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CaseCoderExtreme User Manual

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1. r t s of CaseCoder LLC are copyrighted and may not be distributed modified sold or reproduced in whole or in part without the prior written permission of CaseCoder LLC You agree not to reverse engineer or create derivative products based on the product contained herein or the concepts or designs thereof All images graphics and designs are the copyright of the aforementioned companies Any improper use or infringement of the rights mentioned above will be in violation of applicable law and subject to prosecution By agreeing to the stipulations above you agree to use the product only in ways that are compliant therewith Casecocder ELIT LL MEE im Pga Ud m Groups Every user will be identified as a user within a specific group and within that group will be the surgery participants that we will be coding for Updating our surgery participant list including surgeons assistant surgeons physician assistants etc will be very critical to the coding process when selecting codes for the appropriate participant in the surgery Fee schedules and modifier calculations are exclusive to each groups setup The group setup is a segregated system that does not allow any transfers or access to any other group user surgery participant or fee schedule CaseCoder 10 Navigating through CaseCoderEXTREME 11 CaseCod
2. Please enter your username in the box below Username Password Forgot Usemame Select Forgot Usemame and CaseCoder will supply your usemame via email Forgot Password Select Forgot Password and you will be prompted to enter your usemame followed by a security question Once completed you may create a new password Cc se Co de r Hello DeDemo License Agreement As the physician or medical practice using the product contained herein hereafter you you have the sole obligation to select the codes that you believe are appropriate for the case performed regardless of the outcome of the use of this product or the advice of any other individual s You acknowledge that you have the option to either apply or discard any or all of the codes that are presented at the end of the selection process using this product You have the sole and final obligation to ensure that all coding submitted to the insurance carriers by you are correct and that the appropriate operative report documentation is incorporated to support any codes or claims submitted by you to the insurance carriers The use of the product contained herein is not intended as a substitute for fulfilling your obligations but should be considered as an igree not to hold Read the License Agreement page and ectors employees nos aims or liabilities click Agree in orderto continue including all the A
3. Casecoder 56 Adding ICD 9 Codes Abscess Cysts Infections Lesions Ankylosis 5pondylolitis and Spondylopathy 320 0 720 1 720 2 720 81 4234 6 Degenerative Degeneration 7222 30 722 31 722 32 4722 99 7224 722 51 2 Select code 722 0 then click Add Code 015 00 138 139 8 336 U 72081 7318 Displacement Herniation GET 22210 222 1 2222 22270 72271 722 72 222 73 Selected Code Displacement of cervical intervertebral disc without myelopathy Selected an None Casecod Adding ICD 9 Codes Abscess Cysts Infections Lesions 324 1 727 40 730 08 730 88 730 89 730 90 730 98 730 99 733 20 739 0 739 1 739 2 739 3 739 4 Ankylosis Spondylolitis and Spondylopathy 7220 0 720 1 3720 2 720 81 720 89 720 9 AAK Degenerative Degenera 222 50 222 31 3 The ICD 9 code has now been added 222 50 7226 ON the right Add Code Selected ICD Codes Disenses Select Close on the ICD 9 screen and 015 00 Displacement Herniatio save on the Surgery Coding Screen P e 7224 722 2 722 70 722 71 x Fractures 733 13 733 95 805 00 805 01 805 02 805 03 Casecoder 58 Finishing Up CaseCoder Pp CaseCoder Goni Dodra G your inaction Hello Dennis E Demo Patient Last Name Smith First Name John Date of Birth 1 1 1967 Sur
4. Insurance Great Coverage of Texas Add New Delete Insurance 3reat Coverage of Texas vi Add New Delete ID ID 897897936 Add New Patient Add New Patient Authorization Authorization Carrier Type Carrier Type Medicare Jr Select Additional Surgical Participants Select Additional Surgical Participants Edit Co Surgeons Edit Co Surgeons Edit Asst Surgeons Helper John MD Edit Asst Surgeons Helper John MD Patient Selection Edit PE Patient Selection Edit PE Code Surgery Code Surgery Logout Logout CaseCcoder 73 Private Carri The Billing Encounter Form FEE SCHED Ji CoseCocder 3 WO dc Rh B E ac ao Pt Saan F Medicare The Billing Encounter Form TOTA ALLOWTO j TOTAL RIE Avwitent Sorgeon Helper John MD PAR CPT CODE MOO CaseCoder M ler r US mr Ud om CaseCoder Carrier Specific Guidelines The CaseCoder programs have been built directly from the AMA CPT guidelines It is highly recommended that users familiarize themselves with these guidelines in order to understand the different aspects and coding opportunities available It should be noted that within the medical insurance industry there are several carrier specific guidelines that may not adhere to these guidelines Each practice is obligated to fami
5. On this page you are able to access your exclusive benefits as a BD RCM client If you should need further assistance with your account or you wish to inquire about partnering with BD RCM please contact our office at 516 294 4118 option 5 THE BUSINESS OF SPINE CASECODER ay ALL SCRIPTS To access your TEOS account to purchase or view To access CaseCoder and begin coding click here To access All Scripts and view your account click your courses click here and enter your account and enter your account information here and enter your account information information THE BUSINESS OF SPINE e Al Isc ri lots CaseCoder CaseCoder The Login Screen Type in your CaseC oderEXTREME Usemame and Password l r F b asevodel onlideni Coding at your fingertips Powered by MEA Revolutionizing the Business of Spine z7 Copyright 2005 2007 2010 2011 2012 CaseCoder LLC All Rights reserved CaseCoder EZ CaseCoder Expert amp CaseCoder Extreme are Registered Trademarks of CaseCoder LLC CPT is a registered trademark of American Medical Association Current Procedural Terminology CPT is Copyright 2012 All Rights Reserved ICD 9 is copyright 2012 under the Uniform Copyright Convention All Rights Reserved Casecoder TE M le jr Sig om Forgot your Username and Password Forgot Username Login Please enter your email address in the box below Forgot Password Username
6. 1 Selected Code Application of intervertebral biomechanical device s e g synthetic cages s methylmethacrylate to vertebral defect or interspace Casecoder 52 Adding Modifiers and Units Instrumentation Surgeon Bone Edward MD CPT Code Mod 2 Se lec t the a ppropnate Assistant Surgeon Helper John MD 22855 Modifier modifier 80 CPTCode Mod Units Casecoder 53 Adding Modifiers and Unils Instrumentation rgeon Bone Edward MD CPT Code Mod 3 Click the Units tab and select th appropriate number of units 2 CaseCocer 54 Adding Modifiers and Units Instrumentation Posterior 22840 Anterior 22845 Interbody 22851 Pelvic 22848 Removal 22850 Reinsertion 22849 242846 22847 By clicking Add underthe assistant surgeon you will notice the code has been 22852 added along with units and a modifier Surgeon Bone Edward MD CPT Code Mod Units 22551 22552 surgeon Mod Units Now retum to the Surgery Coding Screen Casecoder 55 Adding ICD 9 Codes Surgery Coding Screen Search code yend ICD9 Codes None Surgeo Bone Edward MD CPT Code Mod 22551 22552 22845 22851 20931 Assistant Surgeon Hainer John MD 1 Click the ICD 9 tab at Co Arthroplast the bottom ofthe screen Neurostimulators enia 2 80 ES 80 22851 80
