Health Insurance Billing, Chapter 4 (4-12)

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Reinforcement Exercises

Procedure Codes

name commonly used for ICD-9-CM Volume 3

Alphabetic Index

a listing of procedures, tests, operations, surgeries, and therapies

connecting words

subterms "as", "by", and "with"

Tabular List

towards the back of ICD-9-CM Volume 3 and has 18 chapters

three or four

ICD-9-CM procedure codes contain this many digits

code also

means that the use of special equipment must be coded

slated brackets

indicate that closely related procedures require two codes

omit code

this convention applies to the usual surgical approach of a given procedure

main terms

are bolded and flush left in Volume 3

body systems; organs

the Tabular List is predominantly organized by these

8 steps for selecting an ICD-9-CM procedure code

1. Identify the main term in the procedure statement
2. Locate the main term in the Alphabetic Index
3. Review the procedure statement for additional information about the main term
4. Review the subterms listed under the main term
5. Follow any cross-reference instructions, such as "code also"
6. Check the code listed in the Alphabetic Index with
the description in the Tabular List
7. Read and follow all inclusion, exclusion, and other instruction notes
8. Assign codes tot he highest level of specificity

Bilateral procedure codes are available for all surgeries?

False

Biopsy codes must be sequenced first?

False

Closed biopsies are often accomplished via endoscopy?

True

Incisions related to open biopsies are assigned a separate code?

False

Two codes may be necessary for bilateral procedures?

True

V codes are assigned to failed procedures?

False

Failed procedures are coded as completed procedures?

True

V codes may be assigned when a procedure is cancelled before it begins.

False

V codes must be assigned when a procedure is cancelled before it begins.

True

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