Question

A. Where in medical patient information would you go to acquire information in reference to a CPT code?

B. The CPT coding process process includes use of the Alphabetic Index and the tabular list , applies to all sections of the CPT manual , excep for the _______ and ______ sections.

C. Name the different factors that contribute to E/M complexity.

D. What are CPT-4 codes who assigns them?

Answer 1

ANSWER.

A) CPT codes are procedure codes representing particular diagnostic or

    surgical procedures done for the patient.

    So acquire information about the procedures done for the patient in the

    medical record used as a reference to a CPT code.

B) The CPT coding process includes use of alphabetic index and tabular list

     applies to all sections of the CPT manual except for the E/M (Evaluation

     and management) and Anesthesia sections.

C) Different factors contribute to E/M complexity.

          Factors which contribute to E/M complexity are

                               * Patient history.

                               * Physical examination.

                               * Medical decision making.

                               * Counseling.

                               * Coordination of care.

                               * Nature of presenting problem.

                               * Time.

D) CPT-4 Codes.

        * CPT-4 Codes are assigned by CPT editorial panel of the

           American medical association (AMA).

        * CPT-4 Codes are divided into 3 categories.

              * Category-1

                     * It includes 5 digit procedure codes.

                            1. Evaluation and management codes ( 99201- 99499).

                            2. Anesthesia codes. ( 00100 - 01999)

                                * Qualifying circumstances for anesthesia ( 99100-99140).

                                * Moderate sedation codes (99143-99150).

                           3. Surgery codes. ( 10021-69990).

                           4. Radiology codes ( 70010 - 79999)

                           5. Pathology and laboratory codes.( 80047-89398).

                           6. Codes for medicine.( 90281-99199),( 99500-99607).

               * Category 2.

                        * It includes perfomance measurement PQRS (Perfomance

                          quality reporting system) codes.

                        * This codes are end with alphabet F.

                        * Category 2 codes are

                               * Composite measures(0001F-0015F).

                             * Patient management.(0500F-0584F).

                               * Patient history.(1000F-1505F).

                               * Physical examination.( 2000F-2060F).

                               * Diagnostic processes and screening results ( 3006F-3776F).

                             * Therapeutic,p[reventive and other interventions.(4000F-4563F).

                               * Follow up or other outcomes.( 5005F-5250F).

                               * Patient safety.( 6005F-6150F).

                               * Structural measures.( 7010F-7025F).

                               * Non measure claim based reporting.( 9001F-9007F).

                 * Category 3.

                       * It includes temporary codes end with alphabet T.

                       * Category 3 codes are

                                  * Emerging technology.( 0016T -0207T).