Welcome to CPT Coding Part 5

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Welcome to CPT CodingPart 5

• Wellmark Blue Cross and Blue Shield

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What should I know about Medicine Services?

• Many diagnostic and therapeutic services
• Report each procedure separately
• Provides codes for many specialties
• Arranged in subsections

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How do I code for Immune Globulins?

• Code range 90281 90399
• Includes broad-spectrum and anti-infective immune
  globulins, antitoxins, and various isoantibodies
• Use codes 90765-90779 for administration

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What are the codes for Vaccines/Toxoids?

• 90476 - 90749 Vaccines/Toxoids
• Separate codes used for combination vaccines
• 90465 - 90468 Administration under 8 years of
  age, when physician counsels patient/family
• 90471 90474 Immunization administration, no
  counseling
• Use administration codes in addition to code for
  vaccine

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How do I code for Psychiatric Procedures?

• 90801 - 90899
• Insight Oriented, Behavior Modifying and/or
  Supportive Psychotherapy

• Interactive Psychotherapy
• Used mainly with children or those unable to
  express themselves
• Place of service further determines code

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How do I code for Dialysis?

• Code range 90918 - 90999
• End Stage Renal Disease
• Hemodialysis
• Other than hemodialysis (peritoneal,
  hemofiltration)

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What does Ophthalmology include?

• Code range 92002 92499
• Eye exams and refractions
• Visual field exams
• Ophthalmoscopy
• Contact lenses and glasses
• Ocular prosthesis

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How do I code for Otorhinolaryngology?

• Code range 92502 92599
• Otoscopy, rhinoscopy, and tuning fork test
  included with exam (billed with E/M)
• Vestibular function tests
• Audiologic function tests
• Assume testing is for both ears

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What does Cardiology include?

• Code range 92950 93799
• Cardiography
• Electrocardiograms
• Echocardiography
• Ultrasonic signals from heart and great
  arteries, with 2 dimension imaging and/or Doppler
• Cardiac catheterization

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What does Pulmonary coding include?

• Code range 94010 - 94799
• Spirometry
• Vital capacity
• Pulmonary stress testing

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How do I code for Allergies?

• Code range 95004 95199
• Allergy testing
• Percutaneous tests (scratch, puncture, prick)
• Intracutaneous (intradermal) tests
• Patch or application tests
• Allergen immunotherapy
• Professional services (injection only)
• Extract only
• Total service

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What is included in Neurology?

• 95805 96117
• Consultative services
• Sleep testing
• Neurostimulators
• Analysis programming
• Central nervous system tests

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What are the codes for Chemotherapy?

• Code range 96401 96549
• Chemo Administration
• Subcutaneous or intramuscular
• Intralesional
• Intravenous (push, infusion techniques)
• Intra-arterial (push, infusion techniques)
• Bill drugs with HCPCS codes
• Usually begin with J or S

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What does Physical Medicine include?

• Code range 97001 98943
• Physical and occupational therapy evaluations
• Modalities (supervised and constant attendance)
• Therapeutic procedures
• Direct one-on-one patient contact required

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What else is included in Physical Medicine?

• Osteopathic manipulative treatment
• Codes 98925-98929
• By body regions, from one to ten regions
• Chiropractic manipulative treatment
• Codes 98940-98943
• By number of spinal regions and extraspinal

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What are Special Services Reports?

• Code range 99000 - 99091
• Handling fees
• Adjunct services
• Services after office hours, at night or on
  week-ends, emergency
• In addition to basic service
• Supplies and materials
• 99070 - 99091 not covered

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How are Home Health Services Coded?

• 99500 99602
• Used by non-physician health care professionals
• Services provided in patients home
• 99601 99602
• Home infusion therapy drug administration, per
  visit
• Code by number of hours
• Not for self-administered medications by patient
• Drugs should be reported separately

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Exercise 10
Work exercise in the workbook, then click to see
the answers.

• 92082
• 97113
• 93514
• 90847
• 90657
• 96413, 96415 X3

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What are HCPCS - Level 2 Codes?

• Uniform method to report services, procedures and
  supplies
• Codes start with an alpha character
• Followed by four numeric digits

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What are Category II codes?

• New in 2004 end in letter F
• Supplemental tracking codes
• May be used for performance measurement
• Follows Medicine section in CPT
• Use of codes is optional

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What are Category III codes?

• Temporary codes for emerging technology, services
  and procedures end in letter T
• Check Category III before using unlisted codes
• Remember not all codes covered by insurance
• Note Updates to Category II and Category III
  codes posted on AMA/CPT Internet site
• Look for changes January 1 and July 1

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CPT Review Part 1

• Complete CPT Review Part 1 and 2 in your
  workbook, then click here to check your answers

• 1. F
• 2. T
• 3. F
• 4. T
• 5. F
• 6. F
• 7. T

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CPT Review Part 2

• Complete CPT Review Part 1 and 2 in your
  workbook, then click here to check your answers

• 1. Unlisted
• 2. Modifier
• 3. 26
• 4. 50
• 5. History, examination, medical decision
  making
• 6. 80
• 7. 59
• 8. Index
• 9. 51

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Congratulations!You have completed the on-line
portion of the CPT Coding Course

• E-mail us to obtain your final exam