7. CPT Code Mod Units Assistant Surgeon Helper John MD CPT Code Mod Units 1 From the Surgery Coding Screen Ar Selectthe tab labeled Fusion Grafting E amp M Codes C es Misc Neurostimulators CaseCocer 38 Fusion Grafting Extracavitary Lateral Exploration of Fusion Grafting Fusion Grafting Tab Su 2 CPT Code rgeon Bone Edward MD Mod Units Assistant Surgeon Helper John MD CPT Code Mod Units By selecting this tab a box will appear containing all of the codes related to your selection You will notice that each code is organized underthe appropnate sub Category It is understood that the people who are using the CaseCoderExpert and Extreme programs are professional coders who are able to manipulate and utlize CPT codes based on memory and experience All users with the appropriate permissions will be able to accessthese patients in this group CaseCocdcer 39 Adding Codes You will select your codes based on the Operative Report Fusion Grafting Surgeon Extracavitary Lateral Bone Edward MD l CPT Code Mod Units 22532 22533 Anterior Assistant Surgeon 3 22548 22551 Helper John MD CPT Code Mod Units 22585 Add Posterior 22590 022595 22600 22630 22632 22633 22634 P 2 Selecta code Example code 22551 then Ka click the Add
8. Medical Benefits Exhausted Select Addltlonal information CaseCocder Print Cancel ood gak fe 25 Frosccsiure BAL Biad ration Information Bur g Gand x Ti ar nl Fu Le dern Bert Piker pendle rir diki Bra 6 DT an k R Fra j air a Bera y ter oa i BIJ romp Erin KE nabare Adresse T Rr N e zz Tn n n F Plas q e ee War em Far ee H s Pek ker Cote Saeed i Bn Pan b n in Fathers Talat mga ll qur n Comp bek Fen cul ail Claim Mate tek Mashing Adder ak li bark KA anlne Add aL F Claim ER Sacr EU Medical DemefitsExhausted ewct Additional Information Cell 713 546 6675 The Verification Fo Primary Insurance Ins Phone Spoke With Active Effective Date Insured ID Group Ins Mailing Address 1 Ins Mailing Address 2 Plan Type Par Mon Par Physician Category In Patient Out Patient 936 788 5643 Janet Yes 4 11 2011 E patient 768686868 16955 Walden Road Montgomery TX 7739 priv In Patient Casecoder rp PE 4 66 Vig rm C arce 26 Ez a E Meme anus a OE FEET KER Fury hebr p r Brin Phere Ape m nh A 1 Etre 9 rag Dag Rr x ner radi Ballet r Lr bn gala Address db Rp N KA dil r Akin nu F Filia Type Far l Bizan Par Phyt Ka oan amer En Parkent ia FP ari nea sh r Come bea Musling Addersy li heri Hinai deii Cl
9. PERSONAL INJURY OR SEVERE PHYSICAL OR ENVIRONMENTAL DAMAGE e NO ADVICE OR INFORMATION WHETHER ORAL OR WRITTEN OBTAINED BY YOU FROM CASECODER OR ANY THIRD PARTY OR THROUGH THE WEBSITE SHALL CREATE ANY WARRANTY NOT EXPRESSLY STATED IN THESE TERMS AND CONDITIONS 16 LIMITATION OF LIABILITY FOR A PERIOD OF 30 DAYS YOU ARE ABLE TO EVALUATE CASECODER COM YOU NEED TO CANCEL WITHIN THE FIRST 30 DAYS TO RECIEVE A FULL REFUND THE SOFTWARE IS LICENSED TO YOU ON AN AS IS BASIS WITHOUT ANY WARRANTY OF ANY NATURE YOU EXPRESSLY UNDERSTAND AND AGREE THAT CASECODER AND ITS LICENSORS SHALL NOT BE LIABLE TO YOU FOR ANY DIRECT INDIRECT INCIDENTAL SPECIAL CONSEQUENTIAL OR EXEMPLARY DAMAGES INCLUDING BUT NOT LIMITED TO DAMAGES FOR LOSS OF PROFITS GOODWILL USE DATA OR OTHER INTANGIBLE LOSSES EVEN IF CASECODER OR ITS LICENSORS HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES RESULTING FROM I THE USE OR THE INABILITY TO USE THE WEBSITE OR TO ACCESS CONTENT OR DATA Il THE COST OF PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES III UNAUTHORIZED ACCESS TO OR ALTERATION OF YOUR TRANSMISSIONS OR DATA OR V ANY OTHER MATTER RELATING TO THE WEBSITE THE FOREGOING LIMITATIONS SHALL APPLY NOTWITHSTANDING A FAILURE OF ESSENTIAL PURPOSE OF ANY LIMITED REMEDY AND TO THE FULLEST EXTENT PERMITTED BY LAW UNDER NO CIRCUMSTANCES SHALL CASECODER OR ANY THIRD PARTY WHO MAKES ITS WEBSITE OR CONTENT AVAILABLE IN CONJUNCTION WITH OR THROUGH THE WEBSITE BE LIABLE T
10. by CaseCoder and or a third party who make its Website available in conjunction with or through the Website CasecCoder 88
11. insurance eee Bone Edward MD OE s eke e 22851 Helper John MD Select IS directly related to the an client s reimbursement orcontracted fee schedule Select Private CaseCoder 64 Hello Dennis E Demo Surgery Details Patient D ate of 9 26 2012 Insurance Texas Insurance AUCA Surgery ii ERK E i Company Last Name Smith NE ac Qelin er d ase ieee First Name John Admit LEIE 26 2012 ID j 768686868 Date of Birth 6 16 1983 Place CUM Authorization 76654543 dert Authorization 4 766545434 44 Pr Surge 3 Click Save ICD9 Wwucos FART Add New Pat uu Please select MEP Carrier for each physician Edit Patient Bone Edward MD Private ix Helper John MD Private Delete Current Save Patient Selection x MED Carriers rint Email Surgery Logout Add Surgery Surgery History Edit Code Delete Surgery CaseCoder poH x ee EF ume uS m 65 Accessing the Billing Encounter Fo Surgery Details Texas Insurance Company Admit Date 9 18 2012 ID 889787789 PI f C mere keq 4 After saving click the Print 197979 ICD9 Codes 722 tab and select Print BEF Date of Surgery 9 18 2012 Insurance Please select the report to print Casecoder 66 Account is Billing Encounter Form Patient Mame John Smith A dimit Date 3 18 2012 Date of Service 3 18 2012 Place of Service Conroe Regional Primary Ins
12. n Vi a 30 p OI Coding in CaseCoderExireme Careers Caw 9 ca s uus asa i The Surgery Coding Screen CaseCoder On this screen you will notice 14 tabs By selecting the various tabs you are able to look for other coding opportunities that may apply such as ICD 9 codes Each code is broken down by the series of coding opportunities that are available in those particular segments Surgery Coding Screen Search code Casec oc er 32 Search Field Search a code by entering a keyword in the Search code field on the Surgery Coding Screen Surgery Coding Screen Search code Laminectomy JICD9 Codes None Osteotomy Surgeon Decompression _ steler Bone Edward MD CPT Code Mod Units Fusion Grafting Imaging Assistant Surgeon Helper John MD CPT Code Mod Units CaseC oder 33 This will prompta pop up with all codes related to a Laminectomy Search Field 62350 Implantation tunneled intrathecal epidi catheter w o lami 62351 Implantation tunneled intrathecal epidi catheter w lami 63001 Laminectomy midline cervical 63003 Laminectomy midline thoracic 63005 Laminectomy midline lumbar 63011 Laminectomy midline sacrum 63012 Laminectomy Gill procedure 63015 Laminectomy midline cervical 63016 Laminectomy midline thoracic 63017 Laminectomy midline lumbar 63020 Laminotomy cervical 63030 Laminotomy lum
13. process while promoting rapid appeals submission Professionals can code claims quickly with CaseCoderEXTREME while the program generates all necessary documentation and calculations to audit the claim based on practice fee schedules This allows accurate appeals to be identified in this all inclusive program Cc se Co de r 3 OS Accessing the Program din a N 4 Logging into CaseCoderEXTREME Go to www businessdyna mic sic m c om From the homepage select the tab labeled Client Page Revenue Cycle Management for the Spine Professional 1 516 294 4118 Home AboutUs Services Company Performance Partnerships Client Page Career Opportunities Contact Us UNLEASH YOUR REVENUE POTENTIAL Try our Unique Spine Specific Services Business Dynamics RCM the nation s leader in spine coding and reimbursement is a full service Spine Revenue Cycle Management Firm that simplifies and streamlines the business of coding billing and reimbursement for spine specialists New Clients experience an increase of up to 30 upon inception of our services Learn More CaseCoder Logging into CaseCoderEXTR Under CaseCoder selectthe click here option Revenue Cycle Management for the Spine Professional 1 516 294 4118 Home AboutUs Services Company Performance Partnerships Client Page Career Opportunities Contact Us Client Page WELCOME THE BUSINESS DYNAMICS RCM CLIENT PAGE
14. ATTORNEYS FEES OF EVERY KIND AND NATURE IN SUCH A CASE CASECODER WILL PROVIDE YOU WITH WRITTEN NOTICE OF SUCH CLAIM SUIT OR ACTION CASECODER COM LLC DISCLAIMS ALL OTHER WARRENTIES EXPRESSED OR IMPLIED INCLUDING THE IMPLIED WARRENTIES OF THE MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSE CASECODER COM LLC SHALL NOT BE LIABLE FOR ANY DAMAGE OR LOSS OF ANY KIND ARISING OUT OF OR RESULTING FROM YOUR POSSESSION OR USE OF THE FILES INCLUDING DATA LOSS OR CORRUPTION REGARDLESS OF WETHER SUCH LIABILITY IS BASED ON TORT CONTRACT OR OTHERWISE IF THE xezele LIMITATION IS HELD TO BE UNENFORCABLE IF CASECODER LLC S MAXIMUM LIABILITY TO YOU SHALL NOT BAGEED THE AMOUNT OF THE LICENSE FEES PAID BY YOU FOR THE FILES THE REMEDIES AVAILABLE ST CASECO DER LLC S UNDER THIS AGREEMENT ARE EXCLUSIVE SOME STATES DO NOT ALLOW 84 CaseCoder Discla INDEMNIFY HOLD HARMLESS AND DEFEND CASECODER LLC FROM AND AGAINST ANY LIABILITIES OBLIGATIONS DAMAGES LOSSES CLAIMS DEMANDS RECOVERIES SETTLEMENTS DEFICIENCIES COSTS OR EXPENSES INCLUDING WITHOUT LIMITATION REASONABLE ATTORNEYS FEES AND EXPENSES WHICH CASECODER LLC MAY SUFFER OR INCUR IN CONNECTION WITH RESULTING FROM OR ARISING OUT OF CASECODER A BREACH OF ANY OF IT S REPRESENTATIONS WARRANTIES COVENANTS AND OBLIGATIONS CONTAINED IN THIS AGREEMENT AND ALL PREVIOUS AND FUTURE AGREEMENTS CASECODER MAY HAVE IN FORCE WITH ANY PARTY INCLUDING BUT NOT LIMITED TO CLIENTS PARTNERS SUB
15. Im inn CaseCoderEXTREME User Manual Version 2 0 www businessdynamicsrcm com 1 Table of Contents OVERVIEW cc SE NIENTE 3 What is CaseCoderEXTREME 7 EEE es 3 ACCESSING THE PROGRAM iso ttes bar eee 4 Logging in to CaseCoderEXTREME ceca arrests starsceies cates eaner nite animtebiancanacsneameneiadauandndeneareeunicamineeion 5 NAVIGATING THROUGH CaseCoderEXTREME cccccccsseccccssccccesecsccensceceuseceseunececeecseseeeceeeeuecetsunesss 10 PPU 11 MINN 15 FN DOL j yekin lex ec ya naca yaya leyan ewe baye beqe e UR 4400 KWA MR Oma tendere esr cd DUE DU awa AA wd AS VA AA KG 19 in Go rrr o o r r aXar a Da 2 gg 2 nx 24 Coding in ase COUT XI gjuan 30 The S rgery Coding NN 31 Meala COG EE br 37 Bosna Gog EEE TE EE NE 39 FIT UT HKHRBRBRERTREIR4TEIOE E 41 PCN OI oe _ee rjrw w ec c a c CM MN M pM dM MM M MUNI H EI MEME UE 44 Adding ICD 9 COES EMO 5s sis E E E RE ee aera E 48 PTS UP 50 ETNE Gen TER 51 Accessing the Billing Encounter POTI Ta E 1101010 30144444444444 s asawawatawanana ka W Wu W UA W W KU u U k 54 From Private to liso Ge ER d 62 Coder INFORMATION PAGE ee 65 0 PR EE 66 verview What is CaseCoderEXTREME CaseCoderEXTREME is designed for the Reimbursement Specialist in order to simplify the auditing
16. O YOU OR ANY USER ON ACCOUNT OF YOUR USE OR MISUSE OF THE WEBSITE OR SUCH THIRD PARTY WEBSITE OR CONTENT SUCH LIMITATION OF LIABILITY SHALL APPLY TO PREVENT RECOVERY OF DIRECT INDIRECT INCIDENTAL CONSEQUENTIAL SPECIAL EXEMPLARY DAMAGES WHETHER SUCH CLAIM IS BASED ON WARRANTY CONTRACT TORT INCLUDING VISE EVEN IF CASECODER AND OR A THIRD PARTY WEBSITE OR CONTENT PROVIDER SIBILITY DAMAGES 86 CaseCoder Discla SUCH LIMITATION SHALL APPLY NOTWITHSTANDING A FAILURE OF ESSENTIAL PURPOSE OF ANY LIMITED REMEDY AND TO THE FULLEST EXTENT PERMITTED BY LAW 17 EXCLUSIONS AND LIMITATIONS NOTHING IN THIS AGREEMENT IS INTENDED TO EXCLUDE OR LIMIT ANY CONDITION WARRANTY RIGHT OR LIABILITY WHICH MAY NOT BE LAWFULLY EXCLUDED OR LIMITED SOME STATES OR OTHER JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES SO THE ABOVE EXCLUSIONS MAY NOT APPLY TO YOU YOU MAY ALSO HAVE OTHER RIGHTS THAT VARY FROM STATE TO STATE AND JURISDICTION TO JURISDICTION 18 NO THIRD PARTY BENEFICIARIES You agree that except as otherwise expressly provided in these Terms of Service there shall be no third party beneficiaries to these Terms and Conditions 19 MISCELLANEOUS PROVISIONS a Actual purchase of the service occurs on date of activation Full refund is available for up to 30 days after activation b Choice of Law and Forum These Terms of Service will be governed by and construed in accordance with the laws of the State of Utah without g
17. SIDIARIES EMPLOYEES OR ASSOCIATES B NON COMPLIANCE WITH ANY APPLICABLE FEDERAL STATE OR LOCAL LAWS OR REGULATIONS C WILLFUL MISCONDUCT OR GROSS NEGLIGENCE 15 DISCLAIMER OF WARRANTIES YOU EXPRESSLY UNDERSTAND AND AGREE THAT a YOUR USE OF THE WEBSITE IS AT YOUR SOLE RISK THE WEBSITE IS PROVIDED ON AN AS IS BASIS AND WITHOUT WARRANTY OF ANY KIND TO THE MAXIMUM EXTENT PERMITTED BY LAW CASECODER AND ITS LICENSORS EXPRESSLY DISCLAIM ALL WARRANTIES AND CONDITIONS OF ANY KIND WHETHER EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES AND CONDITIONS OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE AND NON INFRINGEMENT b CASECODER AND ITS LICENSORS MAKES NO WARRANTY I THAT THE WEBSITE WILL MEET YOUR REQUIREMENTS Il THAT THE WEBSITE WILL BE ERROR FREE OR BUG FREE IIl REGARDING THE SECURITY RELIABILITY TIMELINESS OR PERFORMANCE OF THE WEBSITE AND IV THAT ANY ERRORS IN THE WEBSITE WILL BE CORRECTED c ANY CONTENT OR MATERIAL DOWNLOADED OR OTHERWISE OBTAINED THROUGH THE USE OF THE WEBSITE IS DONE AT YOUR OWN DISCRETION AND RISK AND YOU WILL BE SOLELY RESPONSIBLE FOR ANY DAMAGE TO CaseCoder Disc qin d NONE OF THE WEBSITE IS INTENDED FOR USE IN THE OPERATION OF NUCLEAR FACILITIES LIFE SUPPOR SYSTEMS EMERGENCY COMMUNICATIONS AIRCRAFT NAVIGATION OR COMMUNICATION SYSTEMS AIR TRAFFIC CONTROL SYSTEMS OR ANY OTHER SUCH ACTIVITIES IN WHICH CASE THE FAILURE OF THE WEBSITE COULD LEAD TO DEATH
18. Supplements for non Department of Defense Federal 82 CaseCoder 11 ADDITIONAL ADA CDT LICENSING RESTRICTIONS Definitions 1 CDT means the textual graphic and other editorial content included in the ADA developed publication titled CDT 2011 2012 Current Dental Terminology CDT which includes all Update thereto and the Code defined below 2 Code means the Code on Dental Procedures and Nomenclature Each individual code comprises two components 1 a five character alphanumeric designation that identifies a specific dental procedure and 2 a short written literal definition of the procedure called the nomenclature Some but not all individual dental procedure codes have a third component 3 a written narrative that provides a more detailed description of the procedure called the descriptor 3 User means an individual or entity that has purchased a Publication for personal or business use not for resale or redistribution 4 Publication s means Find A Code s publications licensed by the ADA which contain the Code or other portions of the CDT 5 Updates means any modified or updated versions or new editions of the CDT that ADA issues Users are NOT allowed to 1 alter amend or modify the Code or other portions of the CDT 2 resell transmit or distribute copies of the Code or other portions of the CDT or any electronic files or printed documents that contain the Code or other portions of the CDT
19. This tab will hine cdi margy Rai BUT Bi TH Cora Brit E MT none take you to the Surgery Details screen This tab stands for Edit mi Patient It will take you to the Edit Surgery screen Casec oc er 15 Adding c New Patient Hello Dennis E Demo Patient Selection Screen Last Name First Name Date of Birth 1 Click the Add New Patient tab to accessthe New Patient Entry screen CaseCocer 16 CaseCoder Hello Dennis E Demo New Patient Entry Last Name First Name John Date of Birth MM DD YYYY Required Fields 01 01 1967 2 Enter the last first name and their date of birth then select Save CaseCocer 17 CaseCoder Hello Dennis E Demo Surgery History Patient Date of Last Name Smith Surgery First Name John Date of Birth 1 1 1967 Select Your Activity Since this is a new patient there will be no surgenes displayed on this screen Casecoder 18 Surgery History Screen r EN d EN j CaseCoce Hello Dennis E Demo Patient Last Name Smith First Name John Date of Birth 1 1 1967 Surgery History Date of Surgery Select Your Activity 1 Selectthe Add New Surgery tab to accessthe Add New Surgery screen Casecoder 19 CaseCoder Confident Code of your Foer Hello Dennis E Demo Patient Last Name Smith First Name John Date of Birth 1 1 1967 A
20. abuse harass stalk threaten or otherwise violate the legal rights such as rights of privacy and publicity of others upload post email or transmit or otherwise make available any inappropriate defamatory infringing obscene or unlawful content upload post email or transmit or otherwise make available any content that infringes any patent trademark copyright trade secret or other proprietary right of any party unless you are the owner of such rights or have the permission of the owner to post such content download any file posted by another that you know or reasonably should know cannot be legally distributed in such manner impersonate another person or entity or falsify or delete any author attributions legal or other proper notices or proprietary designations or labels of the origin or source of Website Content or other material restrict or inhibit any other user from using and enjoying CaseCoder services use CaseCoder services for any illegal or unauthorized purpose remove any copyright trademark or other proprietary rights notices contained in or on CaseCoder services interfere with or disrupt CaseCoder services or servers or networks connected to CaseCoder services or disobey any requirements procedures policies or regulations of networks connected to CaseCoder services use any robot spider site search retrieval application or other device to retrieve or index any portion of CaseCoder services or collect information about
21. aim Opra Breder ai farer fits Entiyusted u FATTE Pr Ot phap C Authorization Information Account 6 PET na LE gt epee Ballen is Geit o lt Select LF Lar wap d imi Bizina dif es li inq Bi mane durin nn n fiam Tage Far ha Poe Pepi iam C 51 PASE r in Pat r Chas Perens MT B las Phon 104 Folecy f Macc ben Mallmg Address V lm Mailen Adeux Z Lise Cu Made al Beretta Evi hupgiated The Verification palet tatert Tu Satect Select Frint Cancel DH automatically populates from what was entered on the Add New Surgery screen Additional Information you may add any criteria orinsurance information pertaining to this particular patient CaseCoder 27 NER The Verification Form Tabs Save will save the current values in the patient s electronic file Print will save the current values in the patient s electronic file and print out in a word doc ument format Cancel will not save the cunent values and will retum Cancel you to the Edit Surgery screen Caseccad er 28 The Verification Form a M gt enan Pro edure Authorization mmformation Arcounl gy 7 L F BEL Fr kara kr Jamer oa k Firs Kaplan hi vris ae Dak fast Dass ke jai raji iL EF Lal Cara F iag Hebe uma JuLTrsLa r Mo
22. and are generated by the Licensee pursuant to this Agreement 3 print out copies download or store on User s computer system electronic files of the Code or other portions of the CDT as reproduced in Electronic Publication s except for User s private or business use but not for resale or redistribution 4 remove any CDT copyright or other proprietary notices labels or marks for the Code or other portions of the CaseCoder Discla 12 TERMINATION You may terminate these Terms of Service at any time by contacting support CaseCoder com and request cancelation of your account Your rights automatically and immediately terminate without notice from CaseCoder if you fail to comply with any provision of these Terms of Service To the maximum extent permitted by law CaseCoder reserves the right to terminate this agreement and your use of the Website at any time and for any reason 13 SURVIVAL The provisions of Sections 4 6 7 9 10 11 12 13 14 15 16 17 and 18 shall survive any termination or expiration of these Terms and Conditions 14 INDEMNITY YOU AGREE TO HOLD HARMLESS AND INDEMNIFY CASECODER AND ITS SUBSIDIARIES AFFILIATES OFFICERS AGENTS AND EMPLOYEES FROM AND AGAINST ANY CLAIM SUIT OR ACTION ARISING FROM OR IN ANY WAY RELATED TO YOUR USE OF THE WEBSITE OR YOUR VIOLATION OF THESE TERMS OF SERVICE INCLUDING ANY LIABILITY OR EXPENSE ARISING FROM ALL CLAIMS LOSSES DAMAGES SUITS JUDGMENTS LITIGATION COSTS AND
23. bar 63035 Additional interspace laminotomy Casecoder 34 Search Field 2 Click the code you wish to add For example 63030 ans 62350 Implantation tunneled intrathecal epidi catheter w o lami 62351 Implantation tunneled intrathecal epidi catheter w lami 63001 Laminectomy midline cervical 63003 Laminectomy midline thoracic 63005 Laminectomy midline lumbar 63011 Laminectomy midline sacrum 63012 Laminectomy Gill procedure 63015 Laminectomy midline cervical 63016 Laminectomy midline thoracic 63017 Laminectomy midline lumbar 63020 Laminotomy cervical 3030 Laminotomy lumbar Additional interspace laminotomy Casecocer 35 Search Field Decompression Surgeon Laminotomy Hemilaminectomy Bone Edward MD CPT Code Mod Units 02741 0275T 62287 Add 63040 653042 63043 Assistant Surgeon Helper John MD Laminectomy CPT Code Mod Units 63001 63003 63011 63012 63015 BEREY En 63016 63017 63046 63047 63048 63050 63051 Transpedicular 29099 3 A screen will appear with the chosen code Anterior Disce highlighted under the appropriate Main Procedure 63075 pauzo oosurr pau Anterior Corpectomy Laminectomy for Lesion CaseCocer mr S m 36 Operative Report Operative Report Sample Patient Name Jane Doe Date 3 18 05 Indications The patient presented
