BD T2

You performed a CMT 98940 to the lumbar and SI joints. Which is the correct use of the 59 modifier?

Which of the following would be a reason to perform and bill for an established patient exam code?

97140 Manual Therapy is considered a rehabilitative code.

Billing a 99203 exam when you have only documented the components for a 99202 exam is an example of which fraud?

M99.1xx code

Ordering films or laboratory work adds data points which may increase your level of exam bullets.

Which code relates to a new patient exam with no risk?

U performed a detailed hx, an expanded problem focused exam, and have low complexity for MDM. Which is an ESTABLISHED pt

Which code relates to an established patient exam that has moderate risk?

The 59 modifier applies to these codes: 97140, 97124, and 97112.

These guidelines define maximal therapeutic benefit, red flags, and contraindications for treatment

Failure to obtain any portion of the PFSHx lowers your new patient exam code to either a 99201 or 99202.

According to CCGPP guidelines, name one complicating factor that may necessitate longer care for your patient.

When billing a CMT code, you bill based upon the number of areas you have documented medical necessity.

What clinical issue do the MDM components (lab, x-rays, number of diagnoses) address?

What rehab code does NOT need the 59 modifier when performed on the same body area that was adjusted.

saw your patient 2.5 years ago and bill a 99203

Memorize this - fill in the blank

Dermatomal testing of each lower extremity gives you one bullet for the left leg and one bullet for the right leg.

In order to bill a 99214, which of the following needs to be documented?

Myotomal testing of each lower extremity gives you one bullet for the left leg and one bullet for the right leg.

M99.8xx code

According to the CCGPP guidelines, name one complicating factor that may necessitate longer care for your patient.

What chiropractic manipulation code, codes for 1-2 regions?

should have past and present diagnoses assessable

The 3 main components of the EM code are:

M99.3xx code

Which code relates to an established patient exam that has low risk?

M99.6xx code

M99.2xx code

U work w/ a MD and he/she refers a pt to u. Which EM codes will you bill when seeing the patient for the first time.

Moderate risk

The three main components of the EM code are

floor exercises (in addition to manipulating) like glute bridges and bird dog

A detailed history includes at least 4+ HPI, 2 ROS, and one pertinent PFSHx.

The treatment plan has to include treatment goals that are measurable, the duration, and the frequency of care.

Which are the 3 required elements to properly document your treatment plan which is part of your care plan?

Your SOAP note states “patient denies SOB, productive cough or wheezing.” Which part of the history does this fulfill?

What chiropractic manipulation code, codes for 5 regions or more?

Which code relates to an established patient exam that is straight forward?

When performing a re-exam, you often bill one exam code higher than the initial exam code.

A bullet is either an observation made by the doctor or a type of exam performed by the doctor.

care plan is required for every patient per the insurance contracts doctor’s sign

Which code relates to a new patient exam with moderate risk?

Why is it fraud to bill a 97140 Manual Therapy when u do a diversified adj. on ur pt instead of a 98940 CMT code?

Which code relates to an established patient exam that has high risk?

Which EM code would you bill for this service?

CAs are able to apply modalities to pt but are not able to perform any type of rehab such as Graston and ART.

Which code relates to a new patient exam with low risk?

Which is appropriate to bill

U performed a detailed hx, an expanded problem focused exam & have low complexity for MDM. What level of NEW pt EM code

An example of the frequency of care is seeing a person for 6 weeks.

Which two of the following is NOT true regarding what should be included in Care Plans:

Which code relates to a new patient exam that is straight forward?

M99.7xx code

When asking ROS questions for the constitutional system, which of the following symptoms would you ask questions about?

Which of the following is a timed code?

What chiropractic manipulation code, codes for extra spinal?

Failure to document at least 1 ROS that is pertinent to the C/C lowers the EM code that could be billed down to 99201.

HPI, ROS, and PFSHx helps document the level of MDM.

Pt presents for care of an earache, described as dull, started 2 days ago and in right ear

If a doctor takes the plain films and prepares a written radiology report

Which code relates to a new patient exam with high risk?

M99.9xx code

The component for a 99203 exam are identical/equivalent to which established patient exam?

M99.4xx code

M99.0xx code

Current history of hypertension, high cholesterol, diabetes, and smokes 3 packs of cigarettes daily.

antalgic gait favoring their right leg

manipulative services rendered must have a direct therapeutic relationship to the patient’s condition

Counseling a patient about their condition requires you to bill a consultation code instead of an EM code.

M99.5xx code

What chiropractic manipulation code, codes for 3-5 regions?

In order to bill a 99203, you need ____________ bullets for the Exam component.

Auscultation of the heart counts as __________ bullet(s).