Split (1)

train · 15.7k rows

code stringlengths 4 12	description stringlengths 2 264	codetype stringclasses 8 values	context stringlengths 160 15.5k
93799	HC UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
87001	Small animal inoculation	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99397	PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
97001	Pt evaluation	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
96040	PR MEDICAL GENETICS COUNSELING EACH 30 MINUTES	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
78000	Thyroid single uptake	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
P2028	Cephalin floculation test	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
59000	PR AMNIOCENTESIS DIAGNOSIC	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
98940	PR CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
88299	Unlisted cytogenetic study	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99360	PR PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
80100	DRUG SCREEN QUALITATE/MULTI	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99359	PR PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99444	Online e/m by phys/qhp	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99135	Anes comp ctrld hypotension	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
00474	ANESTH SURGERY OF RIB	CPT	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
1610	Anesthesia for Nerves, Muscles, Tendons, etc. Shoulder	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
97810	PR ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99345	PR HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99357	PR PROLONGED SVC I/P OR OBS SETTING EA ADDL 30 MIN	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
00700	ANESTH ABDOMINAL WALL SURG	CPT	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
99241	PR OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
50010	PR RNL EXPL X NECESSITATING OTH SPEC PX	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
90935	PR HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
69979	Unlisted px temporal bone	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
00952	ANESTH HYSTEROSCOPE/GRAPH	CPT	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
76499	XR UNLISTED DIAGNOSTIC PROCEDU	HCPCS	Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage. MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining Vowels and Combining Forms Prefixes Suffixes Eponyms, Abbreviations, and Acronyms Eponyms Abbreviations and Acronyms Anatomy and Physiology Integumentary System Musculoskeletal System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Nervous System Endocrine System Hemic System ICD-10-CM and Medical Terminology PART I: ICD-9-CM AND ICD-10-CM CHAPTER 2: INTRODUCTION TO ICD-9-CM The Structure of the ICD-9-CM Manual Using Volumes 1 and 2 to Determine Diagnosis Codes Volume 2: Alphabetic Index of Diseases Volume 1: Tabular List of Diseases Volume 3: Tabular List and Alphabetic List for Procedure Codes ICD-9-CM Conventions Abbreviations Punctuation Use Additional Code Instruction Code First Underlying Disease Instruction Update Notations Additional Digit Specificity Indicator Diagnosis Code-Specific Color Highlights Age Conflict Edits Sex Conflict Edits Hospital Acquired Condition (HAC) Indicator Other and Unspecified Codes "See" and "See Also" Instructions Signs and Symptoms Combination Codes Outpatient Coding Principles Specific Guidelines for Coding Outpatient Encounters CHAPTER 3: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART I: CHAPTERS 1-10 Coding Diseases and Disorders, Chapters 1-3 Chapter 1: Infectious and Parasitic Diseases (001-139) Chapter 2: Neoplasm (140-239) Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279) Coding Diseases and Disorders, Chapters 4-6 Chapter 4: Diseases of Blood and Blood-forming Organs (280-289) Chapter 5: Mental Disorders (290-319) Chapter 6: Diseases of Nervous System and Sense Organs (320-389) Coding Diseases, Chapters 7-8 Chapter 7: Diseases of the Circulatory System (390-459) Chapter 8: Diseases of the Respiratory System (460-519) Coding Diseases, Chapters 9-10 Chapter 9: Diseases of the Digestive System (520-579) Chapter 10: Diseases of the Genitourinary System (580-629) CHAPTER 4: ICD-9-CM CHAPTER-SPECIFIC GUIDELINES, PART II: CHAPTERS 11-19 Coding Conditions and Complications of Pregnancy, Chapter 11 Chapter 11: Pregnancy, Childbirth and the Puerperium (630-679) Coding Diseases, Chapters 12-13 Chapter 12: Diseases of Skin and Subcutaneous Tissue (680-709) Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (710-739) Coding Abnormalities and Unusual Conditions, Chapters 14-17 Chapter 14: Congenital Anomalies (740-750) Chapter 15: Certain Conditions Originating in the Perinatal Period (760-779) Chapter 16: Symptoms, Signs, and Ill-Defined Conditions (780-799) Chapter 17: Injury and Poisoning (800-999) V-Codes and E-Codes, Chapters 18-19 Chapter 18: Supplemental Classification of Factors Influencing Health Status and Contact With Health Services (V01-V91) Chapter 19: Supplemental Classification of External Causes of Injury and Poisoning (E000-E030, E800-E999) CHAPTER 5: INTRODUCTION TO ICD-10-CM Transitioning to the ICD-10-CM Coding System General Equivalence Mapping Diagnosis Code Structure Laterality Trimesters Initial Treatment, Subsequent Encounter and Sequelae Structure of the ICD-10-CM Manual ICD-10-CM Conventions and General Guidelines Conventions General Guidelines Introduction to ICD-10-PCS Breakdown of Sections PART II: CPT AND HCPCS CHAPTER 6: INTRODUCTION TO CPT Structure of the CPT Manual Code Sections Code Format and Additional Information Indented Code Structure Symbols Parenthetical Notes Modifiers Separate Procedure Other Information Included in the CPT Manual Index Appendices Introductory Pages Information Listed Inside Front and Back Covers Reporting Category II Codes and Using Category II Modifiers Format of Category II Codes Types of Category II Performance Measurement Codes Reporting Category III Codes CHAPTER 7: MODIFIERS The Function and Use of Modifiers Services Provided During the Global Period Modifier 24 Modifier 25 Modifier 57 Modifier 58 Modifier 76 and 77 Modifier 78 Modifier 79 Reporting Portions of a Procedure or Service Professional and Technical Components Surgical Procedure Components Reporting Multiple Services on the Same Date Modifier 50 Modifier 51 Modifier 59 Modifier 91 Identifying Additional Providers Involved in Procedures Modifiers 80, 81, and 82 Modifier 62 Modifier 66 Reporting Procedures Involving Significantly More or Less Work Than Is Typical Reporting Procedures Involving More Work Than Typical Reporting Procedures Involving Less Work Than Typical Reporting Mandatory Services, Physical Status and Genetic Tests Mandatory Services Physical Status Modifiers P1 through P6 Genetic Modifiers HCPCS Modifiers Anatomical Modifiers Ambulance Modifiers Equipment Modifiers CHAPTER 8: EVALUATION AND MANAGEMENT SERVICES, PART I: STRUCTURE AND GUIDANCE Categories and Subcategories of E/M Services Subcategories of E/M Services Defining Key Terms in E/M Coding New vs. Established Patient Chief Complaint Concurrent Care and Transfer of Care Counseling Family History History of Present Illness (HPI) Nature of the Presenting Problem Past History Review of Systems Physical Examination Medical Decision Making Social History Time Unlisted Services Special Report Selecting the Level of E/M Service Working with Histories Elements of History The Physical Examination The Complexity of Medical Decision Making Selecting the Correct Level of E/M Services Determining Coding Requirements Special Situations CHAPTER 9: EVALUATION AND MANAGEMENT SERVICES, PART II: CODE SELECTION Outpatient Services Coding for New or Established Patients New Patient (99201-99205) Established Patient (99211-99215) Categories and Suncategories of Hospital Services Hospital Observation Services Hospital Inpatient Services Observation or Inpatient Care Services (IncludinSubcategoriesnd Discharge) Hospital Discharge Services Consultation Services Office or Other Outpatient Consultations (99241-99245) Inpatient Consultations (99251-99255) Emergency Department Services E/M Services for New or Established Patients (99281-99285) Other Emergency Services (99288) Reporting Critical Care Services Services Included in Critical Care Reporting E/M Codes in Other Settings Nursing Facility Services Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services Home Services New Patient (99341-99345) Established Patient (99347-99350) Prolonged Services and the Time Factor Prolonged Physician Service with Direct Patient Contact (99354-99357) Prolonged Physician Service Without Direct Patient Contact (99358-99359) Physician Standby Services (99360) Case Management and Care Plan Oversight Services Case Management Services Care Plan Oversight Services Preventative Medicine Services New Patient (99381-99387) Established Patient (99391-99397) Counseling Risk Factor Reduction and Behavior Change Intervention (99401-99412) Special E/M Services Telephone Services (99441-99443) Online Medical Evaluation (99444) Other Special E/M Services Coding E/M Services for Pediatric Patients Newborn Services Inpatient Neonatal Intensive Care and Pediatric/Neonatal Critical Care CHAPTER 10: ANESTHESIA SERVICES Selecting Anesthesia CPT Codes Based on the Surgical Procedure Anesthesia Time Units Secondary Aspects of Anesthesia Coding Physical Status Modifiers Modifiers Identifying Professional Credentials of Anesthesia Providers Modifiers Describing Reasons for Monitored Anesthesia Care (MAC) Qualifying Circumstances Add-on Codes Calculating Total Anesthesia