24. be stable A digital radiograph indicated that the implant was in good position relative to the maxillary sinus floor Mineralized allograft bone was hydrated with sterile saline and was applied to the gap between the socket walls and the implant and then a dense PTFE membrane was placed over the socket extending 3 mm beyond the socket margins on the palatal and facial The soft tissue was secured in its native position with PTFE suture x 2 Good hemostasis was achieved Sterile 4x4 gauze packs were uses throughout the procedure to protect the airway The patient was allowed to recover spontaneously in the operatory Postoperative instructions were reviewed with the patient and their caregiver and then given to them in writing They both voiced their understanding They were was instructed to call with any questions or problems that might arise Postoperative medications were discussed Complications none EBL less than 10 cc Plan Return to the clinic in one week for suture removal and postoperative evaluation John Doe DDS 3 18 05 Operative Report Sample Patient Name J ohn Smith Date 09 18 2012 Surgeon Edward Bone MD Assistant Surgeon J ohn Helper MD Preoperative Diagnosis Procedure Performed Antenor cervical decompression and fusion below C2 at2 levels Ca seCo de r 37 Surgery Coding creen Surgery Coding Screen Search code GB ICD9 Codes None aereo tomy Surgeon Bone Edward MD
25. bsite is further restricted by these Terms of Service 7 EXPORT RESTRICTIONS The Website is subject to United States export controls By using the Website you agree that you are solely responsible for complying with all United States export control regulations including the Export Administration Regulations EAR and sanctions programs including those administered by the United States Treasury Department s Office of Foreign Assets Controls OFAC and all other applicable international trade regulations You agree that you will not download or use the Website without all required approvals in any proscribed destination including Cuba Iran North Korea Sudan and Syria on behalf of any proscribed entity or person for any proscribed end use or in any other manner contrary to these export regulations and sanctions programs By downloading or using the Website you represent and warrant that you are not a proscribed end user or utilizing this Website for a proscribed end use under these regulations 79 CaseCoder Disclair 8 COMPLIANCE WITH LAWS AND CASECODER POLICIES You agree to comply with all local laws and regulations regarding the download installation and or use of the Website You agree to comply with any applicable policies or guidelines that CaseCoder may make available from time to time in its sole discretion By way of example and not as a limitation you agree that when using the Website you will not defame
26. c er 69 The Billing Encounter For CPT Code Modifiers MOD FEE and of Units are all calculations from information that has been entered during the coding and verification process relative to the client s customized setup that involves their fee sc hedule for private carriers This is all based on the rules for submission and later calculated out wrth the number of units CaseC oder 10 The Billing Encounter r Nn PP P Forthe assistant surgeon we y T diana have to look atthe modifiers to see whatthe calculation is forthat group We are able to see this by looking at the calculation of the surgeon s fee of 22 000 compared to the assistant surgeon s fee of 4 400 This tells us that the assistant surgeon will get 20 of the surgeon s fee ka nian m an oo N a i All ofthis is calculated K P pee m I behind the scenes which do d 1 notrequire the biller to formulate those calculations separately based on the requirements of the group CaseC oder 71 The Billing Encounter Another important component of the CaseC oder Extreme program is the ability to calculate the minimum expected payment for this partic ular case The Total Billed and the Minimum Expected Payment are based on the rules of engagement for reimbursement standards Forexample the total amount billed for 22 000 is expected to pay at 22 000 The primary code is paid at 100 a
27. dd New Surgery Date Of Surgery Admit Surgery Place of Surgery Please Select Required Fields i Insurance Please Select v wAdd New Deleter ID Authorization 3 Carrier Type Auto v Surgeon Please Select ml Select Additional Surgical Participants Casecoder 20 Add New Surgery Screen Information Tabs Date of Surgery can be entered by selecting the calendar pale or Argey nextto the format box Admit Date has to be either the same date as the Date of Admit Surgery or before the Date of Surgery Place of Surgery you may selecta surgery location from the Place of Surgery drop down menu or add a new location by selecting the Add New tab Insurance Insurance you may select the insurance from the drop down menu or add new insurance by selecting the Add New tab ID 4 will self populate to the Venfic ation Fom Authonzation Authonization will self populate to the Venfic ation Fom Carrier Type transfers over to the Billing Encounter Form mer camer ype utilized in the CaseCoder Extreme program Case 21 Add New Surgery Screen Participant Selection Tabs Surgeon all Surgeons are within the same group the user has access to The surgeon you select will be pulled from the listing that you may choose forthe other surge
28. ding Addons 2 Flu Tape Fala unum Far F lan u ka 45 dhan Le Fart Cet Fa E raed ies Coe lag Fraa bna MigiEausa Air r n n 3 w gd Ludde ann F L Lazne Ewil rris al Beets li n naa Wel Mt oral tmTorematiorn Cellm 713 267 7888 Tar Lnr EGEN TE e un Fina ups ar teb Jir Era i Pira Erg Esta E r id E reg d haa highs kbit 1 Kiri Miedo S raa F Flan Type Farben Fas Pe eles L h Pain ies Fal n C ad l Fleet DX Foley I Folia n kull Ba sr baa lene Aza LL hu Wb gems Ae 2 C Laien Coran MAE ad Earring nr br C aru l 1 Aftercompleting the Venfication Form save your current values by clic king the Save button on the bottom of the form This will retum you to the Edit Surgery screen Casecoder 29 Edit Surgery Screen CaseCocer Hello Dennis E Demo Edit Surgery Date Of Surgery 9182012 j Required Fields Patient gery n Last Name Smith Admit Surgery 9 18 2012 Ha First Name John a Date of Birth 1 1 1967 Place of Surgery Conroe Regional AddNew Delete Insurance Texas Insurance Company pej Add New Delete i ID 009767769 1 Click the Code Surgery tab to _ Edit Patient Details egin coding your surgical case Surgeon Bone Edward MD Select Additional Surgical Participants Edit Asst Surgeons Helper John MD D mH le ia Casecoder r n PE n an
29. er Wonllden Coding _ of voor Feder Hello Dennis E Demo Last Name First Name Date of Birth Please Select Please Select 111961 1 Type in the existing patient s last first name and their date of birth CaseCoder 12 Hello Dennis E Demo Surgery History Patient Date of Select Your Activity Last Name Hurtin First Name Emma ee EEE v Date of Birth 1 1 1961 6 22 2010 GEOG xand ldem ec Delale enan Surgery 9 10 2012 9 18 2012 10 1 2012 This will bring you to the Surgery History Screen forthe patient you previously selected CaseCocer 13 Surgery History Screen Editing Tabs r This tab will direct This tab will m you to the Edit direct you to maem So Patient screen the New ues where you can alter Patient Entry the first name last Screen name and date of N d birth This tab will prompt a pop up asking if you are vue you wan to delete tha paneer Sure you want to delete this patient Patient Selection Screen Last Name redirect you to First Name Date of Birth Pease Select the Patient Selection Screen This tab will direct you to the Login screen for all user type access 14 Surgery History creen Coding Surgical Tabs This tab will transfer you to a the Add New seme Surgery
30. gery Details Date of Surgery Admit Date Place of Surgery ICD9 Codes Surgeon Bone Edward MD CPT Code Mod 22551 22552 22845 22851 20930 69990 9 18 2012 5 18 2012 Conroe Regional 722 0 Insurance ID Texas Insurance Company 889787789 Authorization 897897979 Assistant Surgeon Helper John MD CPT Code Mod 22551 22552 22845 22851 80 80 80 80 Casec od er SEE SS 60 The Surgery Details Screen Select che report to print print the Billing Encounter Form or the Verification Form MIMI This tab will direct you _ to the Surgery History Screen Please select outgoing emails atleast one email i5 required 4 ddemoscasecoder tom Tr contact casecoder4 A pop up vvill appear giving you the option to choose which emails you would like to send the surgery to Please select MEP Carrier for each Bone Edward ND 5 e This tab allows you to Helper John MD Seed AV Expected Payment Carrier for your selected surgery participants Case 61 Surgery Coding Screen Decompression Fusion Graftimg instrumentation Arthroplasty Infections EAM Codes Surgery Details Screen Search code Osteobtonmy ji Excision Emaring Biopsy Fracture Treatment Injections Misc ICh Codes 722 0 This tab will take you to the Surgery Coding Screen This tab will
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32. liarize itself with the carrier to which it will submit claims and make adjustments accordingly Discretion should be used when applying any coding techniques modifiers or claim submission elements Technical Requirements Operating System Windows XP or later MAC OS v10 5 Leopard or newer Internet Browser Internet Explorer 7 0 or newer Firefox 3 0 or newer Google Chrome Apple Safari 4 or newer Opera 10 or newer High Speed Internet Connection Cable DSL WLAN 3G or better JavaScript Enabled Contact Information Website www businessdynamicsrcm com Email contact casecoder com Hotline 1 888 337 8220 prompt 5 Address 16955 Walden Road Suite 114 Montgomery TX 77356 Casec oc er 76 CaseCoder Discld By registering as a subscriber of CaseCoder com Also referred to as CaseCoder Find A Code or Find A Code LLC you agree to be bound by the following terms of service 1 LICENSE CaseCoder com licensing is on a per subscriber basis A Subscriber is an individual who a accesses uses or manipulates the Content available on CaseCoder com b accesses uses or manipulates the content to produce or enable an output data reports or the like c See http www CaseCoder com tos html for additional terms of service etc 2 USE OF WEBSITE RESTRICTIONS Use of Website For an individual subscriber the Website is made available to and may be used by you only for your personal non commercial use according
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34. mplete license agreement CPT is copyright by the AMA All notices of proprietary rights including trademark and copyright in CPT must appear on all permitted back up or archival copies An updated version of CPT in the Software is dependent upon continuing contractual relations with the AMA CPT copyright 2007 American Medical Association All rights reserved Fee schedules relative value units conversion factors and or related components are not assigned by the AMA are not part of CPT and the AMA is not recommending their use The AMA does not directly or indirectly practice medicine or dispense medical services The AMA assumes no liability for data contained or not contained herein 81 CaseCoder Discla CPT is a registered trademark of the American Medical Association The responsibility for the content of any National Correct Coding Policy included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied The AMA disclaims responsibility for any consequences or liability attributable to or related to any use non use or interpretation of information contained in this product licensing is on a per user basis A user is an individual who a accesses uses or manipulates CPT Editorial Content contained in the Electronic Licensed Product or b accesses uses or manipulates the Electronic Licensed Product to produce or enable an output data rep
35. n the Surgery Coding Screen you will have the ability to edit codes Casecoder 43 Instrumentation Posterior 22840 Anterior 22845 Interbody Removal 22850 Reinsertion 22849 Deleting Codes 22841 22842 22843 22844 re you sure you want to delete code 22551 Modifiers Units Surgeon Bone Edward MD CPT Code Mod Units 2 1 1 2 To delete a code simply click Assistant Surgeon the code Exa mple code D 22551 A message will appear asking if you are sure you want to delete this particular code Click OK to delete the code or Cancel to keep the code CaseCoder 44 Adding Units We are dealing with an intervertebral mechanical device at 2 units Instrumentation Posterior Anterior Surgeon Bone Edward MD CPT Code Mod Units 22551 1 22552 1 22845 1 Add Assistant Surgeon Helper John MD CPT Code Mod Units AS 1 Fom Instrumentation select the code foran Intervertebral mechanical device code 22851 Re nsertion then click the units tab at the bottom ofthe screen 22849 Modifier None Units 1 Selected Code Application of intervertebral biomechanical device s e g synthetic cages s methylmethacrylate to vertebral defect or interspace Modifiers nite CaseCocer 45 Adding Units Instrumentation This will prompta light box with
36. nd all of the exempt codes are paid at 100 as they are exempt from the multiple procedure reduction 12 1 MEP Camer Medicare Hella Dennis E Demo Surgery Details surgery Dele patant Date of Surgery 9 18 7012 Insurance Great Coverage nf Texas Salient Date of Surgery 9 18 2012 Insurance Great Coverage of Texas Last Name miti Admit Date pii ID neis SANANE Smith Admit Date 9 18 2012 ID 897897936 First ides lohn res onroe Regional Authorization 56743544 First Name John Place of Surgery Conroe Regional Authorization 567435444 fate of Birth 1 1 196 19 Codes Date of Birth 1 1 1967 ICD9 Codes 722 0 Sire Avs lw Leal Suriri Please select MEP Carrier for each physician Bone Edward MD Medicare Je Helper John MD Medicare Je Please select MEP Carrier for each physician Bone Edward MD Private Helper John MD Private ri 1 Camer Type Medicare Hello Dennis E Demo Edit Surgery Hello Dennis E Demo Edit Surgery ate Of Surgery 9 18 2012 zd Required Fields Date Of Surgery 9 18 2012 E v Required Fields Patient Dere OK OY JOE ne Patient gery maiz Last Name Smith Admit Surgery 9 18 2012 sy Last Name Smith Admit Surgery 9 18 2012 First Name John First Name John Date of Birth 1 1 1967 Place of Surgery Conroe Regiona v Add New Delete Date of Birth 1 1 1967 Place of Surgery Conroe Regional Add New Delete
