CPT manual anatomical pattern
Add on codes
Identified by a plus sign (+) before code, always require a primary code
Current procedural terminology
CPT
American medical association (AMA)
Maintains CPT codes
CPT code updates
Updated annually
Types of CPT codes
Evaluation and management (E/M), diagnostic testing, procedures and surgeries
Index
Back of the book, starting point for code selection
Verifying codes
All codes must be verified in the tabular section
Appendix A
Provides modifier descriptions
Appendix B
Summary of annual code additions, deletions, and revisions
Appendix F
Codes exempt from modifier 63 (procedures on infants smaller than 4 kg)
Appendix L
Vascular families
E/M code location
Front of book, not in numerical order
Guidelines and parenthetical notes
Must be read, appear throughout the manual
Common ICD-10 main terms
History (family and personal), encounter (visits related to administrative or supportive services), status/status post (current condition or medical state), transplant (recipient, awaiting transplant)
Other ICD-10 main terms
Abnormal, examination, disease/disorder, complication, deficiency, deformity
ICD-10 code characters
Codes can have 3-7 characters
Red symbols in the tabular list
Indicate a 4th, 5th, or 7th character is required
Placeholder character
X
Laterality
ICD-10 code must match CPT code laterality
Neoplasm table
Includes malignant (primary), malignant (secondary), carcinoma in situ, benign, uncertain behavior, unspecified behavior
Verifying ICD-10 codes
Codes must be verified in the tabular section
ICD-10 manual
Contains diagnosis codes only, represents signs, symptoms, and definitive diagnoses
ICD-10 guidelines section
Located at the front of the book, includes section 1 conventions, general coding guidelines, and chapter specific guidelines