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3-2-1 Code It! 2023 Edition 11th edition [Pehme köide]

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  • Ilmumisaeg: 06-Feb-2023
  • Kirjastus: Delmar Cengage Learning
  • ISBN-10: 0357763939
  • ISBN-13: 9780357763933
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3-2-1 Code It! 2023 Edition 11th editionSuurem pilt
  • Formaat: Paperback / softback, 976 pages, kõrgus x laius x paksus: 35x213x274 mm, kaal: 1905 g
  • Ilmumisaeg: 06-Feb-2023
  • Kirjastus: Delmar Cengage Learning
  • ISBN-10: 0357763939
  • ISBN-13: 9780357763933
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9780357763933.html
Märksõnad:
Master the skills needed for medical coding with Green's bestselling 3-2-1 CODE IT! 2023 EDITION. Updated annually to reflect the most recent code set and coding guidelines, this easy-to-use guide is ideal for anyone just beginning medical coding. Updates incorporate the latest changes to ICD-10-CM, ICD-10-PCS, CPT® and HCPCS Level II code sets and guide you in using the CDC's ICD-10-CM search tool website. The text's well-organized, intuitive approach begins with diagnosis coding before walking you through coding procedures and services. Separate chapters differentiate inpatient coding, outpatient coding, and general and specific coding guidelines. Memorable examples, clearly defined terms and printed and digital practice activities help you master concepts. Computer-assisted coding cases and professional tools such as encoder software help you prepare for professional coding credentials.
List of Tables
ix
Preface x
About the Author xvi
Reviewers xvii
Acknowledgments xix
How to Use This Text xx
Part I Coding Overview
1(46)
Chapter 1 Overview of Coding
2(45)
Career as a Coder
3(3)
Training
3(2)
Credentials
5(1)
Employment Opportunities
5(1)
Other Professions Related to Coding
5(1)
Professional Associations
6(15)
Coding Systems and Coding Processes
7(1)
Coding Systems
8(4)
Medical Coding Process
12(9)
Coding Manuals, Encoders, and Computer-Assisted Coding
21(12)
Other Classification Systems, Databases, and Nomenclatures
25(1)
Alternative Billing Codes
25(1)
Clinical Care Classification System
25(1)
Current Dental Terminology
26(1)
Diagnostic and Statistical Manual of Mental Disorders
26(1)
Health Insurance Prospective Payment System Rate Codes
26(1)
International Classification of Diseases for Oncology, Third Edition
27(3)
International Classification of Functioning, Disability and Health
30(1)
Logical Observation Identifiers Names and Codes
30(1)
National Drug Codes
30(1)
RxNorm
30(1)
Systematized Nomenclature of Medicine Clinical Terms
31(1)
Unified Medical Language System
32(1)
Documentation as the Basis for Coding
33(4)
Medical Necessity
34(1)
Patient Record Formats
34(3)
Health Data Collection
37(10)
Reporting Hospital Data
37(1)
Reporting Physician Office Data
37(10)
Part II ICD-10-CM Coding System
47(150)
Chapter 2 Introduction to ICD-10-CM Coding and Conventions
48(48)
Overview of ICD-10-CM
49(4)
Updating ICD-10-CM
51(1)
Mandatory Reporting of ICD-10-CM Codes
52(1)
ICD-10-CM Index to Diseases and Injuries
53(5)
Main Terms, Subterms, and Qualifiers
55(1)
Basic Steps for Using the ICD-10-CM Index and Tabular List
56(2)
ICD-10-CM Tabular List of Diseases and Injuries
58(3)
ICD-10-CM Official Guidelines for Coding and Reporting
61(2)
ICD-9-CM Legacy Coding System
63(1)
General Equivalence Mappings (GEMs)
63(1)
