Barbara Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC April 30, 2013

Transcription

1 Barbara Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC April 30,

2 2 Agenda CPT Code Changes in 2013 You're One Code Search Away from a Better Understanding of CPT 2013 CPT 2013 Code Changes Button Upcoming and Historical Information Quickly Spot CPT Guideline Changes How to Use Code Search Narrower and More Accurate Result Compared to Competitors Search Tools Compliance Improving Notes for Individuals, Groups, and Teachers Search Features that Speed You to Your Codes in Record Time Features and Benefits

3 Master 2013 CPT Coding with SuperCoder s All-New Code Search CPT Changes in 2013 Total: 568 New 186 Deleted: 119 Revised: 263 Almost 150 guideline changes Changes by Section E/M: 89 Anesthesia: 2 Surgery: 80 Radiology: 39 Path & Lab: 84 Medicine: 213 Category II: 14 Category III: 47 3

4 Evaluation & Management New Codes 99485, 99486, 99487, 99488, 99489, 99495, Revised Codes Almost every code descriptor in the E/M code section, including office visit codes, inpatient hospital codes, consultation codes, and many other E/M codes: 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99224, 99225, 99226, 99231, 99232, 99233, 99234, 99235, 99236, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99281, 99282, 99283, 99284, 99285, 99288, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99360, 99374, 99375, 99377, 99378,

5 Example: Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other providers qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient s and/or family s needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spendtypically,10 minutes are spent face-to-face with the patient and/or family. 5

6 Anesthesia For Anesthesia, there are no new CPT codes; there are two revisions though: 01991: Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different provider physician or other qualified health care professional); other than the prone position 01992: Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different provider physician or other qualified health care professional); prone position 6

7 Orthopedics New Codes 22586, 23473, 23474, 24370, Example: Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace Know This Code is used to report Arthodesis using presacral interbody fusion technique. To report Percutaneous technique, code 0195T is used. 7

8 Revised Codes 20665, 21046, 21047, 21048, 21049, 27681, Example: Removal of tongs or halo applied by another physicianindividual; Know This: New edit in the descriptor of emphasizes provider neutrality where the term "Physician" has been replaced by "individual". Deleted Code is the only code deleted for orthopedics. 8

9 Cardiology New Codes 33361, 33362, 33363, 33364, 33365, 33367, 33368, 33369, 33990, 33991, 33992, 33993, 36221, 36222, 36223, 36224, 36225, 36226, 36227, 36228, 37197, 37211, 37212, 37213, 37214, Example: Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach This is one of the new codes introduced for Aortic valve replacement through lumen of catheter rathar than surgery better known as TAVI/TAVR. TAVI is recommended for patients who may not be healthy enough to undergo Open Heart surgery. The aortic valve is replaced with a prosthetic valve. In this code, percutaneous femoral artery approach is used to perform the replacement. 9

10 Revised Codes 33225, 36400, 36405, 36406, 36410, 38240, 38241, Example: Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of pacing cardioverter-defibrillator or pacemaker pulse generator (including eg, for upgrade to dual chamber system and pocket revision) (List separately in addition to code for primary procedure) Know This: The code will see a minor revision, removing pocket revision from the descriptor. 10

11 Radiology New Codes 78012, 78013, 78014, 78071, Example: Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Codes will be out. In their place you ll see thyroid codes for uptake (78012), imaging (78013), and imaging with uptake (78014). Revised Codes 72040, 72050, 72052, 75896, 75898, 75964, 76000, 76001, 76376, 76377, 76885, 76886, 77051, 77052, 77071,

12 Example: Radiologic examination, spine, cervical; 23 views or 3 viewsless Know This: Spine X-ray: View requirements will get a little clearer for revised cervical spine X-ray codes (3 views or less), (4 views or 5 views), and (6 or more views). Deleted Codes 71040, 71060, 75650, 75660, 75662, 75665, 75671, 75676, 75680, 75685, 75900, 75961, 78000, 78001, 78003, 78006, 78007, 78010,

13 Ob-Gyn New Codes No new CPT codes in 2013 Revised Code Just one code revised code for Ob-Gyn: 59300: The descriptor has been revised to Episiotomy or vaginal repair, by other than attending physician Know This: You will no longer find a reference to a "physician" in

