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Question: Evaluation and Management and Medicine Discussion . 1. Explain the difference between the coding ...
Evaluation and Management and Medicine Discussion
.
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
1.Coding of immunizations;
A compant refers to each antigen in a vaccine that prevent diseases caused by organism 90460 and 90461
99393 _preventive services
90649_HPV vaccine
90460_administration first component (1unit)
90715_Tdap vaccine
90460_administration of first component (1 unit )
90461_2 additional component (2 unit )
90660_influenza vaccine, live,for intranasal use
90460_administration first component (1 unit )
Immunoglobulin coding administration;
J1567_Immunoglobulin, liquid
Q4087_octagam injection
Q4088_gammagard liquid injection
Q4091_flebogamma injection
Q4092_gamunex injection
Q4089_Rhophylac injection
Q4090_HepaGam B injection
2.codes of coronary therapeutic services and procedures 92920_92934
For coronary angioplasty, coronary arteries and coronary artery bypass grafts. These new codes replace codes 92980_92984and 92995_92996.
Codes 92920 through 92934 angioplasty, aterectomy, placement of intracoronary stent and a combination code.
Codes 92937 _92944 coronary therapeutic services and procedures on coronary bypass grafts, coronary revascularization service occuringduring myocardial infraction and coronary revascularization services with the presence of chronic total occlusion.
Code of cardiac catherzation (93451_93533)
Cardiac catherzation codes 93451_93461include all of the mapping angiography the physician performance in order to place the catheter. Including any injection, imagine Sand I and report .these codes do not include that contract injection and imaging and report for imaging that is separately identifiable by a specific procedures.
93452_93461 include contrast injection, imaging SandI and report on the imaging that is typically performed.
Left heart catherzation codes 93452_93453 and 93458_93461include intra procedural injection of left ventricular or left atrial angiography and imaging performed.93454_93461 include intra procedural injection for coronary angioplasty .
93531 right and retrograde left heart catch for congenital anomalies
93532 combined right and transseptal left heart catherzation through intact spectum
93533 combined right and transseptal left heart cath through existing septum
Injection procedures 93561_93571
93561 cardiac catherzation injection procedures
93562 cardiac output
93563coronary angiography with catherzation for congenital anomalies
93564 bypass graft for congenital anomalies
93565 left heart angiography
93566 right hearth angiography
93567 left supra valvular ascending atrophy codes
93568 pulmonary angiography
93571 intravascular coronary flow measures
93572 additional vessels coronary flow
3.evaluation and management qualified provides maximise payment and reduce stress aassociation with audits by understanding.
Services for use billing purpose. Majority of patients visit require evaluation and management code.among other things are determined by the visit complexity and documentation requirements.
Code 1995
Chief complaints _purpose for the patient en counter, typicallyin the patient own words
History of presents illness
Location
Timing
Quality
Severity
Duration
Signsand symptoms
Context
Reviews of symptoms
Past family social history
Examination;
Problem focused
Expanded problem focused
Comprehensive general multi system examination
Medical desician making
Diagnosis and amount of data analysed and determine managementoptions
Straight forward
Lower complexity
High complexity
Moderate complexity