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Conquer Medical Coding 2017 [Pehme köide]

Jurek, Mosay

Formaat: Paperback / softback, 1184 pages
Ilmumisaeg: 23-Dec-2016
Kirjastus: F.A. Davis Company
ISBN-10: 0803659172
ISBN-13: 9780803659179

Teised raamatud teemal:

Medical administration & management - (Hetkel poes: 1 nimetust)

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Formaat: Paperback / softback, 1184 pages
Ilmumisaeg: 23-Dec-2016
Kirjastus: F.A. Davis Company
ISBN-10: 0803659172
ISBN-13: 9780803659179

Teised raamatud teemal:

Medical administration & management - (Hetkel poes: 1 nimetust)

Püsilink: https://www.kriso.ee/db/9780803659179.html

Märksõnad:

Learn. Practice. Apply.

Conquer Medical Coding and Medical Coding Lab work together to create a complete learning experience that develops the critical-thinking and investigative skills you need to launch a successful career. Interactive exercises and realistic coding simulations guide you every step of the way, making the coding process easier to learn, practice, and apply.

Text

Conquer Medical Coding
A Critical-Thinking Approach with Coding Simulations

Take a real-world approach to coding that prepares you for the AAPC or AHIMA certification exams and for professional practice in any health care setting. The book is also a handy resource you can turn to throughout your career.

Unique decision trees show you how to logically assign a code. It's the only text that breaks down the decision-making process into a visual and repeatable process!

You’ll learn exactly how to select the correct ICD-10, CPT, and HCPCS codes. Each section parallels the Official Coding Guidelines, with a special emphasis on commonly used codes. A wealth of learning tools and tips, along with critical-thinking exercises and real-life case studies, provide the practice you need to master coding. Brief reviews of A&P and pathophysiology put the codes into perfect context.

MedicalCodingLab.com

This interactive online program guides you step by step through an immersive multimedia experience that tracks your progress until you’ve mastered the concepts and are ready to apply them in practice. It’s your path to medical coding success. An access code inside new, printed texts unlocks Medical Coding Lab.

Learn more. Visit www.MedicalCodingLab.com.

Part I Medical Coding and the World of Health Care

(50)

Chapter 1 Your Career as a Medical Coder

(22)

The Importance of Medical Coding

(2)

Medical Data

(1)

Medical Necessity for Payment

(1)

A Medical Coder's Working Environment

(4)

Facility-Based Employment

(1)

Physician Practice Employment

(1)

Nontraditional Employers

(1)

Medical Coding: Accurate and Compliant

(3)

Documentation

(3)

Coding Skills, Personal Attributes, and Ethics

(5)

Coding Skills

(4)

Personal Attributes

(1)

Medical Ethics

(1)

Moving Ahead in Your Career

(7)

Formal Education

(1)

Job Experience

(1)

Membership in Professional Organizations

(1)

Certification as a Medical Coder

(2)

Continuing Your Education Throughout Your Career

(1)

A Look to the Future

(5)

Chapter 2 The Regulatory Environment of Coding

(26)

Documenting Encounters

(7)

Evaluation and Management Services Documentation

(1)

Physician Orders

(1)

Procedural Services Documentation

(1)

Other Chart Notes

(1)

Electronic Health and Medical Records

(4)

HIPAA

(7)

HIPAA Privacy Rule

(5)

HIPAA Security Rule and Breach Notification Rule

(1)

HIPAA Electronic Health-Care Transactions and Code Sets

(1)

Governmental Regulations/Fraud and Abuse

(5)

Regulations

(2)

Fraud and Abuse

(3)

Compliance Plans

(8)

Physician Training

(1)

Staff Training

(6)

Part II ICD-10-CM Coding

(314)

Chapter 3 ICD-10-CM Basics

(36)

History of ICD-10-CM

(2)

ICD-10 Versus ICD-9

(1)

ICD-10-CM Today: Maintenance and Updates

(1)

Purpose of ICD-10-CM

(2)

Organizational and Structural Changes in ICD-10-CM

(2)

Transitioning From ICD-9-CM to ICD-10-CM

(1)

ICD-10-CM Basic Coding Process

(1)

ICD-10-CM Alphabetic Index

(5)

Main Terms

(1)

Subterms

(4)

ICD-10-CM Tabular List of Diseases and Injuries

(6)

ICD-10-CM Tabular List of Diseases and Injuries Format

(6)

ICD-10-CM Coding Conventions

(9)

Acronyms

(2)

Terms

(2)

Cross-References

(1)

Punctuation

(3)

Instructional Notations

(1)

Tables

(1)

ICD-10-CM Coding Resources

(8)

AHA Coding Clinic® for ICD-10-CM

(1)

NCHS Website

(3)

Medical References

(1)

Computer-Aided Coding

(1)

Computer-Assisted Coding Systems (CACS)

(4)

Chapter 4 ICD-10-CM Coding Guidelines

(44)

Official Guidelines Content

(1)

General Coding Guidelines: Inpatient and Outpatient

(12)

Use of Both the Index and the Tabular List

(3)

Level of Detail in Coding

(1)

Coding Decisions for Signs, Symptoms, and Integral Conditions

(3)

Multiple Coding for a Single Condition

(1)

Acute and Chronic Conditions

(1)

Combination Codes

100

(1)

Sequelae (Late Effects)

101

(1)

Impending or Threatened Conditions

102

(1)

Reporting the Same Diagnosis Code More Than Once

102

(1)

Laterality

102

(1)

Documentation for BMI, Depth of Non-Pressure Ulcers, Pressure Ulcer Stages, Coma Scale, and NIH Stroke Scale

103

(1)

Syndromes

103

(1)

Complications of Care

103

(1)

Selection of Principal Diagnosis/Additional Diagnoses for the Inpatient Setting

103

(19)

The Uniform Hospital Discharge Data Set (UHDDS)

106

(2)

Documentation in the Inpatient Setting

108

(2)

Section II: Selection of the Principal Diagnosis in the Inpatient Setting

110

(7)

Section III: Reporting Additional Diagnoses

117

(5)