Units Selecting Anatomy-Based Anesthesia CPT Codes Head (00100-00218) Neck (00300-00352) Thorax (Chest Wall and Shoulder Girdle) (00400-00474) Intrathoracic Region (00500-00580) Spine and Spinal Cords (00600-00670) Upper Abdomen (00700-00797) Lower Abdomen (00800-00882) Perineum (00902-00952) Pelvis (Except Hip) (01112-01190) Upper Leg (Except Knee) (01200-01274) Knee and Popliteal Area (01320-01444) Lower Leg (Below Knee, Includes Ankle and Foot) (01462-01522) Shoulder and Axilla (01610-01682) Upper Arm and Elbow (01710-01782) Forearm, Wrist and Hand (01810-01860) Coding for Specific Procedures Radiological Procedures (01916-01936) Burn Excisions or Debridement (01951-01953) Obstetric Anesthesia (01958-01969) Other Procedures (01990-01999) CHAPTER 11: RADIOLOGY SERVICES Positions, Projections and Planes Reporting Radiology Services Unlisted Codes Modifiers Radiology CPT Coding Diagnostic Radiology (Diagnostic Imaging) (70010-76499) Diagnostic Ultrasound (76506-76999) Radiologic Guidance (77001-77032) Mammography Services (77051-77059) Bone/Joint Studies (77071-77084) Radiation Oncology (77261-77799) Nuclear Medicine (78000-79999) CHAPTER 12: SURGICAL PROCEDURES Introduction Follow-up Care Multiple Procedures and "Separate Procedures" Structure of the Surgical Section of the CPT Module 12.1 General and Integumentary System Reporting Procedures of the Skin and Subcutaneous Tissues Wound Repair (Closure) Skin Repair Procedures Destruction of Lesions Procedures on the Breast Anesthesia Associated with Procedures on the Integumentary System Module Review Module 12.2 Musculoskeletal System Musculoskeletal System Treatments General Codes and Codes Describing Procedures on the Head, Neck, Thorax, Back and Flank Codes Describing Procedures on the Back and Flank, Spinal Column and Abdomen Codes Describing Procedures on the Extremeties and Joints Casting, Strapping, Endoscopy and Arthroscopy Anesthesia Associated with Procedures on the Musculoskeletal System Module Review Module 12.3 Respiratory System; Cardiovascular System; Hemic and Lymphatic Systems; Mediastinum and Diaphragm Procedures on the Respiratory System (30000-32999) Procedures on the Heart and Pericardium (33010-33999) Procedures on the Arteries and Veins (34001-37799) Procedures on the Hemic and Lymphatic System, Mediastinum, and Diaphragm Anesthesia for Procedures in the 30000 Series Module Review Module 12.4 Digestive System Procedures on the Mouth and Throat Procedures on the Gastrointestinal Tract from the Esophagus to the Anus Procedures on Organs Connected to the Digestive Tract Anesthesia for Procedures in the 40000 Series Module Review Module 12.5 Urinary System, Male and Female Genital Systems, and Maternity Care and Delivery Procedures on the Urinary System (50010-53899) Procedures on the Male Genital System (54000-55899) Procedures on the Female Genital System (56405-58999) Maternal Care and Delivery (59000-59899) Anesthesia for Procedures in the 50000 Series Module Review Module 12.6 Endocrine, Nervous, Ocular, and Auditory Systems Endocrine System (60000-60699) Procedures on the Skill, Meninges, and Brain (61000-62258) Procedures on the Spine and Spinal Cord (62263-63746) Procedures on Extracranial Nerves, Peripheral Nerves and the Autonomic Nervous System (64400-64999) Procedures on Ocular Structures Procedures on the Auditory System (69000-69979) Anesthesia for Procedures in the 60000 Series Module Review CHAPTER 13: PATHOLOGY AND LABORATORY SERVICES Organ or Disease-Oriented Panels (80047-80076) Lab Tests Involving Drugs or Medicines Drug Testing (80100-80104) Therapeutic Drug Assay (80150-80299) Evocative/Suppression Testing (80400-80440) Reporting Other Lab Tests Consultation (Clinical Pathology) (80500-80502) Urinalysis (81000-81099) Chemistry (82000-84999) Hematology and Coagulation (85002-85999) Immunology (86000-86849) Transfusion Medicine (86850-86899) Microbiology (87001-87999) Pathology Services Anatomic Pathology (88000-88099) Cytopathology (88104-88199) and Cytogenetic Studies (88230-88299) Surgical Pathology (88300-88399) In Vivo Laboratory Procedures (88720-88741) Reproductive Medicine Procedures (89250-89398) CHAPTER 14: MEDICINE SERVICES Medicine Chapter Structure and General Guidelines Multiple Procedures Add-on Codes Separate Procedures Unlisted Service or Procedure Materials Supplied by Physician Immune Globulins; Immunization Administration for Vaccines/Toxoids; Vaccines, Toxoids Immune Globulins (90281-90399) Immunization Administration for Vaccines/Toxoids (90460-90474) Vaccines, Toxoids (90476-90479) Psychiatry, Biofeedback, Dialysis, Gastroenterology, Ophthalomology, and Otorhinolaryngological Services Psychiatry (90801-90899) Biofeedback (90901 and 90911) Dialysis (90935-90999) Gastroenterology (91010-91299) Ophthalmology (92002-92499) Special Otorhinolaryngologic Services (92502-92700) Cardiovascular, Immunological, and Neurological Services Cardiovascular (92950-93799) Noninvasive Vascular Diagnostic Studies (93875-93990) Pulmonary (94002-94799) Allergy and Clinical Immunology (95004-95199) Endocrinology (95250-95251) Neurology and Neuromuscular Procedures (95800-96020) Medical Genetics and Genetic Counseling Services (96040) Central Nervous System Assessments/Tests (96101-96125) Health and Behavior Assessment/Intervention (96150-96155) Injections and Infusions; Therapeutic Services; Rehabilitation; Moderate Sedation; Home Health and Medication Therapeutic Management Services Hydration, Therapeutic Injections and Infusions, and Chemotherapy Photodynamic Therapy (96567-96571) Special Dermatological Procedures (96900-96999) Physical Medicine and Rehabilitation (97001-97799) Medical Nutrition Management (97802-97804) Acupuncture (97810-97814) Osteopathic Manipulative Treatment (98925-98929) Chiropractic Manipulative Treatment (98940-98943) Education and Training for Patient Self-Management (98960-98962) Non-Face-to-Face Non-Physician Services (98966-98969) Special Services, Procedures and Reports (99000-99091) Qualifying Circumstances for Anesthesia (99100, 99116, 99135, and 99140) Moderate Sedation (99143-99150) Home Health Procedures/Services (99500-99602) Medication Therapy Management Services (99605-99607) CHAPTER 15: HCPCS HCPCS Codes Functions of HCPCS Codes Uses of HCPCS Codes Index and Tabular List of Services Calculating Multiple Units of Service Identifying Services Described by Each Category of HCPCS Codes HCPCS A, B, C, D, and E Codes A Codes: Transportation Services Including Ambulance; Medical & Surgical Supplies; Administrative, Miscellaneous & Investigational B Codes: Enteral and Parenteral Therapy C Codes: Outpatient HCPCS Codes E Codes: Durable Medical Equipment HCPCS G, H, J, K, L, and M Codes G Codes: Procedures/Professional Services (Temporary); Physician's Voluntary Reporting Program Codes; Last Minute Additions H Codes: Alcohol and Drug Abuse Treatment Services J Codes: Drug Administered Other than Oral Method K Codes: Temporary Codes L Codes: Orthotic and Prosthetic Procedures (L0112-L9900) Other Medical Services HCPCS P, Q, R, S, T, and V Codes P Codes: Pathology and Laboratory Services (P2028-P9615) Q Codes: Miscellaneous Services (Temporary) R Codes: Diagnostic Radiology Services S Codes: Temporary National Codes (Non-Medicare) T Codes: National T Codes Established for State Medicaid Agencies (T1000-T5999) V Codes: Vision Services, Hearing Services & Speech-Language Pathology Services HCPCS Modifiers and HCPCS Manual Appendices Anatomic Modifiers DME and Other Equipment Modifiers Radiology Modifiers Place of Service Modifier Appendices PART III: PRACTICUM CHAPTER 16: PUTTING IT ALL TOGETHER Coding Scenarios Before you can enjoy free downloads from McGraw-Hill Professional, we ask that you please provide your email address and country.
A5120	Skin barrier, wipes or swabs, each	HCPCS	HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
K0011	Stnd wt pwr whlchr w control	HCPCS	HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
Q4011	Cast sup sht arm ped plaster	HCPCS	HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
A5120	Skin barrier, wipes or swabs, each	HCPCS	Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
K0011	Stnd wt pwr whlchr w control	HCPCS	Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
Q4011	Cast sup sht arm ped plaster	HCPCS	Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
A5120	Skin barrier, wipes or swabs, each	HCPCS	HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
K0011	Stnd wt pwr whlchr w control	HCPCS	HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
Q4011	Cast sup sht arm ped plaster	HCPCS	HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
A9500	TECHNETIUM TC 99M SESTAMIBI IV KIT	HCPCS	Scintimammography, breast-specific gamma imaging (BSGI), and molecular breast imaging (MBI) are considered investigational in all applications, including but not limited to their use as an adjunct to mammography or in staging the axillary lymph nodes. Preoperative or intraoperative sentinel lymph node detection using handheld or mounted mobile gamma cameras is considered investigational. The most commonly used radiopharmaceutical used in for BSGI or MBI is technetium Tc 99m sestamibi (marketed by Draxis Specialty Pharmaceuticals Inc., Cardinal Health 414, LLC, Mallinckrodt Inc., and Pharmalucence, Inc.). There is a specific HCPCS code for this radiopharmaceutical: A9500: Technetium Tc-99m sestamibi, diagnostic, per study dose, up to 40 millicuries. BlueCard/National Account Issues State or federal mandates (e.g., FEP) may dictate that all FDA-approved devices may not be considered investigational and thus these devices may be assessed only on the basis of their medical necessity.
