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Questions and Answers
What is the purpose of immune globulins found in the CPT code range 90281-90399?
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?
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?
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?
What does the code range 90460-90474 specifically address?
How is immunity acquired according to the content provided?
How is immunity acquired according to the content provided?
Which of the following accurately describes the route 'intradermal'?
Which of the following accurately describes the route 'intradermal'?
What characterizes the medicines listed in the CPT code range 90281-99756?
What characterizes the medicines listed in the CPT code range 90281-99756?
What is the primary function of vaccines as described in the content?
What is the primary function of vaccines as described in the content?
Which option accurately reflects a key distinction of toxoids?
Which option accurately reflects a key distinction of toxoids?
Which option is NOT a route of administration for vaccines and toxoids?
Which option is NOT a route of administration for vaccines and toxoids?
What is the purpose of add-on codes in vaccination coding?
What is the purpose of add-on codes in vaccination coding?
Which of the following conditions would require the use of psychiatric codes?
Which of the following conditions would require the use of psychiatric codes?
Biofeedback services include which of the following procedures?
Biofeedback services include which of the following procedures?
The codes for ophthalmology services are determined by what factors?
The codes for ophthalmology services are determined by what factors?
Which of the following procedures does NOT fall under the Cardiovascular Procedures codes?
Which of the following procedures does NOT fall under the Cardiovascular Procedures codes?
What type of services are included in the 94002-94799 coding range?
What type of services are included in the 94002-94799 coding range?
What is a key component of neurology and neuromuscular diagnostic services?
What is a key component of neurology and neuromuscular diagnostic services?
Which procedure is covered under the code range 96567-96574?
Which procedure is covered under the code range 96567-96574?
Which of the following best describes a health and behavior assessment procedure?
Which of the following best describes a health and behavior assessment procedure?
Which of the following statements about hydration IV infusion codes is true?
Which of the following statements about hydration IV infusion codes is true?
What type of services do codes 97151-97158 specifically address?
What type of services do codes 97151-97158 specifically address?
In which scenario would you report code 97802?
In which scenario would you report code 97802?
What does the code range 98966-98968 represent?
What does the code range 98966-98968 represent?
What is the primary purpose of codes 99000-99091?
What is the primary purpose of codes 99000-99091?
Which of the following is true regarding code 99151-99157?
Which of the following is true regarding code 99151-99157?
Code 99500-99602 pertains to which type of service?
Code 99500-99602 pertains to which type of service?
When would you use the codes 96940-98943?
When would you use the codes 96940-98943?
What do codes 97810-97814 specifically relate to?
What do codes 97810-97814 specifically relate to?
Which statement accurately describes medication therapy management services (99605-99607)?
Which statement accurately describes medication therapy management services (99605-99607)?
What is one of the key components of codes 97802 and 97803?
What is one of the key components of codes 97802 and 97803?
What do add-on codes in vaccination coding specifically represent?
What do add-on codes in vaccination coding specifically represent?
Which of the following best describes a key aspect of psychotherapy?
Which of the following best describes a key aspect of psychotherapy?
What defines the coding for gastroenterology procedures?
What defines the coding for gastroenterology procedures?
Which type of procedures are covered under the codes 95700-96020?
Which type of procedures are covered under the codes 95700-96020?
What is a primary focus of Health and Behavior Assessment/Intervention Procedures?
What is a primary focus of Health and Behavior Assessment/Intervention Procedures?
What is the range of CPT codes specifically used for immune globulins and related products?
What is the range of CPT codes specifically used for immune globulins and related products?
Which of the following routes of administration is NOT applicable for the immunization administration coding?
Which of the following routes of administration is NOT applicable for the immunization administration coding?
What should be reported in addition to the specific immune globulin product codes (90281–90399)?
What should be reported in addition to the specific immune globulin product codes (90281–90399)?
How is immunity primarily acquired according to the information provided?
How is immunity primarily acquired according to the information provided?
Which aspect is crucial when coding for vaccines and toxoids?
Which aspect is crucial when coding for vaccines and toxoids?
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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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