Boost Your Migraine Treatment Smarts

8/8/2019 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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Acute episodes, Check-ups

are both routine for patientswith Migraine.


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ICD-9 codes usuallydominate when it

comes to Migraine

headache coding.


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But also keep in mind to look for theprocedure codes attached to the

complicated migraine diagnoses.


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Consider the following threescenarios to help you code better


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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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After diagnosing migraine

headache w/o aura, HTN, the

physician then injects 10mg of

imitrex via injection.


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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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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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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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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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For this condition-management E/M, youd report99212 with 346.00 appended, to represent the

patients migraines.


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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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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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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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www.supercoder.com


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Boost Your Migraine Treatment Smarts