Amaphutha Okuvamile Ayenziwe Uma Kuhlanganiswa Amakhodi E-Medical Code

Ukuhlanganiswa okungalungile kokuguqula izizathu ezivamile ezibangela izimangalo zezokwelapha ukuphika inkokhelo. 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.

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Izinhlobo Zokuhlanganiswa Okungalungile Okungalungile

Kunezindlela eziningi ukuthi izimangalo zinganqatshelwa ngokuhlanganiswa okungalungile kokuguqula:

• Ishintsho kumhlanganisela wokuguqula: Lokhu kuhlanganisa ukukhokha okungalungile kwama-modifier amaningi. Akuwona wonke ama-modifiers angaba khona entweni efanayo noma ifomu lesicelo.
• Ukuguqulwa kokuhlanganiswa kwekhodi ye- CPT / HCPCS : Akuwona wonke ama-modifiers afanele wonke amakhodi we-CPT / HCPCS.
• Ishintsho kumhlanganisi wokukhokha: Akubona bonke abakhokha abasebenzisa futhi baqaphele ama-modifiers afanayo.

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Izinguquko 24 no-25

Amashintshi angu-24 no-25 ayasebenza kuphela uma esetshenziselwa ukuhlanganiswa ne- Assessment and Management Codes (E / M) .

99201-05: Ukuvakasha kweHhovisi Lokubekezela Kwamanje

99211-15: Ukuvakasha kweHhovisi lokuPhepha eliMisiwe

99221-23: Ukunakekelwa Kwezibhedlela Zokuqala Kwamalungu Eziguli Ezintsha Noma Eziqine

99231-23: Ukunakekela Isibhedlela Esilandelayo

99281-85: Ukuvakashelwa koMnyango ophuthumayo

99241-45: Ukubonisana kwamaHhovisi

I-Modifier engu-24 (engahlobene) isetshenziselwa ukukhomba amasevisi e-E / M (Ukuhlola nokuPhatha) anikezwe ngosuku olufanayo lohlinzekwa udokotela ohlinzayo kodwa aluhambisani nokuhlinzwa.

I-Modifier engu-25 (Ebonakalayo Ngokuphawulekayo Ngokukhethekile ) isetshenziselwa ukukhomba amasevisi e-E / M (Ukuhlola nokuPhatha) njengoba ahlukile kwenye isevisi eyenziwa ngosuku olufanayo ngumhlinzeki ofanayo.

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Isihleli 50

Ukusetshenziswa kwe-modifiers 26, LT, RT, ne-TC kubhekwa njengokuhlanganiswa okungalungile kwama-modifiers uma kulungiswa i-50 ku-isimangalo.

I-Modifier 50 ingezwe enkambisweni yokukhombisa ukuthi inqubo yenziwa ngokubili. Inqubo kufanele ikhokhelwe njengento eyodwa yomugqa kwifomu lokumangalela nge-modifier 50 futhi ngokuvamile ibike ngeyunithi eyodwa yesevisi (hlola nomkhokhi ukuze uqiniseke ukuthi, abanye bakhokhela bangadinga ukusetshenziswa kwamayunithi amabili ensizakalo).

Izinguquko 26 no-TC zibhekwa njengezivumelekile ezinkambeni ezinezakhi zomsebenzi (26) noma ingxenye yezobuchwepheshe (TC).

Ama-modifier LT ne-RT abhekwa njengento evumelekile uma inqubo eyenziwa ohlangothini olulodwa lomzimba ukukhombisa inqubo engahambisani nayo. Sebenzisa i-modifier 50 ukuze ukhombise inqubo yomphakathi noma i-RT / LT kodwa hhayi kokubili.

I-Modifier 50 (Izinqubo Zokubambisana) isetshenziselwa ukukhomba izinqubo zomphakathi phakathi nesikhathi esifanayo sokusebenza.

I-Modifier 26 (I-Component Professional) isetshenziselwa ukukhomba ingxenye yeprofeshini yenkonzo eyenziwa udokotela noma incazelo yezinsizakalo ezenziwa udokotela.

I-Modifier LT (Ehlangothini Lwesobunxele) isetshenziselwa ukubona ukuthi inqubo yenziwa ngakwesokunxele komzimba.

I-Modifier RT (ngakwesokudla) isetshenziselwa ukubona ukuthi inqubo yenziwa ngakwesokudla komzimba.

I-Modifier TC (I-Technical Component) isetshenziselwa ukukhomba ingxenye yezobuchwepheshe yenkonzo eyenziwa udokotela noma ukuchazwa kwezinsizakalo ezenziwa udokotela.

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I-Modifier 59

Ukusetshenziswa kwe-modifier 76 kubhekwa njengenhlanganisela engavumelekile uma i-modifier 59 ikhona ekumangalisweni.

I-Modifier engu-59 ingezwe enkambisweni yokuhlukanisa inqubo njengeseshini ehlukile, ukuhlinzwa okuhlukile, inqubo ehlukile, isayithi ehlukile, isilwane esihlukile, ukuchithwa okuhlukile, ukuzikhethela okuhlukile, noma ukulimala okuhlukile kusukela enkambisweni ebikiwe ngaphambili eyenziwa ngosuku olufanayo udokotela ofanayo.

Sebenzisa i-modifier 76 inqubo ifana nenqubo yokuqala eyenziwe.

I-Modifier 59 (Isevisi ye-Procedural Distinction) isetshenziselwa ukukhomba izinsizakalo noma izinqubo ezenziwa ngosuku olufanayo ngenxa yezimo ezikhethekile ezingajwayelekile ngokubikwa ndawonye.

I-Modifier 76 (Phinda Inqubo) isetshenziswe lapho inqubo iphindaphindiwe udokotela ofanayo olandela inkonzo yokuqala.