BOOK
The Next Step: Advanced Medical Coding and Auditing, 2013 Edition - E-Book
(2013)
Additional Information
Book Details
Abstract
Learning advanced medical coding concepts is easy with Carol J. Buck's proven, step-by-step method! The Next Step: Advanced Medical Coding and Auditing, 2013 Edition provides an in-depth understanding of physician-based medical coding and coding services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Patient cases reflect actual medical records — with personal details changed or removed — and give you real-world experience coding from physical documentation with advanced material. Enhance your clinical decision-making skills and learn to confidently pull the right information from documents, select the right codes, determine the correct sequencing of those codes, properly audit cases, and prepare for the transition to ICD-10-CM with the help of Carol J. Buck!
- Auditing cases in every chapter offer realistic experience with auditing coded reports.Â
- UNIQUE! Evaluation and Management (E/M) Audit Forms, developed to determine the correct E/M codes, simplify the coding process and help you ensure accuracy.
- Dual Coding prepares you for the switch to ICD-10 by accompanying all ICD-9 answers with corresponding codes from ICD-10-CM.
- Realistic patient cases simulate the professional coding experience by using actual medical records (with personal patient details changed or removed), allowing you to practice coding with advanced material.
- UNIQUE! Netter anatomy plates in each chapter help you understand anatomy and how it affects coding.
- From the Trenches boxes in each chapter highlight real-life medical coders and provide practical tips, advice, and encouragement.
- More than 175 illustrations and a full-color design make advanced concepts more accessible and visually engaging.
- Stronger focus on auditing cases prepares you to assign correct codes to complicated records, as well as audit records for accuracy.Â
- Updated content presents the latest coding information so you can practice with the most current information available.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| Front matter | v | ||
| The next step advanced medical coding and auditing 2013 edition | vii | ||
| Dedication | ix | ||
| Collaborators and reviewers | xi | ||
| Table of contents | xiii | ||
| Preface | xv | ||
| Types of codes | xv | ||
| A. determining the appropriate primary diagnosis code for diagnostic tests ordered due to signs and/or symptoms | xvi | ||
| Content | xvi | ||
| Case numbering system | xvii | ||
| Report format | xix | ||
| Multiple modifiers | xx | ||
| Use of modifiers -26 and -tc | xxi | ||
| Pathology and laboratory | xxi | ||
| Glossary | xxiii | ||
| Evaluation | xxiii | ||
| Web | xxiii | ||
| A special note | xxiii | ||
| The top 10 list for coders | xxiv | ||
| Acknowledgments | xxv | ||
| List of physicians | xxvii | ||
| 1 Evaluation and management services | 1 | ||
| E/m review—the basics | 2 | ||
| Three factors of e/m code | 2 | ||
| Place of service | 2 | ||
| Type of service | 2 | ||
| Patient status | 2 | ||
| Key components | 2 | ||
| History | 2 | ||
| Chief complaint. | 3 | ||
| History of present illness. | 3 | ||
| Review of systems (ros). | 4 | ||
| Past, family, social history. | 6 | ||
| History levels | 7 | ||
| Problem focused. | 7 | ||
| Expanded problem focused. | 7 | ||
| Detailed. | 7 | ||
| Comprehensive. | 7 | ||
| Examination | 7 | ||
| General (constitutional) (os) | 8 | ||
