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Study sets matching "terms procedural coding"

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Study sets matching "terms procedural coding"

59 terms
Procedural Coding / Med Term Refresher
ante-
cysto-
dia-
em-
before, forward
bladder, sac
through, apart, across
in
ante-
before, forward
cysto-
bladder, sac
15 terms
Procedural Coding
Included in a global surgery policy an…
The CPT code for office services provi…
The CPT publication is updated and rev…
The key components that determine an e…
none of the above
99058
annually.
physician.
Included in a global surgery policy an…
none of the above
The CPT code for office services provi…
99058
101 terms
Diagnostic/Procedural Coding
ICD
ICD-9
ICD-10
Diagnostic Codes
International Classification of Disease... Created by the World…
International Classification of Disease- Revision 9... Current…
International Classification of Disease- Revision 10... Suppose…
describes what you have found in observing/during the exam
ICD
International Classification of Disease... Created by the World…
ICD-9
International Classification of Disease- Revision 9... Current…
23 terms
Procedural Coding Ch. 6 key terms
alternative billing codes
bilateral
bundled codes
comprehensive code
ABCs, A code system for integrative health care products and…
relating to both sides of the body
To group more than one component (service or procedure) into…
A single procedural code that describes or covers two or more…
alternative billing codes
ABCs, A code system for integrative health care products and…
bilateral
relating to both sides of the body
24 terms
Procedural Coding Ch. 6 key terms
alternative billing codes
bilateral
bundled codes
comprehensive code
ABCs, A code system for integrative health care products and…
relating to both sides of the body
To group more than one component (service or procedure) into…
A single procedural code that describes or covers two or more…
alternative billing codes
ABCs, A code system for integrative health care products and…
bilateral
relating to both sides of the body
23 terms
Chapter 17 Procedure Coding Terms
abuse
add-on code
audit
bundling
...
...
...
...
abuse
...
add-on code
...
32 terms
Procedural Coding Chapter 4 Key terms
Anesthesia
Anesthesiologist
Balanced anesthesia
Base unit
Loss of sensation
Physician who is qualified to administer anesthesia and is bo…
Anesthesia delivered by a combination of inhalation,injection…
Reflects the usual services attached to anesthesia and the va…
Anesthesia
Loss of sensation
Anesthesiologist
Physician who is qualified to administer anesthesia and is bo…
33 terms
Procedural Coding CPT and HCPCS
Panel
Professional component
separate procedure
Category III codes
in CPT,a single code that groups lab tests frequently done to…
The physicians skill time and expertise used in performing pr…
A procedure performed in addition to primary procedure
Temporary codes for emerging technology, services and procedu…
Panel
in CPT,a single code that groups lab tests frequently done to…
Professional component
The physicians skill time and expertise used in performing pr…
31 terms
Procedural Coding
CPT (what does it stand for)
CPT is owned and administered by whom?
Three subsets of CPT codes
What do CPT codes do?
Current Procedural Terminology
American Medical Association (AMA)
Adjunctive Ophthalmology Codes... Evaluation and Management Code…
used to report the work that you perform during a basic exam
CPT (what does it stand for)
Current Procedural Terminology
CPT is owned and administered by whom?
American Medical Association (AMA)
24 terms
Procedural coding CPT and HCPCS
Descriptor
Category II codes
Category III codes
(+)
the words following a code in CPT listings
report services to track performance measurement
Report emerging technology, services and procedures
add on codes have a (+) sign before the code and must be list…
Descriptor
the words following a code in CPT listings
Category II codes
report services to track performance measurement
10 terms
Chapter 5 Procedural Coding
Code identifying medical treatment or…
Connection between a service and a pat…
Contains the standardized classificati…
Procedure codes found in the main body…
procedure code
code linkage
Current Procedural Terminology (CPT)
Category 1 Code
Code identifying medical treatment or…
procedure code
Connection between a service and a pat…
code linkage
20 terms
Chapter 19 Key Terms Procedure Coding
add-on code
bundled codes
compliance plan
concurrent care
A code indicating procedures that are usually carried out in…
When healthcare services that are usually separate are consid…
A process for finding, correcting, and preventing illegal med…
Care being provided by more than one physician, such as with…
add-on code
A code indicating procedures that are usually carried out in…
bundled codes
When healthcare services that are usually separate are consid…
111 terms
Chapter 17 Procedural and diagnostic coding
The diagnosis code determines what?
