Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

New Category III Codes Provide a Window Into the Future of Medicine

Wondering what the future holds for healthcare? Just scan through the CPT® Category III codes. The CPT® Editorial Panel recently released 20 new Category III codes for emerging technologies, procedures, services, and service standards. The codes go into effect July 1, but you won’t find them in your 2023 code book. In accordance with the […]

The post New Category III Codes Provide a Window Into the Future of Medicine appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Keep Your Medicine Coding Audits on Task

Use this guide to prevent errors in claims for therapeutic and diagnostic services getting past you. Therapeutic and diagnostic services, which includes injections, infusions, physical medicine, and rehabilitation, are some of the most difficult services to code. As a result, claims for these services — reported with codes from the Medicine section in CPT® — […]

The post Keep Your Medicine Coding Audits on Task appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Good Coding Habits for Sleep Medicine Begin with Simplification

You can rest assured that when you break procedure codes into groups, it’s easier to compare and apply proper codes. Sleep medicine is a sub-specialty of neurology, which can seem very daunting to coders and physicians due to technicalities in the guidelines and procedure code descriptions. The good news is that code selection is simple […]

The post Good Coding Habits for Sleep Medicine Begin with Simplification appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Compliance for Maternal Fetal Medicine Billing Global Delivery

Hello,

My question is if Maternal Fetal Medicine is seeing a patient for all of her prenatal care, delivery and postpartum care, shouldn’t MFM bill out a global delivery charge if the patient meets the criteria with the amount of prenatal visits (approximately 13 rule)? Also if MFM is seeing a pregnant patient as a co-specialty to the patients general OB doctor who is seeing the patient for her prenatal, delivery and postpartum care, wouldn’t MFM bill out their visits separately since MFM isn’t taking on the patients care?

Thanks for your help. It’s greatly appreciated,

Sarita

Medical Billing and Coding Forum

Addiction Medicine – Positive ETG

Hello,

I code for MAT for Opioid Dependence. When on Suboxone, alcohol is prohibited due to the fact that consuming alcohol while taking Buprenorphine can lead to loss of consciousness or even death. In this case, the patient has had positive ETG for the past few visits. Patient denies alcohol use, but has been having dental issues and has been using a prescribed mouthwash. I’d like to be able to code for the alcohol risk, but it certainly cannot be ascribed to alcohol abuse. Would F10.99 Alcohol use, unspecified, with other alcohol induced disorder be appropriate? Can Opioid dependence in MAT treatment with the possibility of drug to drug interaction qualify as a disorder?

Thanks so much for any feedback.

Allison

Medical Billing and Coding Forum

97110 by General Practitioner or Family medicine in office Visit

Hello,

Request to guide that, can we report 97110 (Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility) for below scenario ?

In the office visit of Worker’s Compensation of California by general practitioner or family medicine, provider documents below paragraph with the heading of therapeutic exercises.

THERAPEUTIC EXERCISES
The patient was personally trained in appropriate warm up, strengthening and stretching exercises. These rehabilitative exercises were reiterated, demonstrated and reinforced; while the patient actively participated. This is also intended to be performed at home on a daily basis. The rehabilitation routine decreases inflammation, increases flexibility and strength of the specific structures in the injury adjacent locale to include both agonist and antagonist muscle groups, intrinsic flexor, extensor and rotary muscles as well as supporting structures. The exercises were intended to increase strength and range of motion and decrease pain. The minimum time required for CPT 97110 was exceeded for this patient.

Medical Billing and Coding Forum

Occupation Medicine

Good Afternoon,

We are looking into Occupational medicine and I can’t find very many codes they are requesting for certain exams, Fit for Duty and a few other test. I would like to find someone who could help me with this information or maybe has a sheet they have compiled if they currently work in an occupational medicine office.

Thank you for your help in Advance,

_@_ , CPC, CPB

Medical Billing and Coding Forum

Sleep Medicine 95810 or 95811 going into MSLT 95805

Here’s the situation: The patient is already using a prescribed CPAP device and is having an overnight polysomnography before a Multiple Sleep Latency test (95805). This patient completes PSG in our sleep lab using their own CPAP device. The study is attended by a sleep technologist and records the same information as it would if the patient were having a titration study. Wouldn’t this test be billed with 95811? Our sleep lab is prior authorizing 95810 because they say the test is to get the patient’s "baseline" ahead of the MSLT. I think if the patient is using any type of CPAP device, the correct code is 95811, Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist.

Please let me know your thoughts, and if you have any references please include those too. I’ve been searching, but need a little more help.

Thanks – Kathleen

Medical Billing and Coding Forum