CPT Codes for Medicine Services (Pg 41-47)
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Questions and Answers

What is the purpose of immune globulins found in the CPT code range 90281-90399?

  • To administer vaccinations directly
  • To provide protection against certain diseases (correct)
  • To identify bacterial infections
  • To facilitate surgical procedures

    • Which administration route is NOT included in the coding range 90765-90779 for immune globulin products?

  • Intramuscular (IM)
  • Subcutaneous (SQ)
  • Transdermal (correct)
  • Intravenous (IV)

    • For which types of healthcare providers is the Medicine section of the CPT applicable?

  • General practitioners only
  • Physical and occupational therapists (correct)
  • Only surgeons
  • Radiologists exclusively

    • What does the code range 90460-90474 specifically address?

    <p>Immunization administration for vaccines/toxoids</p> Signup and view all the answers

    How is immunity acquired according to the content provided?

    <p>Through both active disease and vaccinations</p> Signup and view all the answers

    Which of the following accurately describes the route 'intradermal'?

    <p>Into the dermis (skin)</p> Signup and view all the answers

    What characterizes the medicines listed in the CPT code range 90281-99756?

    <p>A mix of invasive and noninvasive procedures</p> Signup and view all the answers

    What is the primary function of vaccines as described in the content?

    <p>To induce an immune response</p> Signup and view all the answers

    Which option accurately reflects a key distinction of toxoids?

    <p>They are inactivated toxins from bacteria</p> Signup and view all the answers

    Which option is NOT a route of administration for vaccines and toxoids?

    <p>Intraosseous</p> Signup and view all the answers

    What is the purpose of add-on codes in vaccination coding?

    <p>To assign for each additional injection administration after the initial one</p> Signup and view all the answers

    Which of the following conditions would require the use of psychiatric codes?

    <p>Mental disorders that require diagnosis and treatment</p> Signup and view all the answers

    Biofeedback services include which of the following procedures?

    <p>Preparation and monitoring of biofeedback equipment</p> Signup and view all the answers

    The codes for ophthalmology services are determined by what factors?

    <p>Whether the patient is established or new and the level of service (intermediate or comprehensive)</p> Signup and view all the answers

    Which of the following procedures does NOT fall under the Cardiovascular Procedures codes?

    <p>Gastric physiology services</p> Signup and view all the answers

    What type of services are included in the 94002-94799 coding range?

    <p>Pulmonary diagnostic testing and therapies</p> Signup and view all the answers

    What is a key component of neurology and neuromuscular diagnostic services?

    <p>Non-invasive tests like EEG and EMG</p> Signup and view all the answers

    Which procedure is covered under the code range 96567-96574?

    <p>Photodynamic therapy for lesions</p> Signup and view all the answers

    Which of the following best describes a health and behavior assessment procedure?

    <p>Addressing psychological aspects of physical health problems</p> Signup and view all the answers

    Which of the following statements about hydration IV infusion codes is true?

    <p>They consist of prepackaged fluid and electrolytes</p> Signup and view all the answers

    What type of services do codes 97151-97158 specifically address?

    <p>Adaptive behavior services</p> Signup and view all the answers

    In which scenario would you report code 97802?

    <p>For face-to-face medical nutrition therapy with individual assessment</p> Signup and view all the answers

    What does the code range 98966-98968 represent?

    <p>Non-face-to-face services for established patients</p> Signup and view all the answers

    What is the primary purpose of codes 99000-99091?

    <p>To categorize special services and procedures not classified elsewhere</p> Signup and view all the answers

    Which of the following is true regarding code 99151-99157?

    <p>It applies to moderate conscious sedation without airway interventions</p> Signup and view all the answers

    Code 99500-99602 pertains to which type of service?

    <p>Home health procedures and services</p> Signup and view all the answers

    When would you use the codes 96940-98943?

    <p>For chiropractic manipulative treatment procedures</p> Signup and view all the answers

    What do codes 97810-97814 specifically relate to?

    <p>Nutritional therapy procedures performed face-to-face</p> Signup and view all the answers

    Which statement accurately describes medication therapy management services (99605-99607)?

    <p>They include assessment and intervention by pharmacists</p> Signup and view all the answers

    What is one of the key components of codes 97802 and 97803?

    <p>They are based on the time length of the therapy</p> Signup and view all the answers

    What do add-on codes in vaccination coding specifically represent?

    <p>Additional vaccinations after the first</p> Signup and view all the answers

    Which of the following best describes a key aspect of psychotherapy?

    <p>Primarily based on verbal or nonverbal communication</p> Signup and view all the answers

    What defines the coding for gastroenterology procedures?

    <p>Covers gastric physiology services and diagnostic procedures</p> Signup and view all the answers

    Which type of procedures are covered under the codes 95700-96020?

    <p>Neurology and neuromuscular diagnostic and therapeutic services</p> Signup and view all the answers

    What is a primary focus of Health and Behavior Assessment/Intervention Procedures?

    <p>Identifying psychological and social elements affecting physical health</p> Signup and view all the answers

    What is the range of CPT codes specifically used for immune globulins and related products?

