CPC study guide 2024

CPC study guide 2024 Allergy - ANS Hypersensitivity caused by exposure to an antigen or allergen Artery - ANS Vessel carrying blood from the heart to the tissues. Autonomic - ANS Involuntary , related to the autonomic nervous system. Biofeedback - ANS Training technique for development of a person's ability to control his or her autonomic nervous system. Bipolar disorder - ANS Affective disorder with alternating mood swings from euphoria to depression. Catherization - ANS Insertion of a catheter into a body cavity or organ to inject or remove fluid. Chemotherapy - ANS Treatment of disease by means of chemical substances or drugs ; usually cancer. chiropractic - ANS Treatment predominately using manipulation of spinal and musculoskeletal structures and recuperative powers of the body. Cognitive - ANS thoughts of thinking, learning , or memory processes. Comorbidity - ANS Presence of two or more illnesses at the same time. There may be an association between the illnesses. Compulsion - ANS Repetitive behavior with ritualistic characteristics ; uncontrollable impulse. Debridement - ANS Removal of dead or damaged tissue to promote healing. Decompensation - ANS Deterioration ; exacerbation of an illness or condition. Desensitize - ANS Lessening of sensitivity by administration of a specific antigen in low doses. Dialysis - ANS Removal of toxins from the blood by diffusion over a membrane or filter in patients with renal impairment or failure. Disorientation - ANS Inability to estimate direction or location. Doppler Study - ANS Use of an ultrasound probe to determine blood flow. Enteral nutrition - ANS Nutrients for patients with impaired ability to chew/swallow or ingest food, typically delivered by gastric or nasogastric tube. Extracraneal - ANS Outside of the skull. Extraspinal - ANS Outside the spine. Codes 99601 and 99602 - ANS Are reported for home visits for infusion of specialty drug administration and are reported per visit. These codes may be reported for peritoneal dialysis and other therapeutic and prophylactic agents. Medications given are reported separately. Medication Therapy Management (MTM) Services - ANS services provided to some medicare beneficiaries who are enrolled in Medicare Part D and who are taking multiple medications or have certain diseases. A pharmacist may report for patient assessment, intervention, or management of medication interaction/complications. Code selection is determined on whether the patient is new or established , and time reported for the management service. Always report a diagnosis code from Category Z71 and Z76. Peripheral Arterial Rehabilitation - ANS Uses physical exercises to help reduce symptoms of PAD ( peripheral Artery Disease and is reported with CPT code 93668. Nerve Conduction - ANS Is determined based on the number of studies performed. Each study includes assessment of AMPLITUDE, LATENCY, and CONFIGURATION OF WAVE FORMS elicited by the stimulation. Z3A.28 - ANS Used for 28 weeks gestation. Coding guidelines for pregnancy complications Chapter 15 ICD-10-CM - ANS State to use a code from category Z3A to identify the weeks of gestation. 94060 CPT Guidelines - ANS According to CPT guidelines 94060 Bronchospasm Evaluation Spirometry as an 94060. Encounter was done before and after a nebulizer treatment. 94010 CPT Guidelines - ANS According to CPT Guidelines 94010 Bronchospasm Evaluation Spirometry as an 94010. Encounter was done before and after Bronchodilator ( aerosol or parenteral). 99050 CPT Guidelines - ANS Office Medical services/ after hours referring to 99050. This code states it is billed in addition to the primary service, which is a level 3 office visit. Two out of thee components are required to be met for an established patient. ( 99213) 95117 - ANS On the Allergen Immunotherapy/ allergenic Extracts/Injection. The correct code is 95117 because two injections were given and the physician did not prepare or provide the allergenic extract. HCPCS Level II codes - ANS Are maintained by CMS and are released quarterly on the CMS website. Modifier-26 Professional Component - ANS When a service having both a technical and a professional component is performed in the hospital, the physician may bill for the professional component only. Modifier 26 represents the professional component. 30999 CPT Guidelines - ANS According to the parenthetical instructions listed below CPT code 30130, excision of superior or middle turbinate should be reported with CPT code 30999. According to CPT Guidelines for Hernioplasty, Herniorraphy, and Herniotomy: - ANS The use of mesh or other prostheses is separately reportable with incisional hernia repairs ( ). There is also a parenthetical note under the add-on-code 49568 indicating the codes it can be reported with. stratum basale (germinativum) - ANS The stratum germinativum is the deepest layer of the skin and contains melanocytes. Melanocytes - ANS Produce pigment called Melanin, which is responsible for skin pigmentation. Psriasis - ANS Is a common chronic, autoimmune condition characterized by the eruption of reddish, silvery scale maculopapules. CPT Guidelines - ANS Incision and drainage is performed on a skin abscess ( subcutaneous). Code 10060 when the abscess that did not need closure , packing or a drain place to allow continued drainage. The great Saphenous vein - ANS Carries blood from the great toe up the leg to the thigh, where it drains into the femoral vein. The great Saphenous vein is sometimes harvested for use in multiple coronary artery bypass or peripheral artery bypass surgeries. See anatomy charts at the front of CPT. Protected Health Information PHI - ANS PHI is defined under HIPAA as protected health information. fraud - ANS To purposely bill for services that were never given or to bill for a service that has a higher reimbursement than the service produced . Abuse - ANS Consist of payment for items or services that are billed by providers in error that should not be paid by Medicare. OIG Work Plan - ANS Office of Inspector General plan that lists the year's planned projects for sampling types of billing to determine if there are any problems. Each year in October the OIG releases a Work Plan outlining its priorities for the fiscal year ahead.