Chirongwa chisina kukodzera kushandura zvinokonzera zvikonzero zvinowanzoita kuti zvipatara zvipirwe zvinoramba kubhadhara. Mukuwedzera kune coding yakarurama yemishonga, zvikwereti zvezvokurapa zvinofanira kuenzanisirwa pamwe chete nemitemo yehumwe hutano hunoitwa muhofisi, iyo inofanirana ne modifers, kana zvichidikanwa, uye ICD-9 kana kuongorora zviratidzo.
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Mhando dzisina kukodzera Modified CombinationsPane nzira dzinoverengeka dzinodaro dzinogona kurambidzwa nekuda kwekusagadziriswa kwemugadziri wekushandura:
- Shandura kuchinja kwekugadzirisa kusanganiswa: Izvi zvinosanganisira kubhadhara kusina kukodzera kwemashandisi akawanda. Haasi vashanduki vose vanogona kuitika pane imwechete yemutsetse kana fomu yekutsvaga.
- Shandurai kuCCT / HCPCS musanganiswa wekodhi: Haasi ose akashandura akakodzera mapepa ose eCPT / HCPCS.
- Shanduko yekubhadhara pamwe chete: Havasi vose vanobhadhara vanoshandisa uye vanoziva mafanirwo akafanana.
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Zvinoshandura 24 ne25Kugadzirisa 24 ne25 kunoshanda chete kana kushandiswa mukubatanidzwa neTear and Management Management Codes (E / M) .
99201-05: New Patient Office Kushanyirwa
99211-15: Hofisi yeHurumende Yakagadzikana Yakashanya
99221-23: Initial Chipatara Kuchengetwa Mutsva kana Mutsara
99231-23: Kuendesa mberi kuchipatara Care
99281-85: Emergency Department Visits
99241-45: Office Consultations
Modified 24 (Isingabatanidzwi) inoshandiswa kuzivisa E / M (Kuongorora uye Kutungamirirwa) nhepfenyuro inopiwa musi iwoyo wekuvhiyiwa nechiremba wezvechiremba asi haina kufanana nekuvhiyiwa.
Modifier 25 (Inonyanya Kuzivikanwa Yakasiyana ) inoshandiswa kuzivisa E / M (Kuongorora uye Kutungamirirwa) sevhisi zvakasiyana nedzimwe sangano rinoitwa musi iwoyo nemumwe mupiki.
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Modifier 50Kushandiswa kwe modifers 26, LT, RT, uye TC inoonekwa sekusagadzikana kusina kubvumirana kwezvigadziri kana kushandura 50 kuripo pane kudai.
Shanduko 50 inowanikwa pane imwe nzira kuratidza kuti nzira inobatanidzwa pamwe chete. Nzira yacho inofanira kuenzanisirwa sechinhu chimwechete mutsara pane fomu yekubvunza iine modifier 50 uye inowanzoburudzwa neyumwe unit of service (chengetedza nemutengi kuti ave nechokwadi, vamwe vateresi vangada kushandiswa kwemashure maviri ebasa).
Kugadzirisa 26 uye TC inongoratidzika seyakakodzera kune nzira dzakagadzirirwa chikamu (26) kana chizivo chetsika (TC).
Kuchinja kunonzi LT uye RT kunongoratidzika kwakakodzera kana nzira inoshandiswa kune rumwe rutivi rwemuviri kuratidzira unilateral nzira. Shandisa Modifier 50 kuti uratidze nzira mbiri kana RT / LT asi kwete zvose.
Shanduko 50 (Bilateral Procedures) inoshandiswa kujekesa nzira dzepamutemo panguva imwechete yekugadzirira.
Modifier 26 (Professional Component) inoshandiswa kujekesa rutivi rwemhizha rwebasa rinoitwa nachiremba kana kududzirwa kwebasa rinoitwa nachiremba.
Modifier LT (Kuruboshwe) inoshandiswa kuzivisa kuti nzira yacho inoshandiswa kuruboshwe rwomuviri.
Modifier RT (Kurudyi) inoshandiswa kuzivisa kuti nzira yacho inoshandiswa kurudyi rwemuviri.
Modifier TC (Technical Component) inoshandiswa kuzivisa chigadzirwa chebasa chebasa rakagadzirwa nachiremba kana kududzirwa kwebasa rinoitwa nachiremba.
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Modifier 59Kushandiswa kwechirongwa chekushandura 76 kunofungidzirwa sechinhu chisina kuvhiringidza kana shanduko 59 iripo pane kudai.
Modifier 59 yakawedzerwa kune chirongwa chekusiyanisa nzira iyo sangano yakasiyana, chirwere chakasiyana, nzira dzakasiyana, nzvimbo yakasiyana, nhengo yakasiyana, kuiswa kwakasiyana, kukanganisa zvakasiyana, kana kukuvara kwakasiyana kubva pane zvakambofanotaurwa zvakarongwa zvaiitwa nezuva rimwechete ne ndiye chiremba.
Shandisa modifier 76 iyo nzira inofanana neyokutanga maitiro akaitwa.
Modifier 59 (Kusiyanisa Nzira Dzakashandiswa) inoshandiswa kuzivisa maitiro kana maitiro anogadzirwa pazuva rimwe chete nekuda kwemamiriro ezvinhu chaiwo asingawanzoburwi pamwe chete.
Modified 76 (Repeat Procedure) inoshandiswa apo nzira yacho inodzokororwa nechiremba mumwechete anotevera kushanda yekutanga.