ICD-10-CM Coding Conventions
64(14)
The Alphabetic Index and Tabular List
65(2)
Format and Structure
67(1)
Use of Codes for Reporting Purposes
68(1)
Placeholder Character
68(1)
Seventh Characters
68(1)
Abbreviations
68(1)
Punctuation
69(1)
Other and Unspecified Codes
70(1)
Includes Note
71(1)
Inclusion Terms
71(1)
Excludes Notes
72(1)
Etiology and Manifestation Convention
73(1)
And
74(1)
With
74(1)
Cross-References
75(1)
Code Also Note
76(1)
Default Codes
76(1)
Code Assignment and Clinical Criteria
77(1)
General ICD-10-CM Diagnosis Coding Guidelines
78(18)
Locating a Code in ICD-10-CM-Use of Index and Tabular List
78(1)
Level of Detail in Coding
78(1)
Codes from A00.0-T88.9, Z00-Z99.8, U00-U85
79(1)
Signs and Symptoms
79(1)
Conditions That Are an Integral Part of a Disease Process
79(1)
Conditions That Are Not an Integral Part of a Disease Process
79(1)
Multiple Coding for a Single Condition
80(1)
Acute and Chronic Conditions
81(1)
Combination Code
81(1)
Sequelae (Late Effects)
81(1)
Impending or Threatened Condition
82(1)
Reporting Same Diagnosis Code More Than Once
82(1)
Laterality
82(1)
Documentation by Clinicians Other Than the Patient's Provider
83(1)
Syndromes
83(1)
Documentation of Complications of Care
84(1)
Borderline Diagnosis
84(1)
Use of Sign/Symptom/Unspecified Codes
85(1)
Coding for Health Care Encounters in Hurricane Aftermath
85(11)
Chapter 3
Chapter-Specific Coding Guidelines: ICD-10-CM
Chapters 1-10
96(47)
ICD-10-CM
Chapter-Specific Coding Guidelines
98(1)
ICD-10-CM
Chapter 1: Certain infectious and Parasitic Diseases (A00-B99), U07.1, U09.9
99(12)
ICD-10-CM
Chapter 2: Neoplasms (C00-D49)
111(10)
Primary and Secondary Malignancies
113(1)
Anatomical Site Is Not Documented
114(1)
Inoperable Primary Site with Metastasis
115(1)
Reexcision of Tumors
115(1)
Morphology of Neoplasms
115(6)
ICD-10-CM
Chapter 3: Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
121(2)
ICD-10-CM
Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89)
123(3)
ICD-10-CM
Chapter 5: Mental, Behavioral, and Neurodevelopmental Disorders (F01-F99)
126(3)
ICD-10-CM
Chapter 6: Diseases of the Nervous System (G00-G99)
129(2)
ICD-10-CM
Chapter 7: Diseases of the Eye and Adnexa (H00-H59)
131(2)
ICD-10-CM
Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95)
133(1)
ICD-10-CM
Chapter 9: Diseases of the Circulatory System (I00-I99)
134(4)
ICD-10-CM
Chapter 10: Diseases of the Respiratory System (J00-J99), U07.0
138(5)
Chapter 4
Chapter-Specific Coding Guidelines: ICD-10-CM
Chapters 11-22
143(54)
ICD-10-CM
Chapter 11: Diseases of the Digestive System (K00-K95)
144(1)
ICD-10-CM
Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99)
145(3)
ICD-10-CM
Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
148(2)
ICD-10-CM
Chapter 14: Diseases of the Genitourinary System (N00-N99)
150(1)
ICD-10-CM
Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)
151(7)
Obstetrical Discharges
152(6)
ICD-10-CM
Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96)
158(3)
ICD-10-CM
Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00-Q99)
161(2)
ICD-10-CM
Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
163(2)
ICD-10-CM
Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes(S00-T88)
165(11)
Fractures
166(1)
Burns
166(1)
Adverse Effects, Poisonings, Underdosings, and Toxic Effects
167(9)
ICD-10-CM
Chapter 20: External Causes of Morbidity (V00-Y99)
176(5)
ICD-10-CM
Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
181(13)
Reporting Z Codes
