Question

Evaluation and Management and Medicine Discussion

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1. Explain the difference between the coding of immune globulins and immunizations, how is the administration coded?

2. Explain in detail how to code for coronary therapeutic services and procedures

Explain how to code cardiac catheterizations (93451-93533) and injection procedures (93561 - 93571)

3. Explain what is considered when determining the medical decision making key components of the evaluation and management codes

Answer 1

90460,90461,90471,90472,90473,90474 is the codes for immunization to any age group via various routes.S9338 is the code for immunoglobulin administration.Immunoglobulin is considered as temporary protector hence it not comes under immunization so it has different code.

92920-Angioplasty single vessel,92921-Angioplasty additional branch,92924-Atherectomy single vessel,92925-Atherectomy additional branch,92928-Stent single vessel, 92929-Stent additional branch,92933-Atherectomy stent single vessel, 92934-Atherectomy stent additional vessel,92937-PCI or bypass any method,93938-PCI or bypass additional branch.while coding for cardiac therapeutic procedures they are within a same range only important thing in cardiology coding is to note the type of catheter or any instrument used such as stent or pacemaker like wise even the procedure same the substance differ hence should code it accordingly.

While coding for cardiac catheterization note whether it is for diagnostic purposes or treatment purposes or along with imaging purposes.Different code available for the side they performed,the equipments used. Hence it should be consider while coding.93563 is the code for injection during cardiac catheterization.If a patient undergone only catheterization procedure then it is enough to give a code but that should mention the side of performance, any substance used,any placement done or simply for diagnostic purpose according to that the code varies between the range.suppose if he got injection along with the procedure there you need to include the code mentioned above.

The correct full detailed patient information related to treatment procedure is the most important component of evaluation and management codes.