37. orts or the like that could not have been created without the CPT embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible or c makes use of an output of the Electronic Licensed Product that relies on or could not have been created without the CPT Editorial Content embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible U S Government Rights This product includes CPT and or CPT Assistant which is commercial technical data and or computer data bases and or commercial computer software and or commercial computer software documentation as applicable which were developed exclusively at private expense by the American Medical Association 515 North State Street Chicago Illinois 60610 U S Government rights to use modify reproduce release perform display or disclose these technical data and or computer data bases and or computer software and or computer software documentation are subject to the limited rights restrictions of DFARS 252 227 7015 b 2 June 1995 and or subject to the restrictions of DFARS 227 7201 1 a June 1995 and DFARS 227 7202 3 a June 1995 as ap plicable for U S Department of Defense procurements and the limited rights restrictions of FAR 52 227 14 987 and or iat to the restricted rights provisions of FAR 52 227 14 June 1987 and FAR 52 227 19 licable and any applicable agency FAR
38. prompt a pop up asking if you would like to delete the current surgery Are you sure YOU want to delete this s Date of Surgery d Admit Surgery ef Flere of Surgery Please Seien 7 me Meva ji rra LAraa D Panna Selaci Tr Add Nn ID numen e This tab will take Carrber Type Au lt h dd Surgeon Phara Solari you to the A select Ad l na Surgical Participants Edit r Sun gjeri LG Aust urgceonw Eli PE New Surgery Screen Case 62 Accessing the Billing Encounter Fo Surgery Details Date of Surgery Admit Date Place of Surgery 9 26 2012 9 26 2012 Memorial Hermann Hospital ICD9 Codes 722 0 Surgeon Bone Edward MD CPT Code Mod 22551 22552 22845 22851 20931 69990 Units 1 1 Insurance ID Texas Insurance Company 768686868 Authorization 766545434 Assistant Surgeon Helper John MD CPT Code Mod 22551 80 22532 80 1 From the Surgery Details screen click the MEP Camers tab CaseC oder 63 Accessing the Billing Encounter Fo Surgery Details Texas Insurance Company Admit Date 9 18 2012 ID Z 889787789 Place of Conroe Surgery Regional Date of Surgery 9 18 2012 Insurance Authorization 897897979 ICD9 Codes 722 0 2 This will prompt a Bone Edward pop up box witha cei ode I Please select MEP Carrier for each physician series of
39. ry Conroe Regional Add New Delete Insurance Great Coverage of Texas i Add New Delete _ Add New Patient ID 897897876 Please save current surgery in order to enable verification Select Additional Surgical Participants Edit Co Surgeons Edit Asst Surgeons Helper John MD EditPE CaseCocer 24 The Verification For Frocedure Aulhkorlz E TT fa T 1 Procedure Auilkorizailds information s Account amp Primary Bn sera m r M TDI ini Fez Fern Phone genos with X Danke Wik ER Salett f ELIT Select rifesikse Date Ld R fer alive Dai r Invured Select fen ue ed Select m cree a group ir The Verific ation Form consists of a ink E amp ixiling Bien f Lili Address d El L H rca d gti series of questions rega rding pre Plan Type Select lt Plan Type Select lt authonzations and insurance me T eea information based on that particular in Patl nti tui Fa tiri alert Im PatlenisCus Patient Select patient rates en This form is an excellent tool that keeps Ins Phone Ins Fone s a ri M E S 4 your information in a nice formatand is claim Policy easily accessible by all users Employes Policyholder skade Ins Malling Address 1 Ins Mailing Addiets 1 Ink Mailing Address 2 ins Mailing Address I Chim Open Salecr Claim Capen pa Select v Medical Benefins Exhkassted Select
40. ry participants Edit Co Surgeons Edit Co Surgeons check the Co Surgeon that will be participating in the surgery if applicable Edit Asst Surgeons Edit Asst Surgeons check the assistant surgeon that will be participating in the surgery if applicable Edit PE represents physician extenders nurse practitioners physician assistants etc select if applicable CaseCocer 22 Adding c New Surgery LS TTS TE f Hello Dennis E Demo Add New Surgery a Man i nii i Patient Date Of Surgery 9 18 2012 Required Fields Last Name Smith First Name John Date of Birth 1 1 1967 Place of Surgery Conroe Regional p Add New Delete Admit Surgery 9 18 2012 Insurance Great Coverage of Texas p Add New Delete ANM 2 Once you have entered all required information on the Add New Surgery screen you may selectthe vitiis Venfic ation tab Select Additional Surgical Participants ems Edit Asst Surgeons Helper John MD Casecoder 23 3 By c lic king the Verific ation tab a message will appear asking you to save your work before continuing on to the Venfication Fom 4 Click Save then hit the Verfic ation tab Adding a New Surgery Hello Dennis E Demo Add New Surgery Date Of Surgery 9 18 2012 zl Required Fields Patient LM i Last Name Smith Admit Surgery 9 18 2012 za First Name John P Date of Birth 1 1 1967 Place of Surge
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42. tab under the primary surgeon Post Deform 22800 322802 22804 Kyphectomy 22818 22819 Exploration of Fusion 22830 Grafting Modifier None Units 1 Selected Code Arthrodesis anterior interbody including disc space preparation discectomy osteophytectomy and decompression of spinal cord and or ne Modifiers Units 40 Adding Codes Fusion Grafting Surgeon Extracavitary Lateral P Edward MD Assistant Surgeon Helper John MD CPT Code Mod Add 22632 33 You will see that the code has been Ant Deformity added underthe primary surgeon 22808 22810 22 Post Deform You may now assign codes 22552 22800 022802 22 and 22845 Kyphectomy Exploration of Fusion Grafting Casecoder 41 Deleting Codes Surgery Coding Screen Search code G0 ICD9 Codes None Osteotomy Decompression zeri Surgeon Bone Edward MD CPT Code Mod Units 22551 1 es 22845 1 1 You may delete codes by d adana r neil clicking any tab on the Surgery vwinst umentationm Biopsy jan ray pot d Coding Screen Example select Insrumentation Neurostimulators Cc se Code r 42 Deleting Codes Instrumentation Posterior 22046 Anterior Removal 22850 Reinsertion 22849 DE 2244 Assistant Surg on Helper John MD CPT Code Mod By accessing one ofthe Main Procedure Add tabs o
43. then click Units 23899 the Modifiers tab atthe bottom of the screen ad Post Deform 22800 22802 Kyphectomy Exploration of Fusion Grafting Modifier None Units 1 Selected Code Arthrodesis anterior interbody including disc space preparation discectomy osteophytectomy and decompression of spinal cord and or ne Casecoder 49 Adding Modifiers Fusion Grafting Surgeon Bone Edward MD Extracavitary Lateral CPT Code Mod Units Assistant Surgeon Helper John MD 2 Selectthe appropriate CPT Code Mod Units modifier modifier 80 titius Casecoder 50 Fusion Grafting Surgeon Extracavitary Lateral Bone Edward MD CPT Code Mod Units Anterior 3 By clicking Add you will notice the code along with Arte surgens the modifier are now attac hed onde to the assistant surgeon Attach codes 22552 and 22845 along with modifiers Exploration of Fusion 22830 Grafting CaseCoder 51 Adding Modifiers and Units Code 22851 will need to be attached to the assistant surgeon with 2 units and a modifier Instrumentation Surgeon Posterior Bone Edward MD CPT Code Mod Units Anterior 22552 22845 22851 20931 Pelvic 22848 Removal 32550 22 1 While under Instrumentation select ibus code 22851 and click the Modifiers tab Reinsertion 22849 1 22845 50 1 Add Modifier None Units
