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Unlike other specialty coding books on the market, CPT® Coding Essentials for Anesthesia and Pain Management 2021 combines anesthesia and pain management–specific procedural coding and reimbursement information with verbatim guidelines and parenthetical information from the Current Procedural Terminology (CPT®) codebook. In addition, CPT® Coding Essentials for Anesthesia and Pain Management 2021 enhances that CPT-specific information by displaying pertinent diagnostic codes, procedural descriptions, illustrations, relative value units (RVUs), and more on the same page as the CPT code being explained. This one book provides anesthesia and pain management coding and billing knowledge that otherwise might take years of experience or multiple resources to accumulate. It sets a foundation for anesthesia and pain management coders and subspecialty coding experts that facilitates correct code assignment. This book includes reporting rules for CPT code submission as written and enforced by the Centers for Medicare & Medicaid Services (CMS). CPT® Coding Essentials for Anesthesia and Pain Management 2021 is not intended to equip coders with information to make medical decisions or to determine diagnoses or treatments; rather, it is intended to aid correct code selection that is supported by physician or other qualified health care professional (QHP) documentation. This reference work does not replace the need for a CPT codebook. IMPORTANT: The RVU file that contains the modifier values for new CPT codes was not released as the CPT Coding Essentials 2021 specialty books went to press. Once the data are available, the file will be available at www.amaproductupdates.com. The pending RVU modifier data only affect the following codes: 33741, 33745, 33746, 33995, 33997, 57465, 30468, 55880.
About the CPT® Coding Essentials Editorial Team and Content Selection
The CPT® Coding Essentials series is developed by a team of veteran clinical technical editors and certified medical coders. When developing the content of this book, the team members consider all annual new, revised, and deleted medical codes. They adhere to authoritative medical research; medical policies; and official guidelines, conventions; and rules to determine the final content presented within this book. In addition, the team monitors utilization and denial trends when selecting the codes highlighted in CPT® Coding Essentials for Anesthesia and Pain Management 2021. The main section of the book is titled “CPT® Procedural Coding.” This section is organized for ease of use and simple lookup by displaying CPT codes in numeric order. Each code-detail page of this section presents a single code or multiple codes representing a code family concept. The procedures featured are those commonly performed by an anesthesiologist or pain management specialist, but more difficult to understand or miscoded in claims reporting. This book does not provide a comprehensive list of all services performed in the specialty, nor all sites within impacted body systems. Similarly, the CPT to ICD-10-CM crosswalks are intended to illustrate those conditions that would most commonly present relative to the procedure and the specialist. The crosswalks are not designed to be an exhaustive list of all possible conditions for each procedure, nor medical necessity reasons for coverage. The “CPT Procedural Coding” section is complemented by other sections that review anesthesia and pain management terminology and anatomy, ICD-10-CM conventions and coding, ICD-10-CM documentation tips, and the ICD-10-PCS procedure coding and format. The appendices contain data from the CMS National Correct Coding Initiative, multiple ICD-10-CM compliant anesthesia and pain management condition documentation checklists, and evaluation and management (E/M) documentation guidelines.
Terminology, Abbreviations, and Basic Anatomy
This section provides a quick reference tool for coders who may come across unfamiliar terminology in medical record documentation. This review of basic terminology displays lists of alphabetized Greek and Latin root words, prefixes, and suffixes associated with anesthesia and pain management. The combination of root words with prefixes and suffixes is the basis of medical terminology and enables readers to deduce the meaning of new words by understanding the components. For example, neuro is a root word for nerve, and –algia is a suffix for pain; thus, neuralgia describes nerve pain. Also included in this section are a glossary of anesthesia and pain management–specific terms and a list of acronyms and abbreviations. Keep in mind that these glossary definitions are specific to anesthesia and pain management. The same word may have a different meaning in a different specialty. In some cases, a parenthetical note after the term may provide the reader with a common acronym or synonym for that term. Pay particular attention to the use of capitalization in the abbreviation and acronym list, as the same letters sometimes have varied meaning in clinical nomenclature, depending on capitalization