the coding institute - university of miami · for coding vena cava step 2: ... ©2015 the coding...

November 2015, Vol. 17, No. 11 (Pages 81-88)

2015 Call us: 1-800-508-2582 The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713

Anesthesia Coding AlertYour practical adviser for ethically optimizing coding, payment, and efficiency for anesthesia practices Also Access Your Alert Online at www.SuperCoder.com

The Coding InstituteAVOID AUDITS.IMPROVE REIMBURSEMENT.REDUCE DENIALS.INCREASE REVENUE

In this issue

ICD-10Check How Well You Followed Essential ICD-10 Implementation Steps p83

Watching these 5 areas will help your transition succeed.

Compliance Take 8 Steps to Avoid Falling Prey to Medical ID Thieves p84

Be warned: Beneficiaries, practice employees are potential targets.

ICD-10Choose Between 2 Codes for Hysterectomy Diagnosis p85

Relax: The descriptors are already familiar.

You Be the Coder p85

Billing Contrast With Epidural Injection

Reader QuestionsNote the Surgical Option for Coding Vena Cava Filter Removal p86

01952 and 01953 Will Take Care of Burn Debridement p86

Grafting Crosswalks to Multiple Anesthesia Possibilities p86

Start With 00600 for Anesthesia During Rhizotomy p87

Teaching Rules } Ensure You’re Accounting for Anesthesia Services by Multiple Providers

Know when – or when not – to code separately for additional services.

Many times, your anesthesia provider – physician, CRNA, or AA – sees a case through from start to finish. Coding can get complicated when multiple providers share a case, especially when one provides additional services. Brush up on some teaching rules with this case submitted by an Anesthesia Coding Alert subscriber.

Scenario: Our attending anesthesiologist started a surgery case. He left after two hours and another attending anesthesiologist took over the case for the remainder of the surgery. The second attending inserted an arterial line. In the past, we’ve billed these situations under the provider who began the case. Now our compliance department says that if a different provider inserts the line, that’s who we should bill it under. Have we been doing this wrong all along? What’s the correct way?

Step 1: Verify Your Group’s General Policy

Some groups bill by the physician who spends the most time on the case. The patient receives only one bill for anesthesia and the compensation is divided between the physicians.

Other groups stick with the guideline that each provider bills each of his or her services. Although this can mean multiple statements for the patient, it also fits the requirements on the back of the CMS-1500 form that states you are submitting a claim and it represents the provider who performed the service.

Step 2: Know the Differences Because of Teaching

“There was a change to the teaching rules a few years ago and teaching facilities are required to report the anesthesia case under the teaching physician who started the case,” says Kelly D. Dennis, MBA, ACS-AN, CANPC, CHCA, CPC, CPC-I, owner of Perfect Office Solutions in Leesburg, Fla. “Any additional procedures – such as the arterial line placement – should be reported under the provider who performed it. So, in this case the compliance department is correct.”

As CMS information states, “Where different teaching anesthesiologists in the anesthesia group are present during the key or critical periods, the performing physicians, for purposes of claims reporting, is the teaching anesthesiologist who started the case.”

The Coding Institute — SPECIALTY ALERTS Call us: 1-800-508-2582 The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713

p82 Specialty specific codesets, tools and content on one page in SuperCoder.com. Call 1-866-228-9252 now for a super deal! Single User Copy: Not allowed for more than one user without Publisher Approval

Remember: Arterial line placement is considered a surgical procedure instead of part of the procedural anesthesia. Report the appropriate line placement code, such as 36620 (Arterial catheterization or cannulation for sampling, monitoring or transfusion [separate procedure]; percutaneous) under the name of the provider who placed the line.

“This is especially important as a student registered nurse anesthetist (SRNA) does not receive payment from Medicare,” Dennis points out. “If an SRNA places a line, the teaching physician or CRNA must be hands-on for the procedure to be billed under the name of the provider number for the physician or CRNA. If Medicare requests documentation and sees that a SRNA placed the line without assistance, it is not considered for payment.”

