The March 2016 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, discussed a variety of topics of interest to outpatient and inpatient medical coders. The topics discussed included “Review of X {EPSU} Modifiers (modifier 59 alternatives)”, “Can a Z code be a Primary/Admitting Dx?”, “Modifier, Global and Bundle”, “E/M Codes 99201-99205”, “Chiropractic versus Medical Coding”, “ICD-10-PCS Code for ALIF”, “E/M during Post-Op Period (GSP)”, and “Path & Lab 80300 - 80304 CPT codes”. Also discussed was the CCO Risk Adjustment Course V2.0 which is coming soon, and the CCO VIP opportunity. Attendees’ questions on various coding topics were answered. Educational topics were presented by Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC; Alicia Scott, CPC, CPC-I, CRC; Jo-Anne Sheehan, CPC, CPC-I, CPPM, and Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.
2. This Month’s Q & A Webinar Agenda: 90-120 min
II: Q&A from our Instructors
● JoAnne: Review of X {EPSU} Modifiers (modifier 59
alternatives)
● Alicia: Can a Z code be a Primary/Admitting Dx?
● Chandra: Modifier, Global and Bundle
● Laureen: E/M Codes 99201-99205
● JoAnne: Chiropractic versus Medical Coding
● Alicia: ICD-10-PCS Code for ALIF
● Chandra: E/M during Post-Op Period (GSP)
● Laureen: Path & Lab 80300 - 80304 CPT codes
I: Introduction
● Why stay?
● Where is everyone from?
● Any Recent Graduates Out There?
● Announcements and Course Updates
IV: Your Questions in the Chat
III: Close - @ 90 min-’ish’
● Wrapup
● Drawing
● CEU Certificate Download Link
Ask Along the way in the Questions
box.
NOTE: We can’t answer every
question.
If your question isn’t selected,
post it on our forum where
fellow coders can help:
http://www.cco.us/forum/
3. Why Stay To The End?
Giveaway!
Free Drawing of Your Choice of 1 of the following:
Blitz Video Package | 2 CEU Webinars | 1 Hour Session with Laureen or Alicia
and...
Your AAPC CEU link for 1.5 CEUs
(a change tonight)
4. CCO Monthly Q&A Webinar CEU Changes
Webinar Attendees: Accessed within 24 hours
● * $5 - Worth 1 to 1.5 CEU per meeting
● Webinar Attendees: After 24 hours (only available
to Replay Club Members):
* $0 - Included in your membership ($19.95
month)
http://go.cco.us/webinar-replay-club
New Webinar CEU Pricing effective NOVEMBER 2015 *
Don’t need CEU’s?
Continue to attend the CCO webinar for free!
8. Review of X {EPSU} Modifiers
(modifier 59 alternatives)
Question:
Can you review the X modifiers implemented January 1,
2015?
ANSWER
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach
9. Can a Z code be a Primary/Admitting Dx?
Question:
Can I use a Z code as a primary/first listed diagnosis? I am
struggling with coding aftercare especially.
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
10. Modifier, Global and Bundle
Question:
Can you explain a little about the Modifier, Global and
Bundle?
ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
11. Chiropractic versus Medical Coding
Question:
I recently switched from coding & billing with a 97.5%
collection rate to a Chiropractic Group.
Now 50% of my claims are being denied- particularly with
Medicare and I am not doing anything differently than I did at
my prior job.
ANSWER
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach
12. E/M Codes 99201-99205
Question:
What E/M code should I use when a new patient comes in to
the physician office and the doctor documents the 99201-
99205 codes along with the preventive codes or well visit
codes? I believe the 99201-99205 would be appropriate even
though the physician states he did the well visit too.
ANSWER
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO
13. ICD-10-PCS Code for ALIF
Question:
I am getting confused trying to code for ALIF in ICD-10-
PCS.
It seems so different from ICD-9-CM vol 3 codes.
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
14. E/M during Post-Op Period (GSP)
Question:
Provider billed with modifier 24 with a diagnosis code for
trigger thumb only.
Does this justify the 24? Is this significant enough to warrant
payment of E/M within global?
ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
15. Path & Lab 80300 - 80304 CPT codes
Question: Can you go over Path & Lab coding for
Presumptive Drug Class Screening (80300-80304)?
ANSWER
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO
17. Case Study: Did the CCO Blitz Videos help you?
Q: What was your biggest concern before buying the course?
A: Was this course going to provide the method of learning I
need, hands-on? Yes that concern went away after the first
video.
Q: What superpower did this course help you achieve in your medical
coding career?
A: Confidence!!!
Q: Would you recommend the CPC Exam Preparation Videos to
someone else? Why?
A: In a heartbeat! I was holding myself back looking at coding
with a "clinician" brain as a nurse rather than a "coding brain.
Q: Anything else you've achieved with the help of our product?
A: I landed the best job I have ever had.
Karen Thomas, RN, CMT, CPC-A
20. Preventive and Problem Visit
Question: Would you be able to bill 2 separate
CPTs? Comprehensive preventive medicine and
a problem visit? In situations when patient
comes in for wellness visit and problem is
identified.
21. Global Surgical Package
Question: Global surgical package; what would
neuroplasty median nerve be considered; minor
or major? Also, can provider bill for application
of short arm splint?
23. 57 Modifier and Surgery
Question: Question on 57 modifier, an auditor
told me that if the decision for surgery was made
4 days prior to the actual surgery we must put
the 57 on that E/M. I have not found anything
regarding this, only that it is for the day before or
day of surgery. Do you have any information on
this? Thanks!
24. E/M Discharge Do’s and Dont’s
Question: Can you explain E/M Discharge do's
and dont's ..example DC note written on a day
OTHER than the actual DC date. What is
acceptable and what isn't.
25. Orthopedic Coding
Question: I've recently been assigned to code for
an orthopedic office. Can you tell me how I can
find out more information on orthopedic coding?
Thank you