Contents
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Foreword .................................................................................................................................................... ix
Acknowledgments ......................................................................................................................................... x
Chapter 1
New and Revised CPT
®
Codes for 2017 .........................................................................................................1
Chapter 2
Diagnosis Coding: ICD-10-CM .....................................................................................................................15
Chapter 3
Modifiers and Coding Edits ......................................................................................................................... 31
Chapter 4
Evaluation and Management: Documentation and Coding Guidelines, Telemedicine, and
PATH Guidelines..........................................................................................................................................57
Chapter 5
Preventive Services ....................................................................................................................................123
Chapter 6
Evaluation and Management Services in the Office, Outpatient, Home, or Nursing Facility Setting ..........149
Chapter 7
Managing Chronic and Complex Conditions ............................................................................................. 187
Chapter 8
Pre-birth Counseling and Care of the Newborn ..........................................................................................211
Chapter 9
Noncritical Hospital Evaluation and Management Services ........................................................................229
Chapter 10
Emergency Department Services ............................................................................................................... 257
Chapter 11
Critical and Intensive Care ........................................................................................................................ 281
Chapter 12
Allied Health and Clinical Staff Services ...................................................................................................305
Chapter 13
Common Procedures and Non–Evaluation and Management Medical Services .......................................... 327
Chapter 14
Coding to Demonstrate Quality and Value .................................................................................................379
Chapter 15
Preventing Fraud and Abuse: Compliance, Audits, and Paybacks ................................................................395
Chapter 16
The Business of Medicine: Working With Current and Emerging Payment Systems ................................. 413
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