CPR Codes & ICD-10 Codes Flashcards
1
Q
Treatment Codes
A
- Common Procedural Terminology
- CPT Codes
- Timed: Treatment-related codes
- Untimed: Evaluation & Re-evaluation
2
Q
Must always bill the CPT code that
A
best describes the interventions provided
3
Q
Timed Units
A
1 Unit = 15 minutes of treatment
2 Units = 30 minutes of treatment
4
Q
What is a “Unit”
A
between the window of 8 - 22 minutes
- 1 Unit: 8 - 22 minutes
- 2 Units: 23 - 37 minutes
- 3 Units: 38 - 52 minutes
- 4 Units: 53 - 67 minutes
5
Q
PT- Evaluation - Stable ( Low complexity)
A
- No personal factors or co-morbidities
- Addressing 1-2 elements
- subacute
6
Q
PT - Evaluation - Evolving (moderate complexity)
A
- 1 -2 personal factors
- addressing 3 or more elements
- evolving clinical presentation with changing characteristics
7
Q
PT - Evaluation - Unstable (high complexity)
A
- 3 or more personal factors
- addressing 4 or more elements
- unstable presentation
- acute
8
Q
Three 7th characters
A
- ” A” Initial encounter (acute), someone comes to you without haven’t seen a doctor
- “D” Subsequent encounter (healing/recovery)
- “S” Sequela
9
Q
‘A” - Active Treatment
A
- Initial encounter
- in a direct access state where the patient is evaluated by a therapist prior to any other medical profession
10
Q
“D” - Subsequent Encounter
A
- Healing or recovery
- More common for therapists to use this 7th character
11
Q
“S” - Sequela
A
- a condition that is the consequence of a previous disease or injury
- example: scar formation after a burn
- clavicle example: Difficulty with shoulder elevation/ flexion
12
Q
Code has less than 7 characters and the 7th character extension is required
A
“X” is assigned
13
Q
ICD- 10, the codes billed by PTs have to do with
A
- what problem we are addressing, not the medical diagnosis
- example: difficulty walking, not parkinsons
- Code the problem you are addressing first, followed by the injury code
14
Q
External cause codes, place of occurrence codes, and activity codes
A
- report only once at the initial encounter
