Study sets matching "chapter 5 medical coding"
Study sets
Diagrams
Classes
Users
oncologist
neoplasm
malignant
benign
physician who specializes in diagnosing and treating tumors
abnormal growth of new tissue
life threatening
non life threatening
oncologist
physician who specializes in diagnosing and treating tumors
neoplasm
abnormal growth of new tissue
Current Procedural Terminology (CPT)
Category I codes
Category II codes
Category III codes
Contains the standardized classification system for reporting…
Procedure codes found in the main body of CPT
Optional CPT codes that track performance measures
Temporary codes for emerging technology, services, and procedu…
Current Procedural Terminology (CPT)
Contains the standardized classification system for reporting…
Category I codes
Procedure codes found in the main body of CPT
neoplasm
behavior, anatomical site, morphology t…
malignant
primary
New or abnormal growth
Neoplasms are classified according to what three criteria?
Neoplasm that can invade and destroy adjacent structures and s…
Type of neoplasm that is contained at the site where it origin…
neoplasm
New or abnormal growth
behavior, anatomical site, morphology t…
Neoplasms are classified according to what three criteria?
abrasion
acute renal failure
adverse effect
aftercare
an area on the skin or some other surface of the body that has…
a rapid loss of kidney function
a harmful, unintended reaction to a drug administered at the c…
continued care of the patient following the acute phase of tre…
abrasion
an area on the skin or some other surface of the body that has…
acute renal failure
a rapid loss of kidney function
Current Procedural Terminology
Category 1 Codes
Category 2 Codes
Category 3 Codes
Contains the standardized classification system for reporting…
Procedure codes found in the main body of CPT
Optional CPT codes that track performance measures
Temporary codes for emerging technology, services, and procedu…
Current Procedural Terminology
Contains the standardized classification system for reporting…
Category 1 Codes
Procedure codes found in the main body of CPT
current procedural terminology
category 1 codes
category 2 codes
category 3 codes
procedure codes for physicians' and other health care provider…
five-digit procedure odes found in the main body of CPT
optional CPT codes that track performance measures
temporary codes for emerging technology, services, and procedu…
current procedural terminology
procedure codes for physicians' and other health care provider…
category 1 codes
five-digit procedure odes found in the main body of CPT
acute renal failure and acute respirato…
a patient with early onset Alzheimer's…
patient with known Hepatitis B seen in…
an obstetric patient in her third trime…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure…
G30.0, F02.81
E86.0 (dehy), B19.10 (hep)
B59, B20, O36.73
acute renal failure and acute respirato…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure…
a patient with early onset Alzheimer's…
G30.0, F02.81
American Health Information Management…
American Hospital Association (AHA)
Carryover line
Category
One of the Cooperating Parties that provides training and cert…
One of the Cooperating Parties that maintaINS THE Central Offi…
Format used when a complete entry does not fit on one line
A three-digit code that represents a single disease or a group…
American Health Information Management…
One of the Cooperating Parties that provides training and cert…
American Hospital Association (AHA)
One of the Cooperating Parties that maintaINS THE Central Offi…
acute renal failure and acute respirato…
a patient with early onset Alzheimer's…
patient with known Hepatitis B seen in…
an obstetric patient in her third trime…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure…
G30.0, F02.81
E86.0 (dehy), B19.10 (hep)
B59, B20, O36.73
acute renal failure and acute respirato…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure…
a patient with early onset Alzheimer's…
G30.0, F02.81
Diagnosis
Prognosis
Neoplasm Behavior
Oncologists
The term diagnosis refers to complete knowledge -- determining…
The term prognosis refers to an expected outcome, future knowl…
Neoplasm behavior refers to the neoplasm being either malignan…
Physicians who specialize in the diagnosis and treatment of *t…
Diagnosis
The term diagnosis refers to complete knowledge -- determining…
Prognosis
The term prognosis refers to an expected outcome, future knowl…
Abrasion
Abscess
Albino
Alopecia
Scrape or rubbing away of skin or mucous membrane because of f…
Collection of pus in any part of the body.
Marked deficiency of pigment in eyes, hair, and skin.
Hairloss or baldness, resulting naturally or from medicine or…
Abrasion
Scrape or rubbing away of skin or mucous membrane because of f…
Abscess
Collection of pus in any part of the body.
add-on code
bundling
Category I codes
Category II codes
Procedure that is performed and reported only in addition to a…
Using a single procedure code that covers a group of related p…
Procedure codes found in the main body of CPT (Evaluation and…
Optional CPT codes that track performance measures for a medic…
add-on code
Procedure that is performed and reported only in addition to a…
bundling
Using a single procedure code that covers a group of related p…
Diagnosis Coding for Outpatient Profess…
What must a coder know?