A9500	TECHNETIUM TC 99M SESTAMIBI IV KIT	HCPCS	Preoperative or intraoperative sentinel lymph node detection using handheld or mounted mobile gamma cameras is considered investigational. The most commonly used radiopharmaceutical used in for BSGI or MBI is technetium Tc 99m sestamibi (marketed by Draxis Specialty Pharmaceuticals Inc., Cardinal Health 414, LLC, Mallinckrodt Inc., and Pharmalucence, Inc.). There is a specific HCPCS code for this radiopharmaceutical: A9500: Technetium Tc-99m sestamibi, diagnostic, per study dose, up to 40 millicuries. BlueCard/National Account Issues State or federal mandates (e.g., FEP) may dictate that all FDA-approved devices may not be considered investigational and thus these devices may be assessed only on the basis of their medical necessity. This policy was created in January 1998 and updated periodically with literature review.
36415	VENIPUNCTURE	HCPCS	This is a disservice to the patient who deserves to understand what they are being billed for, and can make a person feel intimidated and disempowered. Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them?
99202	PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	HCPCS	This is a disservice to the patient who deserves to understand what they are being billed for, and can make a person feel intimidated and disempowered. Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them?
V5060	HB HEARING AID REPLACEMENT	HCPCS	This is a disservice to the patient who deserves to understand what they are being billed for, and can make a person feel intimidated and disempowered. Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them?
D5110	PR COMPLETE DENTURE - MAXILLARY	HCPCS	This is a disservice to the patient who deserves to understand what they are being billed for, and can make a person feel intimidated and disempowered. Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them?
E0110	Crutch forearm pair	HCPCS	This is a disservice to the patient who deserves to understand what they are being billed for, and can make a person feel intimidated and disempowered. Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them?
86774	HC TETANUS ANTIBODY	HCPCS	This is a disservice to the patient who deserves to understand what they are being billed for, and can make a person feel intimidated and disempowered. Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them?
36415	VENIPUNCTURE	HCPCS	Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them? Although medical insurance coders go thru a rigorous training to earn a professional certificate, once out in the field, a medical coder’s efficiency varies widely.
99202	PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	HCPCS	Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them? Although medical insurance coders go thru a rigorous training to earn a professional certificate, once out in the field, a medical coder’s efficiency varies widely.
V5060	HB HEARING AID REPLACEMENT	HCPCS	Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them? Although medical insurance coders go thru a rigorous training to earn a professional certificate, once out in the field, a medical coder’s efficiency varies widely.
D5110	PR COMPLETE DENTURE - MAXILLARY	HCPCS	Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them? Although medical insurance coders go thru a rigorous training to earn a professional certificate, once out in the field, a medical coder’s efficiency varies widely.
E0110	Crutch forearm pair	HCPCS	Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them? Although medical insurance coders go thru a rigorous training to earn a professional certificate, once out in the field, a medical coder’s efficiency varies widely.
86774	HC TETANUS ANTIBODY	HCPCS	Are you in need of medical billing help? Call us today at 888.767.1077 or fill out our contact form and we’ll contact you ASAP! Three Different Medical Coding Systems With Examples: - CPT codes were developed by The American Medical Association (AMA) and are used by physicians and hospitals to describe services, such as: - 99202 – Office visit for new patient, under 20 minutes - 36415 – Drawing blood - 86774 – Tetanus shot - Level II HCPCS codes are used by Medicare to describe equipment and services that the CPT codes don’t include, such as: - V5060 – Hearing aid - D5110 – Dentures - E0110 – Crutches - ICD-9 and -10 codes consist of diagnosis codes that are used in conjunction with CPT codes by The World Health Organization, such as: - 650.0 – Normal childbirth delivery - 301.0 – Paranoid personality - 783.0 – Anorexia Benefits Of A Medical Coding Career: - A flexible schedule, able to work from home, low overhead - Short training time with online classes - High demand job with many opportunities - Health care field without the usual physical demands - Great pay Medical Coding Benchmarks Efficiency and accuracy are the ultimate goals of any medical coding professional and there are various degrees or levels of proficiency. How to establish productivity standards and improve on them? Although medical insurance coders go thru a rigorous training to earn a professional certificate, once out in the field, a medical coder’s efficiency varies widely.