    <p>90281-90399</p> Signup and view all the answers

    Which of the following routes of administration is NOT applicable for the immunization administration coding?

    <p>Transdermal</p> Signup and view all the answers

    What should be reported in addition to the specific immune globulin product codes (90281–90399)?

    <p>Administration codes from 90460-90474</p> Signup and view all the answers

    How is immunity primarily acquired according to the information provided?

    <p>By receiving a vaccination or having the active disease</p> Signup and view all the answers

    Which aspect is crucial when coding for vaccines and toxoids?

    <p>The age of patient and route of administration</p> Signup and view all the answers

    Study Notes

    Medicine Codes Overview

    • CPT codes for medicine services and procedures range from 90281 to 99756.
    • This section encompasses invasive and noninvasive procedures applicable to various medical specialists.

    Immune Globulins (90281-90399)

    • Immune globulins are derived from human blood immunoglobulins, aiding in protection against diseases.
    • Administration routes include intramuscular (IM), subcutaneous (SQ), and intravenous (IV).
    • Specific administration codes (90765-90779) must accompany immune globulin product codes.

    Immunization Administration (90460-90474)

    • Codes for vaccine administration include intradermal, IM, percutaneous, subcutaneous, intranasal, and oral routes.
    • Vaccination responses develop immunity through antigens; divided by patient age and administration number.

    Vaccines and Toxoids (90476-90756)

    • Vaccines and toxoids stimulate antibody production against their respective antigens.
    • Codes vary based on administration route, patient age, and number of doses.
    • Additional codes are used for subsequent administrations beyond the initial dose.

    Psychiatry Services (90785-90899)

    • Psychiatric codes cover inpatient and outpatient mental health services.
    • Services include history review, psychiatric examination, and medication monitoring.
    • Therapies focus on emotional and behavioral disorders, often coordinated with other medical evaluations.

    Biofeedback Services (90901-90913)

    • Two codes for biofeedback services encompass history review, equipment setup, and patient monitoring.

    Dialysis Services (90935-90999)

    • Codes relate to hemodialysis, miscellaneous dialysis procedures, and end-stage renal disease services.

    Gastroenterology Procedures (91010-91299)

    • Codes report diagnostic and gastric physiology procedures within the gastrointestinal system.

    Ophthalmology Services (92002-92499)

    • Covers services for both new and established patients, including spectacles and contact lens services.
    • Codes vary based on the level of service provided (intermediate vs comprehensive).

    Otorhinolaryngologic Services (92502-92700)

    • Codes are assigned for specialized diagnostic services performed by ENT specialists.

    Cardiovascular Procedures (92920-93799)

    • Codes encompass therapeutic interventions and cardiovascular monitoring including device evaluations and vascular studies.

    Non-Invasive Vascular Diagnostic Studies (93880-93998)

    • Codes report vascular studies targeting arteries and veins across different body regions.

    Pulmonary Procedures (94002-94799)

    • Covers diagnostic testing and therapies related to pulmonary function and ventilator management.

    Endocrinology Services (95249-95251)

    • Codes for continuous glucose monitoring through subcutaneous sensor placement.

    Neurology Services (95700-96020)

    • Codes cover non-surgical neurology services including sleep testing and nerve conduction studies.

    Medical Genetics Counseling (96040)

    • Codes for genetic counseling assess family history and risks of genetic defects.

    CNS Assessments (96105-96146)

    • Codes pertain to cognitive function assessments of the central nervous system.

    Health and Behavior Assessment (96150-96171)

    • Focuses on tests addressing the psychological aspects impacting physical health management.

    Injection and Infusion Services (96360-96549)

    • Includes various intravenous therapies, local anesthesia, and administration of complex medications.

    Photodynamic Therapy (96567-96574)

    • Involves light therapy for treating abnormal tissue or skin lesions.

    Special Dermatological Procedures (96900-96999)

    • Covers unique dermatological interventions including laser treatments and photochemotherapy.

    Physical Medicine and Rehabilitation (97161-97799)

    • Services focus on prevention, diagnosis, and treatment of musculoskeletal and chronic health conditions.

    Medical Nutrition Therapy (97802-97804)

    • Codes relate to individual/group nutrition therapy sessions reported by face-to-face interaction.

    Acupuncture Procedures (97810-97814)

    • Focuses on acupuncture treatments, reported in 15-minute increments, with or without electrical stimulation.

    Osteopathic and Chiropractic Treatments (98925-98943)

    • Codes for manipulation procedures addressing somatic and related disorders, reported by body regions manipulated.

    Patient Self-Management Education (98960-98962)

    • Educational services to help patients manage their illnesses, delivered by qualified professionals.

    Non-Face-to-Face Services (98966-98968)

    • Codes for remote consultations provided through telephone or online evaluations.

    Special Services and Reports (99000-99091)

    • Covers miscellaneous procedures not classified in other sections, including specimen transfer codes.

    Anesthesia Services (99100-99140)

    • Codes account for challenging circumstances affecting anesthesia services.

    Moderate Sedation (99151-99157)

    • Covers administration of sedation that does not require airway maintenance interventions.

    Home Health Services (99500-99602)

    • Services provided by non-physicians in patients' homes, assisted living, or group homes.