181(13)
I CD-10-CM
Chapter 22: Codes for Special Purposes (U00-U85)
194(3)
Part III ICD-10-CM Outpatient and Physician Office Coding
197(30)
Chapter 5 ICD-10-CM Outpatient and Physician Office Coding
198(29)
Outpatient Care
199(6)
Primary Care Services
200(1)
Hospital Outpatient Services
200(5)
Outpatient Diagnostic Coding and Reporting Guidelines
205(22)
Selection of First-Listed Condition
205(1)
Codes from A00.0-T88.9, Z00-Z99, U00-U85
206(1)
Accurate Reporting of ICD-10-CM Diagnosis Codes
206(1)
Codes That Describe Signs and Symptoms
206(1)
Encounters for Circumstances Other Than a Disease or Injury
206(1)
Level of Detail in Coding
207(1)
ICD-10-CM Code for the Diagnosis, Condition, Problem, or Other Reason for Encounter/Visit
207(1)
Uncertain Diagnoses
207(1)
Chronic Diseases
208(1)
Code All Documented Conditions That Coexist
208(1)
Patients Receiving Diagnostic Services Only
209(1)
Patients Receiving Therapeutic Services Only
209(1)
Patients Receiving Preoperative Evaluations Only
209(1)
Ambulatory Surgery (or Outpatient Surgery)
210(1)
Routine Outpatient Prenatal Visits
210(1)
Encounters for General Medical Examinations with Abnormal Findings
210(1)
Encounters for Routine Health Screenings
210(17)
Part IV ICD-10-PCS Coding System
227(68)
Chapter 6 Introduction to ICD-10-PCS Coding, Conventions, and Guidelines
228(67)
Overview of ICD-10-PCS Coding
229(3)
ICD-10-PCS Format and Structure
230(1)
ICD-10-PCS Codes Contain Independent Values
231(1)
Updating ICD-10-PCS
231(1)
Reporting ICD-10-PCS Codes
231(1)
ICD-10-PCS Index
232(10)
Purpose of ICD-10-PCS Index
232(1)
Main Terms and Subterms
233(6)
Cross References
239(3)
ICD-10-PCS Tables
242(7)
Sections of ICD-10-PCS Tables
243(1)
Build-a-Code Approach
244(1)
Valid Characters
245(1)
Step-by-Step Approach to Constructing an ICD-10-PCS Code
246(3)
ICD-10-PCS Official Guidelines for Coding and Reporting
249(1)
ICD-10-PCS Coding Conventions
250(7)
A1 Structure of Codes
250(1)
A2 Unique Values
251(1)
A3 Expanding Values
251(1)
A4 Meaning of a Single Value
252(1)
A5 Increasing Detail in ICD-10-PCS Codes
253(1)
A6 Index and Tables
253(1)
A7 Coding Directly From Tables
253(1)
A8 Valid Codes: Seven Alphanumeric Characters
254(1)
A9 Valid Codes: Selecting Characters 4-7 in the Same Row of a Table
254(1)
A10 And
255(1)
A11 Definition of ICD-10-PCS Terms
256(1)
ICD-10-PCS Sections and Coding Guidelines
257(38)
Medical and Surgical Section Coding Guidelines
257(16)
Obstetrics Section Coding Guidelines
273(1)
Placement Section
274(1)
Administration Section
274(1)
Measurement and Monitoring Section
274(1)
Extracorporeal or Systemic Assistance and Performance Section
275(1)
Extracorporeal or Systemic Therapies Section
275(1)
Osteopathic Section
275(1)
Other Procedures Section
276(1)
Chiropractic Section
276(1)
Imaging Section
276(1)
Nuclear Medicine Section
277(1)
Radiation Therapy Section
277(1)
Physical Rehabilitation and Diagnostic Audiology Section
278(1)
Mental Health Section
278(1)
Substance Abuse Treatment Section
279(1)
New Technology Section
279(16)
Part V ICD-10-CM and ICD-10-PCS Inpatient Hospital Coding
295(36)
Chapter 7 ICD-10-CM and ICD-10-PCS Inpatient Hospital Coding
296(35)
Acute Care Facilities (Hospitals)
297(3)
Inpatient Diagnosis Coding Guidelines
300(14)
Admitting Diagnosis
300(1)
Principal Diagnosis
301(5)
Other (Additional) Diagnoses with Documentation That Supports Reporting
306(2)
Hospital-Acquired Conditions and Present on Admission Indicator Reporting
