Coding Roundtable Update (November 2009)
Submitted by Michelle Ilsley, Coding Roundtable Co- Chair

The coding roundtable committee would like to invite you to participate in a poll regarding your preference for a traveling webinar to be presented in various sites throughout Nebraska. The committee has two options for topics and realizes that there are a variety of backgrounds represented in our state association. We did not want to limit participation in any way. Please log in to the Nebraska CoP to vote for your choice of topics for a Coding roundtable traveling webinar. The choices include two pertinent topics:
- Mastering Injection and Infusion Coding
- Auditing Your RAC Results: What it means for your organization 

At the completion of the polling, the committee will purchase the webinar and begin sending it around the state for group sessions. The session will include the seminar as well as a discussion time for questions and answers that are generated by AHIMA. The committee’s goal is to sponsor the webinar in 4 (or more) sites throughout the state. If you have a site that would accommodate a small group with web access and would be willing to log in to the webinar and review the discussion questions, please contact Michelle at Milsley@nebraskamed.com.  This is a great opportunity for networking and discussion with peers. 
 
After attending the AHIMA Convention in Dallas last month, it has become very apparent that HIM professionals enjoy networking and sharing questions and ideas. It is in that spirit that I invite you to share questions with your NHIMA roundtable committee. In Dallas, HIM professionals from throughout the country shared ideas and discussed topics of interest.  There are great changes happening in Health Information, I am excited to have a part in preparing for these changes. I was humbled by so many fellow Coders who shared the same challenges and goals as me. It is a rewarding experience to network with such a group. 

The Roundtable Committee members this year include Ruth Gappa, Co-Chair, Shirley Carmichael, and Pam Koch. We have diverse backgrounds and would welcome any questions from NHIMA members. We are very excited to be offering a helping hand when questions arise. As new codes emerge, there are sure to be questions about the application of them. Please feel free to email questions to a round table member. We answer email questions within 7 days, and if the group does not reach a consensus, the question may be sent to either Coding Clinic or another source for clarification.  

Please use the Nebraska CoP to post questions or email to Michelle at Milsley@nebraskamed.com. 

Coding Roundtable Q&A

Q. What CPT code should be reported for a telephonic transmission of bedside 24 hour cardiac monitoring?  The information is being sent from a Critical Access facility to a larger facility within the state. 

A. The correct code for this service is 93012. 

CPT Assistant October 2005 PP 16-17

CPT code 93270, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; recording (includes hook-up, recording, and disconnection, represents hookup, recording, and disconnection of a memory loop recorder. 

As stated in the parenthetical note following CPT code 93272, CPT codes 93012, Telephonic transmission of post-symptom electrocardiogram rhythm strip(s), per 24-hour attended monitoring; per 30 day period of time; tracing only, and 93014, Telephonic transmission of post-symptom electrocardiogram rhythm strip(s), per 24-hour attended monitoring; per 30 day period of time; physician review with interpretation and report only, are intended to report the telephonic transmission of ECG rhythm strips from patients with event recorders that do not incorporate memory loop technology. Although CPT code 93012 states "tracing only," this code should be reported when the following components of this service are performed: hookup, patient instruction, recording, monitoring, physician interpretation of rhythm strips obtained (regardless of number) during a 30-day period of time, and preparation of a written report. CPT code 93014 represents only the professional component of a physician's interpretation of telephonically transmitted strips (regardless of number) during a 30-day period of time. These codes are also reported per 30-day period of time.

Introduction to ICD-10-CM and ICD-10-PCS Webinar
March 10, 2009

 - Answer key to Coding Exercises