After reviewing the Musculoskeletal System in the Surgery section of CPT, you noticed that there are many procedures listed in this section. Take some time to review the various codes that are found in this sub-section.
Investigate what types of common notes and guidelines are pertinent to the Musculoskeletal System.
Include the following aspects in the discussion:
Identify two parenthetical notes or guidelines specific to this body system
Explain why the notes or guidelines you choose are important as a medical coder
Provide two CPT code examples that would apply to the notes or guidelines you selected
Discuss when it would be necessary to apply these notes or guidelines to confirm accurate coding
Sample Answer
The Musculoskeletal System section of CPT (Current Procedural Terminology) is extensive and covers a vast array of procedures related to the bones, joints, muscles, fascia, tendons, ligaments, bursae, fascial spaces, skin, and related structures. It's organized generally by body region (e.g., Shoulder and Upper Extremity, Lower Extremity, Spine and Pelvic Region, etc.) and by type of procedure (e.g., Excision, Osteotomies, Fusion, Repair, Incision and Drainage, Application of Casts, Spinal Procedures, etc.).
Identify Two Common Notes or Guidelines Related to this System
- Note: "When reporting multiple procedures, refer to the rules in the CPT guidelines for multiple procedures performed during the same session."
- Guideline: "CPT codes 29005-29999 describe the application of casts and/or splints. The selection of the specific code depends on the anatomic site and the type of application. Refer to the specific code descriptions for precise coding." (This is a synthesized guideline reflecting the structure and instructions found throughout this section regarding these codes).The Musculoskeletal System section of CPT (Current Procedural Terminology) is extensive and covers a vast array of procedures related to the bones, joints, muscles, fascia, tendons, ligaments, bursae, fascial spaces, skin, and related structures. It's organized generally by body region (e.g., Shoulder and Upper Extremity, Lower Extremity, Spine and Pelvic Region, etc.) and by type of procedure (e.g., Excision, Osteotomies, Fusion, Repair, Incision and Drainage, Application of Casts, Spinal Procedures, etc.).