308(6)
Inpatient Procedure Coding Guidelines
314(2)
Principal Procedure
315(1)
Significant Other Procedures (or Secondary Procedures)
315(1)
Coding Inpatient Diagnoses and Procedures
316(15)
Part VI Health Care Procedure Coding System (HCPCS) Level II Coding System
331(30)
Chapter 8 HCPCS Level II Coding System
332(29)
Overview of HCPCS
333(1)
HCPCS Level I
333(1)
HCPCS Level II
333(1)
HCPCS Level II Codes
334(9)
Responsibility for HCPCS Level II Codes
335(1)
Types of HCPCS Level II Codes
336(2)
General Guidelines for Modifier Use
338(2)
Modifiers Added to Surgical Procedures
340(1)
Modifiers Added to Radiology Services
341(1)
Reporting HCPCS Level II Modifiers
341(2)
Assigning HCPCS Level II Codes
343(7)
HCPCS Level II Index
344(1)
HCPCS Level II Code Sections
345(4)
Basic Steps for Using the HCPCS Level II Index / and Sections
349(1)
Determining Payer Responsibility
350(11)
Patient Record Documentation
351(10)
Part VII Current Procedural Terminology (CPT) Coding System
361(476)
Chapter 9 Introduction to CPT Coding
362(35)
History of CPT
363(1)
Overview of CPT
364(2)
CPT Categories
364(2)
Organization of CPT
366(3)
CPT Category I Codes
366(1)
CPT Category II Codes
367(1)
CPT Category III Codes
367(1)
CPT Code Format
368(1)
CPT Index
369(2)
Boldfaced Type
370(1)
Italicized Type
370(1)
Cross-Reference Term
370(1)
Single Codes and Code Ranges
370(1)
Inferred Words
370(1)
CPT Appendices
371(2)
CPT Symbols
373(3)
CPT Sections, Subsections, Categories, and Subcategories
376(3)
CPT Guidelines
377(1)
CPT Instructional Notes
378(1)
CPT Descriptive Qualifiers
378(1)
CPT Modifiers
379(10)
CPT Modifiers According to Reporting Similarities
380(9)
National Correct Coding Initiative (NCCI)
389(8)
Unbundling CPT Codes
391(6)
Chapter 10 CPT Evaluation and Management
397(48)
Overview of Evaluation and Management Section
398(3)
Place of Service (POS)
399(1)
Type of Service (TOS)
399(2)
Evaluation and Management Section Guidelines
401(10)
E/M Guidelines Overview
401(1)
Classification of E/M Services
401(9)
Unlisted Service
410(1)
Special Report
410(1)
Evaluation and Management Categories and Subcategories
411(34)
Office or Other Outpatient Services
412(2)
Hospital Inpatient and Observation Care Services
414(3)
Consultations
417(4)
Emergency Department Services
421(1)
Critical Care Services
422(3)
Nursing Facility Services
425(1)
Home or Residence Services
426(2)
Prolonged Services
428(2)
Case Management Services
430(1)
Care Plan Oversight Services
430(1)
Preventive Medicine Services
430(1)
Non-Face-to-Face Services
431(1)
Special Evaluation and Management Services
432(1)
Newborn Care Services
432(1)
Delivery/Birthing Room Attendance and Resuscitation Services
433(1)
Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services
433(1)
Cognitive Assessment and Care Plan Services
434(1)
Care Management Services
434(1)
Psychiatric Collaborative Care Management Services
434(1)
Transitional Care Management Services
435(1)
Advance Care Planning
435(1)
General Behavioral Health Integration Care Management
435(1)
Other Evaluation and Management Services
436(9)
Chapter 11 CPT Anesthesia
445(39)
Anesthesia Terminology
446(3)
Types of Anesthesia
446(3)
Overview of Anesthesia Section
449(2)
Monitored Anesthesia Care (MAC)
450(1)
Anesthesia Section Guidelines
451(14)
Reporting Codes for Monitoring or Providing Other Services
454(3)
Intra-Arterial Lines
457(1)
Drug Administration Codes
457(1)
Anesthesia Modifiers