Present on Admission (POA) Guidelines

122

(11)

Conditions Present on Admission-Indicator of Y

124

(1)

Conditions Not Present on Admission-Indicator of N

124

(1)

Unknown (U) or Undetermined (W) Conditions

124

(1)

Special Circumstances for Assigning POA Indicators

125

(8)

Chapter 5 ICD-10-CM
Chapters 1 Through 5: A00-F99

133

(52)

Certain Infectious and Parasitic Diseases (Chapter 1: A00-B99)

134

(17)

General Guidance

134

(1)

Human Immunodeficiency Virus (HIV)

135

(7)

Systemic Inflammatory Response Syndrome, Sepsis, and Severe Sepsis

142

(7)

Methicillin-Resistant Staphylococcus aureus (MRSA), Methicillin Susceptible Staphylococcus aureus (MSSA), and the Zika Virus

149

(2)

Neoplasms (Chapter 2: C00-D49)

151

(15)

Table of Neoplasms in the Alphabetic Index

151

(4)

Basic Coding of Neoplasms

155

(4)

Coding Malignant Neoplasms With Metastasis

159

(1)

Sequencing of Malignant Neoplasms

160

(6)

Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (Chapter 3: D50-D89)

166

(3)

Anemia

167

(2)

Endocrine, Nutritional, and Metabolic Diseases (Chapter 4: E00-E89)

169

(7)

Diabetes Mellitus

169

(5)

Nutritional Disorders

174

(2)

Mental, Behavioral, and Neurodevelopmental Disorders (Chapter 5: FOI-F99)

176

(9)

Pain Disorders Related to Psychological Factors

176

(1)

Mental and Behavioral Disorders Due to Psychoactive Substance Use

176

(9)

Chapter 6 1CD-10-CM (Chapters 6 Through 10: G00-199

185

(36)

Diseases of the Nervous System (Chapter 6: G00-G99)

186

(8)

Pain Management-Category G89

186

(6)

Paralysis

192

(1)

Epilepsy and Seizure Disorders

193

(1)

Diseases of the Eye and Adnexa (Chapter 7: 1-100-1159)

194

(3)

Visual Impairment

194

(3)

Diseases of the Ear and Mastoid Process (Chapter 8: H60-H95)

197

(1)

Diseases of the Circulatory System (Chapter 9: 100-199)

198

(12)

Hypertensive Disease

198

(5)

Cerebrovascular Infarction, Stroke, Cerebrovascular Accident (CVA)

203

(3)

Acute Myocardial Infarction

206

(1)

Coronary Artery Disease and Angina

207

(1)

Heart Failure

208

(2)

Diseases of the Respiratory System (Chapter 10: J00-J99)

210

(11)

Chronic Obstructive Pulmonary Disease

210

(1)

Acute Exacerbation of Asthma and Status Asthmaticus

210

(4)

Acute Respiratory Failure

214

(1)

Pneumonia

214

(7)

Chapter 7 1CD-10-CM
Chapters 11 Through 14: K00-N99

221

(28)

Diseases of the Digestive System (Chapter 11: K00-K95)

222

(3)

Gastrointestinal Hemorrhage Associated With Digestive Disorders

222

(2)

Diseases of the Biliary System

224

(1)

Liver Cirrhosis and Hepatitis

224

(1)

Hernias of the Abdominal Cavity

225

(1)

Diseases of the Skin and Subcutaneous Tissue (Chapter 12: L00-L99)

225

(7)

Cellulitis

226

(2)

Skin Ulcers

228

(4)

Diseases of the Musculoskeletal System and Connective Tissue (Chapter 13: M00-M99)

232

(6)

Arthritis

232

(3)

Pathological Fractures

235

(1)

Stress Fractures

235

(1)

Osteomyelitis

236

(2)

Diseases of the Genitourinary System (Chapter 14: N00-N99)

238

(11)

Chronic Kidney Disease and Renal Failure

238

(2)

Chronic Kidney Disease and Renal Transplant Status

240

(1)

Chronic Kidney Disease With Hypertension

240

(1)

Acute Renal Failure

241

(2)

Urinary Calculi

243

(1)

Benign Prostatic Hypertrophy

244

(1)

Genital Prolapse

244

(1)

Urinary Tract Infections

244

(5)

Chapter 8 ICD-10-CM
Chapters 15 Through 17: 000-Q99

249

(24)

Pregnancy, Childbirth, and the Puerperium (Chapter 15: 000-09A)

250

(13)

General Guidelines

250

(5)

Childbirth and Conditions Related to Pregnancy

255

(1)

Selection of the Principal Diagnosis

256

(2)

Preexisting Conditions Versus Conditions Due to Pregnancy

258

(1)

Fetal Conditions Affecting Management of the Mother

258

(1)

HIV Infection

259

(1)

Diabetes Mellitus in Pregnancy

259

(1)

Sepsis Complicating Abortion, Pregnancy, Childbirth, and the Puerperium

259

(1)

Alcohol and Tobacco Use During the Obstetrical Period

259

(1)

Normal Delivery

260

(1)

Postpartum Complications

260

(1)

Present on Admission Reporting for Obstetrical Conditions When Reporting Hospital Inpatient Services

260

(1)

Contraceptive Management and Sterilization

261

(1)

Termination of Pregnancy and Spontaneous Abortions

261

(2)

Certain Conditions Originating in the Perinatal Period (Chapter 16: P00-P96)

263

(5)

General Reporting Guidelines

265

(1)

Observation and Evaluation of Newborns for Suspected Conditions Not Found

266

(1)

Prematurity and Fetal Growth Retardation

267

(1)

Bacterial Sepsis of Newborn

267

(1)

Stillbirth

267

(1)

Congenital Malformations, Deformations, and Chromosomal Abnormalities (Chapter 17: Q00-Q99)

268

(5)

Chapter 9 ICD-10-CM
Chapters 18 Through 21: R00-Z99

273

(44)

Symptoms, Signs,. and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (Chapter 18: R00-R99)

274

(5)

Signs and Symptoms That Are Integral to the Disease Process

274

(1)

