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Section 1

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Identify two broad categories of coding and the source books for each

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Mar 1, 2020

Cards (18)

Section 1

(18 cards)

Identify two broad categories of coding and the source books for each

Front

Procedural coding- Current procedural terminology, 4th ed. (CPT-4) Diagnostic coding- International Classification of disease,9th ed. (ICD-9-CM)

Back

Explain the purpose and use of E codes

Front

Used to establish medical necessity, cause of injury and poisoning and identify medication.

Back

Identify four categories/types of CPT codes

Front

Category I codes- procedures Category II codes- performance measurement Category III codes- Temporary codes used to identify new technology and procedures Modifiers- Indicates that service or procedure has changed

Back

What is the importance of the superbill, and how is it used in a medical office?

Front

The superbill is a document used in a medical office to indicate the service provided a physician to a patient during on office visit

Back

Describe the three main factors to describe physician services in evaluation and management codes

Front

Place of service, type of service and patient status

Back

Explain the types and uses of V codes

Front

Problem-oriented V- identify risk factors that may affect the patient but are not an injury or illness(V69.0, indicates the lack of physical exercise) Service-oriented V codes-Identify's services for patient who are not currently sick, but seeking medical services(V20.2, indicates the outcome of the delivery of a single newborn) Fact-oriented V- Indentify's the patient's condition(V09.0, indicates infection with a microorganism that is resistant to penicillin)

Back

Discuss the use of category II codes

Front

A set of supplemental tracking codes used for performance measurement. Their use will decrease the likelihood that the insurance will want to examine all of the claims for the patient, called record abstraction

Back

Discuss how to prioritize multiple diagnosis code

Front

If more than one diagnosis code is used, the codes must be prioritized and entered on the CMS-1500 form in order of significance. The codes must be also be linked to the appropriate procedure on the CMS-1500 form

Back

Describe the six section of the CPT manual

Front

1.Evaluation and Management 2.Anesthesia 3.Surgery 4.Radiology 5.Pathology and Laboratory 6.Medicine

Back

What rules apply to E codes?

Front

E codes can never be a primary code E codes do not affect the amount of reimbursement E codes can speed up the process of reimbursement

Back

Described when and how to use HCPCS codes

Front

A standardized coding systems used for medical equipment and transport serviced provided to patient into codes for reimbursement. These codes primarily identify products, supplies and services not included in CPT coding, such as ambulance service, durable medical equipment, prosthetic, orthotics and supplies when used outside a physician office

Back

Discuss when and how to use category III codes

Front

A listing of temporary codes used to identify new technologies. They allow physicians to be reimbursed for new procedure.

Back

How many diagnostic codes are allowed per CMS-1500 form?

Front

6

Back

Explain the need for CPT modifiers

Front

Two-digit numeric codes that are added to a CPT-4 code. The addition of the modifier indicates that the service or procedure has changed

Back

Describe the sections of the coding manuals: introduction, volume 1, volume 2, and volume 3

Front

Introduction- offers instructions to the reader on how to code disease and disorder Volume 2- an alphabetical listing of disease and disorders with their corresponding numeric codes Volume 3- a tabbed alphabetical listing of hospital procedures.

Back

Describe the steps for looking up a diagnosis in the ICD-9-CM manual

Front

Search Volume 2, first, then Volume 1

Back

When multiple E codes are used, which as the highest priority?

Front

Child abuse Cataclysmic event Transportation accident

Back

Of the category I codes, which is used for blood test>

Front

Pathology and Laboratory

Back