457(3)
Time Reporting
460(3)
Anesthesia Services
463(1)
Supplied Materials
464(1)
Separate or Multiple Procedures
464(1)
Unlisted Service or Procedure
464(1)
Special Report
464(1)
Qualifying Circumstances
464(1)
Anesthesia Subsections
465(19)
Head
466(1)
Neck
466(1)
Thorax (Chest Wall and Shoulder Girdle)
467(1)
Intrathoracic
468(1)
Spine and Spinal Cord
469(1)
Upper Abdomen
469(1)
Lower Abdomen
470(1)
Perineum
470(1)
Pelvis (Except Hip)
471(1)
Upper Leg (Except Knee)
471(1)
Knee and Popliteal Area
471(1)
Lower Leg (Below Knee, Includes Ankle and Foot)
472(1)
Shoulder and Axilla
472(1)
Upper Arm and Elbow
472(1)
Forearm, Wrist, and Hand
472(1)
Radiological Procedures
472(1)
Burn Excisions or Debridement
473(1)
Obstetric
474(1)
Other Procedures
474(10)
Chapter 12 CPT Surgery I
484(44)
Overview of Surgery Section
485(13)
Organization of Surgery Section
487(3)
Surgery Guidelines
490(1)
Services
490(1)
CPT Surgical Package Definition
491(3)
Follow-Up Care for Diagnostic Procedures
494(1)
Follow-Up Care for Therapeutic Surgical Procedures
495(1)
Supplied Materials
495(1)
Reporting More Than One Procedure/Service
495(1)
Separate Procedure
496(1)
Unlisted Service or Procedure
497(1)
Special Report
497(1)
Imaging Guidance
497(1)
Surgical Destruction
497(1)
Foreign Body/Implant Definition
497(1)
General Subsection
498(1)
Integumentary System Subsection
499(29)
Skin, Subcutaneous and Accessory Structures
500(5)
Nails
505(1)
Pilonidal Cyst
506(1)
Introduction
507(1)
Repair (Closure)
508(9)
Destruction
517(2)
Breast
519(9)
Chapter 13 CPT Surgery II
528(47)
Musculoskeletal System Subsection
529(26)
Musculoskeletal System Instructional Notes
530(4)
General
534(4)
Head
538(2)
Neck (Soft Tissues) and Thorax
540(1)
Back and Flank
541(1)
Spine (Vertebral Column)
542(5)
Abdomen
547(1)
Shoulder
547(1)
Humerus (Upper Arm) and Elbow
548(1)
Forearm and Wrist
548(1)
Hand and Fingers
548(1)
Pelvis and Hip Joint
549(1)
Femur (Thigh Region) and Knee Joint
549(2)
Leg (Tibia and Fibula) and Ankle Joint
551(1)
Foot and Toes
551(1)
Application of Casts and Strapping
552(1)
Endoscopy/Arthroscopy
553(2)
Respiratory System Subsection
555(20)
Nose
556(3)
Accessory Sinuses
559(2)
Larynx
561(2)
Trachea and Bronchi
563(3)
Lungs and Pleura
566(9)
Chapter 14 CPT Surgery III
575(43)
Cardiovascular System Subsection
576(32)
Cardiovascular System Instructional Notes
576(5)
Heart and Pericardium
581(14)
Arteries and Veins
595(13)
Hemic and Lymphatic Systems Subsection
608(10)
Spleen
609(1)
General
610(1)
Transplantation and Post-Transplantation Cellular Infusions
611(1)
Lymph Nodes and Lymphatic Channels
611(7)
Chapter 15 CPT Surgery IV
618(46)
Mediastinum and Diaphragm Subsection
619(2)
Digestive System Subsection
621(25)
Lips
623(2)
Vestibule of Mouth
625(1)
Tongue and Floor of Mouth
625(1)
Dentoalveolar Structures
625(1)
Palate and Uvula
625(1)
Salivary Gland and Ducts
626(1)
Pharynx, Adenoids, and Tonsils
627(1)
Esophagus
628(4)
Stomach
632(2)
Intestines (Except Rectum)
634(3)
Meckel's Diverticulum and the Mesentery
637(1)
Appendix
638(1)
Colon and Rectum
638(2)
Anus
640(2)
Liver
642(1)
Biliary Tract
642(1)
Pancreas
643(1)
Abdomen, Peritoneum, and Omentum
644(2)
Urinary System Subsection
646(18)
Kidney
648(2)
Ureter
650(1)
Bladder
651(4)
Urethra
655(9)
Chapter 16 CPT Surgery V
664(53)
Male Genital System Subsection
666(4)
Reproductive System Procedures Subsection
670(1)
Intersex Surgery Subsection
670(1)
Female Genital System Subsection