Signs and Symptoms That Are Not Integral to the Disease Process

274

(2)

Outpatient and Inpatient Coding

276

(1)

Combination Codes That Include Symptoms

277

(1)

Sequencing of Signs and Symptoms as the Principal Diagnosis in the Inpatient Setting

277

(1)

Coma Scale

278

(1)

Injury, Poisoning, and Certain Other Consequences of External Causes (Chapter 19: S00-T88)

279

(17)

Injuries, Fractures, Dislocations, Sprains and Strains, and Wounds

279

(4)

Burns

283

(4)

Adverse Effects, Poisoning, and Toxic Effects

287

(5)

Complications of Care

292

(3)

Transplant Complications

295

(1)

External Causes of Morbidity (Chapter 20: VO0-Y99)

296

(7)

General External Cause Coding Guidelines

300

(1)

Place of Occurrence Guideline

300

(1)

Activity Codes

300

(1)

External Cause Status

301

(1)

Multiple-Cause Coding Guidelines

301

(1)

Adult and Child Abuse, Neglect, and Other Maltreatment

301

(1)

Unknown or Undetermined Intent Guideline

301

(1)

Terrorism Guidelines

302

(1)

Factors Influencing Health Status and Contact With Health Services (Chapter 21: Z00-Z99)

303

(14)

Sequencing Z Codes

304

(1)

Categories of Z Codes

304

(13)

Chapter 10 ICD-10-CM Outpatient Coding Guidelines

317

(22)

Basic Coding Guidelines for Outpatient Settings

318

(6)

Definition of Outpatient Visit

318

(4)

Level of Detail in Coding

322

(1)

Guidelines for Code Selection

322

(2)

Selection of First-Listed Diagnosis

324

(9)

Outpatient Procedures and Ambulatory Surgery

326

(1)

Observation Stay

326

(1)

Diagnostic Services

327

(1)

Therapeutic Services

328

(2)

Preoperative Evaluations

330

(1)

Routine Outpatient Prenatal Visits

330

(1)

Uncertain Diagnoses

331

(1)

Emergency Department Visits

332

(1)

Reporting Secondary Diagnoses and External Cause Codes in Outpatient Settings

333

(6)

Chronic Diseases

334

(1)

Coexisting Conditions

334

(1)

External Cause Codes

334

(5)

Chapter 11 ICD-10-PCS Overview and Format

339

(26)

History and Purpose of ICD-10-PCS

340

(2)

ICD-10-PCS Comparison to ICD-9-CM, Volume 3

340

(1)

General Equivalence Mappings (GEMS)

341

(1)

ICD-10-PCS Basics

342

(3)

ICD-10-PCS References

342

(3)

ICD-10-PCS Basic Coding Process

345

(1)

ICD-10-PCS Format and Structure

345

(3)

ICD-10-PCS Index

346

(1)

Cross-References Used in the Index

346

(2)

ICD-10-PCS Code Tables

348

(6)

ICD-10-PCS Coding Simulation

354

(13)

Code Tables, and Index

354

(11)

Part III CPT and HCPCS Coding

365

(676)

Chapter 12 CPT Basics

367

(42)

History and Purpose of CPT

369

(1)

CPT Background

369

(1)

CPT Today

370

(1)

CPT Organization and Content

370

(8)

The CPT Code

371

(1)

The CPT Introduction

372

(1)

Category I Codes: Six Sections

372

(3)

Category II Codes

375

(1)

Category III Codes

376

(1)

Appendices

376

(2)

CPT Punctuation and Symbols

378

(4)

Semicolon

378

(1)

Bullet

378

(1)

Triangle

378

(1)

Plus Symbol

378

(1)

Modifier -51 Exempt

379

(1)

Facing Triangles

379

(1)

Lightning Bolt

379

(1)

Pound Sign

379

(1)

Star Symbol

380

(1)

CPT Assistant or CPT Changes: An Insider's View

380

(2)

CPT Modifiers

382

(16)

Types of Modifiers

382

(5)

Proper Use of Modifiers

387

(7)

Supporting Documentation

394

(1)

Payer Requirements

395

(3)

CPT Updates

398

(1)

A Review: ICD-10-CM and CPT Comparison

398

(2)

How to Assign CPT Codes and Modifiers

400

(3)

Step 1: Review the Complete Medical Documentation

400

(1)

Step 2: Abstract the Medical Procedures That Need Coding

400

(1)

Step 3: Identify the Main Term and Related Terms

400

(1)

Step 4: Locate the Terms in the CPT Index

401

(1)

Step 5: Review the Codes, Descriptors, and Notes

401

(1)

Step 6: Verify the Code Against the Documentation

401

(1)

Step 7: Assign Codes for All Significant Services

401

(1)

Step 8: Assign Modifiers If Appropriate

401

(1)

Step 9: Check All Possibilities Before Final Assignment

402

(1)

Coding Example

402

(1)

CPT Coding Resources

403

(6)

Chapter 13 CPT: Evaluation and Management Codes

409

(54)

Introduction to Evaluation and Management Codes

410

(4)

Evaluation and Management Codes Organization

410

(1)

Basic Selection Process

410

(4)

Example of Code Selection

414

(1)

Determining the Level of Service

414

(9)

Step 1: Determine the History Level

415

(1)

Step 2: Determine the Examination Level

416

(1)

Step 3: Determine the Medical Decision-Making Level

416

(3)

Working With the Level of Service Requirements

419

(2)

The Contributory E/M Components

421

(1)

Time

421

(1)

Evaluation and Management Flowchart and Matrix

422

(1)

Office or Other Outpatient Services

423

(3)

Professional Services and New or Established Patients

424

(1)

Documentation Guidelines

424

(1)

Code 99211: The Exception

425

(1)

Hospital Observation Services

426

(2)

Observation Care Discharge

426

(1)

Initial Observation Care

426

(1)

Subsequent Observation Care

427

(1)

Roll-Up Rule

427

(1)

Hospital Inpatient Services

428

(2)

Initial Hospital Care

428

(1)