1610	Anesthesia for Nerves, Muscles, Tendons, etc. Shoulder	HCPCS	American Medical Association: Find AMA / CPT codes. Centers For Medicare & Medicaid Services: Find HCPCS codes. Centers For Disease Control And Prevention: Find ICD-9 and ICD-10 codes. Are you in need of medical coding assistance? Call us today at 866.254.1610 or fill out our contact form and we’ll contact you ASAP!
1999	ANESTHESIOLOGY GROUP	CPT	Some codes are listed out of numerical sequence but close to similar procedures. It might appear a bit confusing, but since these codes are collected near similar procedures, there’s no need to delete and resequence codes, so it is sort of necessary. Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990.
00100	ANESTH SALIVARY GLAND	CPT	Some codes are listed out of numerical sequence but close to similar procedures. It might appear a bit confusing, but since these codes are collected near similar procedures, there’s no need to delete and resequence codes, so it is sort of necessary. Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990.
01999	Unlisted anesth procedure	CPT	Some codes are listed out of numerical sequence but close to similar procedures. It might appear a bit confusing, but since these codes are collected near similar procedures, there’s no need to delete and resequence codes, so it is sort of necessary. Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990.
1999	ANESTHESIOLOGY GROUP	CPT	It might appear a bit confusing, but since these codes are collected near similar procedures, there’s no need to delete and resequence codes, so it is sort of necessary. Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990. - Radiology: 70010 – 79999.
00100	ANESTH SALIVARY GLAND	CPT	It might appear a bit confusing, but since these codes are collected near similar procedures, there’s no need to delete and resequence codes, so it is sort of necessary. Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990. - Radiology: 70010 – 79999.
01999	Unlisted anesth procedure	CPT	It might appear a bit confusing, but since these codes are collected near similar procedures, there’s no need to delete and resequence codes, so it is sort of necessary. Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990. - Radiology: 70010 – 79999.
1999	ANESTHESIOLOGY GROUP	CPT	Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990. - Radiology: 70010 – 79999. - Pathology and Laboratory: 80047 – 89398.
00100	ANESTH SALIVARY GLAND	CPT	Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990. - Radiology: 70010 – 79999. - Pathology and Laboratory: 80047 – 89398.
01999	Unlisted anesth procedure	CPT	Here are the sections of Category I of the CPT codes, arranged by their numerical range: - Evaluation and Management: 99201 – 99499. - Anesthesia: 00100 – 01999; 99100 – 99140. - Surgery: 10021 – 69990. - Radiology: 70010 – 79999. - Pathology and Laboratory: 80047 – 89398.
0201	ICU-Intermediate	RC	Definition.—An inflammation of the pericardium or serous covering of Data from the NATIONAL HEALTH SURVEY Office Visits for Diseases of the Circulatory System The National Ambulatory Medical Care Survey United States, 1975-1976 ICD-10-CM Chapter 9: Diseases of the Circulatory System Rebecca Herrera, CCS, CCS -P, CPC, AHIMA . Approved ICD -10-CM/PCS Trainer . 2013 Indian Health Partnerships Conference HEART/CIRCULATORY SYSTEM: Diseases & Disorders . Explain the problem in each of the following and specifically what part of the cardiovascular system it affects. 4/16/2013 17 cm407 inpatient admission discharge summary admission date: 07/21/2011 discharge date: 07/28/0201 discharge diagnoses: 1.
00216	ANESTH HEAD VESSEL SURGERY	CPT	For this procedure, we’d code 35471 for “transluminal balloon angioplasty, percutaneous; renal or other visceral artery,” and we’d add the modifier -66 for “surgical team.” So we’d end up with 35471-66. Physical Status Modifier (for Anesthesia) Anesthesia procedures have their own special set of modifiers, which are simple and correspond to the condition of the patient as the anesthesia is administered. These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes As we said, these are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1.
00216	ANESTH HEAD VESSEL SURGERY	CPT	These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes As we said, these are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Modifiers Approved for Ambulatory Surgery Center (ASC) Hospital Outpatient Use CPT modifiers are also used in ambulatory surgery centers (ASC). These hospital outpatient facilities specialize in procedures where the patient leaves the same day.
00216	ANESTH HEAD VESSEL SURGERY	CPT	Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Modifiers Approved for Ambulatory Surgery Center (ASC) Hospital Outpatient Use CPT modifiers are also used in ambulatory surgery centers (ASC). These hospital outpatient facilities specialize in procedures where the patient leaves the same day. Note that there may be some overlap or contradiction with the set of HCPCS modifiers, which we’ll cover in more depth later on.
