November 2013 Medical Coding Q&A Webinar

Coding Certification Q & A Webinar- November 2013

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Poll

Poll - What region of the country are you from?

Granularity and Laterality

A student asked: “There are terms used in ICD-10-CM that I

did not see in ICD-9-CM. Can you explain granularity and

laterality?”

ANSWER

For code 90636 "stuff" HepA & HepB would i use

"stick" code 90471. Code 90645 (4 dose schedule)

is each dose scheduled at different times if so would

you use "stuff code" 90645 and "stick code" 90471

ANSWER

Stick & Stuff Codes

OBV vs ER

My question is simple.. when there is a 760 OBV

charge on the claim with an 450 ER charge as well.

That claim is no longer a ER bill correct?

ANSWER

Pre-anesthesia consultation (ie referral by the

surgeon to the anesthetist) prior to surgery, can

someone explain to me the criteria for code

selection 99241,99242,99243,99244 or 99245?

Because many times HPI will have few elements

only when Medical decision making will be High.

ANSWER

Anesthesia Consultation

Glaucoma Coding

For Glaucoma bilateral dif types and dif stages, code each

type but highest stage correct? Thanks, Carolyn

ANSWER

Hi! So if you are coding for the physician services only in the ED setting and the physician is NOT an employee of the hospital - he is independent of the hospital, and the patient is admitted to the hospital do you code the level charge from 99221-99223 or 99281-99285 for the physician services? Thanks! Linda ANSWER

Physician Services 99221 or 99281

Modifiers OB and OA

Was doing a practice test and came across this question.

"Which modifier would you use to report with code 88239 if

the test was looking for hereditary cancer?" I can't even

find these modifiers in my book(CPT prof edition) the

answer sheet reports to look in Appendix I under sub

category Cytogenetic studies.Thanks ....Sue

ANSWER

When coding continuous nerve blocks 64415,

64446 or 64448 how do you code for the follow up

when the patient is sent home with the catheter

and the follow up is being done via telephone by

the anesthesiologist?

ANSWER

Nerve Block Follow Up

Sports Physical

If a provider has coded a V70.3 sports physical &

throughout document states and supports the well child

check V20.2 and he has charged out an (regular E & M

99213 with V70.3) is a coder allowed to change the codes

to preventative code 99383 w/V20.2 as long as

documentation is there?

ANSWER

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