671(6)
Maternity Care and Delivery Subsection
677(4)
Antepartum Services
677(1)
Delivery Services
678(2)
Postpartum Care
680(1)
Delivery After Previous Cesarean Delivery
680(1)
Abortion
681(1)
Endocrine System Subsection
681(2)
Thyroid Gland
682(1)
Parathyroid, Thymus, Adrenal Glands, Pancreas, and Carotid Body
682(1)
Nervous System Subsection
683(13)
Skull, Meninges, and Brain
684(3)
Spine and Spinal Cord
687(2)
Endoscopic Decompression of Neural Elements and/or Excision of Herniated Intervertebral Discs
689(4)
Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System
693(3)
Eye and Ocular Adnexa Subsection
696(6)
Eyeball
697(1)
Anterior Segment
698(1)
Posterior Segment
699(1)
Ocular Adnexa
700(1)
Conjunctiva
700(2)
Auditory System Subsection
702(3)
External Ear
703(1)
Middle Ear
703(1)
Inner Ear
703(1)
Temporal Bone, Middle Fossa Approach
704(1)
Operating Microscope Subsection
705(12)
Chapter 17 CPT Radiology
717(45)
Radiology Terminology
718(4)
Planes of View
718(1)
Positioning and Radiographic Projection
719(1)
Radiology Procedures
720(2)
Overview of Radiology Section
722(4)
Professional Versus Technical Components
722(2)
Use of Modifiers with Radiology Codes
724(1)
Complete Procedure
724(1)
Evaluation and Management (E/M) Services
725(1)
Radiology Section Guidelines
726(3)
Subject Listings
726(1)
Separate Procedures
726(1)
Unlisted Service or Procedure
726(1)
Special Report
726(1)
Supervision and Interpretation, Imaging Guidance
726(1)
Administration of Contrast Material(s)
727(1)
Written Report(s)
728(1)
Foreign Body/Implant Definition
728(1)
Radiology Subsections
729(33)
Diagnostic Radiology (Diagnostic Imaging)
729(8)
Diagnostic Ultrasound
737(3)
Radiologic Guidance
740(2)
Breast, Mammography
742(1)
Bone/Joint Studies
743(1)
Radiation Oncology
744(8)
Nuclear Medicine
752(10)
Chapter 18 CPT Pathology and Laboratory
762(28)
Overview of Pathology and Laboratory Section
763(4)
Specimens and Specimen Collection
764(1)
Professional and Technical Components
764(2)
Pathology and Laboratory Section Tables
766(1)
Pathology and Laboratory Section Guidelines
767(2)
Services in Pathology and Laboratory
767(1)
Separate or Multiple Procedures
767(1)
Unlisted Service or Procedure
768(1)
Special Report
768(1)
Modifier 51, Modifier 90, and Modifier 91
768(1)
Pathology and Laboratory Subsections
769(21)
Organ or Disease-Oriented Panels
769(1)
Drug Assay and Therapeutic Drug Assays
770(1)
Evocative/Suppression Testing
771(1)
Pathology Clinical Consultations
771(1)
Urinalysis
772(1)
Molecular Pathology
773(1)
Genomic Sequencing Procedures and Other Molecular Multianalyte Assays
773(1)
Multianalyte Assays with Algorithmic Analyses
774(1)
Chemistry
774(1)
Hematology and Coagulation
774(2)
Immunology
776(1)
Transfusion Medicine
777(1)
Microbiology
777(1)
Anatomic Pathology
778(1)
Cytopathology
778(1)
Cytogenetic Studies
779(1)
Surgical Pathology
780(1)
In Vivo (e.g., Transcutaneous) Laboratory Procedures
781(1)
Other Procedures
782(1)
Reproductive Medicine Procedures
782(1)
Proprietary Laboratory Analyses
783(7)
Chapter 19 CPT Medicine
790(47)
Overview of Medicine Section
791(1)
Medicine Section Guidelines
791(2)
Add-On Codes
792(1)
Separate Procedures
792(1)
Unlisted Service or Procedure
792(1)
Special Report
792(1)
Imaging Guidance
793(1)
Supplied Materials
793(1)
Foreign Body/Implant Definition
793(1)
Medicine Subsections
793(44)
Immune Globulins, Serum or Recombinant Products
794(1)
Immunization Administration for Vaccines/Toxoids
795(1)
Vaccines, Toxoids
795(1)
Psychiatry
795(3)
Biofeedback
798(1)
Dialysis
798(3)
Gastroenterology
801(2)
Ophthalmology
803(1)
Special Otorhinolaryngologic Services
804(1)
Cardiovascular
805(6)
Noninvasive Vascular Diagnostic Studies
811(1)
Pulmonary
812(1)
Allergy and Clinical Immunology
813(1)
Endocrinology
814(1)
Neurology and Neuromuscular Procedures
814(4)
Medical Genetics and Genetic Counseling Services
818(1)
Adaptive Behavior Services
818(1)
Central Nervous System Assessments/Tests (e.g., Neuro-Cognitive, Mental Status, Speech Testing)
819(1)
Health Behavior Assessment and Intervention
819(1)
Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration
819(4)
Photodynamic Therapy
823(1)
Special Dermatological Procedures
824(1)
Physical Medicine and Rehabilitation
824(1)
Medical Nutrition Therapy
824(1)
Acupuncture
824(1)
Osteopathic Manipulative Treatment
825(1)
Chiropractic Manipulative Treatment
826(1)
Education and Training for Patient Self-Management
826(1)
Non-Face-to-Face Nonphysician Services
826(1)
Special Services, Procedures, and Reports
827(1)
Qualifying Circumstances for Anesthesia
827(1)
Moderate (Conscious) Sedation
827(1)
Other Services and Procedures
828(1)
Home Health Procedures/Services
828(1)
Medication Therapy Management Services
828(9)
Part VIII Insurance and Reimbursement Overview
837(53)
Chapter 20 Insurance and Reimbursement
838(52)
Third-Party Payers
839(10)
Health Insurance Marketplace
840(4)
Types of Third-Party Payers
844(5)
Health Care Reimbursement Systems
849(21)
Prospective Payment Systems, Fee Schedules, and Exclusions
849(13)
Case-Mix Analysis, Severity of Illness (SI), and Intensity of Services (IS) Systems
862(2)
Physician Documentation for Medical Necessity of Medicare Part A Hospital Inpatient Admissions
864(1)
Critical Pathways
864(1)
Revenue Cycle Management
865(5)
Impact of HIPAA on Reimbursement
870(20)
Health Care Access, Portability, and Renewability
871(1)
Preventing Health Care Fraud and Abuse
871(8)
Administrative Simplification
879(5)
Privacy and Security Rules
884(2)
Medical Liability Reform
886(4)
Bibliography 890(1)
Glossary 891(13)
Index 904
Michelle Green has served as a full-time or adjunct faculty member since 2017. During Spring 2023, Green was named interim Program Director in the Health Information Technology department at Mohawk Valley Community College in Utica, New York. She was the SUNY Distinguished Teaching Professor in the Physical and Life Sciences department at the State University of New York College of Technology at Alfred for over 30 years. She has authored three popular textbooks related to coding, revenue management and health information management. An active member of the AAPC and American Health Information Management Association, Green has been recognized for her excellence in teaching as well as her significant contributions to the health information management profession. Her numerous accolades include the State University of New York Chancellor's Award for Excellence in Teaching, Alfred State College's Alumni Association Teacher of the Year, Who's Who Among America's Teachers, AHIMA's FORE Triumph Educator Award and NYHIMAs Educator Award. In addition, she is a Registered Health Information Administrator, a fellow of the American Health Information Management Association and a Certified Professional Coder. She earned an MPS from Alfred University and a Bachelor of Science from Daemen College.