Thursday, December 20, 2012

  
CURRENT PROCEDURAL TERMINOLOGY (CPT) IS A SET OF CODES THAT DESCIBE OUTPATIENT  SERVICES AND PROCEDURES PERFORMED BY HEALTH CARE PROFESSIONALS. THIS IS MY FIRST BLOG SO I WILL START OFF BY TALKING ABOUT THE FIRST MAJOR SECTION OF THE CPT WHICH IS EVALUATION AND MANAGEMENT (E/M). IN THE E/M SECTION THERE IS A WIDE RANGE OF CATEGORIES SUCH AS OFFICE VISITS, HOSPITAL VISITS, CONSULTATIONS, CRITAL CARE SERVICES, NURSING FACILITY SERVICES, AND HOME SERVICES JUST TO NAME A FEW. MANY OF THE CATEGORIES ARE DIVIDED INTO SUBCATEGORIES, NEW PATIENT AND ESTABLISH PATIENTS, EACH CATEGORY WILL HAVE A SET OF CODES FOR NEW AND
ESTABLISHED PATIENTS. YOUR JOB AS A CODER BEGINS HERE.
FOR REPORTING PURPOSES THERE ARE 3 TO 5 LEVELS OF E/M SERVICES THAT ARE REQUIRED TO DETERMINE THE LOCATION AND NEED FOR TREATMENT AND APPROPRIATE CARE OF THE PATIENT. THOSE LEVELS ARE:
  • EXAMINTIONS
  • TREATMENTS
  • CONFERENCES
  • PREVENTIVE PEDIATRIC & ADULT HEALTH SUPERVISION
NOW THERE ARE 7 COMPONENTS THAT ARE DESCRIPTORS  FOR THE LEVELS OF E/M SERVICES, THEY ARE:  
  • EXAMINATIONS
  • MEDICAL DECISION MAKING
  • COUNSELING
  • COORDINATION OF CARE
  • NATURE OF PRESENTING PROBLEM
  • TIME
 JUST BARLEY TOUCHING THE SURFACE OF E/M CODING THE CPT IS DESINGNED
TO BREAK DOWN ALL SECTIONS, CATEGORIES, SUBCATEGORIES AND LEVELS, INTO A FIVE DIGIT CODE SO YOU CAN BILL INSURANCE COMPANIES AND THIRD PARTY PAYERS.




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