    Medication Therapy Management (99605-99607)

    • Codes used when pharmacists manage medication therapies with direct patient interaction.

    Medicine Codes Overview

    • CPT codes for medicine services and procedures range from 90281 to 99756.
    • This section encompasses invasive and noninvasive procedures applicable to various medical specialists.

    Immune Globulins (90281-90399)

    • Immune globulins are derived from human blood immunoglobulins, aiding in protection against diseases.
    • Administration routes include intramuscular (IM), subcutaneous (SQ), and intravenous (IV).
    • Specific administration codes (90765-90779) must accompany immune globulin product codes.

    Immunization Administration (90460-90474)

    • Codes for vaccine administration include intradermal, IM, percutaneous, subcutaneous, intranasal, and oral routes.
    • Vaccination responses develop immunity through antigens; divided by patient age and administration number.

    Vaccines and Toxoids (90476-90756)

    • Vaccines and toxoids stimulate antibody production against their respective antigens.
    • Codes vary based on administration route, patient age, and number of doses.
    • Additional codes are used for subsequent administrations beyond the initial dose.

    Psychiatry Services (90785-90899)

    • Psychiatric codes cover inpatient and outpatient mental health services.
    • Services include history review, psychiatric examination, and medication monitoring.
    • Therapies focus on emotional and behavioral disorders, often coordinated with other medical evaluations.

    Biofeedback Services (90901-90913)

    • Two codes for biofeedback services encompass history review, equipment setup, and patient monitoring.

    Dialysis Services (90935-90999)

    • Codes relate to hemodialysis, miscellaneous dialysis procedures, and end-stage renal disease services.

    Gastroenterology Procedures (91010-91299)

    • Codes report diagnostic and gastric physiology procedures within the gastrointestinal system.

    Ophthalmology Services (92002-92499)

    • Covers services for both new and established patients, including spectacles and contact lens services.
    • Codes vary based on the level of service provided (intermediate vs comprehensive).

    Otorhinolaryngologic Services (92502-92700)

    • Codes are assigned for specialized diagnostic services performed by ENT specialists.

    Cardiovascular Procedures (92920-93799)

    • Codes encompass therapeutic interventions and cardiovascular monitoring including device evaluations and vascular studies.

    Non-Invasive Vascular Diagnostic Studies (93880-93998)

    • Codes report vascular studies targeting arteries and veins across different body regions.

    Pulmonary Procedures (94002-94799)

    • Covers diagnostic testing and therapies related to pulmonary function and ventilator management.

    Endocrinology Services (95249-95251)

    • Codes for continuous glucose monitoring through subcutaneous sensor placement.

    Neurology Services (95700-96020)

    • Codes cover non-surgical neurology services including sleep testing and nerve conduction studies.

    Medical Genetics Counseling (96040)

    • Codes for genetic counseling assess family history and risks of genetic defects.

    CNS Assessments (96105-96146)

    • Codes pertain to cognitive function assessments of the central nervous system.

    Health and Behavior Assessment (96150-96171)

    • Focuses on tests addressing the psychological aspects impacting physical health management.

    Injection and Infusion Services (96360-96549)

    • Includes various intravenous therapies, local anesthesia, and administration of complex medications.

    Photodynamic Therapy (96567-96574)

    • Involves light therapy for treating abnormal tissue or skin lesions.

    Special Dermatological Procedures (96900-96999)

    • Covers unique dermatological interventions including laser treatments and photochemotherapy.

    Physical Medicine and Rehabilitation (97161-97799)

    • Services focus on prevention, diagnosis, and treatment of musculoskeletal and chronic health conditions.

    Medical Nutrition Therapy (97802-97804)

    • Codes relate to individual/group nutrition therapy sessions reported by face-to-face interaction.

    Acupuncture Procedures (97810-97814)

    • Focuses on acupuncture treatments, reported in 15-minute increments, with or without electrical stimulation.

    Osteopathic and Chiropractic Treatments (98925-98943)

    • Codes for manipulation procedures addressing somatic and related disorders, reported by body regions manipulated.

    Patient Self-Management Education (98960-98962)

    • Educational services to help patients manage their illnesses, delivered by qualified professionals.

    Non-Face-to-Face Services (98966-98968)

    • Codes for remote consultations provided through telephone or online evaluations.

    Special Services and Reports (99000-99091)

    • Covers miscellaneous procedures not classified in other sections, including specimen transfer codes.

    Anesthesia Services (99100-99140)

    • Codes account for challenging circumstances affecting anesthesia services.

    Moderate Sedation (99151-99157)

    • Covers administration of sedation that does not require airway maintenance interventions.

    Home Health Services (99500-99602)

    • Services provided by non-physicians in patients' homes, assisted living, or group homes.

    Medication Therapy Management (99605-99607)

    • Codes used when pharmacists manage medication therapies with direct patient interaction.

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    Description

    Explore the range of CPT codes from 90281 to 99756 that cover various medicine services and procedures. This quiz emphasizes both invasive and noninvasive techniques relevant to multiple medical specialties. Test your knowledge on the coding system that applies across the healthcare field.

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