Download - Boost Your Migraine Treatment Smarts
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Boost Your Migraine Treatment
Smarts
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Boost Your Migraine Treatment Smarts
Chris BoucherCPC
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Boost Your Migraine Treatment Smarts
Acute episodes, Check-ups
are both routine for patientswith Migraine.
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Boost Your Migraine Treatment Smarts
ICD-9 codes usuallydominate when it
comes to Migraine
headache coding.
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Boost Your Migraine Treatment Smarts
But also keep in mind to look for theprocedure codes attached to the
complicated migraine diagnoses.
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Boost Your Migraine Treatment Smarts
Consider the following threescenarios to help you code better
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Boost Your Migraine Treatment Smarts
Scenario 1:
An established patient report to the FPP with
symptoms and end-up requiring treatment for
an acute migraine headache.
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Boost Your Migraine Treatment Smarts
After diagnosing migraine
headache w/o aura, HTN, the
physician then injects 10mg of
imitrex via injection.
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Boost Your Migraine Treatment Smarts
96372 p injection J3030 x2 for imitrex supply
99213p
E/M Modifier 25 appended to 99213 (E/M and injection were
separate)
346.10 appended to 99213, 96372 and J3030 (to
represent migraine)
401.X appended to 99213 (to reflect comorbid condition)
How you will code:
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Boost Your Migraine Treatment Smarts
Scenario: 2 (Consider plan of care in E/M)
A patient with a migraine diagnosis might report to
the FP for:
diagnosis management
medication management
evaluation of efficacy of plan of care
assessment of side effects associated withcurrent treatment plan.
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Boost Your Migraine Treatment Smarts
Apply the appropriate E/M code or other CPT
code[s] when the physician or non-physician
practitioner (NPP) treats migraine patients for
any of the reasons mentioned.
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Boost Your Migraine Treatment Smarts
An established patient with a plan of care
reports to the FP for medication management
and reports everything is fine
Example:
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Boost Your Migraine Treatment Smarts
For this condition-management E/M, youd report99212 with 346.00 appended, to represent the
patients migraines.
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Boost Your Migraine Treatment Smarts
Scenario: 3
A patient with a plan of care might also have an
acute migraine that requires FP intervention.
Youll report an E/M or injection - or both,
depending on the situation
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Boost Your Migraine Treatment Smarts
An established female patient presents having anacute menstrual migraine.
The FP injects the patient with 6 mg of Imitrex
and 1 unit of Compazine
Example:
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Boost Your Migraine Treatment Smarts
96372 x 2 for the injections
J3030 for the Imitrex supply
J0780 for the Compazine supply
99214 with modifier 25 to show that the E/M and
injections were separate services
346.40 appended to 96372, J3030, J0780, and 99214
to represent the patients condition
How you will code:
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Boost Your Migraine Treatment Smarts
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