Coding based on time
How much time does it take to see a child with asthma or to discuss behavioral problems with parents? Or, to explain the importance of diet and exercise in a child whose weight is increasing at an unusual pace? A lot. These types of visits are not simple or quick. How can a pediatrician be paid for those services and what level of service should be selected?
All physicians, physician assistants, and nurse practitioners may use time to select the level of service of an office visit or consult wh...
Multiple surgical procedures
Multiple Surgical Procedures
In some groups, the coder performs all of the steps below. The responsibilities indicated here are opinion of the author, not law, regulation or national policy.
1. List all codes for the procedures performed
2. Note whether the procedures performed were done via the same compartment, incision, site, organ system, lesion, injury, session and by the same surgeon. If all are the same, note &q...
Evaluation and Management Services
According to the CPT® book, E/M services are divided into categories and subcategories. Office services are divided into new and established patient visits. Consultations are divided into outpatient/office consults and inpatient consultations. The E/M services typically have three to five levels of services and these levels are not interchangeable from one to the other. That is, a level one established patient visit is not equivalent to a level one admission.