coding chapter 1

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cpt

current procedural terminology

editorial revisions

cpt manual is ever changing and is updated annually to reflect technologic advances and

unlisted code

type of code that ends in 99

guidlines

coding information that pertains to an entire section is where

category 2 codes

these codes provide supplemental information and do not substitute category 1 codes

modifier exempt code

the name of the two digit number that is located after the cpt code number and provides more detail about a code

appendix e

list of all modifiers

special reports

using an unlisted or category 3 code third party payers usually require submission of this

appendix b

lists all addition to, deletions from and revisions of cpt manual

appendix d

lists all add on codes

hyphen

indicates range of cpt codes

lightning bolt

symbol indicates a product is pending fda approval

appendix k

products pending fda approval; codes that are being tracked by the amato monitor fda approval

appendix I

list the codes for genetic testing modifiers

appendix j

list the electrodiagnostic medicine listing od sensory, motor and mixed nerves

appendix h

is the alphabetic index of performance measures by clincal conditon or topic and list the category 2 codes

appendix g

summary of moderate (concious) sedation codes; symbol of bullseye

appendix f

summary of cpt codes that are modifier -63 exempt; procedures that are performed on infants who weigh less than 8.8 lbs

appendix c

clinicla examples of many of the evaluation and management service codes

e/m

evaluation and management

appendix a

lists all modifiers used to alter or modify codes

service or procedure

1 index location method

anatomic site

2 index location method

condition or disease

3 index location method

synonym

4 index location method

eponym

5 index location method

abbreviation

6 index location method

evaluation and management

99201-99499

anesthesia

00100-019999, 99100-99140

surgery

10021-69990

radiology

70010-79999

pathology and labratory

80047-89356

medicine

90281-99199, 99500-99609

american medical association

published the cpt coding system

1966

year the cpt coding system was first published

services

providers of health care are paid based on codes submitted for procedures and this provided by the patient

1970

three editions of the current procedural termonilogy were published

november

updated manual of cpt manual is published

1983

year cpt codes incorporated as level 1 codes into the healthcare procedure coding system hcpcs

triangle

placed in front of code indicates that the description for the code has been changed or modified since the previous edition

stand alone codes

have full description

indented code

portion of code description

efficiently

the use of coding system allows you to communicate not only quickly but

1996 act

cp-5 standard for communicating health care data; health insurace portability and accountability act

hippa

requires a common, concise coding system with clear expandable definitions

circle with line through it

identifies a modifier -51 exemt code

circle

identifies new codes for procedures and services identified by bullet

surgery guidlines

surgical destruction is part of a surgical procedure and different methods of destruction is not usually listed seperatly

interpreting physician

must sign report to have the report considered part of radiologic procedure

physician

under whose surpervision are pathology and laboratory services provided

99070

code listed in medical guidlines used to identify material supplied by physician that are beyond those ordinarily included in the service

category 3

would be reported rather than a category 1 unlisted code

main terms

heading on cpt index are modifying terms, code ranges, conventions and this

section

the six major areas into which all cpt codes and descriptions are modified

subsections

further division of sections into smaller units

unlisted procedures

considered unusual, experimental or new or do not have a specific code

right and left triangle

indicates the beginning and end of text change

category 2

supplemental codes that can be used for performance measurement

category 3

temorary codes

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