Lambar kiwon lafiya babbar mahimmanci ne wajen samun biyan kuɗi da kuma rike bayanan kulawa. Coding da'awar da gangan ya sa mai biyan kuɗi ya san rashin lafiya ko rauni na mai haƙuri da kuma hanyar magani. Marasa lafiya na iya ganin waɗannan lambobin a cikin takardun likita ko takardar kudi.
Kayan Kasuwanci na Lambobin Kiwon lafiya
Cibiyar ta CPT ta samo asali ne daga Ƙungiyar lafiya ta Amurka don gano ƙidodin da likitocin ke amfani da su a ofishin likita.
Wadannan lambobin suna sabuntawa kowace shekara. Sunan haƙƙin mallaka ne ta AMA da kuma ofisoshin likita a cikin software wanda ya ƙunshi canje-canje masu gudana ko sayan littattafan da aka sabunta a kowace shekara. Wadanda ba su saya wadannan albarkatun ba zasu iya duba lambobin lambobin 12 ba tare da caji ba ta hanyar rijistar yanar gizon AMA.
Cibiyar HCPCS ta ci gaba da gina su (Cibiyoyin Medicare da Medicaid Services) don gano lambobin da aka fi amfani da ita don ayyukan asibiti, kayayyaki, da magunguna. Su ne lambobin alphanumeric tare da wasika daya da lambobi hudu suka biyo baya.
Dokar Hanyar Magungunan Kwayoyin Kwafi Da yawa
Lambobin da aka fi amfani dasu sune lambobin kiwon lafiya ne da kuma Gida (E / M), waɗanda suke cikin tsarin CPT. An haɗa su a cikin kewayon lambobi daga 90000 zuwa 99999. Su ne ƙayyadadden tsari na (sabis, mai kulawa da gaggawa, gaggawa, kayan aikin noma) da kuma jarabawa guda hudu (matsalar da aka mayar da hankali, fadada matsalar matsalolin, cikakkun bayanai, da kuma m).
Waɗannan su ne ka'idoji na likita guda shida da aka fi amfani dashi:
- Sabuwar Mashawarcin Saƙo ziyarci (99201-05): Ana amfani da waɗannan lambobin kiwon lafiya don lissafin marasa lafiyar wanda duk likita ba su taɓa gani ba a cikin wannan ƙwararren a cikin shekaru uku da suka gabata. 99201: Ci gaba da matsala. 99202: Ƙaddamar da matsalar mayar da hankali. 99203: Cikakken bayanai. 99204: M, matsakaici. 99205: M, high.
- Ma'aikatar Tsaro ta kafa (99211-15): Wadannan lambobin kiwon lafiya suna amfani da su don lissafin marasa lafiyar da duk likita suka gani a cikin wannan sana'a a cikin rukunin guda a cikin shekaru uku da suka gabata. 99212: An mayar da hankali ga matsala. 99213: Ƙaddamar matsalar mayar da hankali. 99214: Dalla-dalla. 99215: M.
- Asibiti na asibiti na farko ko wanda aka kafa (99221-23): Ana amfani da waɗannan lambobin kiwon lafiya don lissafin marasa lafiya wanda aka shigar da su a asibitin.
- 99231-23: Kulawa na asibiti na baya
- 99281-85: Harkokin Kasuwanci na gaggawa
- 99241-45: Gudanarwar Gida. Wadannan marasa lafiya suna neman ra'ayoyin likita a bukatar likita. 99241: Shirya matsala. 99242: Ƙaddamar matsalar mayar da hankali. 99243: Cikakken bayanai. 99244: M, matsakaici. 99245: M, high.
Matsayin sabis ya dogara ne da takardun tarihin, bincike na jiki, da yanke shawarar yanke shawara. Dole likita ya bada cikakkun bayanai don tallafawa matakin sabis. Wata ziyara da aka magance matsalolin yana kimanta ɗaya zuwa biyar abubuwa a cikin tsarin. Binciken mayar da hankali ga matsalar da aka fadada yana kimanta abubuwa shida. Binciken cikakken yana kimanta akalla abubuwa biyu a tsarin shida ko abubuwa 12 a cikin tsarin biyu ko fiye.
Binciken jarrabawa ya gwada dukan nazarin tsarin, yana gano ɗaya ko biyu abubuwa da tsarin.
Bugu da ƙari ga ƙimar kulawa ta daidai, dole ne a ƙayyade ƙididdiga na likita tare da lambobin don ƙarin ayyukan da aka yi a ofis, masu gyara daidai, idan ya cancanta, da kuma ICD-9 ko lambobin ganewar asali.
Source:
Choat DE. Coding ga tsarin mulki da ayyukan. Clinics a Colon da Rectal Surgery . 2005; 18 (04): 279-284. Doi: 10.1055 / s-2005-922852.