How can we help?

You can also find more resources in our Help Center.

86 terms

HIM 140 Test 1

STUDY
PLAY
total
Anesthesia services are based on ____________time the patient is under the anesthesiologist's care. Calculation of units of time is determined by the third-party payer.
begins preparing the patient to receive anesthesia, continues through the procedure, and ends when the patient is no longer under the personal care of the anesthesiologist.
Anesthesia time begins when the anesthesilogist ___________________and continues ______________ the procedure, and ends when ______________________________________________
47
According to the Anesthesia Guidelines, what is the one modifier that is not used with anesthesia procedures? _______ (no hyphen)
physical status
"P1" is an example of what type of modifier? ___________ _____________
moribund
What word means "in a dying state"?
systemic
What word means "affecting the body as a whole"?
6
The letter "P" in combination with what number indicates a brain-dead patient?
qualifying
What type of circumstance identifies a component of anesthesia service that affects the character of the service?
anatomic
Anesthesia procedures are divided by what type of site?
complex, combined total (or total time)
According to the Anesthesia Guidelines, the Separate or Multiple Procedures section, when multiple surgical procedures are performed during a single anesthetic administration, the anesthesia code representing the most ____________ procedure is reported and the time reported is the ________________ or _________________ for all procedures.
No
Is it true that a physician who personally administers the anesthesia to the patient upon whom he or she is operating cannot bill the third-party payer? (if True, why; if False, why, AND is there any additional information you might want to add?)
Relative Value Guide (RVG)
What is the name of the guide that is published by the American Society of Anesthesiologists and provdides the weights of various anesthesia services?
What is the largest section of the six CPT manual sections?
SURGERY
Does Medicare reimburse for a surgical tray?
NO
The subsections in the Surgery section are usually divided according to ___________.
medical specialty or body system or anatomical site.
These are found at the beginning of each section and contain information specific to he section.
GUIDELINES
This symbol indicates new or revised text within the current edition of the CPT manual.
l> <l
Information within parenthesis is referred to as ________ expression or phrase.
PARENTHETICAL
Before assigning this type of code, you must be certain that a more specific Category I or a Category III code is not available.___________
UNLISTED
This report contains the nature, extent, need, time, effort, and at times equipment necessary to provide a service. ________
SPECIAL
This designation within the CPT manual indicates a proedure that is only reported when it is performed as the only procedure or when another procedure performed at the same time is unrelated to this procedure. This is a ______procedure.
SEPARATE
When time, effort, and services are bundled together, they form a______package.
SURGICAL
______anesthesia is defined as local infiltration, metacarpal/digital block, or topical anesthesia.
LOCAL
According to Medicare guidelines, ______ complications of a surgical procedure are usually included in the reimbursement of major surgical procedure.
ROUTINE
Code______is a CPT code that can be assigned to report a surgical tray.
99070
Code______is a HCPCS code that can be assigned to report a surgical tray.
A4550
This code reports a postoperative follow-up visit that is included in the global service.
99024
The Musculoskeletal System subsection is formatted according to what type of sites?
anatomic
Which physician subspecialty can report the codes from the Musculoskeletal System subsection?
any physician
List the three types of fracture treatments and briefly describe each:
1.Closed: the fracture site is not opened to view. 2.Open: the fracture site is opened to the surgeon's view or remotely opened.
3.Percutaneous skeletal fixation: neither open nor closed but where pins, screws, or other fixation is placed into the fracture through the skin.
It is the ______of the fracture that determines the method of treatment.
extent or type
__________is the application of pulling force to hold a bone in place.
traction
What is the term that describes the physician's actions of bending, rotation, pulling, or guiding the bone back into place?
manipulation
What term is used to mean "put the bone back in place"?
reduction
What term describes a bone that is not in its normal location?
dislocation or dislocated
What term describes the cleaning of a wound?
debridement
This is a hollow needle that is often used to withdraw samles of fluid from a joint:
trocar
Would a biopsy code usually include the administration of any necessary local anesthesia?
yes
What does CPT stand for
Current Procedural terminology
The CPT manual ofter reflects the technologic advances made in medicine with these codes
Category 3 Codes
The CPT manual is ever changing and is updated annually to feflect techonolgic advances and editorial
Revisions
What type of code ends with 99
Unlisted
Coding infor that pertains to an entire sectionis located in the
guidelines
These codes provide supplemental infor and do not sub for a category 1 code
Category 2 codes
what is the name of a 2 digit number or a digit and a number that is located after the CPt code number and provides more detail about the code
Modifiers
Where is a list of modifiers located
Appendix A
when using an unlisted or category 3 code, third party payers usually require the submission of what
special report
Additions, deletions, and revisions are listed in which appendix
Appendix B
A listing of all add on codes is located in which Appendix
Appendix D
The symbol used between 2 code numbers to indicate that a range is available is a
hyphen
Symbol that indicates a product is pending FDA approval is the
lightening bolt
A complete list of codes designated with the symbol that indicates a product is pending FDA approval is listed in this appendix of the CPT mannual
Appendix K
The genetic testing code modifiers are listed in this appendix of the CPT manual
Appendix I
when more that two physicians with technicians and specialized equipment work together to complete a complicated procedure and each physician has a specific portion of the surgery to complete they are termed what
Co- surgeons
Can modifier 22 be assigned to 99291, 99292 codes
no
Modifier indicates an increased service and is oversued and results in an increase in payment of 20% to 30%
22
when modifier 54 is assigned payment for the_____ portion of the surgical procedure is being requested
Surgical Care
what is the weight in pounds of a 4 kilogram infant
8.8
Four types of patient status
new patient, established patient and out patient
first outpatient visit is call
new patient
three factors a coder must consider when coding are patient
place of service, type of service, and patient status
how many types of histories are there
four
four types of examinations
problem focused, expanded problem focus, detailed and comprehensive
What does VLBW stand for
very low birth weight
what term is used to describe a patient who has been formally admitted to a hospital
hospital inpatient services
what are three things that are considerded components of wound repair
ligation, exploration, debridement
wound repair codes are dtermined by what three criteria
length, complexity, and site of repair
what are the three classifications of wound repair
simple, intermediate, complex
what does modifier -51 indicate
multiple procedures
what is the title for the info that precedes each section
guidelines
The cleanising of an area or wound
Debridement
what biopsy may be performed to excise a disc of tissue
Punch
elastic material formed into a sac that is often filled with fluid or air
tissue expander
name of graph taken from patients body
auto graft
the mafour distinction in coding destruction of lesions is whether the lesion is
benign or malignant
the division of malignant lesion excision is based on
site and size
procedure used to treat acne or wrinkles by means of sanding
dermabrasion
in order to report mohs surgery the physician would act as the surgeon and the
pathologist
what biopsy is entire lesion removed
excisional
What type of sites is the musculoskeletal system subsection formatted
anatomic
three types of fracture treatments
closed, open and percutaneous skeletal fixation
what is the application of pulling force to hold a bone n place
traction
when physician bends rotates pulls and guids bone back into place
manipultaion
bone not in its normal location
dislocation
cleaning of a wound
Debridement
hollow needle that is often used to withdraw samples of fluid from a joint
trocar