AMA Issues CPT Codes for COVID-19 Vaccine for Pediatric Doses of Pfizer

The American Medical Association (AMA) has issued new Current Procedural Terminology (CPT) codes for pediatric doses of the Pfizer COVID-19 vaccine. In September 2021, Pfizer and BioNTech shared the results of a Phase 2/3 clinical trial in which two doses of the vaccine elicited a strong immune response in children ages 5 to 11. Following the trial, the … Read more

Sample coded surgery Medical coding charts Part 14

Medical coding Sample report 1 Pre-op Diagnosis: Left hip recurrent acetabular labral tear Post-op Diagnosis: Same Procedure: Left hip acetabular labral reconstruction using semi tendinosis allograft 6 mm in diameter.  Revision cam resection or femoral osteoplasty Implants:  Five cinch lock anchors and 1 NanoTack anchor from Stryker Anesthesia Type: GETA and regional (Fascia iliacus block) … Read more

Medicare covered COVID-19 Vaccine Boosters

Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose of the COVID-19 vaccine to certain patients. Here’s what you need to know for Medicare claims. The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for both the Pfizer BioNTech COVID-19 vaccine … Read more

Sample Coded Surgery Medical coding charts Part 13

Medical coding Sample Report 1 EXAM: MAMMO US BIOPSY LYMPH NODE RT COMPARISON: None REASON FOR EXAM: N63.10-Breast mass, right ADDITIONAL HISTORY: . INFORMED CONSENT: Prior to the procedure in an non-coercive space, the patient was advised as to the nature of the procedure including placement of markers, alternatives, benefits, and risks including but not … Read more

Sample Coded Surgery Medical coding charts Part 12

Medical coding Sample Report 1 EXAM DESCRIPTION:  IR cvc port removal CLINICAL HISTORY:  Port removal CONSENT:  The procedure, risks, benefits, and alternatives were discussed with thepatient, and all questions were answered. Informed consent was obtained verbally and in writing. NURSING/MEDICATIONS:  Continuous cardiorespiratory monitoring was provided throughout the examination.  Local anesthesia only PROCEDURE:  The patient was … Read more

Sample coded Surgery Medical coding charts Part 10

Medical coding Sample Chart 1 PREOPERATIVE DIAGNOSIS: Recurrent streptococcal adenotonsillitis POSTOPERATIVE DIAGNOSIS:  Same ANESTHESIA:  General by endotracheal tube. COMPLICATIONS:  None. OPERATION/PROCEDURE: Traditional tonsillectomy and adenoidectomy. FINDINGS:Tonsils:  3+, significant scar to superior constrictor muscle  Adenoids: 1+ INDICATION:  Recurrent streptococcal adenotonsillitis DESCRIPTION OF PROCEDURE:  After informed consent was obtained in the preoperative holding area, the patient was … Read more

AMA issues codes for pending Novavax vaccine: COVID update

The AMA released a series of codes that would be eligible for reporting a COVID-19 vaccine under development by Novavax Inc. While the Novavax vaccine has yet to gain clearance from the U.S. Food and Drug Administration, the Gaithersburg, Md.-based biotechnology company has accelerated its testing and development and plans to ship hundreds of millions of products to the … Read more

AMA new update to COVID-19 vaccine CPT codes

The American Medical Association (AMA) today announced that the Current Procedural Terminology (CPT®) code set is being updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to the COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The new CPT codes will be effective for use … Read more

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