44. to these Terms of Service and the Website documentation For a business entity subscriber or government entity subscriber the Website may be used by you and your employees for internal use according to these Terms of Service and the Website documentation individual business and government subscribers are collectively referred to as You herein Restrictions Except where you have been specifically licensed by CaseCoder to do so You may not use the Website in connection with any products systems or applications installed or otherwise connected to or in communication with other websites data or other content In Summary You may not nor permit others to a modify or prepare derivative works of the web pages b rent or lease the website to a third party c use the Software in any manner that infringes on the intellectual property or other rights of another party d subscriber and admin accounts may not be transferred to another subscriber person or entity without prior authorization from CaseCoder 4 PROPRIETARY RIGHTS a CaseCoder Disc CaseCoder You acknowledge that a the Website contains proprietary and confidential information that is protected by applicable intellectual property and other laws and b CaseCoder owns all right title and interest in and to the Website and Information provided through or in conjunction with the Website including without limitation all Intellectual Property Rights therein and thereto Inte
45. units 1 20 available to select 328550 32852 2 Click on the number of units you wish to add select 2 Surgeon Bone Edward MD CPT Code Mod Assistant Surgeon Helper John MD CPT Code Mod Add Casecoder 46 Adding Units Instrumentation Surgeon Bone Edward MD Posterior CPT Code Mod Units Anterior 22851 Assistant 5urgeon Helper John MD Pelvic dps CPT Code Mod Units 22848 id L I Removal 22850 2 3 The light box will disappear and you will need to select Add underthe primary surgeon Reinsertion 22849 Modifier None Units 2 Selected Code Application of intervertebral biomechanical device s e g synthetic cages s methylmethacrylate to vertebral defect or interspace Casecoder 47 Adding Units Instrumentation Surgeon Posterior Anterior Removal 22850 Reinsertion Bone Edward MD CPT Code Mod Units 4 After clic king Add you will notice that 1 your code along with the number of units Med Unit oo have been added to the primary surgeon kannan Complete by attac hing code 20931 to the primary surgeon Casecoder 48 Adding Modifiers Fusion Grafting Surgeon Bone Edward MD CPT Code Mod Extracavitary Lateral 22532 22533 Anterior Posterior 22630 22632 22633 X 22634 Assistant Surgeon ant Deformity 1 Selectthe code code 22551
46. urance Texas Insurance Company Secondary Insurance Plan Type priv Plan Type Authorization g 897897979 Authorization amp IzD 9 codes 722 0 R U T Previous Sx ard M PAR FEE amp CHED Private QESA DE TT G Tel TJ eel s ef fre BEZE DEBE EEE EEE EEE DJ sofa fs EEE EEE frem Nem mela l mel I je HEZRET ERE EEE EEE fre 2 rM I IEe S 24 FEE SCHED Privata TOTAL PAID em r ese eme fr see Cas Coder 67 The Billing Encounter Form Fi 0 E L3 f Ji Billing Encounter Form Account 8 BZ Patient Name John Smith Admit Date 9 18 2012 Date of Service 9 18 2012 Place of Service Conroe Regional HI Primary Insurance Texas Insurance Company Secondary Insurance Ai Plan Type priv Plan Type 259 Authorization 897897979 Authorization a ICD 9 Codes 22 m yg o EMEN Previous Sx Lines 1 8 contain information from the Venfic ation Fom Line 9 consists of all the IC D 9 codes that were selected dunng the coding process CaseCocer 68 The Billing Encounter Form EOB1 and EOB2 stand for Explanation of Benefits In these fields the staff has the opportunity to add the payments that they received and ensure that they have reac hed the minimum expected payment required based on the private fee schedule out of network or fee for service situation Casec o
47. users for any unauthorized purpose submit content that falsely expresses or implies that such content is sponsored or endorsed by CaseCoder create user accounts by automated means or under false or fraudulent pretenses promote or provide instructional information about illegal activities or promote physical harm or injury against any group or individual or transmit any viruses worms defects Trojan horses or any items of a im iar n tu re e 80 CaseCoder Discla 9 CASECODER SERVICES THIRD PARTY PRODUCTS AND SERVICES CaseCoder com is designed to be used in conjunction with CaseCoder s search and other services Accordingly each time you use the Website you agree to be bound by CaseCoder s Terms of Service located at http www CaseCoder com tos html 10 ADDITIONAL AMA CPT LICENSING RESTRICTIONS You may not and you may not permit others to a use this software or any information contained herein including CPT in any public electronic bulletin board or public computer based information system including the Internet and World Wide Web b publish translate or transfer possession of the Software or copy a portion of it c create derivative works based on CPT and the Software and selling leasing or licensing it or otherwise making the Electronic Media or any portion thereof available to any unauthorized party The User should ensure that anyone who has authorized access to the Software complies with the provisions of the co
48. with pain and mobility in the maxillary right quadrant She had a history of periodontal disease and has been undergoing maintenance therapy Tooth 4 has recently become more mobile and has been declared unrestorable by the periodontist Preoperative diagnosis Advanced adult periodontitis Postoperative diagnosis Same Anesthesia Sedation Local with IV conscious sedation Procedure in Detail The patient was taken to the operatory and placed supine in the dental chair Vital sign monitors were placed consisting of an EKG blood pressure monitor pulse oximeter and capnograph An IV line was established in dorsum of the right hand A D5W drip was started Versed was given by slow titration until conscious sedation was achieved A betadine prep was done of the facial skin and the oral cavity The surgical team was then scrubbed and gloved and a sterile drape was placed across the patient Local anesthesia was administered by infiltration slowly and with good aspiration Following adequate local anesthesia a full thickness incision was made in the sulcus of tooth 4 and a full thickness flap was elevated The tooth was removed with luxation with a 301 elevatore and removal with a 150 forcep Sharp curettage was used to remove all soft tissue remnants in the socket Using the implant Kit a 4 3 x 13 mm osteotomy was created in the apex of the socket extending 2 0 mm beyond the socket apex A 4 3 mm x 13 mm endosseous implant was placed and found to

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