Coding Certification Q & A Webinar- October 2013

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Poll - How many CCO webinars have you attended?

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Poll

Poll - What coding credential do you have?

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Poll - What coding credential do you WANT?

Medical Terminology & Anatomy Course (MTA) Physician Based Coding Course (PBC) (CPC course) Facility Based Medical Coding (FBC) (CPC-H course) Review Blitz Video Package (included in PBC) Mini-Mock Practice Exams CEU Classes (On Demand) ICD-10-CM MiniCourse ICD-10 FULL Course

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Poll

Poll - What region of the country are you from?

2 more weeks to go before my CPC test---How

should I utilize these next few weeks? - Rosetta

ANSWER

How should I study for the CPC exam?

Valerie asked, “What do RBRVS and GPCI stand for? I keep seeing this and have not found an easy answer yet?” ANSWER

RBRVS and GPCI

I'm confused about coding from this bubble. - Luna

· 93015 Cardiovascular stress test using maximal or submaximal treadmill

or bicycle exercise, continuous electrocardiographic monitoring, and/or

pharmacological stress; with supervision, interpretation and report

· 93016 supervision only, without interpretation and report

· 93017 tracing only, without interpretation and report

· 93018 interpretation and report

ANSWER

Bubble 93015 - 93018

Crosswalking ICD-9 to ICD 10

Please demonstrate this during a monthly webinar. Thank

you!

ANSWER

I am interested in learning about providers billing a

patient as new and established at the same time. I

came across a claim the provider billed three lines of

service. A 99386 - Preventative visit - dx - Well GYN

exam. The 2nd line billed the Q code which is ok, they

also attached a 25 modifier to 99386. The 3rd line

billed a 99213 - Established Patient - Office or other

outpatient visit, attached a modifier 25 to this code as

well. ANSWER

Billing a Patient as New & Established

S42.271A Torus fracture of upper end of right humerus, initial encounter

(with Dr. A) for closed fracture.

S42.271G Torus fracture of upper end of right humerus, subsequent

encounter for fracture with delayed healing (with Dr. A).

Suppose the patient seeks out Dr. B at another practice to go to when they

experience delayed healing.... would it still be coded S42.271G even

though it was the initial visit for that doctor?

ANSWER

7th Digits & ICD-10 Terminology

Hi, I code cpt 36415 along with labs and have

noticed that Medicare and most other carries,

deny as global (considered routine & is not

covered) except when billed with "Physicals", I

have also noticed 36415 is not anywhere on CCI

edits however 36410 is. Is 36410 the preferred

venipuncture code for lab draws now? - Teresa

ANSWER

CPT 36415 replaced with 36410?

Mutually Exclusive Procedures

Which one of these procedures is not considered a

mutually exclusive procedure?

A. Bilateral DM foot exam on a BKA

B. Mammogram on male patient

C. PSA test on Mrs. Jones

D. Pregnancy test on post-hysterectomy patient

POLL / ANSWER

Mutually Exclusive Procedures

Correct Answer

B. Mammogram on male patient

I know one is by the MD and he is to be doing

face to face and give the shots not the RN, is

that correct? If it is given and a face to face with

a PA or a NP etc that is coded another way.

Can you go over the scenarios? This has been

a point of contention and how to interpret this

guideline at our office. Much appreciated.

ANSWER

Vaccine Administration

Reimbursement ICD-9-CM or CPT

Is reimbursement based on ICD-9-CM or CPT codes.

ANSWER

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