Why should diagnostic coding be accurat…
Should you code conditions that relate…
* Guidelines for diagnostic coding must be followed when assig…
the current diagnostic coding guidelines, medical terminology,…
because payment for inpatient services rendered to a patient m…
No
Diagnosis Coding for Outpatient Profess…
* Guidelines for diagnostic coding must be followed when assig…
What must a coder know?
the current diagnostic coding guidelines, medical terminology,…
Evaluation and Management Services (E/M)
professional services
nature of presenting problem (NPP)
history
The first section of the CPT coding manual that describes visi…
A face to face service rendered by a physician or qualified he…
A presenting problem may be a complaint, disease, illness, con…
A record of past events; a systematic account of the medical p…
Evaluation and Management Services (E/M)
The first section of the CPT coding manual that describes visi…
professional services
A face to face service rendered by a physician or qualified he…
a delay in payment of a claim, denial o…
Specificity
The condition of provider evaluated and…
local coverage determination (LCD'S) an…
The consequences of inacurate assigment of diagnostic codes in…
Diagnosis codes should be reported to the highest level of
When a provider makes a hospital visit, the encounter should b…
To determine the diagnosis codes that would support medical ne…
a delay in payment of a claim, denial o…
The consequences of inacurate assigment of diagnostic codes in…
Specificity
Diagnosis codes should be reported to the highest level of
functional activity
multiple independent primary malignant…
recurrent malignancy
refractory cancer
an additional code to identify the functional activity of the…
1.each site must be coded separately... 2. C97 Malignant neoplasm…
in the same site:1.is classified as a primary malignancy code…
is resistant to anti neoplastic drugs:assign U85 code(resistan…
functional activity
an additional code to identify the functional activity of the…
multiple independent primary malignant…
1.each site must be coded separately... 2. C97 Malignant neoplasm…
ACE inhibitor
anemia
aneurysm
aneurysmectomy
blocks the action of the enzyme that causes the blood vessels…
a lower than normal number of erythrocytes in the blood
a localized weak spot, or balloon-like enlargement, of the wal…
the surgical removal of an aneurysm
ACE inhibitor
blocks the action of the enzyme that causes the blood vessels…
anemia
a lower than normal number of erythrocytes in the blood
Add on code
Bundling
Category I Codes
Category II Codes
-Procedure performed and reported in addition to a primary pro…
-Using a single payment for two or more related procedure code…
-Procedure codes found in the main body of CPT... -Ex: The basics
-Optional CPT codes that track performance measures... -Ex: Apart…
Add on code
-Procedure performed and reported in addition to a primary pro…
Bundling
-Using a single payment for two or more related procedure code…
floor division
modulus operator
boolean expression
relational operator
An operator, denoted //, that divides two numbers and rounds d…
An operator, denoted with a percent sign (%), that works on in…
An expression whose value is either True or False
One of the operators that compares its operands: ==, !=, >, <,…
floor division
An operator, denoted //, that divides two numbers and rounds d…
modulus operator
An operator, denoted with a percent sign (%), that works on in…
acute renal failure and acute respirato…
a patient with early onset Alzheimer's…
patient with known Hepatitis B seen in…
an obstetric patient in her third trime…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure…
G30.0, F02.81
E86.0 (dehy), B19.10 (hep)
B59, B20, O36.73
acute renal failure and acute respirato…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure…
a patient with early onset Alzheimer's…
G30.0, F02.81
Diagnosis Coding for Outpatient Profess…
What must a coder know?
Why should diagnostic coding be accurat…
Should you code conditions that relate…
* Guidelines for diagnostic coding must be followed when assig…
the current diagnostic coding guidelines, medical terminology,…
because payment for inpatient services rendered to a patient m…
No
Diagnosis Coding for Outpatient Profess…
* Guidelines for diagnostic coding must be followed when assig…
What must a coder know?
the current diagnostic coding guidelines, medical terminology,…
Code identifying medical treatment or d…
Connection between a service and a pati…
Contains the standardized classificatio…
Procedure codes found in the main body…
procedure code
code linkage
Current Procedural Terminology (CPT)
Category 1 Code
Code identifying medical treatment or d…
procedure code
Connection between a service and a pati…
code linkage