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Coders' Specialty Guide 2021: Gastroenterology

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Coders' Specialty Guide 2021: Gastroenterology Gastroenterology Contents Introduction. .3 General ����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������5 Respiratory System . .11 Hemic and Lymphatic Systems ����������������������������������������������������������������������������������������������������������������������������������������������������13 Digestive System . .14 Urinary System ����������������������������������������������������������������������������������������������������������������������������������������������������������������������������700 Operating Microscope. .702 Radiology ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������703 Pathology and Laboratory . .736 Medicine . .765 Evaluation and Management ����������������������������������������������������������������������������������������������������������������������������������������������������802 Category III Codes ������������������������������������������������������������������������������������������������������������������������������������������������������������������������894 HCPCS Codes • Enteral and Parenteral Therapy. .900 • Procedures/Professional Services ������������������������������������������������������������������������������������������������������������������������������901 • Drugs Administered Other Than Oral Method ����������������������������������������������������������������������������������������������������������916 • Temporary National Codes (Non-Medicare) ��������������������������������������������������������������������������������������������������������������917 • Hearing Services. .920 ICD-10 CrossRef Details. .921 Modifier Descriptors ����������������������������������������������������������������������������������������������������������������������������������������������������������������� 1035 Terminology. 1045 Code Index ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 1079 Digestive System Coders’ Specialty Guide 2021: Gastroenterology 40527 — 40527 40527 — Fee Schedule 40527 Medicare Fees National Conversion Factor: 36.0896, Facility: $573.10, Non Facility: $573.10, OPPS Facility: $278.61, OPPS Non Facility: $278.61 Excision of lip; full thickness, reconstruction with cross lip flap RVU Facility Work RVU: 7.72, PE RVU: 6.99, Malpractice RVU: 1.17, (Abbe-Estlander) Total RVU: 15.88 RVU Non-Facility Work RVU: 7.72, PE RVU: 6.99, Malpractice RVU: Clinical Responsibility 1.17, Total RVU: 15.88 When the patient is appropriately prepped and anesthetized, the Indicators Preoperative: 9.00, Intraoperative: 81.00, Postoperative: provider incises the full thickness lip area and mucosa often using 10.00, Total RVU: 100, Global Period: 090, Radiology Diagnostic a V-shaped incision and removes the affected area and margins of Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: healthy tissue. He then creates a skin flap from the upper lip, and None, MUE: 2 cross transfers it, using sutures to close the wound. The provider Modifier Allowances 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 63, 76, 77, performs this procedure to repair large defects of the lips. 78, 79, 99, AQ, AR, CR, ET, GA, GC, GJ, GR, KX, PD, Q5, Q6, QJ, XE, XP, XS, XU Fee Schedule CCI Alerts (version 25.3) Medicare Fees National Conversion Factor: 36.0896, Facility: $639.87, 0 0 0 0 0 1 1 1 Non Facility: $639.87, OPPS Facility: $336.36, OPPS Non Facility: 00170 , 0213T , 0216T , 0228T , 0230T , 11000 , 11001 , 11004 , $336.36 110051, 110061, 110421, 110431, 110441, 110451, 110461, 110471, 1 1 1 1 1 1 1 1 RVU Facility Work RVU: 9.32, PE RVU: 7.15, Malpractice RVU: 1.26, 11440 , 11441 , 11442 , 11443 , 11444 , 11446 , 11640 , 11641 , Total RVU: 17.73 116421, 116431, 116441, 116461, 120011, 120021, 120041, 120051, 1 1 1 1 1 1 1 1 RVU Non-Facility Work RVU: 9.32, PE RVU: 7.15, Malpractice RVU: 12006 , 12007 , 12011 , 12013 , 12014 , 12015 , 12016 , 12017 , 1.26, Total RVU: 17.73 120181, 120201, 120211, 120311, 120321, 120341, 120351, 120361, 1 1 1 1 1 1 1 1 Indicators Preoperative: 9.00, Intraoperative: 81.00, Postoperative: 12037 , 12041 , 12042 , 12044 , 12045 , 12046 , 12047 , 12051 , 10.00, Total RVU: 100, Global Period: 090, Radiology Diagnostic 120521, 120531, 120541, 120551, 120561, 120571, 131001, 131011, 1 1 1 1 1 1 1 1 Test: 99, Code Status: A, PC/TC Indicator: 0, Endoscopic Base Code: 13102 , 13120 , 13121 , 13122 , 13131 , 13132 , 13133 , 13151 , None, MUE: 2 131521 1 1 1 1 1 1 1 , 13153 , 36000 , 36400 , 36405 , 36406 , 36410 , 36420 , Modifier Allowances 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 