Originally Posted by Leslie
There is a drop down option for many of the modifiers.

I cannot find the drop down box for the modifiers - where would this be?

I also use a paper super bill, and am trying to get used to coding in AC.

is there a way to tie a specific cpt to a specific icd9; for example when I do a physical -v20.2 and if I give 3 different vaccines, each vaccine might have a unique icd9, and a unique cpt code; and if I code the three icd9 codes and the three cpt codes, then on the coding form it will for each cpt list the v20.2 plus all of the vaccine codes. Also, now the vaccine icd9s are in the problem list - any suggestions?

Also on a related issue, when I give the vaccine, there is a cpt for the vaccine administration also. And, just to confuse the issue a little more for me, if I give three vaccines, there will be multiple use of the same cpt code- I do not know how to do multiple 'same' cpt codes on the same encounter. [how about two nebulizer treatments]
And if I dare to confuse the issue just a little more, for the dpt vaccine, there are three cpt codes associated with the administration; one is unique [90460], and one that is used twice [90461].

Thank you for considering my questions. I appologize as it all seems a little incoherent to me as I read my post, but I do find it confusing.



Richard
Pediatrician
Orlando, FL