Current Procedural Terminology comprehensive nursing paper example
There is a need for qualified healthcare professionals to identify the healthcare services they offer and report these services using a universal or standardized language that every institution, payers, researcher, and other interested stakeholders will locate. The health claims are appropriately processed by private or government-funded payers like Medicare or Medicaid (Kuo & Maaker, 2019). The Current Procedural Terminology (CPT) system is utilized through a standard language and numerical coding methodology. This post, therefore, identifies the procedures performed in each of the five patient encounters involving a 23-year old obese white female presenting for Nexplanon removal. The patient has a past medical history of obesity, migraine headaches, major depressive disorder, and fibromyalgia. (Current Procedural Terminology comprehensive nursing paper example)
Patient encounter | Identification of procedure | CPT code for procedure identified |
first | Nexplanon Removal of non-biodegradable drug delivery implant. A minor surgical procedure where the healthcare provider makes a small incision in the patient’s arm where the Nexplanon is located. The provider gives the patient an injection to numb the small area of the arm with the implant, makes a small cut, and removes the implant.(Current Procedural Terminology comprehensive nursing paper example) | 11982 |
Second | Psychotherapy session through cognitive behavioral therapy to reinforce the pharmacological treatment of depression using Cymbalta(Current Procedural Terminology comprehensive nursing paper example) | 97127 |
Third | Medical procedure involving diagnosis and therapeutic intervention where the diagnostic Tests for Hemoglobin A1C, fasting CMP, and lipid panel | For Haemoglobin A1C test-83036 Fasting CMP test- 80053 Lipid Panel -80061 For vulvovaginal candidiasis- 87481*4 |
Fourth | Medical procedure involving therapeutic intervention plan to treat dermal candidiasis through Nystatin medication(Current Procedural Terminology comprehensive nursing paper example) | 87101 |
Fifth | Clinical procedure involving diagnosis and treatment plan for obesity | 99401 |
The healthcare provider should know the type of CPT codes to apply (CPT, 2018). The types are category I CPT codes that describe distinct medical procedures or services provided by qualified healthcare providers. They are released every year and have a 5- digit numeric code like 29580 for Unna boot. Category II CPT codes capture supplemental tracking codes and are synonymously referred to as performance measurement codes that comprise numeric alpha codes like 2029F, denoting a complete physical skin exam. These codes are released three times a year, namely in March, July, and November. The third and last of the CPT codes are Category III CPT Codes used to temporarily track new and emerging technologies (Siegel, 2018). Category II codes are given in numeric alpha format like 0307T for near-infrared spectroscopy study of wounds in the legs.(Current Procedural Terminology comprehensive nursing paper example)
References
Current Procedural Terminology 2018, Professional Edition. Chicago, IL: American Medical Association; 2018(Current Procedural Terminology comprehensive nursing paper example)
Kuo, T. Y., & Manaker, S. (2019). Reimbursement Strategies and CPT Codes for Device Development. Academic Entrepreneurship for Medical and Health Scientists, 1(3), 9.(Current Procedural Terminology comprehensive nursing paper example)
Siegel, D. M. (2018). Let there be light: update on coding for photodynamic therapy and lasers. Cutis, 101(3), 180-182.(Current Procedural Terminology comprehensive nursing paper example)