14 Gastroenterology New Codes 43206, 43252, Example: Esophagoscopy, rigid or flexible; with optical endomicroscopy This newly added code includes optical endomicroscopy ( Including interpration, so do not code with this code) along with Esophagoscopy. Supply of contrast agent is reported seperately. Deleted Codes is the only code to be deleted for gastroenterology 14

15 Neurology/Neurosurgery New Code Just one new code for this segment: Revised Codes 62370, 64561, 64612, Example: New descriptor for this code is with reprogramming and refill (requiring skill physician s of a physician or other qualified health care professional) Know This The descriptor for code will also expand to include other qualified health care professionals instead of only physicians. If you code for pain management specialists, be aware of the revised descriptor. 15

16 Pulmonology New Codes 31647, 31648, 31649, 31651, 31660, 31661, 32554, 32555, 32556, 32557, Revised Code 32551: Tube thoracostomy, includes water sealconnection to drainage system (eg, for abscess, hemothorax, empyema water seal), when performed, open (separate procedure) Know This: Tube thoracostomy code will be revised to specify that it s an open procedure. Deleted Codes 31656, 31715, 32420, 32421,

17 Pediatric New Codes 90714, 90863, 90672, 99485, Example: Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with transport team before transport, at the referring facility and during the transport, including data interpretation and report; first 30 minutes 17

18 Deleted Codes 90701, 90718, Example: Vaccine/Toxoid Deletions 90701, Diphtheria, tetanus toxoids, and whole cell pertussis vaccine (DTP), for intramuscular use 90718, Tetanus and diphtheria toxoids (Td) adsorbed when administered to individuals 7 years or older, for intramuscular use 18

19 Pathology New Codes 81201, 81202, 81203, 81235, 81252, 81253, 81254, 81321, 81322, 81323, 81324, 81325, 81326, 81479, 81500, 81503, 81506, 81508, 81509, 81510, 81511, 81512, 81599, 82777, 86152, 86153, 86711, 86828, 86829, 86830, 86831, 86832, 86833, 86834, 86835, 87631, 87632, 87633, 87910, 87912, Example: Description: Unlisted molecular pathology procedure 19

20 Revised Codes 80047, 80048, 80050, 80051, 80053, 80055, 80055, 80069, 80074, 80076, 80402, 80406, 80408, 80412, 80418, 80420, 80422, 80426, 80430, 80432, 80434, 80435, 80436, 81400, 81401, 81402, 81403, 81404, 81405, 81406, 81407, 81408, 82009, 82010, 87498, 87521, 87522, 87535, 87536, 87538, 87539, 88302, 88304, 88305, 88307, Example: Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) 20

21 Deleted Codes CPT 2013 does not include: 83890, 83891, 83892, 83893, 83894, 83896, 83897, 83898, 83900, 83901, 83902, 83903, 83904, 83905, 83906, 83907, 83908, 83909, 83912, 83913, 83914, 88384, 88385,

22 Dermatology New Code No new CPT code for 2013 Revised Code Just one revision to Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel 22

23 You're One Code Search Away from a Better Understanding of CPT 2013 Get CPT 2013 codes as well as previous years code change information on Code Search, a superfast online tool on SuperCoder that gets you quick, accurate responses at an affordable price. 23

24 Locate CPT 2013 Code Changes Info in 3 Spots Code Search page, CPT 2013 Code Changes button: Browse deleted, revised, and new codes by section Code details page, 2013 Advice section: Look under the left column for advice on using a CPT 2013 new or revised code Code details page, Historical & Update section: Get a code s exact descriptor changes 24

25 Browse All New, Revised and Deleted Codes 25

26 All-New CPT 2013 Code Changes Button to Help You Master the Changes 26

27 All-New CPT 2013 Code Changes Button to Help You Master the Changes 27

28 Upcoming and Historical Information To locate a code s historical information, go to the code s details page and scroll down to the last box in the lefthand column titled Upcoming and Historical Information: 28

29 Quickly Spot CPT Guideline Changes by Looking for Green SuperCoder Text For 2013, you have almost 150 CPT guidelines changes to learn. Fortunately, with SuperCoder s Code Search, you can quickly spot a code s changed guidelines. Just like a coding manual, new and/or revised guidelines text is highlighted in green. 29

30 Put SuperCoder on Your Desktop for Every Code Search 30

31 Make Your Search Book-Like or Direct 1. Under My SuperCoder, go to Choose Search Settings 2. Decide How You Want a Codeset Search to Work Do you want to go from code search results directly to code details? Set codeset search to Details Do you prefer to see associated codes first like you do in a code book? Choose Hierarchy (Listing) 31

32 For instance we have set CPT to Details page and ICD-9 to Hierarchy (Listing) page so that when we do the search CPT goes right to the code (screenshot on left) and ICD-9 goes to hierarchy, then to code (screenshot on right. 32

33 New Color-Coded Search Results Identify Keyword-Code Mapping Source SuperCoder KECH Codeset Index SuperCoder s extensive Keyword to Code Correspondence Helper 33

34 Color Reveals Definitive Source 34

35 Color-Coded Results Benefits Identify the correct code faster with on-target results Code more correctly by providing the same code suggestions that you would find if you looked up the term in the indexes of CPT, ICD-9, ICD-10-CM, and HCPCS Save time by simultaneously searching codeset indexes and KECH Plug revenue leaks with code suggestions for abbreviations and alternative codesets for terms excluded from coding books indexes Confidently transition from books to online knowing the purple and red provide the same results as manual code lookup without thumb fatigue 35

36 Same Result from Index Often on Top of KECH Results 36

37 KECH Includes Tons of Commonly Used Medical Abbreviations Fx Dx IPPE Tib WC PMS Codeset indexes omit these terms 37

38 Search Features That Speed You to The Appropriate Codes in Record Time! Decrease Misspellings with Autopop-ups on Every Code Search Box Spot Applicable Codes Faster with Fewer Keyword Search Narrow Down Multi- Anatomy Codes Result by Adding Location See the Most Commonly Associated Code set above Others Search by Range Using Code-Code Get Search Results Specific for Age-, Gender-, or Time- Based Codes Override Your Search Settings on a Single Search 38

39 Decrease Misspellings with Autopopups on Every Code Search Box Cut down on key stroke entries Avoid common spelling errors 39

40 Get Search Results Specific for Age-, Gender-, or Time-Based Codes Narrow down the list of applicable codes for codes that include age, gender, or time in their descriptions. After the keyword, include the parameter (age, gender, minutes, hours) and your case specific number. 40

41 Example: When you type "3 month WC in the search box, SuperCoder s search picks up only the most appropriate code as the result, and not all the "well child" visit codes. 41

42 Narrow Down Multi-Anatomy Codes Result by Adding Location Eliminate generic code options with location specific keyword add the specific area of a procedure or condition for more accurate code matching. 42

43 Override Your Search Settings on a Single Search Using a code page search box or the Code Search page Keyword & Code tab at the end of a keyword or code, enter:! to go directly to code details page *- to go to index listing Example: Your ICD-9 search settings are set to hierarchy view but you want to instantly get the descriptor for without going to the hierarchy page. You enter 382.9! and go directly to the code s details page. (You ll not find this feature in any other site) 43

44 Scroll Less Thanks to Search Box on the Bottom of Pages Start a new search faster without having to scroll to the top of a code page. SuperCoder s code details and range pages include a keyword/code search box at the bottom of pages. 44

45 2 Ways to Search by Range Browse by codeset section Enter your own code range by using 2 codes separated by Only on SuperCoder! 45

46 Anesthesia Sub-Ranges: 46

47 Individual Codes Displayed on Clicking the Sub-Range: 47

48 Narrower and More Accurate Result Compared to Competitors Search Tools 48

49 How can you know which Code Search tool is the undisputed champion if you don t pit them head-to-head? Super Coder Codeit Right Encoder Find-a-Code 49

50 That s why we ve decided to compare SuperCoder s Search Tool with some of its competitors using keywords like EDEMA and Shortness of Breath to see who wins the battle for the best-in-theindustry code search tool! Keyword 1: EDEMA 50

51 SuperCoder Result Index result shows the accurate code for EDEMA on top. 51

52 Encoder Result The accurate code for EDEMA appears in the 5 th position. 52

53 Find-A-Code.com Result: The accurate code does not even make it to the first page. The code is appearing on page 2 in the fourth position. Page 2 result: 53

54 CodeitRight: Correct code on Page 2 4 th position 54

55 SuperCoder SOB Result Matches ICD-9 Index Result 55

56 Encoder main code on top many other codes included 56

57 CodeitRight main code on top many other codes included Total number of search results exceed 15 pages! 57

58 FIND-A-CODE Result: The main code is appearing on top; however there are many other codes appearing too; in fact search results are exceeding 15 pages! 58

59 Stay Organized with Notes That Work Enter a notes on either the hierarchy page or a code s details page View the note in either place Groups can share notes across staff, department. Teachers can even give notes to their students. 59

60 Sticky Notes That Don t Require Annual Migration Enter a note: Click, enter your copy, and then click submit. You can enter an unlimited number of characters perfect for keeping references organized. The first two lines will always be visible. View a note s overflow: Click on [...]. Edit a note: Click on the pencil tool. Delete a note, click on

61 Share Notes With Staff & Boost Compliance! Enter a note: Click +,enter your copy, and then click submit. You can enter an unlimited number of characters. Share the note: Click on the green share symbol. The note will be visible to all members of the administrator-defined group. Your name and the note creation date will appear in the front of your personal entered note. View a note s overflow: Click on [...]. Edit your portion of the note: Click members comments. Delete your portion of the note: Click on members comments. You may not edit group. You may not delete group Stop sharing a note: Click unshare. The individual note settings above will be restored. 61

62 Compare Codes Using SuperCoder's Code Search Box Want to see how one code descriptor differs from another? In the search box, simply type in the codes, and use a space to separate the codes. 62

63 How to Research Invalid Message on Billing? While billing this morning, it was telling me that the procedure code is invalid. Has this code changed? Yes, a SuperCoder.com search for this code indicates the code is deleted for 2013 and replaced by codes and On any code search window enter A subscription to any SuperCoder product containing code search provides the result: 63

64 Features & Benefits of SuperCoder s Code Search Revised and Improved for 2013! Just click on the new CPT 2013 Code Changes button to get a quick reference to 2013 changes additions, deletions, revisions, and more. New Search Features that speed you to your code in record time Change Alert: Instantly spot new and/or revised guidelines changes with Green SuperCoder Text User-Friendly: Coder-designed illustrations and easy to understand explanations help coders code better and boost payments. Extremely Affordable: Much cheaper (Memberships as low as $14.95 a month!) and lighter than 4 manuals! Upcoming and Historical Information: CPT 2013 Changes along with previous years code change info Personal Notes: Personal and group notes on code hierarchy pages 64

65 Client Feedback In Oct-Nov 2011, SuperCoder had a synopsis of CPT changes for the coming year, divided by section. It was a great tool to print out per section to show my doctors the changes specific for their specialties. Lynda Kross Chaparral Medical Group Inc California 65

66 Presentation Resources Downloadable PDF: AAPC-approved CEU: Live attendees will be sent an with a survey link. After completing the survey, the CEU certificate will be available for download. On-demand listeners who are SuperCoder.com subscribers can take a quiz available on SuperCoder.com/Exclusives/Archived-Webinars 66

67 Why Code Search? New Search Features, Including Color-Coded Search Results That Make Finding Codes Easier & Faster Narrower & More Accurate Search Results Compared to Other Search Tools You ve seen it for yourself! Budget-Friendly at just $9.95 a Month! Improvising Everyday to Meet Users Needs In fact, a must-have tool if you want to stay on track to proper reimbursements in 2013 and beyond! 67

68 Only For You: Specialty Physician Coder at 10% less! 4-Way Code Search: Find essential code compliance information tied to your HCPCS, ICD-9, ICD-10-CM and CPT code searches. CPT -ICD-9 Crosswalk: Stay connected to top Medicare and private payer accepted diagnosis codes for CPT surgical procedure codes. Coding Alert Get the latest newsletter on your home page and search by CPT code, keyword or issue across your newsletter s archived content. Modifier Crosswalk: Check allowed CPT, CMS, and ASA modifiers right at code level. LCD and NCD Lookup: Get same-site complete LCD policies with hyperlinks along with NCDs containing ICD-9-CM codes right at CPT code level! CPT <->HCPCS Crosswalk: Identify drugs associated with CPT procedure codes. CCI Edits Checker: Check more than 25 CPT codes at a single go boosting coding efficiency by 16 claims a day *. Click to choose from 25+ specialties Use coupon code ADDITIONAL10 at checkout 68

69 69