| Body areas | 9 | ||
| Organ systems | 9 | ||
| Medical decision making complexity | 11 | ||
| Number of diagnoses or management options. | 12 | ||
| Data to be reviewed. | 12 | ||
| Risk. | 12 | ||
| Audit form with all key components | 13 | ||
| Contributory factors | 14 | ||
| Counseling | 14 | ||
| Coordination of care | 14 | ||
| Nature of presenting problem | 14 | ||
| Time | 16 | ||
| Hospital inpatient services | 16 | ||
| Initial hospital care | 17 | ||
| Subsequent hospital care | 17 | ||
| Observation or inpatient care services (including admission and discharge services) (99234-99236) | 17 | ||
| Hospital discharge services | 17 | ||
| Diagnosis coding | 18 | ||
| Inpatient and outpatient coders | 19 | ||
| Time to code! | 20 | ||
| Discussion | 21 | ||
| Diabetic ketoacidosis | 21 | ||
| Asthma | 21 | ||
| Assignment of e/m code | 21 | ||
| History level | 21 | ||
| Examination | 22 | ||
| Medical decision making complexity (mdm) | 23 | ||
| Level of diagnoses/management options | 23 | ||
| Level of data to review | 23 | ||
| Level of risk | 23 | ||
| Hospital discharge services | 24 | ||
| Consultations, prolonged services, standby, and critical care services | 39 | ||
| Consultation services | 39 | ||
| Office or other outpatient consultations | 40 | ||
| Inpatient consultations | 40 | ||
| Critical care services | 40 | ||
| Prolonged services | 41 | ||
| Standby services | 42 | ||
| Cerebral hemorrhage | 50 | ||
| Office and other outpatient services | 60 | ||
| Hospital observation services | 62 | ||
| Observation care services | 62 | ||
| Initial and subsequent observation care | 62 | ||
| Observation care discharge services | 63 | ||
| Neonatal care services | 65 | ||
| Neonatal critical care (ncc) | 66 | ||
| Newborn care (nc) | 66 | ||
| Newborn diagnosis coding | 67 | ||
| Reporting the liveborn infant | 67 | ||
| Disorders relating to short gestation and low birth weight | 67 | ||
| Preventive medicine services | 74 | ||
| Z codes/v codes | 74 | ||
| Audit report 1.1 emergency department services | on1 | ||
| Audit report 1.2 progress note | on1 | ||
| Audit report 1.3 consultation | on2 | ||
| Audit report t1.1 office visit | on4 | ||
| T1.2 observation | on4 | ||
| Audit report 1.1 emergency department services | on6 | ||
| Audit report 1.2 progress note services | on8 | ||
| Audit report 1.3 consultation | on10 | ||
| Audit report t1.1 office visit | on12 | ||
| T1.2 observation | on14 | ||
| 2 Medicine | 83 | ||
| Immune globulins/immunizations/vaccines (90281-90749) | 84 | ||
| Diagnoses coding for vaccinations and immune globulins | 85 | ||
| Hydration, (96360, 96361); and therapeutic, prophylactic, and diagnostic injections and infusions (excludes chemotherapy a ... | 87 | ||
| Hydration | 87 | ||
| Therapeutic, prophylactic, and diagnostic injections and infusions (excludes chemotherapy and other highly complex drug or ... | 88 | ||
| Psychiatry | 89 | ||
| Dialysis | 91 | ||
| Peritoneal dialysis | 93 | ||
| Complications | 94 | ||
| Noninvasive vascular diagnostic studies | 97 | ||
| Late effects | 98 | ||
| Cardioversion | 99 | ||
| Ultrasound | 100 | ||
| Codes reviewed elsewhere | 101 | ||
| Central nervous system assessments/tests (e.g., neurocognitive, mental status, speech testing) | 101 | ||
| Dementia | 101 | ||
| Health and behavior assessment/intervention | 103 | ||
| Chemotherapy administration (96401-96549) | 104 | ||
| Diagnosis coding for chemotherapy | 104 | ||
| Photodynamic therapy | 105 | ||
