Preface. Introduction. Basics of current procedural terminology. Introduction to documentation of psychiatric services. Codes and documentation for psychiatric services and other mental health services. Codes and documentation for evaluation and management services. Coding and documentation for specific clinical settings. Medicare. Commercial insurance issues. Putting it all together for accurate coding. FAQs and problem scenarios. Appendix A: The CPT coding system: how it came to be, how it changes. Appendix B: The Health Insurance Portability and Accountability Act (HIPAA). Appendix C: Modifiers. Appendix D: Place of service codes for Medicare. Appendix E: 1997 CMS documentation guidelines for evaluation and management services (abridged and modified for psychiatric services). Appendix F: Vignettes for evaluation and management codes. Appendix G: Most frequently missed items in evaluation and management (E/M) documentation. Appendix H: Documentation templates. Appendix I: ECT patient information, consent form, and record template. Appendix J: Examples of relative value units (RVUs) (2010). Appendix K: National distribution of evaluation and management code selection by psychiatrists. Appendix L: American Psychiatric Association CPT coding service and additional resources. Appendix M: Medicare carriers and administrative contractors. Appendix N: Centers for Medicare and Medicaid services regional offices. Index.
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