Specialty Coding Advisor

September 2007



Survey: Tell Us What Will Help You Ace Your BMSC exam
New Vaccine Codes Not In Your CPT Manual?
E/M Tip
of the Month
Study Guides Now Available In Your Specialty
The Three Most Important Things in Coding are...
Upcoming Events

Hello from the Board of Medical Specialty Coding! We hope you enjoy your monthly ezine and find the information useful. If you have any comments or recommendations for future issues, please contact me through the following channels:

Victoria Forlini, Executive Director
vforlini@medicalspecialtycoding.com
301/287-2250 (phone)
301/287-2941 (fax)

Tell Us What Will Help You Ace Your BMSC Exam

Coders: Are you approaching taking a 4 hour BMSC exam with much trepidation? Coding Supervisors: Are you looking for more specific resources that will help train your team to sit for one of BMSC's coding certification exams? We want to hear from you. Tell us what you believe will help you better prepare to take a BMSC exam. Your feedback will help BMSC create the products you need to do your job better and work towards earning a premier coding credential. Take our quick survey now: http://www.zoomerang.com/survey.zgi?p=WEB226X3PFMCNY

New Vaccine Codes Not In Your 2008 CPT Manual?

The American Medical Assoc. (AMA) has pre-released six new vaccine codes on its website for use starting Jan. 1, 2008 . But not all of these codes will appear in your 2008 CPT manual. Three codes for DTaP-IPV, rotavirus and human papillomavirus (HPV) vaccines, were approved after the manual’s publication deadlines.

Tip : Manually add codes 90650, 90681 and 90696 to your office’s code books, electronic systems, templates and cheat sheets next year. Here are all the codes pre-released at www.ama-assn.org/ama/pub/category/10902.html:

  • 90650 – Human Papillomavirus (HPV) vaccine, types 16 and 18, bivalent, 3 dose schedule, for intramuscular use
  • 90661 – Influenza virus vaccine, derived from cell cultures, subunit, preservative and antibiotic free, for intramuscular use
  • 90662 – Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use
  • 90663 – Influenza virus vaccine, pandemic formulation
  • 90681 – Rotavirus vaccine, human, attenuated, 2 dose schedule, live, for oral use
  • 90696 – Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 years through 6 years of age, for intramuscular use

Be careful: All of these codes currently carry the FDA-approval pending symbol, which means the products are pending anticipated approval by the Food and Drug Administration. You must check the AMA website listed above to find out when the approval-pending symbol is removed. Although the codes become effective Jan. 1, you may begin to use them only after FDA approval is granted.

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E/M Tip of the Month

Coding 99211 with Vaccines

When your providers see patients only to provide an immunization, code only the vaccine product (for instance, 90655-90659 for flu vaccines) and vaccine administration (for instance, G0008 or 90471).

Code 99211 in addition to an immunization only if the nurse:

  • Documents that the E/M service was medically necessary, and differentiates between the work performed in conjunction with the vaccine and the evaluation provided in the E/M service; and
  • Demonstrates that the service was separate and significant from the immunization administration.

Code 99211 is valid only when established patients present for a medically necessary face-to-face service. The documentation doesn’t require any of the key components required of the other physician E/M services because 99211 is the only E/M code usually given by a nurse. But it should reflect that the nurse “evaluates, manages, and documents the significant and separate complaint(s) or problem(s),” according to CPT Assistant (April 2005).

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Study Guides Now Available In Your Specialty

BMSC now has study guides available to help you prepare for certification in your specialty.

These study guides are different than you expect, as they are full of exam tips and notes from the editors, providing you with helpful hints as to how to get ready to sit for your examination and become certified.

Each guide is smaller than you expect: they are 6x9 and able to slip right in your purse or briefcase. And most importantly, each guide is no more than 100 pages. Now you can take your time and concentrate on the major points that you need to know for your exam.

Visit www.medicalspecialtycoding.com to order study guides in:

  • Anesthesia Coding Certification
  • Cardiology Coding Certification
  • Evaluation and Management Auditing Coding Certification
  • Radiology Coding Certification
  • Family Practice/Pediatrics Coding Certification
  • Orthopedics Coding Certification
  • Pain Management Coding Certification
  • Emergency Medicine Coding Certification
  • Urology Coding Certification
  • General Surgery Coding Certification
  • Gastroenterology Coding Certification

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The Three Most Important Things in Coding are...

The 3 Most Important Things in Coding: Location, Specialty and Payor – Now All in One Place!

Get your CPT codes, ICD-9 and ASA Crosswalks, and CCI edits all in one resource!

The Physician Specialty Coding Book is customized for your specialty and your GPCI (Geographic Practice Cost Index). The Physician Specialty Coding Book provides you with the actual Medicare payment you will receive for both facilities and non-facilities – not just the RVU’s that you have to convert manually for each procedure - because it is made especially for you!

Visit www.decisionhealth.com/PhysicianSpecialtyCodingBook/
Signup.aspx
to ask for a free sample!

Upcoming Events

Event: Billing and Coding Pain Management
Date: October 10-12, 2007
To register or to learn more information:
http://www.decisionhealth.com/conferences/pain2007/index.html

Event: Improve Billing, Coding and Profitability for Freestanding ASC's
Date: October 15-16, 2007
To register or to learn more information:
http://www.specialtyconferences.com/asc/index.html

Event: Medical Practice Management Summit 2007
Date: November 12-14, 2007
To register or to learn more information:
http://www.decisionhealth.com/conferences/summit2007/

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CONTACT:BMSC at info@medicalspecialtycoding.com