Medicine - PowerPoint PPT Presentation

1 / 17
About This Presentation
Title:

Medicine

Description:

Modifiers may not be necessary for most codes. See Table 12-1 for ... Administered to prevent disease after exposure to the illness ... Gastroenterology ... – PowerPoint PPT presentation

Number of Views:28
Avg rating:3.0/5.0
Slides: 18
Provided by: Ted9166
Category:

less

Transcript and Presenter's Notes

Title: Medicine


1
Chapter 12
  • Medicine

2
Medicine
  • Includes a wide variety of services and
    procedures
  • Common to assign multiple codes
  • Modifiers may not be necessary for most codes
  • See Table 12-1 for medicine chapter categories.

3
Medicine (cont.)
  • Immune globulins
  • Administered to prevent disease after exposure to
    the illness
  • All codes in this series are -51 exempt.

4
Medicine (cont.)
  • Immunization administration
  • Codes are assigned when physician counsels the
    patient and family.
  • Some immunizations are combination.
  • Two codes are assigned for immunizations
  • Administration of vaccine
  • Vaccine and toxoid

5
Medicine (cont.)
  • Therapeutic infusions
  • IV therapy infused over time
  • Codes based on time
  • Cannot bill for prolonged services with these
    codes
  • Additional HCPCS codes needed to identify
    medication or solution given

6
Medicine (cont.)
  • Injections
  • Injection administration coded in addition to the
    vaccine medication code
  • Psychiatry
  • Office versus hospital facility
  • E/M only, E/M with therapy, or just therapy
  • Psychiatric therapeutic care

7
Medicine (cont.)
  • Biofeedback
  • Very specialized and selectively used
  • Dialysis
  • ESRD dialysis code is selected one time for an
    entire month (30 days) of dialysis
  • Peritoneal dialysis is coded per date of service

8
Medicine (cont.)
  • Gastroenterology
  • Selected when diagnostic services are defining
    the function or disease of stomach or esophagus

9
Ophthalmology
  • Used to report ophthalmologic services alone,
    services with E/M (intermediate or
    comprehensive), or just E/M services
  • Contact lens services
  • Ocular prosthetics
  • Spectacle services

10
Medicine
  • Otorhinolaryngology
  • Diagnostic testing
  • Cardiology
  • Pulmonary
  • Codes include the laboratory procedure with
    interpretation and results
  • Medications are coded separately

11
Allergy and Clinical Immunology
  • Sensitivity services
  • History, exam, observation of patient
  • Cutaneous and mucous membrane tests
  • Immunotherapy
  • Provision of allergen extracts

12
Medicine
  • Endocrinology
  • Sleep testing
  • Polysomnography
  • Extra parameters
  • Neurology and neuromuscular procedures
  • Intraoperative neurophysiology
  • Neurostimulator analysis-programming

13
Medicine (cont.)
  • Motion analysis
  • Central nervous system assessments
  • Health and behavior assessment
  • Selected when someone other than an MD performs
    service

14
Medicine (cont.)
  • Chemotherapy administration
  • Preparation of the chemotherapy is included
  • Separate code used for each method of
    administration and medication

15
Medicine (cont.)
  • Photodynamic therapy and dermatological
    procedures
  • Physical medicine and rehabilitation
  • Modalities
  • Therapeutic procedures
  • Active wound care management

16
Medicine (cont.)
  • Medical nutrition therapy
  • Acupuncture
  • Osteopathic manipulation
  • Chiropractic manipulative treatment

17
Medicine (cont.)
  • Special services
  • Qualifying circumstances for anesthesia
  • Other services
  • Home health procedures
Write a Comment
User Comments (0)
About PowerShow.com