The procedure code determines what?
Who created the Standard code set?
Current Procedural Terminolgy (CPT)
Wheter the physician gets paid.
How much the practice recieves.
Medicare and Medicaid Services (CMS)
The most common reference used to code procedures
The diagnosis code determines what?
Wheter the physician gets paid.
The procedure code determines what?
How much the practice recieves.
326 terms
PROCEDURAL CODING STUDY GUIDE
Which punctuation mark between codes i…
67999
33999
69949
hyphen
eyelid
cardiac
inner ear
Which punctuation mark between codes i…
hyphen
67999
eyelid
20 terms
Ch. 13 procedural Coding and Insurance Terms Quiz
Emergency
Third Party Payer
Critical Care
Observation Status
sudden or unexpected medical condition (ex. chest pain, short…
an organization that provides payment for specified coverage…
a critical illness or injury which acutely impairs one or mor…
an outpatient service that allows patients to be monitored in…
Emergency
sudden or unexpected medical condition (ex. chest pain, short…
Third Party Payer
an organization that provides payment for specified coverage…
50 terms
Chapter 15; Outpatient Procedural Coding
Current Procedural Terminology
Descriptor
Diagnostic Related Group (DRY)
Healthcare Common Procedure Coding Sys…
a comprehensive list of codes used by physicians to bill for…
description of a service listed with its code number
categories used to determine hospital and physician reimburse…
AMA's coding system based on CPT-4; assigns alphabetic and nu…
Current Procedural Terminology
a comprehensive list of codes used by physicians to bill for…
Descriptor
description of a service listed with its code number
20 terms
procedure coding
add on code
bundled code
code linkage
concurrent care
CPT code that are only reported in addition to the primary code
any CPT code that includes more then one procedure in its des…
Analysis of the connection between diagnostic and procedural…
Similar care being provided by more than one physician.
add on code
CPT code that are only reported in addition to the primary code
bundled code
any CPT code that includes more then one procedure in its des…
24 terms
Procedural Coding, Chapter 6
Alternative Billing codes (ABCs)
bilateral
bundled codes
comprehensive code
A code system for integrative health care products and servic…
when coding surgical procedures, this term refers to both sid…
to group more than one component (service or procedure) into…
a single procedural code that describes or covers two or more…
Alternative Billing codes (ABCs)
A code system for integrative health care products and servic…
bilateral
when coding surgical procedures, this term refers to both sid…
43 terms
Procedural coding chapter 5
Panel
Unlisted procedures
Surgical package
Category III code
In CPT a single code that groups laboratory tests that are fr…
A service that is not listed in CPT and requires a special re…
Combination of services included in one surgical code.
Temporary codes for emerging technology, services, and proced…
Panel
In CPT a single code that groups laboratory tests that are fr…
Unlisted procedures
A service that is not listed in CPT and requires a special re…
10 terms
MBC 102 Procedural Coding
bilateral
bundled codes
comprehensive codes
conversion factor
In coding, refers to both sides of the body.
To group more than one component into one CPT code.
A single procedural code that describes or covers two or more…
The dollars and cents amount that is established for one unit…
bilateral
In coding, refers to both sides of the body.
bundled codes
To group more than one component into one CPT code.
47 terms
Procedural Coding Review
A manual containing a list of descript…
An updated version of the CPT manual i…
In what year was the CPT adopted as pa…
How many levels of procedural coding a…
CPT-4
every year
1983
three
A manual containing a list of descript…
CPT-4
An updated version of the CPT manual i…
every year
35 terms
Procedural Coding chapter 5
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 proced…
current procedural terminology (CPT)
contains the standardized classification system for reporting…
category I codes
procedure codes found in the main body of CPT
Procedural Coding Final
What is a nephrectomy?