| Physical medicine and rehabilitation | 106 | ||
| Medical nutrition therapy | 109 | ||
| Osteopathic and chiropractic manipulative treatment | 109 | ||
| Special services, procedures, and reports | 109 | ||
| Hcpcs level II modifiers | 109 | ||
| Audit report 2.1 chart note | on17 | ||
| Audit report 2.2 vascular laboratory report, duplex venous examination | on17 | ||
| Audit report 2.3 photodynamic therapy | on17 | ||
| Audit report t2.1 physical therapy evaluation | on18 | ||
| Audit report t2.2 ultrasound, lower extremities | on18 | ||
| Audit report 2.1 chart note | on19 | ||
| Audit report 2.2 vascular laboratory report, duplex venous examination | on19 | ||
| Audit report 2.3 photodynamic therapy | on19 | ||
| Audit report t2.1 physical therapy evaluation | on20 | ||
| Audit report t2.2 ultrasound, lower extremities | on20 | ||
| 3 Radiology | 114 | ||
| Positions and placement | 115 | ||
| Component coding | 118 | ||
| Interventional radiology | 119 | ||
| Contrast | 119 | ||
| Facility specifics | 120 | ||
| Diagnostic radiology | 120 | ||
| Hemodialysis catheter placement | 120 | ||
| Types of catheters | 121 | ||
| Nasogastric tube | 122 | ||
| Cine-pharyngoesophagram | 125 | ||
| Cat/ct scans | 125 | ||
| Reconstruction | 126 | ||
| Congestive heart failure | 127 | ||
| Hypoxemia | 127 | ||
| CT guidance | 133 | ||
| Ultrasound | 135 | ||
| Modes and scans | 135 | ||
| Ultrasound guidance | 139 | ||
| Radiation oncology | 140 | ||
| Clinical treatment planning | 140 | ||
| Simulation | 140 | ||
| Radiation treatment management | 140 | ||
| Proton beam treatment delivery | 141 | ||
| Hyperthermia | 141 | ||
| Clinical brachytherapy | 141 | ||
| Treatment delivery | 144 | ||
| Nuclear medicine | 145 | ||
| Interventional radiology | 147 | ||
| Central venous access procedures | 147 | ||
| Audit report 3.1 ct scan, abdomen and pelvis | on21 | ||
| Audit report 3.2 ct scan, chest, abdomen, and pelvis | on21 | ||
| Audit report 3.3 ultrasound, abdomen | on22 | ||
| Audit report t3.1 ct scan, abdomen and pelvis | on23 | ||
| Audit report t3.2 ultrasound, renal | on23 | ||
| Audit report 3.1 ct scan, abdomen and pelvis | on25 | ||
| Audit report 3.2 ct scan, chest, abdomen, and pelvis | on25 | ||
| Audit report 3.3 ultrasound, abdomen | on25 | ||
| Audit report t3.1 ct scan, abdomen and pelvis | on26 | ||
| Audit report t3.2 ultrasound, renal | on26 | ||
| 4 Pathology and laboratory | 154 | ||
| Types of services | 155 | ||
| Superbill/requisition form | 155 | ||
| Organ- or disease-oriented panels | 157 | ||
| Therapeutic drug assays | 159 | ||
| Urinalysis, molecular pathology and chemistry | 160 | ||
| Urine/stool | 161 | ||
| Timed urine | 161 | ||
| Molecular pathology | 162 | ||
| Chemistry | 162 | ||
| Calculations | 163 | ||
| Chromatography | 165 | ||
| Hematology and coagulation | 165 | ||
| Laboratory use only | 165 | ||
| Coagulation | 168 | ||
| Immunohematology | 169 | ||
| Immunology | 170 | ||
| Body fluid | 172 | ||
| Office testing | 172 | ||
| Other laboratory and pathology services | 173 | ||
| Drug testing | 173 | ||
| Diagnoses coding in drug test and drug abuse | 173 | ||
| Evocative/suppression testing | 174 | ||
| Transfusion medicine | 175 | ||
| Microbiology | 175 | ||
| Anatomic pathology | 176 | ||
| Consultations (clinical pathology) | 176 | ||
| Cytopathology and cytogenetic studies | 177 | ||
| Surgical pathology | 178 | ||
| Other procedures | 180 | ||
| Audit report 4.1 immunohematology | on27 | ||
