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5 Written questions

5 Matching questions

  1. Why Code?
  2. Modifiers
  3. Colon :
  4. National Codes
  5. Simple repairs
  1. a It's how we get paid.

    Optimal Reimbursement
    Avoid denials/delay in payment

    Avoid audit by coding properly
    Documentation must support code
    "If it isn't documented, you didn't do it"
  2. b 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.
  3. c Example:
    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
  4. d 2-digit numeric code
    Used to indicate that a procedure has been altered by some specific circumstance, but not changed in its definition
  5. e Suturing of superficial tissues where wound requires simple one layer closure
    Local anesthetic included in charge
    If wound is closed with adhesive strips, use E/M code instead (regular office visit)
    However use of dermabond or staples would be procedural codes
    Heavily contaminated wounds requiring extensive cleaning and simple closure may be coded as Intermediate repair
    3types of repairs: Simple, Intermediate, Complex

5 Multiple choice questions

  1. Vol 1= "Diseases- Tabular List"
    Vol 2= "Diseases- Alphabetical Index"
    Vol 3= Listing of procedure codes and an index to the procedures.
  2. when repair involves layer closure of 1 or more of the subcutaneous tissues and superficial facia
  3. Created by CMS
    Services and supplies not found in the CPT code set
    Ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)
    Alpha-numeric (one letter plus 4 numbers)
  4. a physician is prohibited from making any referral to a provider of designated health services if the physician has a "financial relationship" with the provider. a healthcare provider is prohibited from submitting for services rendered to patients referred in violation of the statute
  5. "DISTINCT PROCEDURE"
    Indicates that codes that usually are bundled together as a part of a global code are in this particular circumstance describing DISTINCT or SEPARATE precedures

5 True/False questions

  1. NPI (National Provider Identifier)This is a unique identification number for covered health care providers which they use to bill Medicare for their services

          

  2. Modifier 51"MULTIPLE PROCEDURES"
    List the major procedure first, with the additional lesser procedure(s) secondary with mod 51
    For example, if a 100 sq. cm. knee wound is debrided, then reconstructed with a medial gastrocnemius muscle flap and split thickness skin graft, the procedure is reported:
    15738 Muscle flap
    15100-51 STSG
    15000-51 Wound preparation
    The major procedure is the muscle flap and the "-51" modifier is not appended to its CPT code. The secondary procedure CPT codes take the "-51" modifier.

          

  3. Phantom EmployeesExpensing employees or hours worked that do not exist

          

  4. Braces { }Used to enclose a series of terms, each of which is modified by the statement appearing to the right of the brace.

          

  5. AnesthesiaLeft to the anesthesiologists
    Moderate (conscious) sedation (actually a medicine code-not part of the anesthesia codes) 99143-99145
    Codes of interest to emergency medicine bundling: