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8 terms

Steps For CPT Coding

From Handout on 1/25/2010. Eight steps for getting the proper CPT code. These must be listed in order.
STUDY
PLAY
#1
determine the category and subcategory of service based on the location of service and the patient's status
#2
determine the extent of the history that is documented
#3
determine the extent of the examination that is documented
#4
determine the complexity of medical decision making (MDM) that is documented
#5
analyze the requirements to report the service level
#6
review the nature of the presenting problem and the time spent with the patient
#7
verify that the documentation is complete
#8
assign the code