| Audit report 4.2 body fluids | on27 | ||
| Audit report 4.3 transfusion medicine | on27 | ||
| Audit report t4.1 anatomic pathology | on28 | ||
| Audit report t4.2 cytopathology and cytogenic studies | on28 | ||
| Audit report 4.1 immunohematology | on29 | ||
| Audit report 4.2 body fluids | on29 | ||
| Audit report 4.3 transfusion medicine | on29 | ||
| Audit report t4.1 anatomic pathology | on30 | ||
| Audit report t4.2 cytopathology and cytogenic studies | on30 | ||
| 5 Integumentary system | 193 | ||
| Debridement | 194 | ||
| Skin tags | 197 | ||
| Lesion excision | 198 | ||
| Keratosis | 199 | ||
| Nails | 205 | ||
| Repair (closure) | 207 | ||
| Modifier -59 | 209 | ||
| Adjacent tissue transfers or rearrangements | 214 | ||
| Skin grafts | 216 | ||
| Other procedures | 220 | ||
| Pressure ulcers | 222 | ||
| Breast procedures | 223 | ||
| Audit report 5.1 operative report, debridement | on31 | ||
| Audit report 5.2 operative report, malignant melanoma | on31 | ||
| Audit report 5.3 operative report, laceration | on32 | ||
| Audit report t5.1 operative report, muscle flap | on33 | ||
| Audit report t5.2 operative report, mastectomy | on33 | ||
| Audit report 5.1 operative report, debridement | on35 | ||
| Audit report 5.2 operative report, malignant melanoma | on35 | ||
| Audit report 5.3 operative report, laceration | on35 | ||
| Audit report t5.1 operative report, muscle flap | on36 | ||
| Audit report t5.2 operative report, mastectomy | on36 | ||
| 6 Cardiovascular system | 238 | ||
| Evaluation and management services | 239 | ||
| Arteriosclerosis | 239 | ||
| Coronary artery bypass grafts | 241 | ||
| Pacemaker | 243 | ||
| Sick sinus syndrome | 244 | ||
| Echocardiography | 245 | ||
| Valve insufficiencies | 246 | ||
| Holter | 248 | ||
| Preimplantation, implantation, and postimplantation | 250 | ||
| Stress tests | 250 | ||
| Myocardial perfusion scan | 252 | ||
| Review of previous history | 254 | ||
| Cardiac catheterization | 259 | ||
| Miscellaneous reports | 271 | ||
| Cardioversion | 271 | ||
| Audit report 6.1 coronary artery bypass | on37 | ||
| Audit report 6.2 adenosine cardiolite stress test | on37 | ||
| Audit report 6.3 echo doppler report | on38 | ||
| Audit report t6.1 cardiac catheterization report | on39 | ||
| Audit report t6.2 angioplasty/stent | on39 | ||
| Audit report 6.1 coronary artery bypass | on40 | ||
| Audit report 6.2 adenosine cardiolite stress test | on40 | ||
| Audit report 6.3 echo doppler report | on40 | ||
| Audit report t6.1 cardiac catheterization report | on41 | ||
| Audit report t6.2 angioplasty/stent | on41 | ||
| 7 Digestive system, hemic/lymphatic system, and mediastinum/diaphragm | 281 | ||
| Digestive system | 282 | ||
| E/m services | 283 | ||
| Intestinal obstruction | 283 | ||
| External procedures | 285 | ||
| Hemorrhoids | 287 | ||
| Catheters | 288 | ||
| Endoscopy procedures | 289 | ||
| Gastritis and duodenitis | 290 | ||
| Ulcer | 290 | ||
| Hernia | 290 | ||
| Rectal procedures | 291 | ||
| Polyps | 291 | ||
| Abnormal findings | 293 | ||
| Abdominal pain | 294 | ||
| Cytomegalovirus | 302 | ||
| Laparoscopic procedures | 305 | ||
| Closed procedures converted to open procedures | 305 | ||
| Cholecystectomy | 306 | ||
| Incisional (open) surgical procedures | 313 | ||
| Crohn’s disease | 317 | ||
| Crohn’s disease diagnosis | 317 | ||
| Hernia | 324 | ||
| Hemic/lymphatic system | 327 | ||
| Diagnosis coding of hematopoietic and lymphatic neoplasms | 327 | ||
