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CPT Codes |
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| Category | Nickname | Name in procedures | Name per ECW | CPT code |
| Asthma/ wheezing -Tx | Albuterol neb | *Albuterol | Albuterol inhal unit dose 1 mg | J7613 |
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Atrovent mdi | *Atrovent | Ipratropium Bromide inhal soln | J7644 |
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Duoneb | *Duoneb | Albuterol ipratropium bromide non-compound | J7620 |
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*Note for Albuterol and Duoneb - if you order under procedures, the codes for inhalation (94640), admin (A7005), mask and tubing (A7015) come automatically into billing |
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| Asthma/Wheezing | Inhaler/ Neb teaching | *Inhaler / Neb teaching | Demonstrate neb/inhaler | 94664 |
| -Procedures | Pulse Ox -1 | *Pulse Ox, Single | Pulse Ox | 94760 |
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Pulse Ox -2 or > | *Pulse Ox, Multiple | Pulse Ox, Multiple | 94761 |
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Spirometry | *Spirometry | Spirometry | 94010 |
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| Cerumen | Curette +/- ear flush | *cerumen removal, Curette/ear flush | Removal cerumen - currette | 69210 |
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Ear flush only by nurse | *cerumen removal, ear flush only | Removal cerumen - ear flush | 69209 |
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| I&D | I&D abscess | *I&D abscess, simple/single | I&D abscess, simple/single | 10060 |
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| Injections | Decadron | *Decadron | Inj Dexethsone Sodium phosphate | J1J00 |
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Rocephin | *Rocephin | IM Rocephin (250 mg per unit) | J0696 |
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Injection code | *Injection | IM Injection | 96372 |
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*Note for Decadron and Rocephin - Always add the injection code (96372) |
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| Labs | Specimen Handling | *Handling of lab specimen | Specimen Handling | 99000 |
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Finger Stick | *Heel/Finger Stick | Venipuncture, heel/finger | 36416 |
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| PO Meds | Prednisolone | *Prednisolone, Oral | Prednisolone oral per 5 mg | J7510 |
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| Questionnairs | ACE/ concussion | *ACE | Health Risk Assessment - CRAFFT, food insecurity | 96160 |
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ACT | *ACT | Health Risk Assessment - CRAFFT, food insecurity | 96160 |
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CRAFFT | *CRAFFT | Behavior Assessment - PHQ9, PSC17 | 96127 |
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EPDS | *EPDS | Health Risk Assessment - EPDS | 96161 |
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Food Security Questions |
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Health Risk Assessment - CRAFFT, food insecurity | 96160 |
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PHQ9 | *PHQ-9 | Behavior Assessment - PHQ9, PSC17 | 96127 |
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Vanderbilt | *Vanderbilt | Behavior Assessment - PHQ9, PSC17 | 96127 |
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| Umbilical Granuloma | Catuerization | *Silver Nitrate | Cautery, Tissue | 17250 |
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| Warts | Cryotherapy | *Cryotherapy <14 lesions | Destruction molluscum <14 | 17110 |
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*Cryotherapy >15 lesions | Destruction molluscum >15 | 17111 |
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Paring | *Pare/Cut Benign Hyperkeratotic Lesion, Single | Paring Skin Lesion, Single | 11055 |
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*Pare/Cut Benign Hyperkeratotic Lesion, 2-4 | Paring Skin Lesion, 2 to 4 lesions | 11056 |
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| Well Check Procedures | Fluoride | *Fluoride Varnish | Fluoride Varnish | 99188 |
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Hearing test | *Hearing Screen | Audiogram | 92551 |
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Ocular photoscreen/ Spot vision | *Occular Photoscreen | Ocular screening onsite | 99177 |
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Vision Screen - Eye Chart | *Vision Screen | Vision Screen | 99173 |
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Modifiers - to be put in the M1 box |
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| Modifier | When to use |
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| 25 | Should be added next to the E&M whenever vaccines are given or any procedures are done |
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| 59 | Should be added next to any procedure; these should come in automatically if ordered in procedures though |
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| 95 | Should be added next to the E&M whenever a telemed visit is done |
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