Coding Shot

Question 1

anesthia

Answer 1

mederate (conscious) sedation codes are only reported when the physician performing the procedure administers the sedation and an independent trained observer assists

Question 2

anesthia

Answer 2

paid on the basis on:
base units +
time units +
modifying units (if allowed) X conversion factoor

Question 3

anesthia

Answer 3

according to medicare rules, modifier -50 would not be used on anesthesia surgical procedures, performed by anesthesiologists, such as femoral continuous blocks for pain management for bilateral knee pain replacement (64448-59-50), in addition to the ASA code or anesthesia CPT code

Question 4

integumentary system

Answer 4

some surgical procedure codes include debridement as a part of the service. you may report a debridement as a separate service when the medical record indicates that a greater than usual debridement was provided. ex. if an extensive debridement of an open fracture was performed when usually a simple debridement would be performed, you report the additional service using a debridement code from the 11010-11012 range

Question 5

integumentary system

Answer 5

you are not to assign the shaving codes if the shaving penetrated through the dermis (full thickness) full-thickness shavings are to be reported with the excision codes found in the excision—benign lesions or excision—malignant lesions categories

Question 6

integumentary system

Answer 6

in excision of either benign or malignant tissue, focus on the dimension of the normal tissue margin excised witht he lesion. this normal tissue margin is the determining factor in selecting the correct CPT codes