Step 3: Watch Who Placed the Line

Dennis says another important issue to remember is that if a student nurse performs the procedure without a teaching physician or CRNA being “hands on” – the service isn’t billable.

“Medicare will deny payment for an arterial line when the only person documented as providing the procedure was an RN,” Dennis explains.

Reasoning: This CMS stance likely comes from CR 6706: “… the payment policy for the teaching CRNA in the single student nurse anesthetist case remains unchanged for services furnished on or after January 1, 2010; however, under MIPPA Section 139, when involved with two concurrent cases with student nurse anesthetists (on or after this date), he or she can be paid at the regular fee schedule rate for each case. To bill the base units for each of the two cases, the teaching CRNA must be present with the student during the pre and post anesthesia care for each case. In addition, while he or she can decide how to allocate time to optimize patient care in the two cases based on the complexity of the anesthesia case, the experience and skills of the student nurse anesthetist, the patient’s health status and other factors; the CRNA must continue to devote all of his or her time to the two concurrent student nurse anesthetist cases and not be involved in other anesthesia cases. The teaching CRNA may bill usual anesthesia time for each anesthesia case. For services furnished on or after January 1, 2010, the teaching CRNA should report these cases with the QZ modifier as described above. You should also remember that the teaching CRNA’s medical record documentation in these cases must be sufficient to support the payment of the fee and be available for review upon request. Additionally, be aware that no payment is made under Part B for the service provided by a student nurse anesthetist.”

Final point: “The required teaching documentation should be clear to anyone reviewing the record – whether electronic or paper,” Dennis says. “Signatures alone do not indicate who did what, especially with ancillary services such as arterial line placement. Have the notes to back up your claim.” q

EditorialadvisoryBoard

Lee S. BroadstonPresident/CEO, BCS Inc., Minn.

Patrick Cafferty, PA-C, MPASMember, AMA Health Care President/CEO, Neurosurgical Associates of Western Kentucky

Barbara J. Cobuzzi, MBA, CPC-OTO, CPC-H, CPC-P, CPC-I, CHCCPresident, CRN Healthcare Solutions, Tinton Falls, N.J.

Quita W. Edwards, CPC, CCS-P, COSC, CPC-ICEO, Practice DynamicsMacon, GA

David Fugate, MSExecutive Director Anesthesia Associates of Ann Arbor PC

Leisa T. Gonnella, MHADirector of Administration Department of Anesthesiology University of Virginia

Scott B. Groudine, MDChair, Government, Legal and Economic Affairs Committee of the New York Anesthesia Society Professor of Anesthesiology Albany Medical Center, N.Y.

Barbara J. Johnson, CPC, MPCLoma Linda University Anesthesiology Medical Group Inc. President, Real Code Inc., Calif. Janet McDiarmid, CMM, CPC, MPCCEO, McDiarmid Consultants LLC Past President American Academy of Professional Coders National Advisory Board

Cindy Parman, CPC, CPC-H, RCCPrincipal and Co-Founder Coding Strategies Inc., Ga. AAPC National Advisory Board member Faculty Instructor, AMA Solutions

Franz Ritucci, MD, DABAM, FAEPPresident, American Board of Ambulatory Medicine, Fla. Director, American Academy of Ambulatory Care, Fla.

Lynn R. RogersOffice Manager Professional Economics Ltd., Ind. Member, Healthcare Billing and Management Association

Teresa Ruiz-LawIndependent Consultant Physician Groups Ltd., Ill.

Susan L. Turney, MD, FACPMedical Director Reimbursement Marshfield Clinic, Wis.