Subsequent Hospital Care

429

(1)

Same-Day Admission and Discharge

429

(1)

Hospital Discharge Services

429

(1)

Consultations

430

(4)

Criteria for Coding a Consultation

430

(2)

Preoperative Consultations

432

(1)

Medicare's Revisions to Consultation Services

433

(1)

Emergency Department Services

434

(2)

Criteria

435

(1)

Physician Direction of Emergency Medical Systems

435

(1)

Critical Care Services

436

(2)

Criteria for Critical Care

436

(2)

Nursing Facility Services

438

(1)

Domiciliary, Rest Home, or Custodial Care Services

439

(1)

Domiciliary, Rest Home, or Home Care Plan Oversight Services

440

(1)

Home Services

441

(1)

Prolonged Services

441

(4)

Criteria

442

(1)

Calculating Time

443

(1)

Physician Standby Services

444

(1)

Case Management Services

445

(1)

Anticoagulant Management

445

(1)

Medical Team Conferences

446

(1)

Care Plan Oversight Services

446

(1)

Preventive Medicine Services

447

(1)

Counseling Risk-Factor Reduction

448

(1)

Behavior Change Intervention

448

(1)

Non-Face-to-Face Physician Services

448

(1)

Special Evaluation and Management Services

449

(1)

Newborn Care

449

(2)

Pediatric Critical Care Patient Transport

450

(1)

Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services

451

(3)

Inpatient Neonatal Critical Care

452

(1)

Initial and Continuing Intensive Care Services

453

(1)

Care Management Services

454

(1)

Chronic Care Management Services

454

(1)

Complex Chronic Care Management Services (CCCM)

454

(1)

Transitional Care Management Services (TCM)

455

(1)

Advance Care Planning

455

(1)

Information on CCCC and TCM

456

(1)

Modifier -25

456

(7)

Chapter 14 CPT: Evaluation and Management Auditing

463

(44)

The Evaluation and Management Services Documentation Guidelines

464

(2)

Development of the Documentation Guidelines for E/M Services

464

(1)

Importance of Documentation Guidelines

465

(1)

General Principles

466

(1)

Comparison of 1995 and 1997 Documentation Guidelines

466

(1)

Elements of Key Components

467

(3)

Working With the 1995/1997 History Guidelines

470

(6)

The History of Present Illness Element

470

(2)

The Review of Systems Element

472

(2)

The Past, Family, and/or Social History Element

474

(1)

Additional Guidelines for ROS and PFSH

475

(1)

Putting the History Component Together

475

(1)

Working With the 1995 Examination Guidelines

476

(2)

Working With the 1995/1997 Medical Decision-Making Guidelines

478

(4)

Number of Diagnoses or Management Options

478

(1)

Amount and/or Complexity of Data

478

(1)

Risk of Significant Complications, Morbidity, and/or Mortality

479

(1)

Putting the Medical Decision-Making Component Together

479

(3)

Determining the E/M Level Based on the 1995 Documentation Guidelines

482

(2)

Applying the 1997 Documentation Guidelines to the Examination Key Component

484

(6)

The General Multisystem Guidelines

484

(1)

The Specialty-Specific Guidelines

485

(5)

Coding, Reimbursement, and Fraud

490

(2)

Auditing E/M Services

491

(1)

Auditing Tools

492

(5)

Using the Audit Form

492

(3)

Providing Feedback on Documentation Errors

495

(1)

Office of the Inspector General and Compliance

496

(1)

Auditing the Electronic Health Record System

497

(10)

Prepopulated Fields

497

(1)

Prompts

497

(1)

Use of Templates

498

(1)

Signatures

499

(1)

1995 or 1997 Documentation Guidelines?

499

(8)

Chapter 15 CPT: Anesthesia Codes

507

(20)

Anesthesia Background

508

(1)

Types of Anesthesia

508

(2)

General Anesthesia

508

(1)

Regional Anesthesia

509

(1)

Peripheral Nerve Blocks

509

(1)

Monitored Anesthesia Care

510

(1)

Anesthesia Organization

510

(1)

Anesthesia Services Package

511

(1)

Services Not Included in Routine Anesthesia Services

511

(3)

Swan-Ganz Catheter Insertion

512

(1)

Transesophageal Echocardiography

512

(1)

Obstetrical Anesthesia

513

(1)

Anesthesia Modifiers

514

(3)

Physical Status Modifiers

514

(1)

CPT Modifiers

515

(1)

HCPCS Level II Modifiers

515

(2)

Qualifying Circumstances

517

(1)

Anesthesia Documentation

518

(2)

Anesthesia Time

520

(1)

Assigning Anesthesia Codes

520

(2)

Anesthesia Coding and Billing Resources

522

(5)

Chapter 16 CPT: Surgery Codes

527

(54)

Surgical Procedures: Therapeutic and Diagnostic

528

(2)

Diagnostic Procedures

528

(1)

Therapeutic Procedures

528

(1)

Distinguishing Simple, Intermediate, and Complicated Procedures

529

(1)

Organization

530

(1)

Surgery Coding

530

(11)

Code Descriptors

531

(1)

Add-On Codes

531

(2)

Physician Services

533

(1)

Separate Procedure

533

(1)

Unlisted Procedure

534

(1)

Surgical Package and the Global Period

535

(1)

CPT Modifiers

536

(1)

Services Not Included in the Global Surgery Package

537

(4)

Special Documentation

541

(1)

Operative Report

541

(2)

Surgery Modifiers

543

(9)

Proper Use

543

(1)

Modifier Descriptions

544

(6)

Modifier Methodology

550

(1)

Procedure Sequencing

550

(2)

Integumentary System

552

(3)

Organization of the Integumentary Section

552

(1)

Incision and Drainage

553

(1)

Excision and Destruction

553

(1)

Repair (Closure)

554

(1)

Musculoskeletal System

555

(4)

Accurately Coding Orthopedic Procedures

555

(1)

Wound Exploration

556

(1)

Injection of Sinus Tracts, Joints, Tendons, and Trigger Points

556

(1)

Fixation Devices

557

(1)

