Office Visits, Billing Codes, and Diagnostic Codes in Alberta
Assignment Title: Office Visits, Billing Codes, and Diagnostic Codes in Alberta
Purpose (of assessment): Describe how to bill different parties. Demonstrate how to correctly select billing codes and procedural codes for medical doctors and specialists.
Understanding that medical office visits are regulated by the provincial government. The office visit may be termed differently in each province; however, the type of office visit matches the description. The number associated with the office visit is the billing or tariff code. Sometimes there will not be a visible dollar amount with the office (tariff) code. What this means is that the tariff or fee for the office visit is automatically entered into the invoice.
Links for the individual provinces is provided on the “Physician Fee Schedule” page 142 of the textbook.
Describe the following most common general practice office visits and record the respective provincial billing (tariff) code.
Part 1: Office Visits
General assessment- comprehensive office visit
Intermediate assessment or limited assessment
Minor assessment or brief office visit
Psychotherapy or mental health assessment
Well baby care
Annual Health Examination
Prenatal assessment
Virtual Office Visit
Part 2: Procedures
Like office visits the tariff code for the procedure is linked to a set (tariff) fee for the service procedure.
Pap smear (with or without pelvic examination)
Urinalysis
Removal of ear wax
Sutures
Injections allergies, B12, vaccinations
Part 3: ICD Codes Diagnostic Codes
Describe what are ICD codes, how are ICD codes used?
Determine the diagnostic code (ICD 9) for the following.
Note: For educational purposes use only ICD 9 codes using www.chrisenders.com or B.C. government and ICD 9 codes at https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/msp/physicians/diagnostic-code-descriptions-icd-9
Common cold
Pneumonia
Contact dermatitis
Hypertension
Hypothyroidism
Anthrax
Aids
Rubella
Scabies
Colon cancer
Breast cancer
Goiter:
Diabetes Mellitus, simple
Male breast cancer
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