Linda R. Williams, CRNA, JDPast President, American Association of Nurse Anesthetists Attorney-at-Law and Medical-Legal Consultant

Anesthesia Coding Alert (USPS #019-444) (ISSN 1533-590X for print; ISSN 1947-8704 for online) is published monthly 12 times per year by The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713. ©2015 The Coding Institute. All rights reserved. Subscription price is $299. Periodicals postage is paid at Durham, NC 27705 and additional entry offices.POSTMASTER: Send address changes to Anesthesia Coding Alert, 4449 Easton Way, 2nd Floor, Columbus, OH, 43219

Call us: 1-800-508-2582 The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713 The Coding Institute — SPECIALTY ALERTS

Specialty specific codesets, tools and content on one page in SuperCoder.com. Call 1-866-228-9252 now for a super deal! p83Single User Copy: Not allowed for more than one user without Publisher Approval

The official shift to ICD-10 is a few weeks behind us, but the complete transition will take a while longer. Your best first step toward success is to review where you are so you can work toward effective implementation.

Don’t panic: Remember, much to the relief of the healthcare industry, CMS stated that if you can at least list an ICD-10 code from the right “family,” your Medicare administrative contractor (MAC) will pay your claims for the first calendar year following the Oct. 1, 2015 implementation date.

Here are some five vital tips to help hone your coding skills for ICD-10.

Tip 1: Prepare for Combination Codes

Under ICD-10, you have more combination codes for certain conditions and their associated common symptoms or manifestations, said Sue Bowman, MJ, RHIA, CCS, FAHIMA, senior director of coding policy and compliance for the American Health Information Management Association (AHIMA) in a recent CMS tutorial.

These combination codes eliminate the need for reporting two codes for a condition with a specific manifestation, but you may find it more difficult to “crosswalk” from an ICD-9 code to an ICD-10 combination code.

Tip 2: Understand the Seventh Character

The seventh character in ICD-10 “has a different meaning depending on the section where it is being used,” Bowman noted. “It must always be used in the seventh character position, and when a seventh character applies, codes that are missing this character are considered invalid.”

In some cases, for instance, you may need to use the seventh character in a code to identify the type of encounter (initial, subsequent, or sequelae), Bowman said.

Tip 3: Shift From ‘V’ to ‘Z’ Codes

“ICD-10 eliminates the use of the [therapy] V codes due to the fact that they provide no clinical information about the patient other than the fact that therapy services are

being provided,” noted Kris Mastrangelo, president and CEO of Harmony Healthcare International in a recent company blog posting. “ICD-10 requires much more specificity related to the medical condition resulting in the need for the therapy encounter.”

Under ICD-10, you should report V code services under a new set of codes — Z codes, wrote Karen Kostick, RHT, CCS, CCS-P in a recent Journal of AHIMA article. These codes include “aftercare codes,” which identify specific types of continuing care after the initial treatment of an injury or disease.

Tip 4: Beware of GEM Shortcomings

CMS, AHIMA, and other industry organizations joined together to develop General Equivalence Mappings (GEMs) to help providers understand how ICD-9 codes relate to the new ICD-10 codes and code categories.

Downside: “Unfortunately, there are no perfect crosswalks to convert from ICD-9 to ICD-10,” Mastrangelo pointed out. “GEMs provide plausible conversions, not equivalent conversions. GEMs do not provide an exact match and in most cases translation may require the selection of the best alternative code from among all plausible coding options.”

When you’re “forward-mapping” from ICD-9 to ICD-10, expect only about 5 percent of all codes to accurately map one-to-one, according to Mastrangelo.

Resources: You can find a treasure trove of ICD-10 resources at www.roadto10.org, a website that CMS has created specifically for ICD-10 transition-related training, tools, and information.

Tip 5: Don’t Fear Code Denials If You Get the Right Code Family

The AMA wanted to delay ICD-10 implementation and CMS was firm about the Oct 1 implementation date. The two agencies have partnered to provide resources to the healthcare community and make a common understanding for the benefit of practices.

(Continued on next page )

ICD-10 } Check How Well You Followed Essential ICD-10 Implementation Steps

Watching these 5 areas will help your transition succeed.



