Ukwenza ikhodi yezokwelapha kuyisici esiyinhloko ekutholeni ukubuyiselwa kweminshuwalense kanye nokugcina amarekhodi eziguli. Ukukhokhwa kwe-coding ngokunembile kwenza umkhokheli womshuwalense azi ukugula noma ukulimala kwesiguli kanye nendlela yokwelapha. Iziguli zingase zibone lezi zimakhodi kumarekhodi azokwelapha noma izikweletu.
Izinqubo Ezivamile Zamakhodi Wezokwelapha
Ama-CPT amakhodi akhethwe yi-American Medical Association ukukhomba amakhodi ngokuvamile asetshenziswa odokotela abahlinzeka ngezinsizakalo ehhovisi lezokwelapha.
Lezi amakhodi zibuyekezwa ngonyaka. I-copyright i-AMA kanye namahhovisi wezokwelapha asetshala kwisofthiwe efaka izinguquko eziqhubekayo noma ukuthenga izincwadi eziqondiswayo njalo ngonyaka. Labo abangathengi lezi zinsiza bangabheka amakhodi angu-12 ngaphandle kwenkokhelo ngokubhalisa kwi-website ye-AMA.
Amakhodi we-HCPCS akhiwa yi-CMS (Amasevisi we-Medicare ne-Medicaid Services) ukuthola amakhodi asetshenziselwa izinsizakalo ezibhedlela, izidingo kanye nezidakamizwa. Amakhodi alphanumeric ngencwadi eyodwa elandelwa izinombolo ezine.
Inqubo Ejwayelekile Yokwelashwa Esetshenziswa Ngayo Amakhodi
Amakhodi asetshenziswe kakhulu kunazo zonke amakhodi wezokuhlola nokuphathwa (E / M), okuyingxenye yekhodi yekhodi ye-CPT. Zihlanganisiwe kuzinombolo zamanani kusukela ku-90000 ukuya ku-99999. Ziqondile ngokusethwa kwezinsizakalo (iziguli, iziguli, izifo eziphuthumayo, izikhungo zokuhlengikaza) kanye nezinhlobo ezine zokuhlolwa (inkinga egxile, inkinga ekhulisiwe igxile, ichazwe kabanzi, futhi olunzulu).
Lezi yizinqubo eziyisithupha zokusetshenziswa kwezokwelapha ezisetshenziswa kakhulu:
- Ukuvakasha Kwamahhovisi Amaphesenti Amasha (99201-05): Lezi zimakhodi zezokwelapha zisetshenziselwa ukukhokhelwa iziguli ezingakaze zibone nanoma yimuphi udokotela okhethekile phakathi kweqembu elifanayo eminyakeni emithathu edlule. 99201: Kugxile inkinga. 99202: Inkinga yokwandiswa igxile. 99203: Okuningiliziwe. 99204: Okuphelele, okulinganiselwe. 99205: Okuphelele, ephezulu.
- Ukwakhiwa kweHhovisi leMpilo eliPhezulu (99211-15): Lezi zimakhodi zezokwelapha zisetshenziselwa ukukhokhelwa iziguli eziye zabonwa yinoma yimuphi udokotela okhethekile phakathi kweqembu elifanayo phakathi neminyaka emithathu edlule. 99212: Okugxilwe ngenkinga. 99213: Inkinga yokwandiswa igxile. 99214: Okuningiliziwe. 99215: Kuyacaca.
- Ukunakekelwa Kwezibhedlela Zokuqala Kwamaphesenti Amasha (99221-23): Lezi zimakhodi zezokwelapha zisetshenziselwa ukukhokhelwa iziguli ezivunyelwe esibhedlela.
- 99231-23: Ukunakekela Isibhedlela Esilandelayo
- 99281-85: Ukuvakashelwa koMnyango ophuthumayo
- 99241-45: Ukubonisana kwamaHhovisi. Lezi iziguli zifuna umbono wodokotela ngesicelo somunye udokotela. 99241: Ukugxila kwengxaki. 99242: Inkinga yokwandiswa igxile. 99243: okuningiliziwe. 99244: Kuyacaca, kulinganiswe. 99245: Kuyacaca, phezulu.
Izinga lenkonzo lixhomeke emibhalweni yomlando, ukuhlolwa ngokomzimba, nokwenza izinqumo zokwelashwa. Udokotela kumele anikeze imininingwane eyanele yokusekela izinga lenkonzo. Ukuvakashelwa okugxile kunkinga kuhlola okukodwa kuya kwezingxenye ezinhlanu ngaphakathi kwesistimu. Inkinga ekhulisiwe igxile ekuvakasheni kuhlola okungenani izakhi eziyisithupha. Ukuvakashelwa okuningiliziwe kuhlola okungenani izici ezimbili ezinkambeni eziyisithupha noma izakhi ezingu-12 ezinkambini ezimbili noma ngaphezulu.
Ukuhlolwa okuphelele kuhlola konke ukubuyekezwa kwezinhlelo, ukukhomba isici esisodwa noma ezimbili ngesistimu ngayinye.
Ngaphandle kokubhaliswa okunembile kokwelashwa, izimangalo zezokwelapha kumele zikhokhiswe ngokuhambisana namakhodi ezesevisi ezengeziwe ezenziwe ehhovisi, i-modifiers ehambelanayo, uma kunesidingo, ne-ICD-9 noma i-diagnostic codes.
Umthombo:
Choat DE. Ukwenza ikhodi yezinqubo kanye nemisebenzi yehhovisi. Imitholampilo e-Colon ne-Rectal Surgery . 2005; 18 (04): 279-284. i-doi: 10.1055 / s-2005-922852.