Discuss the CPT guidelines, modifiers, and add-on codes.
Reviewing and understanding the basic of the CPT manual is the first step to becoming an effective medical biller and coder. And guidelines are the rules for CPT coding and give the biller and coder useful information on how to select and apply codes. Coders should always read the guidelines for proper coding selection. The guideline contains definitions of terms, applicable modifiers, explanation of notes, subsections information, unlisted services, special reports information, and clinical examples. The CPT has divided into three categories; Category I, this section represents procedures that are widely performed and accepted by the medical community. CPT Category II is optional codes developed to support performance measurement. While Category III codes are temporary codes …show more content…
Category I is broken down into six separate sections: Evaluation and Management (E/M), Anesthesia, Surgery, Radiology, Pathology & Laboratory, and Medicine. Each section within the CPT manual is divided by section, subsection, subheading, and category. Each section of the manual contains its own set of guidelines that are found in the first few pages of the section. For example, in E/M section, there is some guiding tips on how to distinguish between new or established patient. And each subsection is subheading and/or category which also contain different important notes and guidelines. For example, subsection Hospital Observation Services, notes below here should always need to read for further instructions. These guidelines are necessary to appropriately interpret and
Reviewing and understanding the basic of the CPT manual is the first step to becoming an effective medical biller and coder. And guidelines are the rules for CPT coding and give the biller and coder useful information on how to select and apply codes. Coders should always read the guidelines for proper coding selection. The guideline contains definitions of terms, applicable modifiers, explanation of notes, subsections information, unlisted services, special reports information, and clinical examples. The CPT has divided into three categories; Category I, this section represents procedures that are widely performed and accepted by the medical community. CPT Category II is optional codes developed to support performance measurement. While Category III codes are temporary codes …show more content…
Category I is broken down into six separate sections: Evaluation and Management (E/M), Anesthesia, Surgery, Radiology, Pathology & Laboratory, and Medicine. Each section within the CPT manual is divided by section, subsection, subheading, and category. Each section of the manual contains its own set of guidelines that are found in the first few pages of the section. For example, in E/M section, there is some guiding tips on how to distinguish between new or established patient. And each subsection is subheading and/or category which also contain different important notes and guidelines. For example, subsection Hospital Observation Services, notes below here should always need to read for further instructions. These guidelines are necessary to appropriately interpret and