How many main sections are in the CBT…
According to the notes proceeding the…
Modifiers are used to indicate what ty…
Surgical removal of one or both kidneys
6
nomenclature
bilateral procedures, multiple procedures, services greater t…
What is a nephrectomy?
Surgical removal of one or both kidneys
How many main sections are in the CBT…
6
18 terms
CH 8-Coding Procedures & Services-Key Terms
add-on codes
bundled code
Clinical Laboratory Improvement Amendm…
cross-references
CPT codes with a + symbol in front, used to specify procedure…
A group of related procedures covered by a single code.
An act passed by Congress establishing quality standards for…
References to information found elsewhere; direct the reader…
add-on codes
CPT codes with a + symbol in front, used to specify procedure…
bundled code
A group of related procedures covered by a single code.
33 terms
Chapter 5 PROCEDURAL CODING
CPT
Current procedural terminology
Category I Codes
Category II Codes
Current Procedural Terminology
Contains the standard
Procedure codes found in the main body of CPT
optional CPT codes that track performance measures
CPT
Current Procedural Terminology
Current procedural terminology
Contains the standard
procedural coding final review
if a coder is unable to locate a code…
surgical destruction may be considered…
level 2 national modifiers are located…
there are various types of anestesia.…
false
true
true
true
if a coder is unable to locate a code…
false
surgical destruction may be considered…
true
19 terms
Done Key Term Ch.19 Procedure Coding
Add-on Code
Bundle Code
Concurrent Care
Consultation
a code indicating procedures that are usally carried out in a…
when heathcare sevices that are usually separate are consider…
Care being provided by more than one physician, such as with…
meeting of two or more physicians or surgeons to evaluate the…
Add-on Code
a code indicating procedures that are usally carried out in a…
Bundle Code
when heathcare sevices that are usually separate are consider…
66 terms
Procedural & Diagnostic Coding
A coding compliance program is
The standard code set
Natural language processing (NLP) is
How many sections are there in current…
Voluntary
1.) Is mandated by HIPAA, 2.)provides tracking of morbidity... 3…
Used in CAC
6
A coding compliance program is
Voluntary
The standard code set
1.) Is mandated by HIPAA, 2.)provides tracking of morbidity... 3…
Procedure Coding
Add-on Code
Bundled Codes
Concurrent Care
Consultation
A code indicating procedures that are usually carried out in…
When healthcare services that are usually separate are consid…
Care being provided by more than one physician, such as with…
Meeting of two or more physicians or surgeons to evaluate the…
Add-on Code
A code indicating procedures that are usually carried out in…
Bundled Codes
When healthcare services that are usually separate are consid…
45 terms
Diagnostic coding and Procedure coding
NOS
NEC
[ ] Brackets
Slanted brackets
This abbreviation means "not otherwise specified," or "unspec…
"not elsewhere classified." It is used when the ICD-9 does no…
Used around synonyms, alternative wordings, or explanations.
These appear in the Alphabetic Index and indicate that two co…
NOS
This abbreviation means "not otherwise specified," or "unspec…
NEC
"not elsewhere classified." It is used when the ICD-9 does no…
25 terms
Procedural Coding: CPT
AMA produced first CPT
descriptor
category 2 codes
category 3 codes
in 1966
a brief explanation of the procedure
track performance measures, optional codes
temporary codes for emerging technology, services and procedure
AMA produced first CPT
in 1966
descriptor
a brief explanation of the procedure
23 terms
ICD-10 Procedural Coding
Alteration
Bypass
Change
Control
VALUE OF 0 - Modifying natural anatomic structure of body par…
VALUE OF 1 - Altering route of passage of the contents of a t…
VALUE OF 2 - Taking out or taking off a device from a body pa…
VALUE OF 3 - Stopping or attempting to stop postprocedural bl…
Alteration
VALUE OF 0 - Modifying natural anatomic structure of body par…
Bypass
VALUE OF 1 - Altering route of passage of the contents of a t…
11 terms
MA - Procedural Coding
Bundled Codes
Category I code
Category II code
Category III code
codes designating procedures or services that are grouped tog…
the primary procedure or service code selected when performin…
Special codes that can help providers track revenue and reimb…
codes for a new or experimental procedure or service.
