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25 terms

mod h unit 3

STUDY
PLAY
Chief Complaint
The reason that the patient is seeing the physician, usually stated in his or her own words, is known as the:
Established patient
In CPT coding, a patient who was seen on October 1, 2008and then not seen again in the same medical practice until August 30, 2010, classified as a(n)
Face-to-Face
The time the health care provider spends in direct contact with a patient is called:
Level 1 codes
The AMA 5-digit codes used for reporting services performed by healthcare professionals are:
Modifiers
A patient's medical record must contain sufficient documentation to support the use of:
Modifying terms
A main term can stand alone, or it can be followed by up to three
Special reports
accompany the claim when a rarely used, unusual, variable or new service is performed?
Stand-alone codes.
The type of code that contains the full description of the procedure without additional explanation is the
There are ________ levels of procedural codes
3
The six sections listed in the main body of the CPT manual called
Category III codes
Evaluation & Management (E&M) list the three key components.
History; examination; complexity of medical decision making
Purpose of CPT coding
Accurately describes professional service(s) performed
Name the three different ways the CPT codes can be displayed.
As a single code; as multiple codes; as a range of codes
Name the four contributing factors that impact the Evaluation & Management (E&M) coding
Contributing factors
Like history-taking there are _____ degrees of patient examination
Four
Time is never a factor when a patient is seen in an
Emergency department
How do you determine complexity of decision making?
diagnostic and treatment options were considered: the amount and complexity of data reviewed; and the amount of risk for complication, morbidity or mortality determine the
Name these symbols:
.....
Triangle
symbol is used to show that the code has been changed or modified
bullet
Symbol representing a code that is a new to the CPT book:
Horizorial triangles
Symbol identifying a change in wording of a new/revised code:
lighting Bolt
Symbol used to indicate codes for vaccines pending FDA approval:
Plus sign
Symbol indicating an add-on code
Circle with line cancel/no symbol
Symbol denoting modifier exempt codes:
Circle with dot
Symbol identifying codes that include conscious sedation: