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Emergency Department (ED) sample medical coding chart 1 Chief Complaint & History of Present Illness : 19 year old male presents for headache.Patient states his symptoms started approximately six days ago with a left sided headache.He describes his pain as a throbbing sensation on the left side of his head and rates the pain … Read more
Basics of 97535 CPT code A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease. Below is the description of 97535 CPT code. 97535 – Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use … Read more
Basics about LEEP CPT code 57460 & 57461 LEEP stands for Loop Electrosurgical Excision Procedure. It is done for treatment of cervical cancer. In this exam, an electrical wire loop is used for removing abnormal cells from your cervix. LEEP exam is done once any abnormality was seen during a pap test, colposcopy or biopsy. … Read more
Basics of CPT code 92081, 92081 and 92083 As medical coders we have to know about each procedure code because mainly billing is dependent on CPT codes. Even a single change in digit of CPT code will change the dollar value of that procedure code hence medical coders should accurately report the CPT codes. Today, … Read more
Hallux valgus (bunion) is a common forefoot deformity, which typically comprised of a bony prominence at the distal metaphysis (head) of the first metatarsal, lateral deviation of the great toe (hallux) at the first metatarsophalangeal joint, and valgus rotation of the hallux. A bunion is simple the prominence over the first metatarsal. This can be … Read more
Question 1 A patient receives two vaccines that are administered intramuscularly and two vaccines that are administered orally. The patient receives no counseling on the vaccines. Which codes should be used to report these services? A. 90471 x2, 90473 x2 B. 90471, +90472, 90473, +90474 C. 90471, +90472, +90474 x2 D. 90460, +90461 x3 Question … Read more
Basics about X ray Chest Cpt Code 71045-71048 X rays are the most frequently coded charts in the profession of medical coding. As we know, the most commonly coded x rays are chest x rays. Chest x rays have different CPT codes depending on the number of views. Their are new CPT codes for Chest X-ray … Read more
What is GP Modifier? The GP modifier indicates that a physical therapist’s services have been provided. It’s commonly used in inpatient and outpatient multidisciplinary settings. It’s also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers. Be aware that some payers require use of a therapy modifier … Read more
The sacroiliac joint or SI joint (SIJ) is the joint between the sacrum and the ilium bones of the pelvis, which are connected by strong ligaments. The SI joints bear the weight of the trunk and as a result are subject to the development of strain and/or pain. We have already learnt about coding epidural injection codes 62320,62321, 62322, 62323, … Read more
Coding description of CPT code 90460 & 90461 90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered The physician or other qualified health care professional instructs the patient or family on … Read more