Billing DSA Flashcards
1
Q
What are levels of coding based on?
A
- Hx
- PE
- Medical decision making
2
Q
Counseling is ___ of the three elements of codes.
A
independent
3
Q
How should you list SD ddx in assessment?
A
by body region (not individual findings)
4
Q
What is included in the head region?
A
skull
OA
hyoid bone
5
Q
What justifies the use of OMT?
A
dx of SD in assessment
*must have SD dx present in order to bill for OMT performed
6
Q
OMT is considered a…
A
procedure
7
Q
What should you never say for cc?
A
“here for OMT” or “here for maintenance”
8
Q
What do the following codes mean?
- 98925
- 98926
- 98927
- 98928
- 98929
A
- 1-2 areas
- 3-4 areas
- 5-6 areas
- 7-8 areas
- 9-10 areas
9
Q
When do you use “-59”? “-29”?
A
- 59 –> When trigger point or nerve block injections performed on the same date of service as OMT and unrelated to the OMT; to be reimbursed for E&M service and 2+ procedures
- 25 –> reimbursed for both E&M service and the OMT procedure
10
Q
What must go in the Objective portion? Assessment? Plan?
A
objective - SD, TART
assessment - list SD dxs by body region
plan - OMT was performed based on todays evaluation; OMT was performed to __ region with __ technique
11
Q
A