Stories of identity theft are everywhere; chances are, you or someone you know has been a victim. But have you ever considered that these same thieves are also itching to get their hands on your billing numbers?

That’s the word from CMS’s training course, “Safeguarding Your Medical Identity,” which the agency recently updated with new information on how to prevent becoming victims of this growing trend. Read on to get the scoop on how you and your practice can stay a step ahead of identity thieves.

What’s at risk: “Medical identity theft is the inappropriate or misuse of a patient’s or physician’s unique medical identifying information to obtain or bill public or private payers for fraudulent medical goods or services,” said Shantanu Agrawal, MD, a medical director with CMS, during the presentation.

In 2009 alone, more than 3,600 physician and patient cases of medical identity theft were reported. Unfortunately, that number is continually creeping higher, Agrawal added. Currently, the government is tracking about 5,000 compromised provider identifiers (such as NPIs) and about 280,000 compromised beneficiary identifiers (such as patient ID numbers).

To make sure you aren’t next in line for medical thieves, follow these eight steps that will help keep your information safeguarded.

1. Realize IRS Notices Reveal More Than You Think

If your identity is stolen, that income is reported to the IRS — and the feds will eventually wonder why you aren’t paying taxes on it. Therefore, pay attention to any notifications that the IRS sends — they could alert you to fraudulent activity that’s taking place with your Medicare number.

Example: One physician had to pay an attorney $600 per hour over a four to five month period to clear her name after her Medicare billing numbers were stolen. By the time the operation was shut down, the company that stole her identity was found to have tried to launder up to $4.7 million under 19 doctors’ names. This can happen to doctors, nurses, nurse practitioners (NPs), physician assistants (PAs), and other medical professionals, Agrawal said.

2. Keep Close Tabs on Prescription Pads

“Anyone can walk away with them if they are left in the open,” Agrawal noted.

You should also use tamper-resistant prescription pads, which Medicaid has required since 2008. These must include a watermark or thermal ink, which show attempts to alter prescriptions. Even so, however, these methods are not foolproof, he adds, so always take every precaution by locking up prescription pads when not in use.

3. Activate Computer Log-ons

“Disabling log-ons is a dangerous practice, and sometimes people do it to make life a little easier and access quicker for employees,” Agrawal said. However, these steps are essential to keeping the information on the computer safe.

Also: Each staff member should have a unique log-on code. If an employee leaves the practice, remove his log-on access immediately so he can’t get into the system.

4. Actively Manage Enrollment Information

“Physicians can actively manage enrollment information with payers by updating them about material enrollment changes, especially when opening, closing, or moving

“We appreciate that CMS is adopting policies to ease the transition to ICD-10 in response to physicians’ concerns that inadvertent coding errors or system glitches during the transition to ICD-10 may result in audits, claims denials, and penalties under various Medicare reporting programs,” said Steven J. Stack, MD, president of the AMA, in a July 6 statement. “We

will continue to work with the administration in the weeks and months ahead to make sure the transition is as smooth as possible.”

Resource: To read the CMS/AMA guidance, visit www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD-10-guidance.pdf. q

Compliance } Take 8 Steps to Avoid Falling Prey to Medical ID Thieves

Be warned: Beneficiaries, practice employees are potential targets.

http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD-10-guidance.pdf

http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD-10-guidance.pdf



With approximately 20 CPT® codes addressing hysterectomy, coding for the actual procedure could sometimes be a challenge. Fortunately, selecting the correct diagnosis is a bit easier, provided your anesthesiologist or CRNA has documentation of a few key details.

ICD-10’s code choices fall under the family of Z90.7 (Acquired absence of genital organ[s]). Your options are:

Z90.710 – Acquired absence of both cervix and uterusZ90.711 – Acquired absence of uterus with remaining cervical stump.

The diagnosis selection is easy since you only have to know whether the surgeon completed a partial or complete hysterectomy.

