7222831276 | Uniform hospital discharge data set (UHDDS) | A standard data set adopted by the federal government for collection of data for Medicare and Medicaid. | 0 | |
7222831277 | Coding | Converting verbal or written descriptions into numerical and alphanumerical designations. he most impor- tant factor in coding is the accuracy of the codes. | 1 | |
7222831278 | Medical coding | The translation of medical terms for diagno- ses and procedures into code numbers selected from standard- ized code sets. | 2 | |
7222831279 | Chief Complaint (CC) | A description of a patient's medical problem that the patient reports to the physician. | 3 | |
7222831280 | Etiology is | The cause of a disorder. A claim is sometimes classified according to its etiology. | 4 | |
7222831281 | Coding for coverage | Changing a code to match what the insurance company will pay for, rather than to accurately reflect the procedure that was performed. | 5 | |
7222831282 | Level I codes | These codes repeat the CPT's five-number codes for physician procedures and services. | 6 | |
7222831283 | Level II codes | These codes consist of more than 2400 five- digit alphanumerical codes for items that are not listed in CPT-4. Most of these items are supplies, materials, or injec- tions that are covered by Medicare. Level II codes start with a letter followed by four digits, such as J7630. here are 18 sec- tions, each covering a related group of items. | 7 | |
7222831284 | Level III codes | Commonly called local carrier codes, these codes are created and used only by the insurance companies that process Medicare for HCFA in the various geographical regions they are assigned. | 8 | |
7222831285 | Fraud | An act of deception used to take advantage of another person or entity. Claims fraud occurs when physi- cians or others falsely represent services or charges to payers. | 9 | |
7222831286 | Evaluation and Management codes | 99201-99499 | 10 | |
7222831287 | Anesthesia codes | 00100-01999; 99100-99150 | 11 | |
7222831288 | Surgery codes | 10021- 69990 | 12 | |
7222831289 | Radiology codes | 70010 -79999 | 13 | |
7222831290 | Pathology and Laboratory | 80047-89398 | 14 | |
7222831291 | Medicine | 90281-99099; 99151-99199; 99500-99607 | 15 | |
7222831292 | Category II Codes | 0001F-7025F | 16 | |
7225603129 | CPT | Current Procedural Terminology, Procedure codes | 17 | |
7225608803 | Main Text (Tabular List) | Six sections (1) evaluation and management, (2) anesthesia, (3) surgery for all body systems, (4) radiology, (5) pathology and laboratory, and (6) medicine. | 18 | |
7225677549 | CPT codes | five-digit numbers | 19 | |
7225679288 | CPT manual | Alphabetic Index Tabular List | 20 | |
7225685457 | Bullet point (•) | new procedure code | 21 | |
7225688089 | Triangle (symbol) | change in the code's description | 22 | |
7225691125 | Plus sign (+) | add-on codes addition to another procedure | 23 | |
7225694124 | Arrow (➔) | with a circle around it refers to the CPT Assistant | 24 | |
7225695816 | Asterisk (*) | surgical procedure only | 25 | |
7225700921 | Facing triangles | placed at the beginning and end of new or revised information | 26 | |
7225707417 | Semicolon ( ; ) | everything to its left is applicable to indented shorter descriptions that follow. | 27 | |
7225710615 | circle with a line | modifier -51 is not assigned to the code and the procedures are not add-on procedures. | 28 | |
7225712871 | lightning bolt | product is pending FDA approval. | 29 | |
7225715805 | dot surrounded by a circle | denotes moderate sedation | 30 | |
7225721452 | Code linkage | connection between the diagnostic and procedural information on a health-care claim | 31 | |
7225723507 | Upcoding | Using a code on a claim form that indicates a higher level of service than that which was actually performed. | 32 | |
7225727375 | Double billing | Submitting two claims for one encounter | 33 | |
7225729557 | Correct Coding Initiative (CCI) | A computerized system used by Medicare to prevent overpayment for procedures. | 34 | |
7225732482 | Mutually exclusive codes | Codes that are identified in the coding book as not permitted to be used on the same claim form with other specified codes | 35 | |
7225967365 | Certain Infectious and Parasitic Diseases ICD-10-CM | A00-B99 ICD-9-CM 001-139 | 36 | |
7225975319 | Neoplasms ICD-10-CM | C00-D49 ICD-9-CM 140-239 | 37 | |
7225984553 | Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism ICD-10-CM | D50-D89 ICD-9-CM 208-289 | 38 | |
7225992204 | Endocrine, Nutritional, and Metabolic Diseases ICD-10-CM | E00-E89 | 39 | |
7225998544 | Mental and Behavioral Disorders ICD-10-CM | F01-F99 ICD-9-CM 290-319 | 40 | |
7226004757 | Diseases of the nervous system ICD-10-CM | G00-G99 IDC-9-CM 320-389 | 41 | |
7226012527 | Diseases of the Eye and Adnexa ICD-10-CM | H00-H59 | 42 | |
7226016360 | Diseases of the Ear and Mastoid Process ICD-10-CM | H60-H95 | 43 | |
7226021689 | Diseases of the circulatory system | 100-199 ICD-9-CM 390-459 | 44 | |
7226027885 | Diseases of the Respiratory system ICD-10-CM | J00-J99 ICD-9-CM 460-519 | 45 | |
7226030253 | Diseases of the Digestive system ICD-10-CM | K00-K94 ICD-9-CM520-579 | 46 |
Coding-chapter 15 Flashcards
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