Foreign Body Removal

557

(1)

Fractures

557

(1)

Arthroscopy

558

(1)

Respiratory System

559

(2)

Nasal Procedures

559

(1)

Procedures on the Larynx

560

(1)

Procedures on the Lungs, Trachea, and Bronchi

560

(1)

Cardiovascular System

561

(3)

Pacemaker and Pacing Cardioverter Defibrillator

561

(1)

Heart and Great Vessels

562

(1)

Procedures on Veins and Arteries

563

(1)

Varicose Veins

563

(1)

Hemangiomas and Arteriovenous Malformations

563

(1)

Hemic and Lymphatic Systems; Mediastinum and Diaphragm

564

(1)

Lymph Node Biopsy

564

(1)

Digestive System

565

(3)

Tonsils and Adenoids

565

(1)

Lips

566

(1)

Esophagogastroduodenoscopy

566

(1)

Appendectomy

566

(1)

Colonoscopy

566

(1)

Hemorrhoidectomy

566

(1)

Cholecystectomy

567

(1)

Hernia Repairs

567

(1)

Urinary System

568

(1)

Endoscopy

568

(1)

Prostate Procedures

568

(1)

Male Genital System

568

(2)

Orchiopexy

569

(1)

Destruction of Lesions

569

(1)

Orchiectomy

569

(1)

Circumcision

569

(1)

Sterilization (Vasectomy)

569

(1)

Female Genital System; Maternity Care and Delivery

570

(2)

Laser Ablation of the Cervix

571

(1)

Sterilization

571

(1)

Lesion Removal From Vulva

571

(1)

Maternity Care and Delivery

571

(1)

Abortion

572

(1)

Nervous System

572

(3)

Spinal Injections and Pain Management

573

(1)

Neurosurgery

574

(1)

Eye and Ocular Adnexa; Auditory System; Operating Microscope

575

(6)

Eye

576

(1)

Ear

576

(1)

Operating Microscope

577

(4)

Chapter 17 CPT: Integumentary System

581

(56)

Surgical Terminology

582

(2)

Directional Terms

583

(1)

Integumentary Anatomy

584

(1)

Integumentary Organization

585

(1)

Modifiers

585

(1)

Common Diseases and Disorders of the Integument

586

(3)

Skin Neoplasms

586

(1)

Other Nonneoplastic Lesions and Growths

586

(1)

Abscesses

587

(1)

Ulcers

588

(1)

Skin Tags

588

(1)

Skin Wounds

588

(1)

Nails

589

(1)

Common Procedures Performed on the Integument

589

(11)

Incision and Drainage and Foreign Body Removal

589

(1)

Biopsy

590

(2)

Destruction

592

(1)

Introduction

593

(1)

Paring

593

(1)

Shaving

593

(1)

Excision

594

(1)

Measurement of Lesions

595

(2)

Wound Repair (Closure)

597

(1)

Assigning Codes for Wound Repair

598

(2)

Pulling It Together: Excision and Repair Code Assignment

600

(1)

Skin Grafts and Flaps

601

(12)

Free Skin Grafts

601

(5)

Skin Substitute Grafts

606

(1)

Flaps and Adjacent Tissue Transfer or Rearrangement

607

(4)

Skin Graft and Tissue Transfer Coding Steps

611

(2)

Burns

613

(3)

Wound Care and Debridement

616

(5)

Debridement Codes

616

(2)

Active Wound Care Management Codes

618

(2)

Wound Dressing

620

(1)

Hyperbaric Oxygen Therapy (HBO2)

621

(1)

Mohs Micrographic Surgery

621

(1)

Procedure

621

(1)

Code Assignment

621

(1)

Breast Procedures

622

(5)

Fine-Needle Aspiration

623

(1)

Needle Core Biopsy

623

(1)

Open Biopsy

623

(1)

Breast Reduction

624

(1)

Nipple Reconstruction

625

(1)

Mastopexy

626

(1)

Augmentation

626

(1)

Breast Capsulotomy

626

(1)

Breast Capsulectomy

626

(1)

Skin Resurfacing

627

(1)

Dermabrasion

627

(1)

Dermaplaning

627

(1)

Actinotherapy

628

(1)

Photochemotherapy

628

(1)

Cosmetic Procedures

628

(9)

Abdominoplasty

628

(1)

Panniculectomy

628

(1)

Liposuction

629

(1)

Rhytidectomy

629

(8)

Chapter 18 CPT: Musculoskeletal System

637

(44)

Organization

638

(1)

Modifiers

638

(3)

Intraoperative Services and Image Guidance

641

(1)

Included Services

641

(1)

Image Guidance

641

(1)

Surgical Techniques

642

(3)

Amputation

643

(1)

Arthrodesis

643

(1)

Arthrotomy

643

(1)

Arthroscopy

643

(1)

Arthroplasty

643

(1)

Endoscopy

644

(1)

Exostectomy

644

(1)

Lysis

644

(1)

Manipulation

644

(1)

Reduction

644

(1)

Release

644

(1)

Replantation

645

(1)

Revision

645

(1)

Sequestrectomy

645

(1)

Traction

645

(1)

General Musculoskeletal Procedures

645

(4)

Diagnostic and Therapeutic Procedures

645

(1)

Injection of Joints, Tendons, Trigger Points, and Sinuses

646

(1)

Excisions

647

(1)

Foreign Body Removal

648

(1)

Fracture and Dislocation Treatment

649

(6)

Closed Treatment of Fractures

649

(1)

Open Treatment of Fractures

650

(1)

Percutaneous Skeletal Fixation

651

(1)

External Fixation Devices

651

(2)

Steps in Coding Fractures and Dislocations

653

(2)

Arthroscopy/Endoscopy

655

(1)

Shoulder, Elbow, and Wrist

656

(5)

Shoulder Procedures

657

(2)

Elbow Procedures

659

(1)

Wrist Procedures

660

(1)

Hand

661

(4)

Common Disorders and Procedures on the Hand

661

(3)

Hand Joint Arthroplasty

664

(1)

Hip

665

(2)