Remember: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed, so you’ll need that code from the

»»

surgeon (as with any anesthesia case). Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as ‘diagnoses’ or ‘problems.’ q

You Be the Coder

Billing Contrast With Epidural Injection

Question:Our physician does lumbar epidural steroid injections in the office with contrast material. Can we bill this along with 62311 or is it included in the main procedure code?

California Subscriber

Answer: See page 87. q

practice locations, or when separating from an organization,” Agrawal said. This way, if a payer receives claims or reimbursement requests to an old or non-existent office location, they can contact you and ask about it.

5. Monitor Billing and Compliance Processes

“By strengthening compliance activities, physicians can minimize risk and improve their overall program integrity,” Agrawal said. “Physicians must be aware of billings in their names, paying close attention to the organizations and mid-level providers to whom they have assigned privileges.”

In addition, compare remittance notices with medical record documentation and ensure that mid-level practitioners’ documentation supports billed services. Read all items before signing them, keep copies, and document conversations about billing issues.

“Remember, whether staff or a third-party biller provides the organization’s claims processing services, the physician of record is responsible for the claims submitted,” he said. “Once a physician has signed off and claims are submitted, the physician is certifying to the truth and accuracy of them.”

6. Pay Attention to Patient Complaints

Listen when a patient tells you he started receiving medical items that he never ordered, says Julie Taitsman, MD, chief medical officer at the OIG, during the course. It’s possible that someone is ordering the items in the patient’s name or maybe even with your provider number to collect reimbursement they don’t deserve.

7. Avoid Sharing When Possible

Even doctors doing things correctly are still at risk for medical identity theft, Taitsman said. One big risk factor is when doctors have given their identifying numbers to high numbers of other entities, such as giving your TINs and NPIs to various clinics, hospitals, doctors, and mid-level providers.

8. Report Potential Issues to the Police

One doctor reported that her medical identity was stolen and was later used to submit fraudulent claims to government payers. She initially waited for the Medicare system to correct it, but later found out that any type of theft — including medical — should actually be reported to the police department. q

ICD-10 } Choose Between 2 Codes for Hysterectomy Diagnosis

Relax: The descriptors are already familiar.



Note the Surgical Option for Coding Vena Cava Filter Removal

Question: How do we bill for anesthesia care when a surgeon removes a vena cava filter?

Virginia SubscriberAnswer:If the surgeon performs an open procedure to retrieve the filter, your best anesthesia options are 00880 (Anesthesia for procedures on major lower abdominal vessels; not otherwise specified) and 00882 (… inferior vena cava ligation).

Note: The correct anesthesia code depends on the surgical approach. If the surgeon removes the filter intravascularly, the patient might not need anesthesia.

For inserting a vena cava filter you can use 37191 (Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance [ultrasound and fluoroscopy], when performed) but does not have a removal code. This could partially be because removing an umbrella is very rare.

Some coders suggest using one of the codes for implant removal in this situation because the surgeon did implant the vena cava filter. Other coders say vein filter removal is more complicated than this, so opt for 37799 (Unlisted procedure, vascular surgery).

Code 01930 (Anesthesia for therapeutic interventional radiologic procedures involving the venous/lymphatic system [not to include access to the central circulation]; not otherwise specified) is another option for a less-invasive removal tactic. q

01952 and 01953 Will Take Care of Burn Debridement

Question: Our physician administered anesthesia for burn excision and debridement that covers 12 percent of the patient’s body. How do we code this?

Texas Subscriber

Answer: In this case when your physician administers anesthesia for burn excision and debridement that covers 12 percent of the patient’s body, you will report with codes 01952 (Anesthesia for second and third degree burn excision or debridement with or without skin grafting, any site, for total body surface area [TBSA] treated during anesthesia and

surgery; between four and nine percent of total body surface area) and 01953 (… each additional nine percent total body surface area or part thereof [list separately in addition to code for primary procedure]) for a total of six base units, but only report the number of time units associated with 01952 – no additional time units for 01953.

