Podcast
Questions and Answers
What do Physician Services alerts inform coders about?
What do Physician Services alerts inform coders about?
- That Physician Services are found in the E/M section (correct)
- That there are new coding guidelines
- That all services must be pre-approved
- That only specialists can provide these services
Which of the following is included in the definition of a CPT surgical package?
Which of the following is included in the definition of a CPT surgical package?
- Immediate postoperative care, including dictating operative notes, talking with the family and other physicians or other qualified health care professionals
- Evaluation and Management (E/M) service(s) subsequent to the decision for surgery on the day before and/or day of surgery
- All of the Above (correct)
- Evaluating the patient in the post anesthesia recovery area
This care includes only the care related to the recovery from the procedure. What is this care called?
This care includes only the care related to the recovery from the procedure. What is this care called?
- Preoperative care for diagnostic and therapist procedures-
- Emergency care for diagnostic and therapist procedures-
- Follow-up care for diagnostic and therapist procedures- (correct)
- Evaluation care for diagnostic and therapist procedures-
According to physician services alerts, what can the provider bill for if additional materials are supplied over the typically used amount for the procedure?
According to physician services alerts, what can the provider bill for if additional materials are supplied over the typically used amount for the procedure?
When more than one procedure or service is performed on the same date, session, or during the postoperative period, what should be done with the codes?
When more than one procedure or service is performed on the same date, session, or during the postoperative period, what should be done with the codes?
What does the term 'separate procedure' indicate in coding?
What does the term 'separate procedure' indicate in coding?
These codes should be used only when a more specific code is not available for use. When these codes are used, what is commonly requested by payers.
These codes should be used only when a more specific code is not available for use. When these codes are used, what is commonly requested by payers.
What type of service is indicated by a special report?
What type of service is indicated by a special report?
Under what circumstances are different methods of surgical destruction listed separately in coding?
Under what circumstances are different methods of surgical destruction listed separately in coding?
The Surgery section is the LARGEST in the CPT coding manual and arranged by body system.
The Surgery section is the LARGEST in the CPT coding manual and arranged by body system.
Study Notes
Physician Services Alerts
- Alerts inform coders about billing guidelines and documentation requirements for various services.
- Providers can bill for additional materials supplied beyond the typical amounts used for a procedure.
CPT Surgical Package
- A CPT surgical package includes all pre-operative, intra-operative, and post-operative care related to the procedure.
- Care specifically related to recovery from the procedure is known as post-operative care.
Coding for Multiple Procedures
- When multiple procedures are performed on the same date, the appropriate coding guidelines must be followed to avoid billing issues.
- It’s essential to determine if the procedures are bundled or if separate codes are needed.
Separate Procedure in Coding
- 'Separate procedure' indicates a procedure that can be reported independently and may be part of a larger service.
- These codes should be utilized only when a more specific code is not available for the procedure.
Payers' Documentation Requests
- When general codes are used, payers often request additional documentation to justify their use.
Special Report Services
- A special report indicates services that require additional explanation or rationale, providing context for the billed service.
Surgical Destruction Methods
- Different methods of surgical destruction are listed separately in coding when they are distinctly identifiable and performed in unique ways.
Surgery Section Overview
- The Surgery section is the largest category in the CPT manual, organized by anatomical body systems for easy reference.
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Description
Test your knowledge on what Physician Services alerts inform coders about. This quiz will cover the important topics related to coding and billing for physician services. Understand the critical alerts that assist in ensuring accurate coding practices.
