Chpt 22 Flashcards
Immune globulin
Functions as an antibody for a short period of time
Immune globulin codes
Codes reported in addition to administration codes
Are modifier 51 exempt
Vaccine
A dead microorganism that is administered for prevention or treatment of a disease
Toxoid
The actual bacterial exotoxin that has lost its toxic effect but kept its ability to produce antibodies
Live vaccine
One that was prepared from live microorganisms but has been thinned down and that has kept the immunogenic properties
Psychiatry
Branch of medicine that treats mental disorders, including emotional and behavioral
Psychiatrist
Doctor who administers treatment for these disorders
Psychoanalysis
A form of psychotherapy in which the patient’s unconscious thoughts are recognized and analyzed
Narcosynthesis
Form of psychiatry that involves the administering of an IV drug that allows the patient to release thoughts that might be suppressed or repressed
Hypnotherapy
A type of psychotherapy that alters the state of consciousness to heighten awareness and opens the patient up to suggestions, etc.
Biofeedback
Deals with involuntary physiological responses and teaches the patient how to consciously manage these responses
Ex. High blood pressure and incontinence
Code is determined by modality
Hemodialysis
Removes waste from the blood but involves a continuous movement of blood from the body to a hemodialyzer for filtering,
Then the clean blood is returned to the patient’s bloodstream
Peritoneal dialysis
Another form of cleaning the waste from the bloodstream but instead of a machine, the peritoneal membrane is used as the filter
Hemoperfusion
A way for toxins to be removed from the blood in which the physician perfuses the blood through activated charcoal or resin then transfuses the blood back into the patient
ESRD
Codes reported once per month: 90951-90970
Less than a full month, billed by the day: 90967-90970
Gastroenterology codes
If e/m services are performed at the same time, they must be reported separately
Reference surgery section for digestive tract procedures before coding
Procedures of the esophagus
Reported first
Optometrist
Not a medical doctor
Cannot prescribe medication
Ophthalmology codes in CPT medicine section
Services reported by an ophthalmologist
Refractor
Machine that contains a large series of lenses that are changed quickly during an examination as the patient views an eye chart
Gonioscope
A type of scope that examines the eyes for signs of glaucoma
Serial tonometry
A procedure that measures pressure over the course of the day
Spirometry testing
Measures lung capacity
Pulmonary codes
Include laboratory codes as well as physician codes
Do not report separately
Include interpretation of results in bundle
Medicine pulmonary section
Check when codes in respiratory surgery section don’t have anything better
Outpatient pulmonary rehab services
Coded per session
Allergy and clinical immunology
Code description may refer to the number of tests performed- the quantity should reflect the correct number of tests performed
Allergy testing less than 61 minutes
An e/m code should be reported if appropriate
Allergen immunotherapy
Code selection steered by number of injections
Endocrinology glucose monitoring
Codes are reported no more than once a month
Genetic testing and counseling
96040
Face-to-face time- 30 minute service
Central nervous system testing
Face-to-face time
Report is usually generated
