The following is a short excerpt on the query process for medical necessity and compliance fromThe Complete Guide to Medical Necessity: JustCoding’s Training and Education Toolkit, by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC. This toolkit combines a book-length PDF, a full-length webinar, and other essential tools and downloadable information to provide coders with the training they need on properly coding while staying compliant with medical necessity requirements. For more information or to order, call 800-650-6787 or visit the HCPro Healthcare Marketplace.
The following is a list of the top five most commonly reported CPT codes and their code descriptions, based on Medicare Part B data from 2016, for cardiology, general surgery, and obstetric services.
This case is excerpted from JustCoding’s Clinical Scenario Workbook: 2018 CPT Edition. The book contains 52 cases covering a wide variety of procedures and has been reviewed by HCPro’s coding regulatory specialists. See answers on p. 2.
This case is excerpted from JustCoding’s Clinical Scenario Workbook: 2018 CPT Edition. The book contains 52 cases covering a wide variety of procedures and has been reviewed by HCPro’s coding regulatory specialists. See answers on p. 2.
After reviewing each attached clinical scenario, coders should report the most applicable ICD-10-CM diagnosis codes and all relevant CPT codes. Answers are provided at the bottom of each page. Clinical scenarios are written by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC.
This case is excerpted from JustCoding’s Clinical Scenario Workbook: 2018 CPT Edition. The book contains 52 cases covering a wide variety of procedures and has been reviewed by HCPro’s coding regulatory specialists. See answers on p. 3-4.
The following decision tree will assist coders in determining whether or not to code diagnostic angiography/venography in addition to a therapeutic intervention. This resource was excerpted from Cracking the IR Code: Your Comprehensive Guide for Mastering Interventional Radiology Coding by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC.
