing by psych/phys
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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92502
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PR OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA
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HCPCS
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Don’t worry about ICD-10, either. 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.
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92950
|
PR CARDIOPULMONARY RESUSCITATION
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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1710
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PROFEE ANESTH BURSECTOMY
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
88104
|
HC CYTOPATHOLOGY, FLUIDS, WASHINGS OR BRUSHINGS, EXCEPT CERVICAL
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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01682
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Anesth airplane cast
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CPT
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Don’t worry about ICD-10, either. 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
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98943
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PR CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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77799
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HC UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
77032
|
Guidance for needle breast
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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01958
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ANES XTRNL CEPHALIC VERSION
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CPT
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Don’t worry about ICD-10, either. 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.
|
55899
|
HC UNLISTED PROCEDURE, MALE GENITAL SYSTEM
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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99285
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PROFESSIONAL FEE LEVEL 5
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HCPCS
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Don’t worry about ICD-10, either. 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.
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99443
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Telephone medical discussion with physician, 21-30 minutes
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HCPCS
|
Don’t worry about ICD-10, either. 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
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86849
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HC CPT 86849 86849
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HCPCS
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Don’t worry about ICD-10, either. 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.
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00600
|
ANESTH SPINE CORD SURGERY
|
CPT
|
Don’t worry about ICD-10, either. 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.
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80400
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HC ACTH STIMULATION PANEL; FOR ADRENAL INSUFFICIENCY THIS PANEL
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
00400
|
ANESTH SKIN EXT/PER/ATRUNK
|
CPT
|
Don’t worry about ICD-10, either. 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
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93990
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PR DUPLEX SCAN HEMODIALYSIS ACCESS
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HCPCS
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Don’t worry about ICD-10, either. 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
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60000
|
PR I&D THYROGLOSSAL DUCT CYST INFECTED
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HCPCS
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Don’t worry about ICD-10, either. 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
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30000
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PR DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH
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Don’t worry about ICD-10, either. 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
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Online service by hc pro
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Don’t worry about ICD-10, either. 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.
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64400
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PR INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
01710
|
ANESTH ELBOW AREA SURGERY
|
CPT
|
Don’t worry about ICD-10, either. 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
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58999
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UNLISTED PROC FEMALE GENITAL
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
77071
|
X-ray stress view
|
HCPCS
|
Don’t worry about ICD-10, either. 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.
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97804
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PR MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
01951
|
ANESTH BURN LESS 4 PERCENT
|
CPT
|
Don’t worry about ICD-10, either. 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
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1999
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ANESTHESIOLOGY GROUP
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CPT
|
Don’t worry about ICD-10, either. 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.
|
59899
|
HC UNLISTED PROCEDURE, MATERNITY CARE AND DELIVERY
|
HCPCS
|
Don’t worry about ICD-10, either. 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.
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69000
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Simple drainage of abscess or blood accumulation of external ear
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
90399
|
Unlisted immune globulin
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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01936
|
Anesth perc img tx sp proc
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CPT
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Don’t worry about ICD-10, either. 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.
|
80104
|
Drug scrn 1+ class nonchromo
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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01916
|
ANESTH DX ARTERIOGRAPHY
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CPT
|
Don’t worry about ICD-10, either. 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.
|
00218
|
ANESTH SPECIAL HEAD SURGERY
|
CPT
|
Don’t worry about ICD-10, either. 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
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|
77084
|
Magnetic image bone marrow
|
HCPCS
|
Don’t worry about ICD-10, either. 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.
|
96155
|
Interv hlth/behav fam no pt
|
HCPCS
|
Don’t worry about ICD-10, either. 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.
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99341
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PR HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
01190
|
Anesth pelvis nerve removal
|
CPT
|
Don’t worry about ICD-10, either. 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
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34001
|
Removal of artery clot
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HCPCS
|
Don’t worry about ICD-10, either. 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.
|
88300
|
SURGICAL TISSUE, GROSS ONLY
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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61000
|
Remove cranial cavity fluid
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
95199
|
HC UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SRVC/PX
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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|
80047
|
I STAT CHEM 8
|
HCPCS
|
Don’t worry about ICD-10, either. 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.
|
96150
|
Assess hlth/behave init
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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|
80440
|
Trh stimulation panel
|
HCPCS
|
Don’t worry about ICD-10, either. 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.
|
70010
|
Contrast x-ray of brain
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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01999
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Unlisted anesth procedure
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CPT
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Don’t worry about ICD-10, either. 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.
|
01462
|
ANESTH LOWER LEG PROCEDURE
|
CPT
|
Don’t worry about ICD-10, either. 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
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01274
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ANESTH FEMORAL EMBOLECTOMY
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CPT
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Don’t worry about ICD-10, either. 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.
|
79999
|
Rp therapy unlisted px
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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62263
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PR PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
81099
|
URINE COLLECTION
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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37799
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HC UNLISTED PROCEDURE, VASCULAR SURGERY
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
98962
|
PR EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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90911
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Biofeedback peri/uro/rectal
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HCPCS
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Don’t worry about ICD-10, either. 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
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95251
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PR CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R
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HCPCS
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Don’t worry about ICD-10, either. 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.
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L0112
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Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated
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HCPCS
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Don’t worry about ICD-10, either. 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.
|
99000
|
HC HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB
|
HCPCS
|
Don’t worry about ICD-10, either. 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
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92002
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PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE NEW PT
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HCPCS
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Don’t worry about ICD-10, either. 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
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