List Of All CPT Modifiers (2021)

List Of All CPT Modifiers (2021)

Modifier – as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbursement. Modifiers may add information or change the description according to the physician documentation to give more specificity for the service or procedure rendered. Appending of an appropriate modifier will effectively respond to…

Clinical Examples

Clinical Examples

The clinical examples that are provided here are limited to Office or Other Outpatient Services, Hospital Inpatient Services, Consultation, Emergency and Critical Care services. These clinical examples do not encompass the entire scope of medical practice. Inclusion or exclusion of any particular specialty group does not infer any judgment of importance or lack thereof; nor…

Disorders Of The Thyroid Gland Or Thyroid Hormones System – Definitions & ICD 11 Codes

Disorders Of The Thyroid Gland Or Thyroid Hormones System – Definitions & ICD 11 Codes

Definition of Disorders Of The Thyroid Gland Or Thyroid Hormones System: Disorders due to dysfunction of thyroid gland and regulation systems of thyroid hormone actions including dysfunction of the pituitary, hypothalamus, or thyroid hormone receptors. Hypothyroidism ICD 11 Code For Hypothyroidism   5A00  Hypothyroidism 5A00.0 Congenital hypothyroidism Definition of Congenital hypothyroidism: Hypothyroidism is a condition where…

Certain Disorders Involving The Immune System – Definitions & ICD 11 Codes

Certain Disorders Involving The Immune System – Definitions & ICD 11 Codes

Definitions of Certain Disorders Involving The Immune System: Disorders in which disturbed immune regulation plays an important part but which cannot be more precisely located elsewhere in the classification. Exclusions: Failure or rejection of transplanted organs or tissues (NE84) Monoclonal gammopathy of undetermined significance (2A83.0) Coded Elsewhere: Hereditary angioedema (4A00.14) Sarcoidosis Definitions of Sarcoidosis: Sarcoidosis…

Immune System Disorders Involving White Cell Lineages – Definitions & ICD 11 Codes

Immune System Disorders Involving White Cell Lineages – Definitions & ICD 11 Codes

Coded Elsewhere: Immunodeficiencies with predominantly antibody defects (4A01.0) Combined immunodeficiencies (4A01.1) Defects in the complement system (4A00.1) Diseases of immune dysregulation (4A01.2) Other well-defined immunodeficiency syndromes due to defects in adaptive immunity (4A01.3) Disorders of neutrophil number ICD 11 Codes For Disorders of neutrophil number   4B00  Disorders of neutrophil number Exclusions: Decreased white blood cell…

Allergic Or Hypersensitivity Conditions – Definitions & ICD 11 Codes

Allergic Or Hypersensitivity Conditions – Definitions & ICD 11 Codes

Definition of Allergic Or Hypersensitivity Conditions: Allergy is a hypersensitivity reaction initiated by a proven immunologic mechanisms. Hypersensitivity is defined as conditions clinically resembling allergy that cause objectively reproducible symptoms or signs, initiated by exposure to a defined stimulus at a dose tolerated by normal subjects. Coded Elsewhere: Eosinophilia (4B03) Hypersensitivity reactions of unspecified nature…

Autoinflammatory Disorders – Definitions & ICD 11 Codes

Autoinflammatory Disorders – Definitions & ICD 11 Codes

Coded Elsewhere: Schnitzler syndrome (EB03) Monogenic autoinflammatory syndromes Definition of Monogenic autoinflammatory syndromes: Monogenic hereditary autoinflammatory diseases characterised by apparently unprovoked generalised inflammation in the absence of infection or high titre autoantibodies. ICD 11 Codes For Monogenic autoinflammatory syndromes   4A60  Monogenic autoinflammatory syndromes 4A60.0 Familial Mediterranean fever Definition of Familial Mediterranean fever: FMF is an…

Non-Organ Specific Systemic Autoimmune Disorders – Definitions & ICD 11 Codes

Non-Organ Specific Systemic Autoimmune Disorders – Definitions & ICD 11 Codes

Coded Elsewhere: Rheumatoid arthritis (FA20) Lupus erythematosus Definition of Lupus erythematosus: An autoimmune non-organ specific inflammatory disease characterised by the presence of antibodies to DNA, RNA and other components of the nucleus. It has a very variable clinical presentation and course ranging from an acute fulminant life-threatening disorder with involvement of heart, central nervous system…

Primary Immunodeficiencies – Definitions & ICD 11 Codes

Primary Immunodeficiencies – Definitions & ICD 11 Codes

Primary immunodeficiencies due to disorders of innate immunity ICD 11 Codes For Primary immunodeficiencies due to disorders of innate immunity  4A00  Primary immunodeficiencies due to disorders of innate immunity Coded Elsewhere: Constitutional neutropaenia (4B00.00) 4A00.0 Functional neutrophil defects Inclusions: Congenital dysphagocytosis Coded Elsewhere: Haemolytic anaemia due to glucose-6-phosphate dehydrogenase deficiency (3A10.00) Papillon-Lefèvre syndrome (EC20.30) 4A00.00…

Diseases Of Spleen – Definitions & ICD 11 Codes

Diseases Of Spleen – Definitions & ICD 11 Codes

Congenital disorders of spleen Definition of Congenital disorders of spleen: Any condition caused by a failure of the spleen to correctly develop in the antenatal period. ICD 11 Codes For Congenital disorders of spleen  3B80  Congenital disorders of spleen Coded Elsewhere: Structural developmental anomalies of spleen (LB22) 3B80.0 Splenomegaly in storage diseases Definition of Splenomegaly…

Fibrinolytic Defects – Definitions & ICD 11 Codes

Fibrinolytic Defects – Definitions & ICD 11 Codes

Definition of Fibrinolytic Defects: A disease caused by determinants arising during the antenatal period, after birth or genetically inherited factors, affecting the fibrinolysis system which prevents blood clots from growing and becoming problematic. This disease is characterised by defects in the fibrinolysis system leading to coagulation of the blood. This disease may present with thrombosis….

Haemorrhagic Diseases Due To Acquired Coagulation Factor Defects – Definitions & ICD 11 Codes

Haemorrhagic Diseases Due To Acquired Coagulation Factor Defects – Definitions & ICD 11 Codes

Definition of Haemorrhagic Diseases Due To Acquired Coagulation Factor Defects: Any disease caused by determinants arising after birth. These diseases are characterised by abnormal coagulation of the blood. Exclusions: vitamin K deficiency of newborn (KA8F.0) Disseminated intravascular coagulation Definition of Disseminated intravascular coagulation: A disorder that is characterised by the systemic intravascular activation of the…