CPT Easy Link 2006 Otolaryngology

by Practice Management Information Corporation

• ISBN13: 9781570663819
• ISBN10: 1570663815
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-03-15
• Publisher: Practice Management Information

Table of Contents

Foreword	iii
Disclaimer	iv
Introduction	1	(1)
Linking Diagnosis Codes to Procedure Codes	1	(1)
Sources of the Data and Data Analysis	1	(1)
Format of the Listings	2	(1)
CPT Coding	2	(4)
Key points regarding CPT	3	(1)
Structure of the CPT Coding System	3	(1)
How to use the CPT Coding System	3	(1)
CPT Modifiers	4	(1)
Unlisted Procedures or Services	4	(1)
CPT Changes, Additions, and Deletions	5	(1)
Place (Location) of Service	5	(1)
Procedure Down-Coding	5	(1)
Down-Coding Due to Lack of Documentation	5	(1)
ICD-9-CM Coding	6	(5)
Key Points Regarding ICD-9-CM	6	(1)
Medicare Requirements for ICD-9-CM Coding	6	(1)
CMS Guidelines for Using ICD-9-CM Codes	7	(2)
Important Diagnosis Coding Issues	9	(1)
Nine Steps for Accurate and Precise ICD-9-CM Coding	10	(1)
Documentation Guidelines	11	(2)
What is Documentation and Why is it Important?	11	(1)
What Do Payers Want and Why?	12	(1)
General Principles of Medical Record Documentation	12	(1)
National Correct Coding Policy	13	(12)
Purpose of the Correct Coding Policy	13	(1)
What is Correct Coding?	13	(1)
General Correct Coding Policies	14	(1)
Coding Based on Standards of Medical/Surgical Practice	15	(2)
Medical/Surgical Package	17	(2)
Standard Preparation/Monitoring Services	19	(1)
Anesthesia Service Included in Surgical Procedure	20	(1)
Coding Services Supplemental to a Principal Procedure (Add-on Codes)	20	(1)
Modifiers and Correct Coding	20	(1)
Separate Procedure	20	(2)
Family of Codes	22	(1)
More Extensive Procedures	22	(1)
Sequential Procedures	22	(1)
``With'' Versus ``Without'' Procedures	23	(1)
Mutually Exclusive Procedures	23	(1)
Gender-Specific Procedures	23	(1)
Excluded Services	24	(1)
Unlisted Services or Procedures	24	(1)
Evaluation & Management Services	25	(12)
Classification of Evaluation and Management Services	25	(1)
Subsection Information	25	(1)
Materials Supplied By the Physician	26	(1)
Definitions of Commonly Used Terms	26	(1)
New and Established Patients	26	(1)
Chief Complaint	26	(1)
Concurrent Care	27	(1)
Counseling	27	(1)
History	27	(1)
System Review (Review of Systems)	27	(1)
Levels Of Evaluation And Management Services	27	(1)
Key Components	28	(5)
Time	33	(1)
Diagnostic Tests or Studies	33	(1)
Unlisted E & M Services	33	(1)
Special Report	34	(1)
Modifiers Used With E & M Services	34	(1)
Choosing Evaluation and Management Codes	34	(2)
Correct Coding Issues for E/M Services	36	(1)
Evaluation and Management Services Codes	37	(32)
Office or Other Outpatient Services	37	(4)
Hospital Observation Services	41	(2)
Hospital Inpatient Services	43	(3)
Consultations	46	(4)
Emergency Department Services	50	(3)
Critical Care Services	53	(1)
Nursing Facility Services	54	(4)
Domiciliary, Rest Home (Eg Boarding Home), or Custodial Care Services	58	(3)
Domiciliary, Rest Home (Eg Assisted Living), or Home Care Plan Oversight Services	61	(1)
Prolonged Services	61	(2)
Case Management Services	63	(1)
Care Plan Oversight Services	64	(5)
Surgery Services	69	(3)
Surgery Section Overview	69	(1)
Key Points About Surgery Services	69	(1)
Global Surgical Package	69	(1)
Special report	69	(1)
Multiple Surgical Procedures	70
Separate Procedure	32	(38)
Surgery Subsections	70	(1)
Surgery Section Modifiers	71	(1)
Add-On Codes	72	(1)
Starred Procedures	72	(1)
Medical and Surgical Supplies	72	(1)
Integumentary System	72	(51)
General	77	(1)
Skin, Subcutaneous and Accessory Structures	78	(20)
Wound Repair (Closure)	98	(11)
Skin Replacement Surgery and Skin Substitutes	109	(7)
Destruction	116	(7)
Musculoskeletal System	123	(11)
Miscellaneous Coding Rules	123	(1)
Fractures	124	(1)
Correct Coding Issues for The Musculoskeletal System	124	(3)
Musculoskeletal System Codes	127	(1)
General	127	(1)
Head	128	(5)
Neck (Soft Tissues) and Thorax	133	(1)
Respiratory System	134	(43)
Miscellaneous Coding Rules	134	(1)
Nose	135	(10)
Accessory Sinuses	145	(11)
Larynx	156	(14)
Trachea and Bronchi	170	(7)
Lymphatic System	177	(3)
Excision	177	(2)
Radical Lymphadenectomy	179	(1)
Digestive System	180	(24)
Miscellaneous Coding Rules	180	(1)
Lips	181	(3)
Tongue and Floor of Mouth	184	(4)
Dentoalveolar Structures	188	(1)
Palate and Uvula	189	(3)
Salivary Gland and Ducts	192	(4)
Pharynx, Adenoids and Tonsils	196	(3)
Esophagus	199	(5)
Endocrine System	204	(4)
Thyroid Gland	204	(3)
Parathyroid, Thymus, Adrenal Glands, Pancreas and Carotid Body	207	(1)
Nervous System	208	(10)
Correct Coding Issues for the Nervous System	208	(2)
Nervous System Codes	210	(3)
Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System	213	(1)
Destruction by Neurolytic Agent	214	(3)
Lacrimal System	217	(1)
Auditory System	218	(26)
External Ear	218	(8)
Middle Ear	226	(15)
Inner Ear	241	(2)
Temporal Bone, Middle Fossa Approach	243	(1)
Operating Microscope	244	(3)
Radiology	247	(14)
Radiology Section Overview	247	(1)
Radiology Subsections	247	(1)
Complete Procedures	247	(1)
Supervision and Interpretation Only	247	(1)
Radiology Service Modifiers	247	(1)
Bilateral Procedure Codes	248	(1)
Radiology Services Medicare Considerations	248	(1)
Correct Coding Issues for Radiology	248	(3)
Diagnostic Radiology	251	(7)
Diagnostic Ultrasound	258	(3)
Pathology/Laboratory	261	(14)
Laboratory Section Overview	261	(1)
Laboratory Subsections	261	(1)
Laboratory Service Modifiers	261	(1)
Pathology	262	(1)
Clinical Pathology	262	(1)
Correct Coding Issues for Pathology and Laboratory	262	(2)
Pathology and Laboratory Codes	264	(11)
Medicine Services	275	(55)
Medicine Section Overview	275	(1)
Medicine Subsections	275	(1)
Medicine Services Modifiers	276	(1)
Biofeedback	277	(1)
Special Otorhinolaryngologic Services	277	(38)
Non-Invasive Vascular Diagnostic Studies	315	(1)
Pulmonary Services	316	(4)
Allergy and Clinical Immunology	320	(5)
Neurology and Neuromuscular Procedures	325	(5)
Special Services, Procedures and Reports	330