Common Disorders and Procedures on the Hip

665

(2)

Knee

667

(5)

Common Knee Injuries and Procedures

667

(3)

Knee Arthroplasty

670

(2)

Foot

672

(9)

Common Podiatric Surgeries and Conditions

673

(8)

Chapter 19 CPT: Respiratory System

681

(40)

Organization

682

(1)

Respiratory Anatomy

683

(4)

Upper Respiratory Tract

683

(2)

Lower Respiratory Tract

685

(2)

Common Procedures of the Nose

687

(6)

Removal of Nasal Polyps

687

(1)

Removal of Foreign Body

687

(1)

Resection of Turbinates

687

(2)

Septoplasty

689

(1)

Rhinoplasty

690

(1)

Repair of Nasal Vestibular Stenosis

690

(1)

Control of Nasal Hemorrhage

690

(1)

Treatment of Blockage of Nasolacrimal Duct

691

(1)

Nasal Fracture Procedures

691

(2)

Common Procedures of the Sinuses

693

(8)

Sinus Endoscopy Procedures

693

(8)

Common Procedures of the Larynx

701

(5)

Flexible Fiber-Optic Laryngoscopy

702

(1)

Laryngectomy

702

(4)

Steps in Assigning Laryngectomy Codes

706

(1)

Common Procedures of the Pharynx

706

(2)

Pharyngectomy Procedure

707

(1)

Tracheostomy

708

(1)

Common Procedures of the Lungs and Bronchi

708

(13)

Bronchoscopy and Tracheobronchoscopy

708

(1)

Transbronchial Lung Biopsy

709

(1)

Thoracoscopy

710

(1)

Thoracentesis

710

(1)

Thoracotomy

710

(1)

Pneumonectomy

711

(2)

Lung Transplants

713

(8)

Chapter 20 CPT: Cardiovascular, Hemic, and Lymphatic Systems

721

(34)

Cardiovascular Anatomy

722

(2)

Heart

722

(1)

Heart Function

723

(1)

Valves

723

(1)

Aorta

724

(1)

Pericardium

724

(1)

Cardiovascular System Coding Issues

724

(23)

Pacemakers and Implantable Defibrillator Systems

724

(4)

Electrophysiological Operative Procedures

728

(1)

Heart (Including Valves) and Great Vessels

728

(1)

Coronary Artery Bypass Grafts

729

(1)

Heart and Lung Transplants

730

(1)

Cardiac Assist

731

(1)

Procedures on Arteries and Veins

731

(16)

Hemic and Lymphatic Systems Organization

747

(1)

Hemic and Lymphatic Anatomy

747

(1)

Common Conditions of the Hemic and Lymphatic Systems Requiring Treatment

748

(2)

Lymphadenopathy

748

(1)

Lymphoma

748

(1)

Lymphedema

748

(1)

Splenomegaly

748

(1)

Bone Marrow Diseases

749

(1)

Mediastinum and Diaphragm Anatomy

750

(1)

Common Conditions of the Mediastinum and Diaphragm Requiring Treatment

750

(5)

Hiatal Hernia

750

(1)

Diaphragmatic Hernia

751

(1)

Trauma

751

(4)

Chapter 21 CPT: Digestive System

755

(32)

Digestive System Anatomy

756

(1)

Endoscopy Rules

757

(1)

Definitions of Surgical GI Endoscopy Terms

758

(1)

Organization

759

(1)

Common Procedures

760

(9)

Excision of the Tonsils and Adenoids

760

(1)

Excision to Treat Tongue Tie

760

(1)

Treatment of Lip Lesions and Injuries

760

(1)

Repairs of Mouth Disease and Injuries

761

(1)

Cleft Lip and Palate

761

(1)

Hemorrhoids

762

(1)

Anal Fistula

763

(1)

Varices

763

(1)

Achalasia

763

(1)

Repair of Hernias

764

(2)

Appendectomy

766

(1)

Cholecystectomy

767

(2)

Common Endoscopic-Only Procedures

769

(9)

Endoscopic Retrograde Cholangiopancreatography

769

(1)

Esophagoscopy

769

(1)

Esophagogastroduodenoscopy

769

(2)

Anoscopy, Proctoscopy, and Proctosigmoidoscopy

771

(1)

Flexible Sigmoidoscopy

772

(1)

Colonoscopy

772

(6)

Common Diseases of the Colon

778

(1)

Colectomy

778

(1)

Ileostomy and Colostomy

779

(1)

Bariatric Procedures

779

(8)

Gastric Restrictive Procedures

780

(1)

Gastric Bypass

781

(6)

Chapter 22 CPT: Urinary System

787

(22)

Urinary System Anatomy

788

(2)

Organization

790

(1)

Acronyms

790

(1)

Endoscopy

791

(2)

Cystourethroscopy

791

(1)

Catheter Insertions

792

(1)

Urodynamics

793

(1)

Cystometrogram

793

(1)

Uroflowmetry

793

(1)

Urethral Pressure Profile

793

(1)

Neuromuscular Studies

794

(1)

Voiding Pressure Studies

794

(1)

Diseases and Disorders of the Urinary System and Surgical Therapies

794

(15)

Hematuria

794

(1)

Urethral Strictures

795

(1)

Ureter Stricture

795

(2)

Incontinence

797

(1)

Bladder Neoplasms

798

(1)

Interstitial Cystitis

799

(1)

Kidney Tumors

799

(1)

Kidney Stones

800

(2)

Foreign Body

802

(1)

Renal Transplants

803

(6)

Chapter 23 CPT: Male Genital System

809

(16)

Male Anatomy

810

(1)

Organization

811

(1)

Male Preventive Services

812

(1)

Common Problems of the Male Genital System and Surgical Therapies

812

(13)

Penis

812

(4)

Testes

816

(2)

Sterilization

818

(1)

Prostate

819

(6)

Chapter 24 CPT: Female Genital System and Maternity Care and Delivery

825

(26)

Female Anatomy

826

(1)

Organization

827

(2)

Preventive Exam

829

(1)

Pap Smear

829

(1)