| Audit report 7.1 operative report, anal fissure | on42 | ||
| Audit report 7.2 operative report, colon polypectomy | on42 | ||
| Audit report 7.3 operative report, laparotomy | on43 | ||
| Audit report t7.1 operative report, appendectomy | on44 | ||
| Audit report t7.2 operative report, splenectomy | on44 | ||
| Audit report 7.1 operative report, anal fissure | on46 | ||
| Audit report 7.2 operative report, colon polypectomy | on46 | ||
| Audit report 7.3 operative report, laparotomy | on46 | ||
| Audit report t7.1 operative report, appendectomy | on47 | ||
| Audit report t7.2 operative report, splenectomy | on47 | ||
| 8 Musculoskeletal system | 336 | ||
| Arthrocentesis | 337 | ||
| Fractures | 338 | ||
| Fixation | 339 | ||
| Excision | 341 | ||
| Repair, revision, and reconstruction | 347 | ||
| Sprains and strains | 348 | ||
| Late effects | 351 | ||
| Fractures | 352 | ||
| Amputation | 359 | ||
| Arthroscopy | 360 | ||
| Audit report 8.1 operative report, application of halo | on48 | ||
| Audit report 8.2 operative report, costovertebral tumor | on48 | ||
| Audit report 8.3 operative report, tumor excision | on48 | ||
| Audit report t8.1 operative report, closed reduction | on50 | ||
| Audit report t8.2 operative report, shoulder | on50 | ||
| Audit report 8.1 operative report, application of halo | on51 | ||
| Audit report 8.2 operative report, costovertebral tumor | on51 | ||
| Audit report 8.3 operative report, tumor excision | on51 | ||
| Audit report t8.1 operative report, closed reduction | on52 | ||
| Audit report t8.2 operative report, shoulder | on52 | ||
| 9 Respiratory system | 370 | ||
| E/m services | 371 | ||
| Enzyme immunoassay | 372 | ||
| Residents | 373 | ||
| Medicine services | 385 | ||
| Spirometry | 385 | ||
| 94010 spirometry | 386 | ||
| 94060 spirometry with bronchodilator | 386 | ||
| 94070 spirometry with agents | 386 | ||
| Prebronchodilator flow | 386 | ||
| Postbronchodilator values | 386 | ||
| 94727 frc (functional residual capacity), also known as a nitrogen washout (lung volume determination) | 386 | ||
| 94726 tgv (thoracic gas volume), also known as plethysmography lung volume or lung volumes, includes (spirometry) | 387 | ||
| Single-breath lung volumes | 387 | ||
| Airway collapse or air trapping | 387 | ||
| 94729 dlco (diffusion capacity of carbon monoxide), also known as transfer factor (diffusing capacity) | 387 | ||
| 94726/94728 airway resistance (lung volume determination) | 387 | ||
| Sleep studies | 388 | ||
| Symptoms, signs, and ill-defined conditions | 388 | ||
| Symptoms as diagnoses | 388 | ||
| Nonspecific abnormal findings | 389 | ||
| Pulmonary stress test | 396 | ||
| Septoplasty and turbinates | 398 | ||
| Thoracentesis | 399 | ||
| Tracheostomy | 400 | ||
| Endoscopic procedures | 401 | ||
| Audit report 9.1 sleep study | on53 | ||
| Audit report 9.2 operative report, septoplasty, turbinate reduction, and tonsillectomy | on53 | ||
| Audit report 9.3 operative report, tracheostomy | on54 | ||
| Audit report t9.1 operative report, ethmoidectomy and antrostomy | on55 | ||
| Audit report t9.2 operative report, bronchoscopy | on55 | ||
| Audit report 9.1 sleep study | on57 | ||
| Audit report 9.2 operative report, septoplasty, turbinate reduction, and tonsillectomy | on57 | ||
| Audit report 9.3 operative report, tracheostomy | on57 | ||
| Audit report t9.1 operative report, ethmoidectomy and antrostomy | on58 | ||
| Audit report t9.2 operative report, bronchoscopy | on58 | ||
