||||||||||| V Contents |||||||||| Foreword. .........................................................................................................................................................................................VII Acknowledgments. ........................................................................................................................................................................... IX How to Use This Manual . ................................................................................................................................................................ XI PART 1: CODING BASICS AND BUSINESS ESSENTIALS Chapter 1 The Basics of Coding. ......................................................................................................................................................................... 3 Chapter 2 Modifiers and Coding Edits. ............................................................................................................................................................ 25 Chapter 3 Coding to Demonstrate Quality and Value. .................................................................................................................................... 55 Chapter 4 The Business of Medicine: Working With Current and Emerging Payment Systems.................................................................. 75 Chapter 5 Preventing Fraud and Abuse: Compliance, Audits, and Paybacks................................................................................................ 97 Chapter 6 Evaluation and Management Documentation Guidelines Other Than Office and Other Outpatient Services........................ 115 PART 2: PRIMARILY FOR THE OFFICE AND OTHER OUTPATIENT SETTINGS Chapter 7 Office and Other Outpatient Evaluation and Management Services. ......................................................................................... 149 Chapter 8 Consultations and Residential Evaluation and Management Services. ...................................................................................... 179 Chapter 9 Preventive Services......................................................................................................................................................................... 197 Chapter 10 Surgery, Infusion, and Sedation in the Outpatient Setting. ......................................................................................................... 231 Chapter 11 Common Non-facility Testing and Therapeutic Services. ........................................................................................................... 261 Chapter 12 Outpatient Management of Chronic and Complex Conditions................................................................................................... 287 Chapter 13 Qualified Nonphysician Health Care Professional Services......................................................................................................... 311 Chapter 14 Mental and Behavioral Health Services. ....................................................................................................................................... 333 Coding_2021.indb 5 Coding_2021.indb 5 9/15/20 2:23 PM 9/15/20 2:23 PM
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