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	With appropriate training from an accredited education program, professional medical billers and certified medical coders navigate these issues every day as part of their workday routine. It is a rewarding career, and it is an essential part of the healthcare industry. Medical billing and medical coding are based on the Healthcare Common Procedural Coding System (HCPCS), the foundation of how medical claims are submitted to commercial health insurers and government healthcare programs. The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS.
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	It is a rewarding career, and it is an essential part of the healthcare industry. Medical billing and medical coding are based on the Healthcare Common Procedural Coding System (HCPCS), the foundation of how medical claims are submitted to commercial health insurers and government healthcare programs. The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS. Get Matched Up to a Medical Billing School How HCPCS Codes are Used The federal Centers for Medicare and Medicaid Services (CMS) oversees the definition and use of HCPCS codes.
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	Medical billing and medical coding are based on the Healthcare Common Procedural Coding System (HCPCS), the foundation of how medical claims are submitted to commercial health insurers and government healthcare programs. The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS. Get Matched Up to a Medical Billing School How HCPCS Codes are Used The federal Centers for Medicare and Medicaid Services (CMS) oversees the definition and use of HCPCS codes. HCPCS are divided in two levels.
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS. Get Matched Up to a Medical Billing School How HCPCS Codes are Used The federal Centers for Medicare and Medicaid Services (CMS) oversees the definition and use of HCPCS codes. HCPCS are divided in two levels. Level I codes are commonly referred to as CPT codes because they belong to the Current Procedural Terminology (CPT) administered by the American Medical Association (AMA).
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	NCCI was established to prevent fraud and abuse of the Medicare system by preventing improper payments for services. Medical billers with the proper training understand that HCPCS Level I codes are used to bill Medicare, a government health insurance program that covers 48 million Americans, who make up a large percentage of any healthcare facility’s patient population. Understanding the use of HCPCS Level I codes is essential for professional medical billers to obtain maximum, legal reimbursement for their employers. CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid.
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	Medical billers with the proper training understand that HCPCS Level I codes are used to bill Medicare, a government health insurance program that covers 48 million Americans, who make up a large percentage of any healthcare facility’s patient population. Understanding the use of HCPCS Level I codes is essential for professional medical billers to obtain maximum, legal reimbursement for their employers. CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs).
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	Understanding the use of HCPCS Level I codes is essential for professional medical billers to obtain maximum, legal reimbursement for their employers. CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs). Get Matched Up to a Medical Billing School HCPCS Codes and NCCI Medical billers and medical coders need to be aware of the current guidance established by the NCCI when they submit claims to Medicare.
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs). Get Matched Up to a Medical Billing School HCPCS Codes and NCCI Medical billers and medical coders need to be aware of the current guidance established by the NCCI when they submit claims to Medicare. While the guidelines are updated quarterly, a basic understanding of the use of HCPCS, and how they are meant to be used according to the NCCI, is essential to adapt to the ongoing changes in the healthcare industry.
1996	Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration	HCPCS	Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs). Get Matched Up to a Medical Billing School HCPCS Codes and NCCI Medical billers and medical coders need to be aware of the current guidance established by the NCCI when they submit claims to Medicare. While the guidelines are updated quarterly, a basic understanding of the use of HCPCS, and how they are meant to be used according to the NCCI, is essential to adapt to the ongoing changes in the healthcare industry. Employers can be assured that professional medical billers and certified medical coders have this understanding after they have successfully completed a formal program of study offered by an accredited institution that teaches medical billing and medical coding.
95027	PR INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY9/1992: Issued 2/1997: Revised: Limitation on number of tests; denial of repeat testing except in rare circumstances; moved two tests (nasal and conjunctival challenge) to Investigational list. 4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed.
95078	Provocative testing	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY9/1992: Issued 2/1997: Revised: Limitation on number of tests; denial of repeat testing except in rare circumstances; moved two tests (nasal and conjunctival challenge) to Investigational list. 4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed.
95027	PR INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE	HCPCS	POLICY HISTORY9/1992: Issued 2/1997: Revised: Limitation on number of tests; denial of repeat testing except in rare circumstances; moved two tests (nasal and conjunctival challenge) to Investigational list. 4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated.
95078	Provocative testing	HCPCS	POLICY HISTORY9/1992: Issued 2/1997: Revised: Limitation on number of tests; denial of repeat testing except in rare circumstances; moved two tests (nasal and conjunctival challenge) to Investigational list. 4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated.