Bundled Codes
codes designating procedures or services that are grouped tog…
Category I code
the primary procedure or service code selected when performin…
25 terms
Procedural Coding CPT : Unit 8 Exam
American Medical Association (AMA)
CPT
1966
Symbols with Definitions
the CPT manual was developed by
Current Procedural Terminology
the first CPT was published
are located at the bottom of the page and inside the front co…
American Medical Association (AMA)
the CPT manual was developed by
CPT
Current Procedural Terminology
75 terms
Procedural Coding - CPT
Procedure Code
Code Linkage
Current Procedural Terminology (CPT)
Category I Codes
Code identifying medical treatment or diagnostic services. Wh…
Connection between a service and a patient's condition or ill…
Contains the standardized classification system for reporting…
Procedure codes found in the main body of the CPT. Category I…
Procedure Code
Code identifying medical treatment or diagnostic services. Wh…
Code Linkage
Connection between a service and a patient's condition or ill…
15 terms
understanding Procedural Coding: Appendix
Appendix G
Appendix B
Appendix F
Appendix O
Moderate sedation
Additions, deletions, and revised CPT codes for the new year
modifier 63
Multianalyte assays with algorithmic Analyse
Appendix G
Moderate sedation
Appendix B
Additions, deletions, and revised CPT codes for the new year
24 terms
Procedural Coding Anesthesia Review - Chapter 12
moderate (conscious) sedation
systemic
Base Unit Values
Modifying Unit
decreased level of consciousness that doesn't put the patient…
means "affecting the body as a whole"
accepted as the standard in the US for most third party payer…
the "M" in the anesthesia formula that reflect circumstances…
moderate (conscious) sedation
decreased level of consciousness that doesn't put the patient…
systemic
means "affecting the body as a whole"
75 terms
Procedural Coding - CPT
Procedure Code
Code Linkage
Current Procedural Terminology (CPT)
Category I Codes
Code identifying medical treatment or diagnostic services. Wh…
Connection between a service and a patient's condition or ill…
Contains the standardized classification system for reporting…
Procedure codes found in the main body of the CPT. Category I…
Procedure Code
Code identifying medical treatment or diagnostic services. Wh…
Code Linkage
Connection between a service and a patient's condition or ill…
80 terms
Procedure Coding
Current Procedural Terminology (CPT)
Centers for Medicare and Medicaid Serv…
Fraud
Upcoding
Fourth edition, I'd a listing of five-character alphanumeric…
The federal agency that administers the Medicare program and…
The act of intentionally billing for services that were never…
Coding for a higher level of service than what is actually pr…
Current Procedural Terminology (CPT)
Fourth edition, I'd a listing of five-character alphanumeric…
Centers for Medicare and Medicaid Serv…
The federal agency that administers the Medicare program and…
34 terms
Coding Procedures
ICD-9-CM
Diagnosis
ICD-9-CM
ICD-9-CM
Stands for International Classification of Diseases, 9th revi…
breakdown dia-through gnosis- knowledge
is published by World Health Organization (WHO)
codes have 3 to 5 digits
ICD-9-CM
Stands for International Classification of Diseases, 9th revi…
Diagnosis
breakdown dia-through gnosis- knowledge
41 terms
Procedure Coding
procedure coding
CPT
relative value unit (RVU)
modifiers
the act of assigning codes/numbers to the procedures and serv…
Current Procedural Terminology
in 1992 the U.S. Congress assigned this to every healthcare p…
two digit alphanumeric codes appended to codes to further des…
procedure coding
the act of assigning codes/numbers to the procedures and serv…
