Chapter 14 Medical Coding & Claims
Terms in this set (30)
The abbreviation for the manual first published by the American Medical Association containing the codes for procedures and services performed by doctors and medical personnel is:
The coding term used for the level of care that involves multiple systems or complex involvement of one oragan system is:
When a health professional has a discussion with a patient and his or her family concerning diagnosis, recommendations, risks, benefits, prognosis, and options, the specific coding component used is under the heading:
A pediatric patient comes into the office for otitis media. The physician also administers a routine childhood vaccination. What diagnostic codes would be used in this situation?
382.9 and V03.81
When a claim is deliberately coded incorrectly to increase the payment, it is referred to as:
ICD-9-CM codes that identify health care encounters for reasons other than illness or injury are known as:
The coding system published by the U.S. Department of Health and Human Services used to categorize diseases and injuries is the:
International Classification of Diseases
CMS developed codes for use when specific services, materials, drugs, and procedures are not listed in the CPT code book. These are known as:
The largest of the six major sections of the CPT manual, which contains codes from 10000 to 69999, is:
When a physician requests the services of another physician whose opinion or advice assists in the evaluation or treatment of a patient's illness or suspected problem, the code section used is titled:
Of the following, which is not one of the purposes of diagnostic coding?
To provide increased revenue for the physician or medical practice
When a patient has received an external injury, which type of code is used to explain the mechanism of the injury?
Which CPT code identifies a sigmoidoscopy?
The CPT code used for a cholecystectomy, along with the modifier indicating that the physician provided only preoperative care, is which of the following?
The components used to determine the level of E&M code applicable include the following EXCEPT the:
number of procedures ordered for the patient.
The Health Care Finance Administration is now named:
Centers for Medicare and Medicaid Services
The patient's statement describing symptoms and conditions that are the reason for seeking health care services is the:
When a patient has a condition that coexistd with his or her primary condition and complicates the treatment and management of the primary condition, it is referred to as:
Etiology is a term meaning:
cause of the disease
The coding abbreviation NOS means:
Not Otherwise Specified
When coding, the term describing a cancer that has not invaded neighboring tissues is:
The coding abbreviation NEC is used:
in information is unavailable for more specific coding
The reference manual used to code a cholecystectomy is:
If a patient's current injury is a fracture of the left ankle but he or she then experiences a malunion of this fracture, this is referred to as a(n):
A claim that is submitted to the carrier without deficiencies or errors is called a:
A physician charging an unreasonable amount for a procedure is most likely an example of:
Phantom billing is an example of:
All ICD-10-CM codes contain:
three to seven alphanumeric digits
The final appeal for denied CMS claim is determined by the:
Federal Court Review
The ICD-10 is scheduled for full implementation in the United States on:
October 1, 2013