Common Problems of the Female Genital System and Associated Therapies

830

(9)

Endometriosis

830

(1)

Ovarian Cysts

830

(1)

Hydrosalpinx

831

(1)

Pelvic Adhesions

831

(1)

Abnormal Bleeding

831

(1)

Cervical Dysplasia

832

(1)

Sterilization

833

(1)

Birth Control Maintenance

833

(1)

Bartholin's Gland Abscess

834

(1)

Lesions of the Vulva

834

(1)

Uterine Fibroids

835

(1)

Hysterectomy

835

(2)

Paravaginal Defects

837

(2)

Maternity Care and Delivery

839

(2)

Organization of Section

839

(1)

Routine Obstetrical Care

839

(2)

Common Obstetrical Conditions and Procedures

841

(3)

Amniotic Fluid

841

(1)

Incompetent Cervix

842

(1)

Cesarean Section Delivery

842

(1)

Delivery of Twins

842

(1)

Ectopic Pregnancy

843

(1)

Abortion

843

(1)

Infertility

844

(7)

Blocked Fallopian Tubes

845

(1)

In Vitro Fertilization

845

(1)

Intrauterine Insemination

845

(6)

Chapter 25 CPT: Endocrine and Nervous Systems

851

(32)

Endocrine System: Anatomy and Coding Issues

852

(1)

Anatomy

852

(1)

Coding Issues

853

(1)

Nervous System Anatomy

853

(5)

Nervous System Organization

858

(1)

Procedures of the Skull and Brain

858

(1)

Skull Base Surgery

859

(3)

Endovascular Therapy

860

(1)

Surgery for Aneurysm, Arteriovenous Malformation, or Vascular Disease

860

(1)

Stereotactic Radiosurgery

860

(2)

Common Nerve Conditions Requiring Treatment

862

(9)

Nerve Pain

863

(1)

Spastic Conditions

864

(1)

Nerve Injury

864

(7)

Spinal Injections and Pain Management

871

(3)

Fluoroscopic Guidance

872

(1)

Spinal Blocks (Pain Blocks)

872

(2)

Assigning Spinal Injection Procedure Codes

874

(1)

Spinal Decompression Procedures

874

(9)

Spinal Decompression Procedure Components

875

(2)

Let's Code It

877

(6)

Chapter 26 CPT: Eye and Ear

883

(28)

Eye and Ocular Adnexa

884

(1)

Organization

884

(1)

Modifiers

884

(1)

Eye Anatomy

885

(1)

Diseases and Injuries of the Eye and Associated Procedures

886

(10)

Cataract

886

(2)

Secondary Cataract

888

(1)

IOL Procedures

888

(1)

Ophthalmic Endoscope

889

(1)

Surgically Induced Astigmatism

889

(1)

Pterygium

889

(1)

Trichiasis

890

(1)

Glaucoma

890

(1)

Vision Correction Surgery

890

(1)

Eyelid Lesions

891

(1)

Foreign Body

891

(1)

Retinal Detachment

892

(1)

Corneal Disease

893

(1)

Ocular Trauma

894

(1)

Cancer

894

(1)

Strabismus

895

(1)

Oculoplastic Surgery

896

(3)

Eyelid and Muscle Anatomy

896

(1)

Eyelid Ptosis

897

(1)

Entropion Repair

898

(1)

Ectropion Repair

898

(1)

Auditory System

899

(1)

Organization

899

(1)

Modifiers

900

(1)

Ear Anatomy

900

(1)

Common Problems of the Ear and Associated Procedures

900

(11)

Foreign Body in the Ear

900

(1)

Otitis Media

901

(4)

Oval or Round Window Fistula

905

(1)

Hearing Loss

906

(5)

Chapter 27 CPT: Radiology Codes

911

(36)

Ancillary Services

912

(1)

Radiology

912

(1)

Radiology Section Guidelines

913

(4)

Required Order and Radiology Report

914

(1)

Administration of Contrast Materials

915

(1)

Radiographic Positions

916

(1)

Diagnostic Radiology

917

(1)

Common Procedures

917

(7)

Computerized Axial Tomography

918

(1)

Magnetic Resonance Imaging

918

(1)

Bone/Joint Studies

919

(1)

Magnetic Resonance Angiography

919

(1)

Administration of Contrast Materials

919

(1)

Spine Studies

920

(1)

Diagnostic Ultrasound

921

(1)

Obstetrical Ultrasound

921

(1)

Radiology Modifiers

922

(1)

Fluoroscopy

923

(1)

Radiological Guidance

923

(1)

Breast, Mammography

923

(1)

Bone/Joint Studies

924

(1)

Assigning Radiology Codes

924

(2)

Modifier Guidelines

924

(2)

Steps in Assigning Radiology Codes

926

(1)

Radiological Supervision and Interpretation

926

(4)

Interventional Radiology

930

(6)

IR Procedures

931

(1)

Vascular Interventional Radiology

931

(2)

Nonvascular Interventional Radiology

933

(1)

IR Coding Guidelines

934

(1)

Component Coding and Billing

934

(2)

Radiation Oncology

936

(5)

Initial Consultation

936

(1)

Clinical Treatment Planning

937

(1)

Simulation

937

(1)

Radiation Treatment Delivery

937

(1)

Radiation Treatment Management

938

(1)

Proton Beam Treatment Delivery

938

(1)

Clinical Brachytherapy

939

(2)

Nuclear Medicine

941

(6)

Positron Emission Tomography

941

(1)

Single-Proton Emission Computerized Tomography

942

(5)

Chapter 28 CPT: Pathology and Laboratory Codes

947

(24)

Pathology and Laboratory Overview

948

(4)

Pathology and Laboratory General Guidelines

949

(1)

Location of Testing

949

(1)

Organization of the Path/Lab Section

950

(1)

Physician Orders and Test Requisitions

951

(1)

Complete Lab Codes

952

(1)

Modifiers

952

(2)

Major Pathology/Laboratory Procedures

954

(17)

Organ or Disease-Oriented Panels

954

(3)