Remember: Code 01952 is the primary anesthesia code for burn debridement. You should report it with five base units plus the appropriate time units. Code +01953 is an add-on code. It’s worth one additional base unit, but you do not report time for it. q

Grafting Crosswalks to Multiple Anesthesia Possibilities

Question: Which anesthesia code corresponds with a grafting procedure using a muscle flap from the latissimus dorsi muscle and placing that graft over a wound of the upper extremity?

Florida SubscriberAnswer:Following the guidelines for this type of graft, use CPT® code 15734 (Muscle, myocutaneous, or fasciocutaneous

2014 Specialty coding BookS By The Coding insTiTuTe experTs

the coding institute (tci) offers the most economical

and practical coding books for 12 specialties.

you can quickly check the latest cpt® codes with

full descriptions, modifiers, RVUs, global days, cci,

illustrations and code-specific coding tips so you avoid

any confusion. you can also look up

up-to-date HcpcS and icd-9-cM codes and get all the

reimbursement tools you need on one page!

Visit http://www.codinginstitute.com/products/books-1.html

for more details.

call 1-800-508-2582 or e-mail [email protected] for help.

2222 sedwick road, durham, nC 27713Contact us: 1-800-508-2582

18

5

www.codinginstitute.com/products/books-1.html

[email protected]

Drive

Reader Questions }



flap; trunk), which crosswalks to anesthesia codes 00300, 00700, 00730, 00800 and 00820. Because the latissimus dorsi is in the upper back (thoracodorsal region), use 00300 (Anesthesia for procedures on the integumentary system, muscles and nerves of head, neck and posterior trunk, not otherwise specified) or 00700 (Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified).

It’s strongly recommended that each coder who reports 15732-15738 highlight the notation regarding the coding from donor site. Interestingly enough, in reviewing CPT®, the AMA has never addressed the question about using only donor sites for these four codes. This is the type of topic coders can continually debate, but they have an obligation to decide whether a code is appropriate. The final outcome can only come during an audit or in reviewing codes with your physician.

The key to coding correctly and avoiding an audit is physician documentation -- they must provide adequate information in their dictation or hand-written notes. And you must be aware that the codes you choose are always open to scrutiny and inquiry so you must be able to back your choices. Also realize that, in many cases, there is no wrong or right, just disagreement with a crosswalk code, another coder, your physician or another source. q

Start With 00600 for Anesthesia During Rhizotomy

Question:What are the correct anesthesia codes for facet rhizotomy?

Tennessee Subscriber

Answer:Rhizotomy is a surgical procedure to sever nerve roots in the spine as a way to relieve chronic back pain and muscle spasms. CPT® currently includes two code choices for rhizotomy: 63185 (Laminectomy with rhizotomy; 1 or 2 segments) and 63190 (… more than 2 segments). Correct coding depends on the number of segments involved rather than the spinal region treated.

If the surgeon reports 63185, the primary anesthesia code is 00600 (Anesthesia for procedures on cervical spine and cord; not otherwise specified), which carries 10 base units. Other alternate anesthesia codes include 00604 (Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position), 00620 (Anesthesia for procedures on thoracic spine and cord, not otherwise specified), 00630 (Anesthesia for procedures in lumbar region; not otherwise specified), and 00670 (Anesthesia for extensive spine and spinal cord procedures [e.g., spinal instrumentation or vascular procedures]). The coder should select the most applicable, highest base code.

Code 63190 also crosses to anesthesia code 00670, with 13 base units.

Note: Rhizotomy is a surgical procedure that involves the cutting of nerve roots in the spinal cord to relive the symptoms of neuromuscular conditions. The procedure is performed through laminotomy or laminectomy and is performed under general anesthesia. q

You Be the CoderBilling Contrast With Epidural Injection

(Question on page 85)Answer:You can bill contrast agents separately from injections 62310 (Injection[s], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral [caudal]) or 62311 (… cervical or thoracic).

