The Nervous System subsection in the Surgery section of the Current Procedural Terminology (CPT®) code set lists procedures anatomically. Codes (62263-63746) are used to report various procedures of the spine and spinal cord. This course provides an overview of these diagnostic and therapeutic spinal procedures, including injection, drainage, and aspiration procedures; catheter, reservoir, and pump implantation; spinal neurostimulators; and stereotactic spinal radiosurgery. (Note that spine procedures such as arthrodesis, discectomy, laminectomy, facetectomy, arthroplasty, spinal instrumentation, and bone grafts classified in the Spine/Vertebral Column subsection (22010-22899) are covered in a dedicated course in the Musculoskeletal System course.)
This course also introduces the learner to the format, guidelines, and common modifiers pertaining to these nervous system surgical procedure codes in CPT. The course will focus on identifying the appropriate code for spinal cord procedures using case studies and scenarios. A current copy of the Current Procedural Terminology (CPT®), Professional Edition is strongly recommended to optimize your understanding of the content covered.
The Nervous System subsection in the Surgery section of the Current Procedural Terminology (CPT®) code set lists procedures anatomically. Codes (62263-63746) are used to report various procedures of the spine and spinal cord. This course provides an overview of these diagnostic and therapeutic spinal procedures, including injection, drainage, and aspiration procedures; catheter, reservoir, and pump implantation; spinal neurostimulators; and stereotactic spinal radiosurgery. (Note that spine procedures such as arthrodesis, discectomy, laminectomy, facetectomy, arthroplasty, spinal instrumentation, and bone grafts classified in the Spine/Vertebral Column subsection (22010-22899) are covered in a dedicated course in the Musculoskeletal System course.) This course also introduces the learner to the format, guidelines, and common modifiers pertaining to these nervous system surgical procedure codes in CPT. The course will focus on identifying the appropriate code for spinal cord procedures using case studies and scenarios. A current copy of the Current Procedural Terminology (CPT®), Professional Edition is strongly recommended to optimize your understanding of the content covered.
“This program has been approved for 1.5000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
This activity is approved for 1.5000 contact hours.
Outline:
About This Course
Learning Objectives
Section 2: Overview
Spinal Cord Procedures Overview
Spinal Cord Anatomy
Clinical Indications
Spinal Cord Procedures
Documentation Elements
Review
Section 3: Format and Guidelines
CPT Spinal Cord Procedure Format
CPT Spinal Cord Guidelines
Other Coding Guidelines
Common Modifiers
Review
Section 4: Coding Spinal Cord Procedures
Spinal Cord Procedure Coding Scenarios
Section 5: Coding Application: Spinal Cord Procedures
Case Study 1
Case Study 2
Case Study 3
Case Study 4
Case Study 5
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Subject Matter Expert: Andrei Besleaga, BS, RHITSarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has clinical experience as an Emergency Medical Technician (EMT) and extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. Sarah has also authored several coding textbooks and instructional resources.
Subject Matter Expert: Arletrice A. Watkins, MHA, RHIAAndrei is a healthcare coding analyst in the CPT Education and Information Services Department at the American Medical Association, a staff writer for CPT Assistant, and a contributing author of the Principles of CPT Coding textbook. He has been a Registered Health Information Technician since 2009 and an active AHIMA member. He has gathered experience and developed skills by working in health insurance, at third-party payers, and in top-ranked national health care organizations. He completed an AAS in Health Information Technology from DeVry University in 2008 and a BS in Biology from Georgia Gwinnett College in 2015. In his spare time Andrei enjoys traveling, reading, playing the piano and the pipe organ.
Subject Matter Expert: Jane Conway, RHIA, CCS, CRC, CDIP, CPhT, ICD-10-CM/PCS TrainerArletrice is a senior healthcare coding analyst in the CPT Education and Information Services Department and staff writer for CPT Assistant. She supports and assists with other department projects on an as-needed basis, and she is also a contributing author of the Principles of CPT Coding. She has been with the AMA for over 14 years. She has been an educator since 2002 in health information technology (HIT) and is currently a health care administration adjunct instructor at an online university. She earned a BS in Health Information Administration from the University of Illinois at Chicago, IL, and a Masters of Healthcare Administration from the University of Phoenix, AZ. She is also certified as a registered health information administrator from the American Health Information Management Association (AHIMA), as well as an AHIMA-approved ICD-10 CM/ PCS trainer.
Jane Conway is a Revenue Cycle, Coding, and CDI subject matter expert, content writer for Relias. She has ten years of experience in writing and maintaining ICD-10-CM/PCS eLearning curricula for inpatient and outpatient hospital settings. She is also an author and peer reviewer for other revenue cycle eLearning products. She has extensive knowledge in risk adjustment for CMS, HHS, and commercial payers. Jane has worked in healthcare for almost 30 years both in Health Information Management and pharmacy. Her pharmacy background adds a depth of knowledge to her courses. Jane is a Registered Health Information Administrator (RHIA), Certified Documentation Improvement Practitioner (CDIP), a Certified Risk Adjustment Coder (CRC), Certified Coding Specialist (CCS), and an AHIMA approved ICD-10-CM and ICD-10-PCS trainer. She is also a Certified Pharmacy Technician (CPhT). Jane earned a Bachelor's degree in Health Information Management from the State University of New York Polytechnic Institute where she was the recipient of the New York Health Information Management Association (NYHIMA) Academic Achievement Award.
Jane is active in NYHIMA, where she has served on the program planning committee and the education committee. Jane has also served as a credentials officer for NYHIMA. She recently was a keynote speaker at the NYHIMA annual conference and presented to both AAPC and CNYHIMA local meetings on several pertinent topics. She has also written several articles about new medical treatments for the NYHIMA newsletter.
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