This all-in-one resource focuses on the most important CPT® and HCPCS codes for general surgery and gastroenterology, plus medicine and ancillary services codes chosen by experts who have taken into consideration utilization, denial risk and complexity.
Optimized for medical necessity and reimbursement understanding, this all-in-one resource focuses on the most important CPT® and HCPCS codes for general surgery and gastroenterology, plus medicine and ancillary services codes chosen by experts who have taken into consideration utilization, denial risk and complexity.
CPT® Coding Essentials optimizes both CPT® and ICD-10 code selection with helpful CPT®-to-ICD-10-CM crosswalks and detailed explanations of anatomy, physiology and documentation. Other than the AMA
CPT® Professional Edition codebook, this is the only book in the market with verbatim CPT®-panelapproved guidelines and parenthetical information specific to general surgery and gastroenterology.
This is the ideal daily companion featuring useful, definitive specialty-specific coding information beyond what is provided in a full procedural codebook.
General surgery and gastroenterology coding and billing knowledge available in a single volume, conveniently superseding the need for multiple resources or years of experience.
FEATURES AND BENEFITS- A subset of specialty-specific CPT® codes chosen by experts based on utilization, denial risk and complexity
- Official AMA coding guidelines pertinent to the specialty and not available in any other specialty codebooks in
the market - Official code-specific CPT® parenthetical instructions
- Plain English descriptors that clarify for the reader the details of the service represented by the CPT® code
- CPT® Assistant citations
- Procedural illustrations
- Crosswalks from CPT® to ICD-10-CM
- National Correct Coding Initiative (CCI) edits to identify bundled and separately billable codes
- CMS Pub 100 billing guidance citations
- Facility and non-facility relative value units (RVUs) including global surgery days, physician work and practice, malpractice and total expenses as well as those modifiers that can affect relative values
- Additional chapters on terminology and anatomy, HCPCS codes, CPT® modifiers and ICD-10-CM coding and documentation practices
- Appendixes offering clinical documentation checklists and evaluation and management (E/M) guidelines
- Call outs regarding additional information available in the CPT® QuickRef app (requires in-app purchases)
| Codes List |
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1 | (6) |
| Introduction |
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7 | (8) |
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Terminology, Abbreviations, and Basic Anatomy Medical Terminology |
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15 | (38) |
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General Surgery/Gastroenterology Terms |
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18 | (9) |
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27 | (5) |
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32 | (21) |
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Introduction to ICD-10-CM and ICD-10-PCS Coding |
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53 | (24) |
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ICD-10-CM Anatomy and Physiology |
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|
77 | (48) |
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125 | (70) |
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Surgery and Gastroenterology Guidelines |
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195 | (6) |
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CPT® Codes for General Surgery and Gastroenterology |
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201 | (837) |
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1038 | (3) |
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|
1041 | (10) |
| Appendix A National Correct Coding Initiative |
|
1051 | (181) |
| Appendix B Clinical Documentation Checklists Burns, Corrosions, and Frostbite |
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1232 | (15) |
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Cholecystitis, Cholelithiasis, Choledocholithiasis, and Cholangitis |
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1235 | (1) |
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1236 | (2) |
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1238 | (1) |
|
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1239 | (1) |
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Melanoma/Melanoma In Situ |
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1240 | (1) |
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1241 | (2) |
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Pharyngitis/Tonsillitis, Acute |
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1243 | (1) |
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1244 | (2) |
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|
1246 | (1) |
| Appendix C Documentation Guidelines for Evaluation and Management (E/M) Services |
|
1247 | |
The American Medical Association has promoted scientific advancement, improved public health and protected the patient-physician relationship since its establishment in 1847. The AMA is the premier national organization dedicated to empowering the nation's physicians to provide safer, higher quality and more efficient care to patients and communities. For more than 50 years, the AMA, in drawing upon its deep expertise and resources, has authored and published books, data files and online resources that answer the needs of today's busy physicians and their staff. The AMA product line includes titles on CPT®, HCPCS and ICD-10 coding, as well as reimbursement, practice management, disability evaluation, impairment, HIPAA and electronic health records.