Drug Testing

957

(1)

Evocative/Suppression Testing

958

(1)

Urinalysis

959

(1)

Molecular Pathology

959

(1)

Multianalyte Assays With Algorithmic Analyses

960

(1)

Chemistry

960

(1)

Hematology and Coagulation

961

(1)

Immunology

961

(1)

Transfusion Medicine

962

(1)

Microbiology

962

(1)

Cytopathology

963

(1)

Consultations (Clinical Pathology)

963

(1)

Surgical Pathology

964

(1)

Rules for Billing Surgical Pathology Codes

964

(2)

Assigning Pathology and Laboratory Codes

966

(5)

Chapter 29 CPT: Medicine Codes

971

(44)

Immune Globulin Administration and Products

972

(1)

Immunization Administration for Vaccines/Toxoids

973

(2)

Symbols

975

(1)

Multiple Procedures

975

(1)

Psychiatry

975

(3)

Psychiatric Diagnostic Procedures

976

(1)

Interactive Complexity

976

(1)

Psychotherapy

977

(1)

Psychotherapy for Crisis

978

(1)

Dialysis

978

(2)

Hemodialysis

978

(1)

Miscellaneous Dialysis Procedures

979

(1)

End-Stage Renal Disease Services

979

(1)

Gastroenterology

980

(1)

Ophthalmology

981

(1)

General Ophthalmology Services

981

(1)

Special Otorhinolaryngologic Services

981

(1)

Cardiovascular

981

(12)

Therapeutic Services

982

(3)

Cardiography

985

(1)

Cardiovascular Monitoring Services

986

(1)

Implantable and Wearable Cardiac Device Evaluations

986

(1)

Echocardiography

986

(2)

Cardiac Catheterization

988

(2)

Intracardiac Electrophysiological Procedures/Studies

990

(2)

Noninvasive Vascular Diagnostic Studies

992

(1)

Pulmonary

993

(1)

Allergy and Clinical Immunology

994

(4)

Allergy Testing

994

(1)

Immunotherapy

995

(3)

Neurology and Neuromuscular Procedures

998

(3)

Sleep Studies

998

(1)

Routine Electroencephalography

998

(1)

Nerve Conduction Studies

999

(1)

Neurostimulators, Analysis-Programming

999

(2)

Medical Genetics and Genetic Counseling Services

1001

(1)

Health and Behavior Assessment/Intervention

1001

(1)

Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration

1001

(4)

Coding IV Infusion

1003

(1)

Situations in Which Infusion Is Not Coded

1003

(1)

Concurrent and Other Infusion Situations

1004

(1)

Therapeutic, Prophylactic, and Diagnostic Injections

1005

(1)

Chemotherapy Administration

1005

(2)

Physical Medicine and Rehabilitation

1007

(1)

Physical Therapy Evaluations

1007

(1)

Occupational Therapy Evaluations

1007

(1)

Athletic Training Evaluations

1008

(1)

Non-Face-to-Face Services

1008

(1)

Special Services, Procedures, and Reports

1009

(1)

Moderate (Conscious) Sedation

1009

(6)

Chapter 30 HCPCS

1015

(26)

History and Purpose of HCPCS

1016

(4)

HCPCS Background

1016

(1)

Purpose of HCPCS

1016

(2)

HCPCS Today

1018

(1)

HCPCS Code Format

1019

(1)

How HCPCS Codes Are Created

1020

(1)

Permanent Codes

1020

(1)

Temporary Codes

1020

(1)

Features of HCPCS Codebooks and Other Coding Resources

1020

(4)

Introduction

1021

(1)

HCPCS Index and Code Sections

1021

(3)

Symbols

1024

(1)

HCPCS Coding Resources

1024

(1)

HCPCS Updates

1024

(1)

HCPCS Clearinghouse

1025

(1)

AHA Coding Clinic for HCPCS

1025

(1)

HCPCS Code Sections

1025

(6)

Section A: Transportation Services Including Ambulance, Medical/Surgical Supplies, and Administrative, Miscellaneous, and Investigational (A0000-A9999)

1026

(1)

Section B: Enteral and Parenteral Therapy (B4000-B9999)

1026

(1)

Section C: Outpatient Prospective Payment System (C1300-C9999)

1026

(1)

Section E: Durable Medical Equipment (E0100-E9999)

1027

(1)

Section G: Procedures/Professional Services (G0000-G9999)

1027

(1)

Section H: Alcohol and Drug Abuse Treatment Services (H0001-H2037)

1028

(1)

Section J: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J0000-J9999)

1028

(1)

Section K: Durable Medical Equipment for Medicare Administrative Contractors (Temporary Codes) (K0000-K9999)

1029

(1)

Section L: Orthotic and Prosthetic Procedures, Devices (L0000-L9999)

1029

(1)

Section M: Medical Services (M0000-M0301)

1029

(1)

Section P: Pathology and Laboratory Services (P0000-P9999)

1029

(1)

Section Q: Miscellaneous Services (Temporary Codes) (Q0000-Q9974)

1029

(1)

Section R: Diagnostic Radiology Services (R0000-R5999)

1029

(1)

Section S: Temporary National Codes (Non-Medicare) (S0000-S9999)

1029

(1)

Section T: National T Codes (T1000-T9999)

1030

(1)

Section V: Vision, Hearing, and Speech-Language Pathology Services (V0000-V5999)

1030

(1)

Miscellaneous/Unclassified Codes

1030

(1)

Modifiers

1031

(3)

Anesthesia Modifiers

1031

(3)

Assigning HCPCS Codes

1034

(7)

Coding Steps

1035

(1)

Hierarchy of Assigning a HCPCS Level II Code Versus a HCPCS Level I CPT Code

1035

(1)

Using the Table of Drugs

1035

(6)

Abbreviations and Acronyms

1041

(10)

Professional Resources

1051

(6)

Index

1057

Conquer Medical Coding 2017 [Pehme köide]

Konto & seaded

Otsing

Otsingu andmebaas

Filtreeri tulemusi

Teemad Ingliskeelsed raamatud

Vali ostukorv