E&M Coding
Modifiers
Routine GYN Exam/Paps
Global Period
Procedures/PreOps
100
There are ____ Levels of Service.
What are 5
100
25
What is the code for a procedure done during a visit when a complete E&M was also done
100
The code used for a routine screening pelvic exam
What is "LOS Not Required"
100
Diagnosis and Code for a Post-op Visit within the Global Days
What are: 1. Diagnosis- "After Care for GYN Surgery V58.49" 2. Code- "LOS Not Required"
100
Code for a Procedure Only Visit
What is "LOS Not Required"
200
The 3 categories that make up the Level of Service:
What are: 1. History 2. Physical Exam 3. Medical Decision Making
200
57
What is the code used when the decision is made that surgery is to be done that day
200
Order for a Routine Screening Pelvic Exam
What is a "GYN Routine Screening Visit" G0101
200
Myomectomy, open oophorectomy, open hysterectomy all have ____ global days
What is 90
200
Consents required for a TL
What are: 1. Surgical Consent 2. Kaiser Sterilization Consent 3. State Sterilization Consent
300
For an Established patient, ____ elements are required for a Level 3 HPI
What are 1-3
300
53
What is the code used for a procedure attempted but could not be done
300
2 Orders required for a routine screening pap smear/HPV
What are: PNL Pap Smear AND Collecting the Pap Smear Q0091
300
Colposcopy with LEEP has ____ global days
What is zero
300
The Smart Phrase to use for IUD placement
What is .9IUD
400
For an Established patient, ____ elements are required for a Level 3 ROS
What is 1
400
33
What is the code used if a patient presents with a problem or complaint due to her method of contraception
400
Other tests that are OK to order when doing a "Screening Pelvic Exam"
What are other screening tests ie Mammo, Colonoscopy, FBT etc
400
D&C diagnostic, theraputic or operative has ____ global days
What is 10
400
Orders for an EMB
What are: 1. Surg Path 2. Endometrial sampling (biopsy) 58100
500
For an Established patient, ____ bullets are required for a Level 3 Physical Exam
What are 6-11
500
24
What is the code used if the patient is seen for an unrelated problem within the global period of a recent surgery
500
Examples of patients that present that are NOT Routine screening Pelvic Exam
What are patients with a problem or complaint
500
Postpartum TL has _____ global days
What is 90
500
Orders necessary for patient that presents with PMP bleeding and you do a EMB and ECC. For extra points, what is the Code?
What are: 1. Consent, signed 2. Order for Surg path 3. Order for EMB biopsy with or w/o ECC 58100E Extra Points: E&M Code and Modifier 25
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