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On Demand: Office Procedures—Document and Code Them Right

Recorded On: 02/25/2022

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Office Procedures—Document and Code Them Right
Total Runtime: 60 minutes

Coding for procedures done in your office depends on understanding the criteria for the procedure supported by surgeon-friendly templates to capture essential documentation. Surgeons commonly excise lesions, perform biopsies, and do laceration repairs in their office and other outpatient settings. Often, EHR templates fail to prompt you to document key information to support the code. When insurers ask for records or you file an appeal—the missing details result in no payment. This session walks you through examples of solid documentation for office procedures and appropriate use of modifier -25 and discusses diagnosis coding that establishes medical necessity for the service.

Learning Objectives

  • Document office procedures based on the CPT requirements
  • Select the correct codes for office procedures
  • Be confident when to bill for both an office visit and a procedure and use modifier -25

AMA PRA Category 1 Credits™ -- Expire on 2/25/2023

The American College of Surgeons designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meet the requirements for Self-Assessment.

2022 AAPC Accreditation -- Expire on 3/31/2023

This program meets AAPC guidelines for 1.0 CEUs. Can be split between Core A, CEMC and CPMA after successful completion of a Post-Test for continuing education units

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Registering Multiple Attendees 

  1. Create, or have each attendee create, a user account here
    1. If one person is creating all of the accounts you will need to log out each time to create the next account.
  2. Log in with the account that you wish to pay through and add desired products to your cart. 
  3. Once you have selected all the desired products, go to your cart. 
    1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
  4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
  5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
  6. The attendee's name will appear in the registrant column under your own. 
  7. Repeat this for each additional attendee.
  8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at education@karenzupko.com or call 312 642-8310 


Open to download resource.
Open to download resource.
Office Procedures—Document and Code Them Right Video
Open to view video.
Open to view video.
KZA Course Evaluation: Office Procedures—Document and Code Them Right
8 Questions
Surgeons click here for CME credit
ACS Evaluations for CME Credit
Recorded 02/22/2022
Recorded 02/22/2022
ACS Post Test for CME Credits
Recorded 02/22/2022
Recorded 02/22/2022
Coders Click Here for CEU Credit
Office Procedures—Document and Code Them Right CEU Test (For Coders)
10 Questions  |  1 attempt  |  7/10 points to pass
10 Questions  |  1 attempt  |  7/10 points to pass
CEU Certificate
Up to 1.00 medical credits available  |  Certificate available
Up to 1.00 medical credits available  |  Certificate available