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lesson 9
CPT codes
| Question | Answer |
|---|---|
| When searching for anesthesia codes in the Alphabetic Index, the main term will always be what? If you try to search for anesthesia codes by the procedure name or the condition, you'll end up with a surgery code instead. | anesthesia |
| What is the one instance in which an anesthesia code won't be found in the Anesthesia section but instead are in the Medicine section of the CPT? | If a patient is administered moderate or conscious sedation. |
| To bill an insurance company for payment, billing is done on what claim forms? | CMS1500 insurance claim form (paper copy) or in a HIPAA 837 Professional Services transaction (electronic submission) |
| billing for anethesia is reported based on what? | time spent performing anesthesia |
| On the insurance claim, you'll report the anesthesia as what? | Units. Each unit is one 15-minute increment |
| When you're coding anesthesia services, you'll always include what type of modifier? | Phyical status. P1-6 |
| When anesthesia services are provided during circumstances that make the administration of anesthesia more difficult, you'd also report what? | a qualifying circumstances code |
| What are the four qualifying circumstances for using a qualifying circumstances code? | Age, total body hypothermia, controlled hypotension techniques, and anesthesia that's complicated by emergency conditions (a condition that threatens a patient's life or limb). |
| reconnecting a body part, like a finger that was traumatically amputated. | Replantation |
| If you have documentation of a diagnostic endoscopy and a surgical endoscopy at the same time for the same procedure, you can code only what? | the surgical endoscopy. |
| Type of renal transplantation where the surgeon transfers tissue from one part of the body to another. | autotransplantation |
| Type of renal trasplantion that refers to transplantations using tissue from another human, living or dead | allotransplantation |
| surgical repair of the cornea, including corneal transplant. | keratoplasty |
| diagnostic tests and ophthalmological treatments performed on the eye and adnexa are found in what section of the CPT? | Medicine section |
| What code is used for any surgical procedure in which a microscope is required to perform that procedure, as in microsurgery? | 69990, an add-on code; used unless it in an inclusive part of the surgery. For example, f the procedure code description includes the terms microsurgery or any reference to an operating microscope, do not use code 69990. Ex) microvascular anastomosis |
| You'll always have what two codes for skull base surgeries? | an approach code and a definitive procedure code |
| skull base surgery code describes the repair, biopsy, resection, or excision procedure performed, and it includes primary closure of the dura, mucus membranes, and skin. | definitive procedure |
| For skull base surgery you'll only use this type of code if extensive dural grafting, cranioplasty, or extensive skin grafts are required to reconstruct or reinforce the skull base. | repair or restoration procedure code |
| removal of the lamina (lining) protecting the spinal cord | laminectomy |
| In the anterior or anteriolateral approach, usually two surgeons work together performing distinct parts of the exploration or decompression operation. Each surgeon should report his or her distinct portion of the procedure and use what modifier? | Modifier -62 |
Created by:
marrufotheresa