CPT
Current Procedural Terminology
25 terms
Procedural Coding: CPT
AMA produced first CPT
descriptor
category 2 codes
category 3 codes
in 1966
a brief explanation of the procedure
track performance measures, optional codes
temporary codes for emerging technology, services and procedure
AMA produced first CPT
in 1966
descriptor
a brief explanation of the procedure
26 terms
Ch. 6 Procedural Coding
True or False... The healthcare common pr…
True or False ... A medical practice can…
True or False... UCR (usual, customary, r…
True or False... When there is a choice o…
True
True
False
False
True or False... The healthcare common pr…
True
True or False ... A medical practice can…
True
75 terms
Procedural Coding - CPT
Procedure Code
Code Linkage
Current Procedural Terminology (CPT)
Category I Codes
Code identifying medical treatment or diagnostic services. Wh…
Connection between a service and a patient's condition or ill…
Contains the standardized classification system for reporting…
Procedure codes found in the main body of the CPT. Category I…
Procedure Code
Code identifying medical treatment or diagnostic services. Wh…
Code Linkage
Connection between a service and a patient's condition or ill…
35 terms
Procedure Coding Chapter 17 Terms and Questions
CPT
Each code has how many characters
Mandated by ________ to be used to han…
If charting is inaccurate, insurance c…
Current Procedural Terminology
five
HIPAA
Deny claims
CPT
Current Procedural Terminology
Each code has how many characters
five
30 terms
Procedural Coding Integumentary System Review:Chapter 18
paring
dermis
abscess
debridement
removal of thin layers of skin by peeling or scraping
"full-thickness", second layer of skin holding blood vessels,…
localized collection of pus that will result in the disintegr…
cleansing of or removing dead tissue from a wound
paring
removal of thin layers of skin by peeling or scraping
dermis
"full-thickness", second layer of skin holding blood vessels,…
37 terms
Procedural Coding Chapter 5
Current Procedural Terminology (CPT)
Category I codes
Category II codes
Category III codes
Contains standardized classification system for reporting med…
Procedure codes found in the main body of CPT
Optional CPT codes that track performance measures
Temporary codes for emerging technology, services, and proced…
Current Procedural Terminology (CPT)
Contains standardized classification system for reporting med…
Category I codes
Procedure codes found in the main body of CPT
50 terms
Procedural Coding Chapter 1
Pathology and Laboratory Services
CPT book
The semicolon
For proper code selection
Code range 80047 to 89398
Is arranged from head to toe and truck outward
Separates the main term,or common portion,of the CPT code fro…
The coder should reference the index and the main section of…
Pathology and Laboratory Services
Code range 80047 to 89398
CPT book
Is arranged from head to toe and truck outward
113 terms
The Basics of Procedural Coding
ADA
AMA
ASA
B
American Dental Association
American Medical Association
Anesthesiology Society of America
Base
ADA
American Dental Association
AMA
American Medical Association
40 terms
DIAGNOSTIC CODING/PROCEDURE CODING
ADD-ON CODE
ALPHABETIC INDEX
BUNDLED CODES
CATEGORIES
INDICATES PROCEDURES USUALY CARRIED OUT IN ADDITION TO ANOTHE…
ONE OF 2 WAYS DIAGNOSES ARE LISTED IN THE ICD-10. THEY APPEAR…
WHEN HEALTHCARE SERVICES THAT ARE USUALLY SEPERATE ARE CONSID…
THE FIRST THREE DIGITS OF THE DIAGNOSES CODE IN ICD-10
ADD-ON CODE
INDICATES PROCEDURES USUALY CARRIED OUT IN ADDITION TO ANOTHE…
ALPHABETIC INDEX
ONE OF 2 WAYS DIAGNOSES ARE LISTED IN THE ICD-10. THEY APPEAR…
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