| 10 Urinary, male genital, and endocrine systems | 419 | ||
| Urinary system | 420 | ||
| Chronic renal failure | 420 | ||
| Diagnosis coding | 420 | ||
| Nephrostomy tube | 421 | ||
| Nephrectomy | 422 | ||
| Urinary system subcategories | 422 | ||
| Urinary system cysts | 422 | ||
| Renal calculus | 424 | ||
| Urodynamics | 425 | ||
| Stress incontinence | 426 | ||
| Bladder rupture | 427 | ||
| Hydronephrosis | 428 | ||
| Bladder stones | 429 | ||
| Urethral and ureteral strictures | 430 | ||
| Male genital system | 431 | ||
| Hemangioma | 431 | ||
| Diagnosis coding of hemangioma | 432 | ||
| Balanitis and circumcision | 433 | ||
| Vasectomy | 434 | ||
| Hydrocele | 435 | ||
| Prostate-specific antigen | 436 | ||
| Prostate cancer | 437 | ||
| Staging | 438 | ||
| Cryoablation | 439 | ||
| Endocrine system | 440 | ||
| Audit report 10.1 operative report, eswl | on59 | ||
| Audit report 10.2 operative report, urethropexy | on59 | ||
| Audit report 10.3 operative report, cystoscopy | on59 | ||
| Audit report t10.1 operative report, resection | on61 | ||
| Audit report t10.2 operative report, prostatectomy | on61 | ||
| Audit report 10.1 operative report, eswl | on63 | ||
| Audit report 10.2 operative report, urethropexy | on63 | ||
| Audit report 10.3 operative report, cystoscopy | on63 | ||
| Audit report t10.1 operative report, resection | on64 | ||
| Audit report t10.2 operative report, prostatectomy | on64 | ||
| 11 Female genital system and maternity care/delivery | 449 | ||
| Female genital system | 450 | ||
| Evaluation and management | 450 | ||
| Pains and other female genital organ symptoms | 450 | ||
| Surgical procedures | 451 | ||
| Menopausal and postmenopausal disorders | 451 | ||
| Colposcopy | 453 | ||
| Pelvic pain | 458 | ||
| Endometriosis | 459 | ||
| Dysfunctional uterine bleeding | 462 | ||
| Maternity care/delivery | 464 | ||
| Routine obstetric care | 464 | ||
| Admission for normal delivery | 465 | ||
| Echography | 466 | ||
| Cesarean section | 466 | ||
| Audit report 11.1 operative report, hysteroscopy | on65 | ||
| Audit report 11.2 operative report, hysterectomy | on65 | ||
| Audit report 11.3 operative report, sterilization | on66 | ||
| Audit report t11.1 operative report, cesarean section | on67 | ||
| Audit report 11.1 operative report, hysteroscopy | on68 | ||
| Audit report 11.2 operative report, hysterectomy | on68 | ||
| Audit report 11.3 operative report, sterilization | on68 | ||
| Audit report t11.1 operative report, cesarean section | on69 | ||
| 12 Nervous system | 483 | ||
| Twist drill or burr holes | 484 | ||
| Craniotomy | 485 | ||
| Subdural hematoma | 485 | ||
| Stealth surgery | 487 | ||
| Cranioplasty | 491 | ||
| Shunts | 492 | ||
| Lumbar puncture | 493 | ||
| Pump implantation | 494 | ||
| Laminotomy and foraminotomies | 497 | ||
| Spinal fusion | 503 | ||
| Neurology and neuromuscular procedures | 505 | ||
| Audit report 12.1 operative report, craniotomy | on70 | ||
| Audit report 12.2 operative report, re-do craniectomy | on70 | ||
| Audit report 12.3 operative report, shunt placement | on71 | ||
| Audit report t12.1 operative report, re-do laminotomy | on72 | ||
| Audit report t12.2 operative report, cervical fx repair and halo vest placement | on72 | ||
| Audit report 12.1 operative report, craniotomy | on73 | ||
| Audit report 12.2 operative report, re-do craniectomy | on73 | ||
| Audit report 12.3 operative report, shunt placement | on73 | ||
| Audit report t12.1 operative report, re-do laminectomy | on74 | ||
