How To Use CPT Code 4142F

CPT 4142F describes the prescription of corticosteroid sparing therapy for the treatment of inflammatory bowel disease (IBD) without the side effects of corticosteroids. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 4142F?

CPT 4142F can be used to describe the prescription of corticosteroid sparing therapy by a healthcare provider for the treatment of inflammatory bowel disease (IBD). This code is used when the provider prescribes an immunomodular drug or other corticosteroid sparing medication to manage IBD without the side effects associated with corticosteroids.

2. Official Description

The official description of CPT code 4142F is: ‘Corticosteroid sparing therapy prescribed (IBD).’ This code is used when a healthcare provider prescribes a corticosteroid sparing therapy, such as an immunomodular drug, to treat inflammatory bowel disease.

3. Procedure

1. The healthcare provider assesses the patient’s condition and determines the need for corticosteroid sparing therapy.
2. A suitable corticosteroid sparing medication, such as an immunomodular drug, is selected based on the patient’s specific health condition and circumstances.
3. The healthcare provider prescribes the corticosteroid sparing therapy to the patient, providing instructions on dosage, administration, and any necessary precautions.
4. The patient follows the prescribed therapy as directed by the healthcare provider.
5. The healthcare provider monitors the patient’s response to the therapy and may make adjustments to the treatment plan as needed.
6. The healthcare provider documents the prescription of corticosteroid sparing therapy and the date in the patient’s healthcare record.

4. Qualifying circumstances

Patients eligible to receive CPT 4142F services are those diagnosed with inflammatory bowel disease (IBD), such as ulcerative colitis or Crohn’s disease, who require corticosteroid sparing therapy. The healthcare provider must prescribe a corticosteroid sparing therapy, such as an immunomodular drug, to manage the patient’s IBD without the side effects associated with corticosteroids.

5. When to use CPT code 4142F

CPT code 4142F should be used when a healthcare provider prescribes a corticosteroid sparing therapy, such as an immunomodular drug, to treat inflammatory bowel disease (IBD). This code should be reported for each instance of prescribing corticosteroid sparing therapy for IBD.

6. Documentation requirements

To support a claim for CPT 4142F, the healthcare provider must document the following information:

• Patient’s diagnosis of inflammatory bowel disease (IBD)
• Prescription of corticosteroid sparing therapy, including the specific medication prescribed
• Date of the prescription
• Instructions for dosage, administration, and any necessary precautions
• Monitoring of the patient’s response to the therapy
• Any adjustments made to the treatment plan

7. Billing guidelines

When billing for CPT 4142F, ensure that the healthcare provider has prescribed a corticosteroid sparing therapy for the treatment of inflammatory bowel disease (IBD). There are no specific guidelines regarding reporting CPT 4142F with other codes. However, it is important to accurately report all relevant services provided to the patient.

8. Historical information

CPT 4142F was added to the Current Procedural Terminology system on January 1, 2013. There have been no updates to the code since its addition.

9. Examples

1. A gastroenterologist prescribing an immunomodular drug to manage ulcerative colitis in a patient.
2. A primary care physician prescribing a corticosteroid sparing therapy for a patient with Crohn’s disease.
3. A nurse practitioner prescribing an alternative medication to corticosteroids for the treatment of inflammatory bowel disease in a patient.
4. An gastroenterologist prescribing a biologic therapy to manage the symptoms of inflammatory bowel disease in a patient.
5. A pediatrician prescribing a corticosteroid sparing therapy for a child with ulcerative colitis.
6. An internal medicine specialist prescribing an immunomodular drug to treat Crohn’s disease in a patient.
7. A gastroenterologist prescribing a corticosteroid sparing therapy for a patient with refractory inflammatory bowel disease.
8. A nurse practitioner prescribing a biologic therapy to manage the symptoms of ulcerative colitis in a patient.
9. An internal medicine specialist prescribing an alternative medication to corticosteroids for the treatment of inflammatory bowel disease in a patient.
10. A gastroenterologist prescribing a corticosteroid sparing therapy for a patient with Crohn’s disease who has failed to respond to other treatments.