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Tuesday, 5 March 2013

Yuuu

Test 3 Review
1. Key comp mavinnts for E& axerophthol;M coding

* History
* Examination
* Medical decision making ( complexity)

2. Levels for history, examination, and complexity

History and Examination levels are the same
* Problem focused
* Expanded problem focused
* Detailed
* Comprehensive

complexness levels
* Straight forward
* Low complexity
* Moderate complexity
* High complexity

3. 6 sections of CPT book in put

* Evaluation & Management
* Anesthesia
* Surgery
* Radiology
1. Nuclear Medicine
2. Diagnostic ultrasound
* Pathology & Laboratory
* Medicine

4. How to code surgeries

Always ask these three questions
* What body brass was involved?
* What anatomical site was involved?
* What type of cognitive process was performed?

5. How to code lesions

* Site
* Size in cm (2.54cm= 1 in)
* tally of lesions removed
* Benign or malignant status
* Method used for removal
* ablation deeper than the dermal layer requires 2 codes, one for the deletion and one for an intermediate repair
* A biopsy is reported separately
* Radical excision= excision

6.

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What are modifiers

* Last step in coding
* Provides surplus information about serve wells/ mathematical operations to the third party payors when the service provided varied form the usual service reported with the code
* positive by HCFA along with HCPCS codes to augment services
* Not all modifiers maintain to every section of CPT

7. Know these modifiers

* 51- Multiple procedures
* 50- Bilateral procedure
* 22- Increased procedural services
* 80- Assistant Surgeon

8. Level 1,2,3 of HCPCS. What is in each one.

Level 1
* Five digits
* Developed by AMA
* Updated every year
* Uses two digits modifiers

Level 2
* Considered national
* Describes common medical services and supplies non included in CPT
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