63, 76, 77, 78, 364251, 364301, 364401, 365910, 365920, 366001, 366401, 405001, 1 1 1 1 1 1 0 0 79, 80, 81, 82, 99, AQ, AR, AS, CR, ET, GA, GC, GJ, GR, KX, PD, Q5, Q6, 40510 , 40527 , 43752 , 51701 , 51702 , 51703 , 62320 , 62321 , QJ, XE, XP, XS, XU 623220, 623230, 623240, 623250, 623260, 623270, 644000, 644020, 644050, 644080, 644100, 644130, 644150, 644160, 644170, 644180, 644200, 644210, 644250, 644300, 644350, 644450, 644460, 644470, CCI Alerts (version 25.3) 0 0 0 0 0 0 0 0 64448 , 64449 , 64450 , 64461 , 64462 , 64463 , 64479 , 64480 , 0 0 0 0 0 1 1 1 644830, 644840, 644860, 644870, 644880, 644890, 644900, 644910, 00170 , 0213T , 0216T , 0228T , 0230T , 11000 , 11001 , 11004 , 110051 1 1 1 1 1 1 1 644920, 644930, 644940, 644950, 645050, 645100, 645170, 645200, , 11006 , 11042 , 11043 , 11044 , 11045 , 11046 , 11047 , 114401 1 1 1 1 1 1 1 645300, 699900, 920121, 920141, 925020, 930001, 930051, 930101, , 11441 , 11442 , 11443 , 11444 , 11446 , 11640 , 11641 , 116421 1 1 1 1 1 1 1 930401, 930411, 930421, 933181, 933551, 940021, 942001, 942501, , 11643 , 11644 , 11646 , 12001 , 12002 , 12004 , 12005 , 120061 1 1 1 1 1 1 1 946801, 946811, 946901, 947701, 958121, 958131, 958161, 958191, , 12007 , 12011 , 12013 , 12014 , 12015 , 12016 , 12017 , 120181 1 1 1 1 1 1 1 958221, 958291, 959551, 963601, 963611, 963651, 963661, 963671, , 12020 , 12021 , 12031 , 12032 , 12034 , 12035 , 12036 , 120371 1 1 1 1 1 1 1 963681, 963721, 963741, 963751, 963761, 963771, 965230, 975971, , 12041 , 12042 , 12044 , 12045 , 12046 , 12047 , 12051 , 120521 1 1 1 1 1 1 1 975981, 976021, 991550, 991560, 991570, 992111, 992121, 992131, , 12053 , 12054 , 12055 , 12056 , 12057 , 13100 , 13101 , 131021 1 1 1 1 1 1 1 992141, 992151, 992171, 992181, 992191, 992201, 992211, 992221, , 13120 , 13121 , 13122 , 13131 , 13132 , 13133 , 13151 , 131521 1 1 1 1 1 1 1 992231, 992311, 992321, 992331, 992341, 992351, 992361, 992381, , 13153 , 36000 , 36400 , 36405 , 36406 , 36410 , 36420 , 364251 1 1 0 0 1 1 1 992391, 992411, 992421, 992431, 992441, 992451, 992511, 992521, , 36430 , 36440 , 36591 , 36592 , 36600 , 36640 , 40500 , 405101 1 1 1 1 1 0 0 992531, 992541, 992551, 992911, 992921, 993041, 993051, 993061, , 40520 , 43752 , 51701 , 51702 , 51703 , 62320 , 62321 , 623220 0 0 0 0 0 0 0 993071, 993081, 993091, 993101, 993151, 993161, 993341, 993351, , 62323 , 62324 , 62325 , 62326 , 62327 , 64400 , 64402 , 644050 0 0 0 0 0 0 0 993361, 993371, 993471, 993481, 993491, 993501, 993741, 993751, , 64408 , 64410 , 64413 , 64415 , 64416 , 64417 , 64418 , 644200 0 0 0 0 0 0 0 993771, 993781, 994460, 994470, 994480, 994490, 994510, 994520, , 64421 , 64425 , 64430 , 64435 , 64445 , 64446 , 64447 , 644480 0 0 0 0 0 0 0 994950, 994960, G04631, G04711, J20011 , 64449 , 64450 , 64461 , 64462 , 64463 , 64479 , 64480 , 644830, 644840, 644860, 644870, 644880, 644890, 644900, 644910, 644920, 644930, 644940, 644950, 645050, 645100, 645170, 645200, 0 0 1 1 0 1 1 1 ICD-10 CrossRef 64530 , 69990 , 92012 , 92014 , 92502 , 93000 , 93005 , 93010 , DIG 930401, 930411, 930421, 933181, 933551, 940021, 942001, 942501, C00.0-C00.9, C43.0, C44.00-C44.09, C76.0, D03.0, D04.0, D10.0, 1 1 1 1 1 1 1 1 94680 , 94681 , 94690 , 94770 , 95812 , 95813 , 95816 , 95819 , ES D22.0, D23.0, D37.01, K13.0, T81.40XA-T81.40XS 1 1 1 1 1 1 1 1 95822 , 95829 , 95955 , 96360 , 96361 , 96365 , 96366 , 96367 , TIV 963681, 963721, 963741, 963751, 963761, 963771, 965230, 975971, 975981, 976021, 991550, 991560, 991570, 992111, 992121, 992131, E S 992141, 992151, 992171, 992181, 992191, 992201, 992211, 992221, YS 1 1 1 1 1 1 1 1 99223 , 99231 , 99232 , 99233 , 99234 , 99235 , 99236 , 99238 , T 1 1 1 1 1 1 1 1 E 99239 , 99241 , 99242 , 99243 , 99244 , 99245 , 99251 , 99252 , M Modiier: 0 = not allowed, 1 = allowed CPT® is a registered trademark of the American Medical Association. 17 CPT © 2020 American Medical Association. All rights reserved. Coders’ Specialty Guide 2021: Gastroenterology Digestive System 40530 — 40650 992531, 992541, 992551, 992911, 992921, 993041, 993051, 993061, 645200, 645300, 699900, 920121, 920141, 925020, 930001, 930051, 993071, 993081, 993091, 993101, 993151, 993161, 993341, 993351, 930101, 930401, 930411, 930421, 933181, 933551, 940021, 942001, 993361, 993371, 993471, 993481, 993491, 993501, 993741, 993751, 942501, 946801, 946811, 946901, 947701, 958121, 958131, 958161, 993771, 993781, 994460, 994470, 994480, 994490, 994510, 994520, 958191, 958221, 958291, 959551, 963601, 963611, 963651, 963661, 994950, 994960, G04631, G04711 963671, 963681, 963721, 963741, 963751, 963761, 963771, 965230, 975971, 975981, 976021, 991550, 991560, 991570, 992111, 992121, 992131,
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