Beruflich Dokumente
Kultur Dokumente
4 1 3 1 2
years of Medical School year of Research years of Pediatric Residency year of Pediatric Chief Resident years of Pediatric Emergency Fellowship
A: 0-10 hours
B: 11-20 hours
C: 21-30 hours D: 31-40 hours
According to a 2004 Article in Emergency Medicine Clinics of North America, surgical and diagnostic procedures performed in the ED are considered separate services for coding purposes.
A billable service is one listed in the CPT manual that is performed as described. Includes orthopaedic procedures, laceration repairs, foreign body removals, CPR.
Uses
Support and protect injured bones and soft tissue. Reduce pain, swelling, and muscle spasm. Decrease movement Provide support and comfort through stabilization of an injury. Secure nonemergent injuries to bones until they can be evaluated by orthopaedics.
Methods
Custom Made: especially if an exact fit is necessary. Ready-made splint:
Off-the-shelf splints Variety of shapes and sizes Easier and faster to use Easy to adjust, and to put on and take off due to velcro straps
Finger Splints Thumb Spica Splint Volar Splint Dorsal Splint Teardrop Splint Boxer Splint Reverse Sugar Tong Elbow Splint
CPT groups laceration repairs broadly into three categories, by extent of repair.
Simple Intermediate Complex
Layered closure. Heavily contaminated wounds requiring extensive cleaning may qualify as an intermediate repair, even if single layer sutures.
Avulsions
Reconstructive or creation of a defect to be repaired (scar excision with subsequent closure).
Within each level of repair, CPT categorizes wounds by anatomic location. For example, simple repair codes 1200112007 apply to wounds of the neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet).
Determine code choice according to repair complexity and anatomic location for each wound
Then select final code according to the size of the repaired wound(s).
Multiple Wounds
CPT treats all repairs of the same severity and within the same anatomic classification as a single, cumulative wound Choose one code only to describe two or more repairs of the same severity in the same anatomic category.
Example
Surgeon repairs lacerations on both hands (3 cm and 5 cm) and the left arm (9 cm). All repairs qualify as intermediate because the physician must remove particulate matter from the wounds, in addition to simple closure. To report repair of the hand wounds, add together the individual 3-cm and 5-cm lacerations for a total size of 8 cm Report 12044: Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12 cm For the arm wound, select 12034 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities [excluding hands and feet]; 7.6 cm to 12.5 cm
Intubations are considered separately billable procedures from critical care services Must subtract the time you spend on these procedures from the time you bill for critical care services
Multiple Sites
Requires Sterile Site
Used for air in the lungs causing difficulty breathing (Tension Pneumothorax)
For blood or fluid in the lungs or lung lining (hemothorax, pleural effusion) or large pneumothorax
Sterile procedure May be done under conscious sedation in stable patients or while patient is intubated during resuscitation