Question

reflection on learning about the CPT coding system.

What errors did you make on the initial post regarding coding for the given scenario?

Why do you think you made those errors?

Answer 1

#CPT coding system :-

Descriptive terms and identifying codes for reportingmedical services and procedures

Provides uniform language that describes medical,surgical, and diagnostic services

Published by the American Medical Association (AMA)

#. CPT codes :-

Five digits in length

Descriptions reflect health care services and proceduresperformed in modern medical practice.

Reviewed by AMA to update codes and descriptionsannually

#. Category I CPT codes :-

Five-digit CPT code and descriptor nomenclature

Organized in six sections

#. Category II CPT codes

Reported to track performance measurements

Use is optional.

#. Category III CPT codes

Contains "emerging technology" temporary codes

Assigned for data purposes

Archived after five years unless accepted for placement

#. CPT Category I Sections

Evaluation and Management (E/M)

Anesthesia

Surgery

Radiology

Pathology and Laboratory

Medicine

#. Stand-alone code

includes complete description of procedure or service

#. Indented code

appears below stand-alone code,requiring coder to refer back to common portion of code description located before semicolon

#. CPT Category II Codes

Tracking codes used for performancemeasurement in compliance with PQRS

Assigned for certain services or test resultsthat support performance measures

Alphanumeric and consist of four digitsfollowed by alpha character F

Reporting is optional.

#. CPT Category III Codes

Allow for utilization tracking of emerging:

Technology

Procedures

Services

Facilitate data collection/assessment aboutnew services/procedures during FDAapproval process

Alphanumeric and consist of four digitsfollowed by the alpha character T

#. Errors made during coding :-

Using random modifiers

Failing to link diagnosis code

Not coding multiple procedures when appropriate.

Missing charges when multiple procedures are performed.

Coding from the operative note headers rather than reviewing the entire document including procedure details.

#. I made errors because I haven't reviewed all provider documentation prior to selecting the appropriate codes.