Posts classified under: Outpatient

This tutorial will review the extensive guidelines that have been added to the E/M Guidelines section regarding office and other outpatient services codes, including a table for medical decision making (MDM) that now applies to most E/M services codes.  Extensive revisions and additions were made to the CPT coding guidelines, definitions, instructions, and supporting tables for office visits (99202 – 99215), outpatient consults (99242-99245), and prolonged services (99415-99417, 99358-99359).   (2 CEUs)

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This tutorial reviews specialized coding for patients who present for outpatient testing or therapy per a physician’s order. These encounters are typically known as Ancillary Visits or Encounters.  (1 CEU)

Screening Colonoscopy and Endoscopic Exams

Information regarding the diagnostic and procedural coding guidelines for the accurate reporting of colonoscopies and endoscopic exams is reviewed.  Screening definitions and the use of G codes are discussed. (2 CEUs)

Laceration repairs take into consideration many coding guidelines which can cause confusion for coders. Physician documentation is paramount in reporting the correct type, site and size of the repair.  This tutorial will educate the coder on the various wound closures with respect to CPT coding rules and guidelines. (2 CEUs)

One of the most demanding aspects of outpatient coding is the selection of injection and infusion codes. (1 CEU)

1995 and 1997 CMS Evaluation and Management Documentation Guidelines (2 CEUs)

Facility Outpatient and Ambulatory Surgery Centers CPT Modifiers 73 & 74, Cancelled Procedures and Modifier 52, Reduced Services

this tutorial will instruct the coder in the correct use of modifiers 73, 74, and 52 for facility outpatient and Ambulatory Surgery Centers (ASC).

Modifiers 73 and 74 were established to assist hospital outpatient facility reporting associated with the use of resources in the event a surgical or diagnostic procedure is cancelled due to extenuating circumstances or circumstances that threaten the well-being of the patient. 

Modifier 52 is used in the hospital outpatient setting or ASC to indicate partial reduction or discontinuation of radiology procedures and other services that do not require anesthesia.  (1 CEU)

Coding emergency room visits is not as difficult as the coding of inpatients, but it does require the application of the outpatient coding guidelines.  A standard set of procedures typically relates to this patient type, and varies slightly by facility.  This tutorial will discuss the coding guidelines for both ICD-10-CM diagnosis and CPT-4 procedure coding.  Typical procedures to look for in the ED setting will be discussed as well.  (2 CEUs)