november 2013 medical coding q&a webinar
Post on 18-Oct-2014
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DESCRIPTION
November 2013 Medical Coding Q & A Webinar from www.codingcertification.org discussed many Medical Coding topics of interest to medical coders. The educational offerings for ICD-10-CM were compared and discussed. Attendees’ questions on various topics were answered. These included ICD-10 Granularity and Laterality, Vaccine Administration Codes, OBV and ER observation, Anesthesia Consultation, Glaucoma Coding, Physician Services 99221 or 99281, Modifiers OB and OA, Nerve Block Follow-up, And Sports Physical. Presenters were Laureen Jandroep, CPC, CPC-I, CMSCS, CHCI and Alicia Scott, CPC, CPC-I.TRANSCRIPT
Coding Certification Q & A Webinar- November 2013
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Granularity and Laterality
A student asked: “There are terms used in ICD-10-CM that I
did not see in ICD-9-CM. Can you explain granularity and
laterality?”
ANSWER
For code 90636 "stuff" HepA & HepB would i use
"stick" code 90471. Code 90645 (4 dose schedule)
is each dose scheduled at different times if so would
you use "stuff code" 90645 and "stick code" 90471
ANSWER
Stick & Stuff Codes
OBV vs ER
My question is simple.. when there is a 760 OBV
charge on the claim with an 450 ER charge as well.
That claim is no longer a ER bill correct?
ANSWER
Pre-anesthesia consultation (ie referral by the
surgeon to the anesthetist) prior to surgery, can
someone explain to me the criteria for code
selection 99241,99242,99243,99244 or 99245?
Because many times HPI will have few elements
only when Medical decision making will be High.
ANSWER
Anesthesia Consultation
Glaucoma Coding
For Glaucoma bilateral dif types and dif stages, code each
type but highest stage correct? Thanks, Carolyn
ANSWER
Hi! So if you are coding for the physician services only in the ED setting and the physician is NOT an employee of the hospital - he is independent of the hospital, and the patient is admitted to the hospital do you code the level charge from 99221-99223 or 99281-99285 for the physician services? Thanks! Linda ANSWER
Physician Services 99221 or 99281
Modifiers OB and OA
Was doing a practice test and came across this question.
"Which modifier would you use to report with code 88239 if
the test was looking for hereditary cancer?" I can't even
find these modifiers in my book(CPT prof edition) the
answer sheet reports to look in Appendix I under sub
category Cytogenetic studies.Thanks ....Sue
ANSWER
When coding continuous nerve blocks 64415,
64446 or 64448 how do you code for the follow up
when the patient is sent home with the catheter
and the follow up is being done via telephone by
the anesthesiologist?
ANSWER
Nerve Block Follow Up
Sports Physical
If a provider has coded a V70.3 sports physical &
throughout document states and supports the well child
check V20.2 and he has charged out an (regular E & M
99213 with V70.3) is a coder allowed to change the codes
to preventative code 99383 w/V20.2 as long as
documentation is there?
ANSWER
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