| Audit report t12.2 operative report, cervical fx repair and halo vest placement | on74 | ||
| 13 Eye and auditory systems | 511 | ||
| Eye | 512 | ||
| Eye examinations | 512 | ||
| Cataracts | 514 | ||
| Photocoagulation | 515 | ||
| Ectropion and entropion | 516 | ||
| Epiphora | 518 | ||
| Ear | 519 | ||
| Office services | 519 | ||
| Myringotomy and tympanostomy | 520 | ||
| Audit report 13.1 operative report, cataract extraction | on75 | ||
| Audit report 13.2 operative report, entropion with mini-blepharoplasty | on75 | ||
| Audit report 13.3 operative report, tube removal | on76 | ||
| Audit report t13.1 operative report, myringotomy and adenoidectomy/tonsillectomy | on77 | ||
| Audit report t13.2 operative report, myringotomy with tympanostomy tube placement | on77 | ||
| Audit report 13.1 operative report, cataract extraction | on78 | ||
| Audit report 13.2 operative report, entropion with mini-blepharoplasty | on78 | ||
| Audit report 13.3 operative report, tube removal | on78 | ||
| Audit review t13.1 operative report, myringotomy and adenoidectomy/tonsillectomy | on79 | ||
| Audit review t13.2 operative report, myringotomy with tympanostomy tube placement | on79 | ||
| 14 Anesthesia | 529 | ||
| Introduction | 530 | ||
| Anesthesia | 530 | ||
| Types of anesthesia | 530 | ||
| Central technique | 530 | ||
| Peripheral technique | 530 | ||
| Intravenous regional technique (bier block) | 530 | ||
| Anesthesia care and bundled services/procedures | 531 | ||
| Anesthesia care and separately reported services | 531 | ||
| Base units | 532 | ||
| Physical status modifiers | 532 | ||
| Concurrent care modifiers | 532 | ||
| Positioning | 533 | ||
| Qualifying circumstances | 533 | ||
| Anesthesia time | 534 | ||
| Calculation of charge/payment | 534 | ||
| Summary | 534 | ||
| Pain management | 534 | ||
| Obstetrics | 534 | ||
| Labor | 535 | ||
| Delivery | 535 | ||
| Hysterectomy | 535 | ||
| Critical care | 535 | ||
| Moderate (conscious) sedation | 535 | ||
| Patient-controlled analgesia | 536 | ||
| Anesthesia services in the hospital setting | 536 | ||
| Audit report 14.1 operative report, anesthesia | on80 | ||
| Audit report 14.2 operative report, anesthesia | on80 | ||
| Audit report 14.3 operative report, anesthesia | on81 | ||
| Audit report 14.1 operative report, anesthesia | on82 | ||
| Audit report 14.2 operative report, anesthesia | on82 | ||
| Audit report 14.3 operative report, anesthesia | on82 | ||
| Figure credits | 560 | ||
| E/m audit form | 561 | ||
| CMS ab-01-144 | 563 | ||
| Introduction | 563 | ||
| A. determining the appropriate primary icd-9-cm11Although this memoradum specifies ICD-9-CM, it is applicable to ICD-10-CM ... | 563 | ||
| B. instruction to determine the reason for the test | 564 | ||
| C. incidental findings | 564 | ||
| D. unrelated/co-existing conditions/diagnoses | 564 | ||
| E. diagnostic tests ordered in the absence of signs and/or symptoms (e.g., screening tests) | 565 | ||
| F. use of icd-9-cm to the greatest degree of accuracy and completeness | 565 | ||
| Resources | 566 | ||
| Abbreviations | 567 | ||
| Glossary | 598 | ||
| Index | 603 | ||
| A | 603 | ||
| B | 604 | ||
| C | 604 | ||
| D | 607 | ||
| E | 607 | ||
| F | 608 | ||
| G | 608 | ||
| H | 609 | ||
| I | 609 | ||
| K | 611 | ||
| L | 611 | ||
| M | 611 | ||
| N | 612 | ||
| O | 612 | ||
| P | 613 | ||
| R | 614 | ||
| S | 615 | ||
| T | 615 | ||
| U | 616 | ||
| V | 616 | ||
| W | 617 | ||
| Z | 617 |