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5 Written questions

5 Matching questions

  1. Superbill
  2. Colon :
  3. NOS - Not Otherwise Specified
  4. "E" Codes
  5. Complex repairs
  1. a are placed after an incomplete term which requires one or more of the modifying terms that follow it in order to make the code assignable to a given category.
  2. b EXTERNAL causes of injuries and poisonings. Shouldn't be listed as a primary diagnosis; they are considered supplementary codes.
  3. c Means Unspecified (don't know yet)
    Used when the coder does not have enough information to select a more definitive diagnosis (ie. Cultures are pending)
  4. d repairs requiring more than layered closure (ie: scar revision, debridement, etc.)
  5. e A superbill is a form used by medical practitioners that can be quickly completed and submitted to an insurance company or employer for reimbursement.
    It generally has both CPT codes and ICD-9 codes that are frequently used in your practice in a check-box format.

5 Multiple choice questions

  1. "Medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code. It would not be medically necessary to bill a higher level of evaluation and management service when a lower level of service is warranted. The volume of documentation should not be the primary influence upon which a specific level of service is billed."
  2. Vol 1= "Diseases- Tabular List"
    Vol 2= "Diseases- Alphabetical Index"
    Vol 3= Listing of procedure codes and an index to the procedures.
  3. Pretty straightforward
    Certain "panels" have one code for related blood tests (liver function, lipids, thyroid functions)
    Everything in the panel will be listed with the code
  4. both the manifestation of the condition and its underlying cause need to be listed. ITALICIZED codes are never to be reported w/o an additional code and they are never to be reported as the patients primary diagnosis.
  5. PROCEDURAL CODE
    CPT codes account for the majority of the HCPCS coding system
    Maintained/Updated by the AMA
    Codes for >7,000 procedures and services
    5-digit code 00100-99199
    Followed by a verbal description
    Three Categories:
    I= Evaluation & Management
    II= Performance Measurement
    III= New/emerging technology

5 True/False questions

  1. Brackets [ ]Used to enclose a series of terms, each of which is modified by the statement appearing to the right of the brace.

          

  2. National CodesExample:
    Q0113 Pinworm examinations (kit given= supply billed)
    A0100 Non-emergency transportation; taxi
    D0270 Bitewing-single film
    H0030 Behavioral health hotline service
    J0120 Injection, tetracycline, up to 250 mg
    P9019 Platelets, each unit
    K0005 Ultralightweight wheelchair

          

  3. Up Codingusing tow codes when a combined code exists

          

  4. ICD-9 characteristicsVol 1= "Diseases- Tabular List"
    Vol 2= "Diseases- Alphabetical Index"
    Vol 3= Listing of procedure codes and an index to the procedures.

          

  5. NPI (National Provider Identifier)Means Unspecified (don't know yet)
    Used when the coder does not have enough information to select a more definitive diagnosis (ie. Cultures are pending)

          

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