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CODE
E08.01 - Diabetes due to underlying condition w hyprosm w coma
HCC Values
CMS-HCC v22: 17 - Diabetes with Acute Complications
CMS-HCC v24: 17 - Diabetes with Acute Complications
ESRD-HCC v21: 17 - Diabetes with Acute Complications
ESRD-HCC v24: 17 - Diabetes with Acute Complications
Rx-HCC v05: 30 - Diabetes with Complications
Rx-HCC v08: 30 - Diabetes with Complications
HHS-HCC v07: 19 - Diabetes with Acute Complications
Stats
Coding Tips: 5
Medicare Policies (LCD/NCD): 22
Newsletter Articles: 3
CODE
00BA0ZZ - Excision of Hypothalamus, Open Approach
PCS Codes in Same Section
| Section: | 0 | Medical and Surgical |
| Body System: | 0 | Central Nervous System and Cranial Nerves |
| Operation: | B | Excision |
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CODE
99202 - OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES
When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.
Stats
Non-Facility CCI Edits: Yes
Facility CCI Edits: Yes
Global Days: XXX - Global Concept Does Not Apply
Non-Facility RVU/Fee: 2.15 / $72.86
Facility RVU/Fee: 1.42 / $48.12
Coding Tips: 26
Medicare Policies (LCD/NCD): 4
Newsletter Articles: 872
Common Language Description (CLD)
Evaluation and Management (E/M) codes are used to report face-to-face encounters between a patient and a physician or other qualified healthcare providers (QHPs). Selection of the code category depends on the service location (eg, office, hospital, critical care, home) or type of service (consultation, prolonged services, admission, discharge) and patient status (new/initial or established/subsequent).
Within the code category, the level of service is determined by the provider's documentation of:
- Three key components (history, exam, medical decision making)
- Medical necessity (the level of severity or complexity associated with the presenting problem rated as straightforward, low, moderate, or high severity)
- Time (spent counseling and/or coordinating care with and for the patient, face-to-face, at the bedside, or on the patient's unit/floor)
Office or Other Outpatient Services New Patient category includes five codes (99201-99205) which represent five levels of complexity: 99202 requires documentation identifying
- Expanded problem focused history
- Expanded problem focused examination
- Straightforward decision making
- Presenting problem(s) low to moderate in severity
- Typical provider-to-patient, face-to-face time around 20 minutes
CODE
E0424 - Stationary compressed gas 02
Stats
Non-Facility CCI Edits: None
Facility CCI Edits: None
Coding Tips: 16
Medicare Policies (LCD/NCD): 2
Newsletter Articles: 13
Common Language Description (CLD)
Oxygen systems come with the components necessary to provide oxygen from the oxygen container to the patient: regulator, flowmeter, humidifier, tubing, cannula and/or mask. There are a few options available:
- Gaseous; liquid; or concentrated
- Portable or stationary
- For rent or purchase
The following components may be included in the system rented/purchased: refill adapter, container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing. A few systems may include other components, so be sure to check for a complete list of components for the system prescribed.
CODE
338 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC
ARTICLE
AMA CPT® Assistant - 2022 Issue 11 (November)
November 2022 pages 16-17Coding Brief: PCM Codes for Preprocedural Optimization
The topic of appropriate reporting for interdisciplinary preprocedural optimization management for elective procedures (eg, bariatric surgery, percutaneous coronary interventions, hip or knee replacement, and so on), raised at a recent Current Procedural Terminology (CPT®) Editorial Panel (the Panel) meeting, has garnered much interest. The goal of these preprocedural optimization services is to minimize foreseeable operative risks and to maximize the potential for a positive postoperative outcome. Preprocedural optimization management typically requires ongoing communication among an interdisciplinary care team, adjustment of medications, improving current medical conditions (diabetes, hypertension ...
MEDICARE
Document Information
| LCD ID | L33411 |
| Version Number | 29 |
| Title | Surgical Management of Morbid Obesity |
| Determination ID | |
| Original Effective Date | For services performed on or after 10/01/2015 |
| Revision Effective Date | For services performed on or after 10/01/2019 |
| Revision Ending Date | n/a |
| Retirement Date | n/a |
DICTIONARY
excision
[ex·ci·sion] (ek-sizh´ən)
- removal of a portion or all of an organ or other structure. Called also resection and ectomy.
DICTIONARY
AAA
Acronym/abbreviation for
- abdominal aortic aneurysm/aneurysmectomy
- acne-associated arthritis
- acquired aplastic anemia
- acute anxiety attack
- alacrima-achalasia-addisonianism [syndrome]
- American Academy of Addictionology
- American Academy of Allergy
- American Association of Anatomists
- androgenic anabolic agent
- aneurysm of ascending aorta
- angiography of abdominal aorta
- Area Agency on Aging
- aromatic amino acid
- arrest after arrival
CODE
648.01 - Diabetes-delivered
Antepartum condition with delivery
Delivery NOS (with mention of antepartum complication during current episode of care)
Intrapartum obstetric condition (with mention of antepartum complication during current episode of care)
Pregnancy, delivered (with mention of antepartum complication during current episode of care)
Stats
MCC or CC: MCC - major complication or comorbidity
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Boost Your Coding Precision with CPT AssistantWelcome to the ultimate resource for mastering CPT coding – the CPT® Assistant. This indispensable tool, brought to you by the American Medical Association (AMA), is designed specifically for medical coders, auditors, and billers who strive for accuracy and efficiency in their daily work with patient charts. Whether you are validating codes, training staff, or appealing insurance denials, CPT Assistant provides the authoritative guidance you need to excel. FeaturesCPT Assistant
Advantages and BenefitsWith CPT Assistant, you can navigate the complexities of medical coding with unparalleled confidence. This resource offers authoritative answers and expert explanations that help reduce coding errors, leading to fewer claim denials and streamlined appeals processes. The comprehensive archive of articles, updated monthly, ensures you always have the most current information at your fingertips, enhancing your ability to stay ahead of industry changes and trends. CPT Assistant’s visual aids, such as anatomical illustrations and procedural charts, make complex codes easier to understand, improving your accuracy and efficiency. By integrating this resource into your daily workflow, you can save valuable time and enhance your productivity. Furthermore, CPT Assistant supports your professional growth by providing ongoing education and insights that keep you informed about the latest coding practices. This not only boosts your professional credibility but also enhances your ability to train and support your team effectively. Get Started TodayUnlock your full potential and boost your coding capabilities with CPT Assistant today and experience the benefits of having a reliable, comprehensive coding resource at your disposal. Contact Find-A-Code Customer Support for more information and to get started. |
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