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AAPC chapter 20

Medicine

QuestionAnswer
Anti infective Immunizations: do NOT use modifier ____ with these. Pay attention to _____ stated in code descriptors. Refer to nurses notes for delivery ____ and start/stop infusion time. 51, time, technique
Physician work: for these services- usually includes development of the treatment ____and direct supervision of staff. plan
Physician work: if separate significantly, separate E/M service done at same encounter- E/M code reported with modifier ____. 25
If substance is ordered d/t exposure to infection: report ____ code for contact exposure as the diagnosis. Z
Type of drug identified in CPT, only 1 diagnosis code for _____ in ICD-10 (Z23). immunizations
Vaccines and Toxoids: codes selected by age of pt and method of ____. These are separate from chemo and _____ injections. delivery, allergy
Psychotherapy: don't report if face-to-face time less than ___ mins. 16
If pt being monitored for behavior patterns pending diagnosis: ____code, if definative diagnosis documented use that diagnosis. Z
Individual psychological therapy: if time spent for the service ____- append a modifier for the time difference. Modifier ____ if less than 20 mins. decreases, 52
Dialysis and ESRD services: based on ____ and the # of face-to-face visits with physician or QHP. Home dialysis reported ___. age, monthly
INR (Warfarin treatment) services: not reported when telephone or _____ digital E/M services address home and outpatient monitoring. online
Non-invasive vascular diagnostic studies: include duplex scans and transcranial dopplers. If ___ or fewer territories evaled report the code for ____ study. 2, limited
If allergist prepares a multi-dose vial of antigens (Ex: 8 doses) and only injects 1 dose- code the ____ doses of antigen and 1 injection service. When remaining injection given only the injection service ____. 8, coded
Genetic counseling: time based codes, for each ___ min face-to-face. 30
Non-chemo injection/infusions: codes based on time, technique, ______ and establishment and set up of new infusion. substance
Chemo is primary to non-chemo infusion which is primary to _____. If different type of admin used (IV push, etc) report it as subsequent even if it's the ____ service from group. hydration, 1st
Non-Chemo injection/infusions: Don't report the add-on code for additional ____ of time unless an additional 31 mins or more are utilized. hour
If infusion time is 15 mins or less, IV ____ is reported as the technique. push
When multiple substances delivered, only one inital amin code reported unless a separate IV _____ requires. site
Supervised modalities: not requiring one-on-one with _____ (OT, PT, etc). therapist
Constant attendance: modalities requiring one-on-one by therapist. Reported with ____ min increments. 15
Therapeutic procedures: performed to improve function and one-on-one _____. interaction
Caregiver training: without the pt present: used for the time spent by CHP in one-on-one training with pt's _____ without pt being present. caregiver
Tests and measurements: require one-on-one pt ____ contact
Assistitive technology: Example- modification of _____. keyboard
Medical Nutritional therapy: 15 min increments also for _____ therapy. accupunture
Education/training for pt self management: coding based on ____ of pts in session. 30 min increments. number
Non face-to-face non physician services: codes selected by length of time of ___. call
Certain circumstances increasing risk of anesthesia services: qualifying circumstances for anesthsia. Ex: _____ age- add on codes. age
Cardiac failure codes may also be reported for cardiogenic ____. shock
Modality: a _____ agent. therapeutic
Created by: mlovest
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