The contrast injection is included in epidural injection, but you can bill the contrast agent or dye separately. q

— Answers to You Be the Coder and Reader Questions were provided by Kelly Dennis, MBA, ACSAN, CANPC, CHCA, CPC, CPC-I, president of Perfect Office Solutions in Leesburg, Fla.

We Want to Hear From YouTell us what you think about Anesthesia

Coding Alert.

• What do you like? • What topics would you like to see us cover?

• What can we improve on?

We’d love to hear from you.

Please email Leigh DeLozier at [email protected]

Thank you in advance for your input!



AVOID AUDITS.IMPROVE REIMBURSEMENT.REDUCE DENIALS.INCREASE REVENUE

We would love to hear from you. Please send your comments, questions, tips, cases, and suggestions for articles related to Anesthesia Coding Alert to the Editor indicated below.

The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713 Tel: 1-800-508-2582 Fax: 1-800-508-2592 E-mail: [email protected] Coding Alert is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understand-ing that the publisher is not engaged in rendering legal, accounting, or other professional services. If legal advice or other expert assistance is required, the services of a competent professional should be sought. CPT ®codes, descriptions, and material only are copyright 2014 American Medical Association. All rights reserved. No fee schedules, basic units, relative value units, or related listings are included in CPT®. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.Rates: USA: 1 yr. $299. Bulk pricing available upon request. Contact Medallion Specialist Team at [email protected]. All major credit cards accepted.

This publication has the prior approval of the American Academy of Professional Coders for 0.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the content. To access each issue’s CEU quiz, visit Supercoder.com/ceus and then login. To request login information, email [email protected] CEU is valid for 1 year from issue’s month.

CardiologyChiropracticDermatologyEmergency MedicineEvaluation & ManagementFamily MedicineGastroenterologyGeneral Surgery

Health Information ComplianceICD-10 CodingInternal MedicineModifiersNeurology & Pain ManagementNeurosurgery

Ob-GynOncology & HematologyOphthalmologyOptometry Coding and Billing Oral SurgeryOrthopedicsOtolaryngology

Part B (Multispecialty)Pathology/LabPediatricsPhysical Medicine & RehabilitationPodiatryPractice ManagementPsychiatry

PulmonologyRadiology Rehab ReportUrology

The Coding Institute also publishes the following specialty content both online and in print. Call 1-800-508-2582 for a free sample of any or all of the specialties below:

Call us (800-508-2582) and mention your customer number for a special price, free trial, or just to find out more about SuperCoder – the complete online medical coding solution.

Mary Compton, PhD, [email protected] Editorial Director and Publisher

Jennifer Godreau, CPC, CPMA, [email protected] Director of Development & Operations

Anesthesia C O D I N G A L E R T

Leigh [email protected]

Kelly Dennis, MBA, ACSAN, CANPC, CHCA, CPC, CPC-IConsulting Editor

Order or Renew Your Subscription!Yes! Start/Renew my one-year subscription (12 issues) to Anesthesia Coding Alert Print & Online - $399 (Special Renewal price for active subscribers - $299 only!) Print only - $299 Online only - $199

Name

Title

Company

Address

City, State, ZIP

Phone

Fax

E-mail

* Must provide e-mail address if you choose “online” or “both” option to receive issue notificationsTo help us serve you better, please provide all requested information

Payment OPtiOns

Charge my: q MasterCard q VISA q AMEX q Discover

Card #

Exp. Date: ________/________/________

Signature: q Check enclosed (Payable to The Coding Institute)

q Bill me (please add $15 processing fee for all bill me orders)

Anesthesia Coding AlertThe Coding Institute

PO Box 933729Atlanta, GA 31193-3729

Call 1-800-508-2582Fax 1-800-508-2592

E-mail: [email protected]

Also Access Your Alert Online at www.supercoder.com

Promo Code: PA5RAA01

www.supercoder.com/aca

the coding institute - university of miami · for coding vena cava step 2: ... ©2015 the coding...

Documents