95015	Id allergy titrate-drug/bug	HCPCS	POLICY HISTORY9/1992: Issued 2/1997: Revised: Limitation on number of tests; denial of repeat testing except in rare circumstances; moved two tests (nasal and conjunctival challenge) to Investigational list. 4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated.
95027	PR INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE	HCPCS	4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated. Additional information regarding Serial Endpoint Testing (SET) added to the description section of the policy.
95078	Provocative testing	HCPCS	4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated. Additional information regarding Serial Endpoint Testing (SET) added to the description section of the policy.
95015	Id allergy titrate-drug/bug	HCPCS	4/28/00 See clarification under POLICY. 5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated. Additional information regarding Serial Endpoint Testing (SET) added to the description section of the policy.
95027	PR INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE	HCPCS	5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated. Additional information regarding Serial Endpoint Testing (SET) added to the description section of the policy. Policy statement updated to include medically necessary indcations for Serial Endpoint Testing (SET).
95078	Provocative testing	HCPCS	5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated. Additional information regarding Serial Endpoint Testing (SET) added to the description section of the policy. Policy statement updated to include medically necessary indcations for Serial Endpoint Testing (SET).
95015	Id allergy titrate-drug/bug	HCPCS	5/23/2001: Code reference section updated; ICD-9 diagnosis codes 117.3, 496.7, and 708.3 deleted; non-covered codes table added 11/2001: Reviewed by MPAC; SDET or Rinkel Method changed to covered 2/11/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/5/2002: Code Reference section updated 6/12/2002: ICD-9 diagnosis code 117.3, 692.73 and 708.3 added, CPT code 95078 moved to covered 11/3/2004: Code Reference section updated, CPT code 95078 description revised covered codes, ICD-9 diagnosis code range 477.0-477.9, 692.0-692.6, 692.72-692.74 listed separately covered codes, ICD-9 diagnosis 989.5 description revised covered codes, ICD-9 diagnosis code 692.84, E906.4, V15.01, V15.02, V15.03, V15.04, V15.05, V15.06, V15.07, V15.08, V15.09 added 09/12/2006: Coding Updated. ICD-9 2006 revisions added to policy 10/25/2006: Policy updated to include allergy testing limits are per day 12/21/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 1/3/2007: Serial endpoint testing (SET) moved to investigational per BCBSA policy 1/4/2007: Code reference section updated; CPT 95027 moved to non-covered; describes SET 8/17/2007: Policy section partially re-written for clarity; no change in policy 8/22/2007: Code reference section reviewed. CPT 95015 moved to non-covered; describes SET 12/12/2007:Code reference section updated per the 2008 CPT/HCPCS revisions 12/24/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 6/16/2009: Policy statement updated. Additional information regarding Serial Endpoint Testing (SET) added to the description section of the policy. Policy statement updated to include medically necessary indcations for Serial Endpoint Testing (SET).
J9000	INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
38240	Transplt allo hct/donor	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
G0364	HC BONE MARROW ASPIRATE & BIOPSY	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
38205	PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
J9999	Not otherwise classified, antineoplastic drugs	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
38242	Transplt allo lymphocytes	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
86812	Immunologic analysis for autoimmune disease, A, B, or C, single antigen	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
86822	Lymphocyte culture primed	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
38204	PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
G0355	CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy.
J9000	INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy. 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/30/2008: Description updated, "high-dose chemotherapy" removed from policy title and statement.
38240	Transplt allo hct/donor	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy. 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/30/2008: Description updated, "high-dose chemotherapy" removed from policy title and statement.
G0364	HC BONE MARROW ASPIRATE & BIOPSY	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy. 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/30/2008: Description updated, "high-dose chemotherapy" removed from policy title and statement.
38205	PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy. 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/30/2008: Description updated, "high-dose chemotherapy" removed from policy title and statement.
J9999	Not otherwise classified, antineoplastic drugs	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy. 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/30/2008: Description updated, "high-dose chemotherapy" removed from policy title and statement.
38242	Transplt allo lymphocytes	HCPCS	The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.25 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC, no changes 10/19/2005: Code Reference section updated, codes G0355-G0364 added, 38204, 38205, 38240, 38242, 86812-86822, J9000-J9999 deleted; ICD9 procedure code 41.01, 41.09 added, 41.05, 41.08, 41.91 deleted; description of ICD9 procedure code 99.79 revised; HCPCS statement added on how to report J9000-J9999 codes. 03/10/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy. 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/30/2008: Description updated, "high-dose chemotherapy" removed from policy title and statement.

Subsets and Splits

No community queries yet

The top public SQL queries from the community will appear here once available.