Diabetes Care Documentation & Coding: A Handbook for Clinicians

Diabetes Care Documentation & Coding: A Handbook for Clinicians



Product Details

ISBN-13: 9781580401296
Publisher: American Diabetes Association
Publication date: 06/04/2003
Edition description: 2ND
Pages: 96
Product dimensions: 8.40(w) x 10.90(h) x 0.25(d)

About the Author

McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide

Table of Contents

1What Codes Do for You-And How They Do It3
Coding--More Than Just a Bean Counting System3
Codes Assist in Managing Your Practice4
Coding Basics4
Linking the Codes5
2Diagnoses and Their Codes7
Choosing the Correct ICD-9 Code7
If Your Patient Only Has Symptoms, What Should Be Coded?9
Prioritize Multiple Facts or Diagnoses for One Patient10
How Do You Send Codes to the Insurance Payer?10
Coding Visits When Two or More Physicians Treat the Same Patient10
With Chronic Conditions, How Do You Know Which Diagnosis to Use?11
Special Circumstances that Affect Your Choice of Codes11
The New Endocrine Code: Dysmetabolic Syndrome 277.712
3Professional Services and Their Codes13
Who Chooses or Changes the Codes in the CPT?13
How Are CPT Codes Organized?14
Using CPT Codes14
Common CPT Codes Used for Patients with Diabetes14
New vs. Established Patients14
Inpatient vs. Outpatient Services15
Coding Consultations15
4Evaluation and Management Codes19
Using E/M Codes19
Organization of the E/M Codes20
Determining Level of Service20
Relating ADA's Standards of Care to E/M Levels of Service24
Initial Visits24
Continuing Care Visits33
Counseling Visits35
5Pathways and Clinical Scenarios Using the ADA Standards of Care for Coding39
E/M Codes39
Outpatient Cases39
Inpatient Cases48
Coding Sample Cases49
6Coding for Diabetes Education Self-Management Training51
Medicare Coverage51
Private Payer Coverage53
DSMT Documentation54
Medical Nutrition Therapy Codes54
CGMS Coding55
Insulin Pump Training56
SMBG Equipment56
7Methods of Documentation57
8Coders and Care Providers73
1E/M Codes Simplified75
2Have We Stopped Talking to Our Coders?77
3The Meaning of Coding: Care Versus Economics79
4E/M Code Distribution Data81
5Coding Tools85

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