9781603591447

Table of Contents


	List of Figures	ix
	List of Tables	xi
	Preface	xv
	Acknowledgments	xvii
	Educator Materials	xix
	Continuing Education Units	xxi
Chapter 1	Introduction to the CPT Code Set	1
	The CPT Code Set	1
	Use of the CPT Code Set	1
	Development of the CPT Code Set	2
	Maintenance of the CPT Code Set	3
	Requests for CPT Code Set Changes	4
	The CPT Code Set Change Process	5
	Categories of CPT Codes	8
	Implementation Dates for CPT Codes	19
	The HCPCS Coding System	19
	Chapter 1 Exercises	21
Chapter 2	CPT Code Set Basics	23
	Section Numbers and their Sequences	23
	Instructions for Using CPT Nomenclature	24
	Placement of a Code in the CPT Code Set	24
	Format of the Terminology	26
	Code Symbols	26
	Guidelines	26
	Modifiers	28
	Unlisted Procedure or Service	29
	Appendixes	29
	Alphabetic Index	32
	Chapter 2 Exercises	33
Chapter 3	Evaluation and Management Services	35
	Classification of E/M Services	36
	Definitions of Commonly Used Terms	41
	Instructions for Selecting a Level of E/M Service	43
	A Review of the Categories and Subcategories of E/M Services	51
	Procedures Included with E/M Codes	93
	Documentation Guidelines	94
	Who can Report E/M Codes	94
	Chapter 3 Exercises	95
Chapter 4	Anesthesia	99
	Reporting Basic Anesthesia Administration Services	99
	Types of Anesthesia	101
	Monitored Anesthesia Care	101
	Time Reporting	102
	Anesthesia Modifiers	102
	Reporting Multiple Surgical Procedures	102
	Qualifying Circumstances	105
	Chapter 4 Exercises	107
Chapter 5	Surgery	109
	Surgery Guidelines	111
	General	118
	Integumentary System	119
	Musculoskeletal System	143
	Respiratory System	172
	Cardiovascular System	183
	Digestive System	210
	Urinary System	231
	Female Genital System	243
	Maternity Care and Delivery	252
	Nervous System	260
	Eye and Ocular Adnexa	290
	Auditory System	304
	Operating Microscope	310
	Chapter 5 Exercises	311
Chapter 6	Radiology	319
	Introduction to Radiology	319
	Supervision and Interpretation	322
	Administration of Contrast Materials	323
	Supply of Contrast Materials and Radiopharmaceuticals	324
	Written Reports	325
	Interpretation of Outside Films	325
	Diagnostic Radiology (Diagnostic Imaging)	32
	Interventional Radiology	330
	Nonvascular Interventional Radiology	332
	Vascular Interventional Radiology	333
	Diagnostic Ultrasound	339
	Radiological Guidance	341
	Breast, Mammography	342
	Radiation Oncology	344
	Nuclear Medicine	354
	Chapter 6 Exercises	356
Chapter 7	Pathology and Laboratory	359
	Collection of Specimen	360
	Organ- or Disease-Oriented Panels	360
	Drug Testing	362
	Therapeutic Drug Assays	365
	Evocative and Suppression Testing	366
	Anatomic Pathology Consultations	367
	Urinalysis	371
	Chemistry	372
	Hematology and Coagulation	373
	Microbiology	375
	Cytopathology	377
	Fine Needle Aspiration	381
	Cytogenetic Studies	381
	Surgical Pathology	382
	In Vivo (Eg, Transcutaneous) Laboratory Procedures	389
	Reproductive Medicine Procedures	389
	Chapter 7 Exercises	391
Chapter 8	Medicine	393
	Immunizations	393
	Psychiatry	399
	End-Stage Renal Disease Services	405
	Gastroenterology	406
	Ophthalmology	408
	Special Otorhinolaryngologic Services	413
	Cardiovascular	417
	Noninvasive Vascular Diagnostic Studies	441
	Pulmonary	442
	Allergy and Clinical Immunology	471
	Endocrinology	451
	Neurology and Neuromuscular Procedures	452
	Medical Genetics and Genetic Counseling Services	463
	Health and Behavior Assessment and Intervention	463
	Hydration, Therapeutic, Prophylactic Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration	463
	Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration)	464
	Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration	465
	Photodynamic Therapy	467
	Special Dermatologic Procedures	467
	Physical Medicine and Rehabilitation	468
	Medical Nutrition Therapy	474
	Acupuncture	477
	Osteopathic Manipulative Treatment	477
	Chiropractic Manipulative Treatment	477
	Education and Training for Patient Self-Management	478
	Non-Face-To-Face Nonphysician Services	478
	Special Services, Procedures, and Reports	479
	Moderate (Conscious) Sedation	481
	Home Health Procedures/Services Including Home Infusion Procedures/Services	483
	Medication Therapy Management Services	484
	Chapter 8 Exercises	485
Chapter 9	Modifiers	487
	Modifier 22	488
	Modifier 23	488
	Modifier 24	489
	Modifier 25	489
	Modifier 26	490
	Modifier 32	491
	Modifier 47	492
	Modifier 50	492
	Modifier 51	493
	Modifier 52	494
	Modifier 53	495
	Modifiers 54, 55, and 56	495
	Modifier 57	496
	Modifier 58	497
	Modifier 59	498
	Modifier 62	499
	Modifier 63	501
	Modifier 66	502
	Modifiers 76, 77, 78, and 79	502
	Modifiers 80, 81, and 82	504
	Modifier 90	505
	Modifier 91	506
	Modifier 92	506
	Modifier 99	506
	Modifiers Approved for Ambulatory Surgery Center (ASC) Hospital Outpatient Use	507
	Chapter 9 Exercises	521
Appendix A	How to Code From an Operative Report	523
Appendix B	National Correct Coding Initiative Edits	529
Appendix C	Chapter Exercise Answers	535
Appendix D	Resources	549
	Subject Index	553
	Code Index	571