9781603597593

Table of Contents


	List of Figures	ix
	List of Tables	xiii
	Preface	xv
	Acknowledgments	xvii
	Continuing Education Units	xix
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	1
	Maintenance of the CPT Code Set	2
	Requests for CPT Code Set Changes	3
	The CPT Code Set Change Process	4
	Categories of CPT Codes	6
	Implementation Dates for CPT Codes	15
	The Healthcare Common Procedure Coding System	16
	Chapter 1 Exercises	17
Chapter 2	Evaluation and Management Services	19
	Classification of E/M Services	20
	Definitions of Commonly Used Terms	24
	Instructions for Selecting a Level of E/M Service	26
	A Review of the Categories and Subcategories of E/M Services	33
	Procedures Included With E/M Codes	70
	Documentation Guidelines	70
	Who Can Report E/M Codes	71
	Chapter 2 Exercises	72
Chapter 3	Anesthesia	75
	Reporting Basic Anesthesia Administration Services	75
	Types of Anesthesia	76
	Monitored Anesthesia Care (MAC)	76
	Time Reporting	77
	Anesthesia Modifiers	77
	Reporting Multiple Surgical Procedures	77
	Qualifying Circumstances	79
	Chapter 3 Exercises	80
Chapter 4	Surgery	81
	Surgery Guidelines	82
	General	86
	Integumentary System	86
	Musculoskeletal System	106
	Respiratory System	131
	Cardiovascular System	141
	Digestive System	170
	Urinary System	187
	Female Genital System	197
	Maternity Care and Delivery	204
	Nervous System	210
	Eye and Ocular Adnexa	236
	Auditory System	247
	Operating Microscope	251
	Chapter 4 Exercises	253
Chapter 5	Radiology	261
	Introduction to Radiology	261
	Supervision and Interpretation	263
	Administration of Contrast Materials	264
	Supply of Contrast Materials and Radiopharmaceuticals	265
	Written Reports	265
	Interpretation of Outside Films	266
	Diagnostic Radiology (Diagnostic Imaging)	266
	Computed Tomography of Abdomen and Pelvis	270
	Interventional Radiology	270
	Nonvascular interventions! Radiology	272
	Vascular Interventional Radiology	273
	Diagnostic or Therapeutic Services	275
	Diagnostic Ultrasound	276
	Radiological Guidance	279
	Breast, Mammography	280
	Radiation Oncology	281
	Nuclear Medicine	289
	Chapter 5 Exercises	292
Chapter 6	Pathology and Laboratory	293
	Collection of Specimen	293
	Organ or Disease-Oriented Panels	294
	Drug Testing	295
	Therapeutic Drug Assays	298
	Evocative or Suppression Testing	299
	Consultations (Clinical and Surgical Pathology)	299
	Urinalysis	302
	Molecular Pathology	303
	Multianalyte Assays with Algorithmic Analyses	305
	Chemistry	306
	Hematology and Coagulation	306
	Transfusion Medicine	308
	Microbiology	309
	Cytopathology	311
	Cytogenetic Studies	314
	Surgical Pathology	315
	In Vivo (eg, Transcutaneous) Laboratory Procedures	320
	Reproductive Medicine Procedures	321
	Other Procedures	321
	Chapter 6 Exercises	322
Chapter 7	Medicine	323
	Immunizations	323
	Psychiatry	330
	Hemodialysis	334
	End-Stage Renal Disease Services	335
	Gastroenterology	335
	Ophthalmology	338
	Special Otorhinolaryngologic Services	341
	Cardiovascular	346
	Pulmonary	370
	Allergy and Clinical Immunology	375
	Endocrinology	380
	Neurology and Neuromuscular Procedures	380
	Medical Genetics and Genetic Counseling Services	390
	Health and Behavior Assessment and Intervention	391
	Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration	391
	Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration)	394
	Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration	394
	Photodynamic Therapy	396
	Special Dermatologic Procedures	397
	Physical Medicine and Rehabilitation	397
	Medical Nutrition Therapy	404
	Acupuncture	405
	Osteopathic Manipulative Treatment	405
	Chiropractic Manipulative Treatment	406
	Education and Training for Patient Self-management	406
	Non-Face-to-Face Nonphysician Services	407
	Special Services, Procedures, and Reports	407
	Moderate (Conscious) Sedation	409
	Home Health Procedures/Services Including Home Infusion Procedures/Services	411
	Medication Therapy Management Services	411
	Chapter 7 Exercises	413
Chapter 8	Modifier	417
	Modifier 22	417
	Modifier 23	418
	Modifier 24	418
	Modifier 25	419
	Modifier 26	419
	Modifier 32	420
	Modifier 33	421
	Modifier 47	421
	Modifier 50	421
	Modifier 51	423
	Modifier 52	423
	Modifier 53	424
	Modifiers 54,55, and 56	424
	Modifier 57	425
	Modifier 58	425
	Modifier 59	426
	Modifier 62	427
	Modifier 63	428
	Modifier 66	429
	Modifiers 76,77,78, and 79	429
	Modifiers 80,81, and 82	430
	Modifier 90	431
	Modifier 91	432
	Modifier 92	432
	Modifier 99	432
	Modifiers Approved for Ambulatory Surgery Center (ASC) Hospital Outpatient Use	433
	Chapter 8 Exercises	444
Appendix A	Chapter Exercise Answers	447
Appendix B	Resources	461
	Subject Index	465
	Code Index	489