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 auditor guide was created by Mary Phelps, RHIA, CCS, courtesy of First Class Solutions, Inc. 2018 and was excerpted from the appendix of The Essential Guide to Coding Audits.
The following is an excerpt from The Coder’s Guide to Physician Queries byAdrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP,with contributions from Rose T. Dunn, MBA, RHIA, CPA, CHPS, FACH. Chapter 2, “Understanding the Regulatory Environment,” provides valuable information for coders ongovernment payer initiatives to ensure ethical query submissions.
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.