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ACNP REVIEW > Billing & Coding > Flashcards

Flashcards in Billing & Coding Deck (11)
1

ICD 9 codes

classifies disease
3 digits followed by decimal with up to 2 digits

2

E&M codes

Evaluation and management
Gets you paid
Supported by H&P and medical decision making

3

CPT codes

Current procedural terminology
Gets you paid
Documentation must support code

4

CPT codes 5th digit

indicates complexity
99201 low level of complexity
99205 high level of complexity

5

CPT code for returning patients

4th digit is a 1
99211 returning low level complexity
99215 returning high level complexity

6

CPT code for wellness visits

3rd and 4th digit is 38
5th digit is based on age
1 is young, 99381
6 is elderly, 99386

7

ICD 9 code for wellness visit

V70.0 for well adult
V20.2 for well child
CPT code and ICD 9 code must match age group

8

ICD 9 codes of E and V

E= external injuries
V= supplemental classification (family history)

9

E&M code for new patient

99201, 99202, 99203, 99204, 9905
4th digit is zero
5th digit indicates complexity

10

Returning patients

99211, 99212, 99213, 99214, 99215
4th digit is a 1
5th digit is complexity

11

Most common E&M coding for subsequent visit

99232