Evaluation and Management
What Level triage would initial education be considered?
What is Level 3.
This report is used to verify times for surginet docs.
What is Discern Report.
Drug admins such as oral, insulin, given during procedure, lidocaine, and contrast meds.
What is drug admins not separately billable?
A procedure done to turn the fetus.
What is ECV (External Cephalic Version)?
The charge for fetal demise when no POC are passed and the gestation age is less than 14 weeks.
What is placenta charge?
The area of the chart where the reason for the visit is identified.
What is Clinical Summary View?
The OR case level for C-sections performed.
What is OR Case level 3?
Misoprostol is given for this type of procedure and billable when given as outpatient.
What is cervical ripening?
A procedure done to induce a pregnancy.
What is cervical ripening?
Normal delivery charges are billable when the gestation of fetal demise is this age.
What is on or after 20 weeks?
The triage level that an OB Rapid response would be considered.
What is Level 5 triage?
The OR case level for D & C procedures performed.
What is OR Case level 3?
Identifying the time an admin was given, if documented in clinical notes, or on MAR summary with reason for (anesthesia) listed could indicate if the med was given for this purpose.
What is a procedure or epidural?
Considered suture removals and not included in the E/M charge.
What is cerclage removals?
This is not charged for fetal demise but is charged if a delivery happens outside the hospital and no other delivery charges are applicable.
What is vaginal recovery charge?
The triage level where only a vaginal exam (without speculum) and blood pressure check is completed.
What is level 1 triage?
PACU level for 3 meds given during Recovery.
What is PACU level 3?
This is known as the way to tell what admin should receive the "initial" charge when multiple admins are given during the same encounter.
What is the infusion hierarchy?
These are charged based on the units of product given and are only charged as Outpatient.
What are blood transfusions?
The abbreviation known as POC means this in the WIS department.
The triage level given for twins.
Anesthesia level given for MAC anesthesia.
What is Anesthesia level 1?
An admin CPT with an MUE of 24.
What is 96361, or hydration additional hour?
What is induction, scheduled visit, or direct admit?
When fetal demise has happened but some POC has passed, its known as this type of abortion.
What is incomplete/spontaneous abortion?