Billing DSA Flashcards

1
Q

What are levels of coding based on?

A
  1. Hx
  2. PE
  3. Medical decision making
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2
Q

Counseling is ___ of the three elements of codes.

A

independent

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3
Q

How should you list SD ddx in assessment?

A

by body region (not individual findings)

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4
Q

What is included in the head region?

A

skull

OA
hyoid bone

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5
Q

What justifies the use of OMT?

A

dx of SD in assessment

*must have SD dx present in order to bill for OMT performed

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6
Q

OMT is considered a…

A

procedure

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7
Q

What should you never say for cc?

A

“here for OMT” or “here for maintenance”

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8
Q

What do the following codes mean?

  1. 98925
  2. 98926
  3. 98927
  4. 98928
  5. 98929
A
  1. 1-2 areas
  2. 3-4 areas
  3. 5-6 areas
  4. 7-8 areas
  5. 9-10 areas
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9
Q

When do you use “-59”? “-29”?

A
  • 59 –> When trigger point or nerve block injections performed on the same date of service as OMT and unrelated to the OMT; to be reimbursed for E&M service and 2+ procedures
  • 25 –> reimbursed for both E&M service and the OMT procedure
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10
Q

What must go in the Objective portion? Assessment? Plan?

A

objective - SD, TART

assessment - list SD dxs by body region

plan - OMT was performed based on todays evaluation; OMT was performed to __ region with __ technique

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11
Q
A
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