Medical Billing, CPT, ICD-9, ICD-9-CM, Medical Diagnostic Coding, Medical Procedural Coding
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| 3060929918 | abstract | outline of summary of the diagnostic statement and/or procedure and services performed | 0 | |
| 3060929919 | Alphabetic Index ICD-9 | Vol. 2- coding manual- conditions, injuries, illnesses, diseases by main term, modifying term, sub-term | 1 | |
| 3060929920 | ancillary diagnostic services | services supporting patient diagnoses | 2 | |
| 3060929921 | and--ICD-9-CM | and same as and/or | 3 | |
| 3060929922 | assessment | physician's determination of what is or may be wrong based on H&P, includes preliminary, interim, or final diagnosis | 4 | |
| 3060929923 | chief complaint | CC, reason patient seeks medical care | 5 | |
| 3060929924 | code also --ICD-9-CM | used when more than one code is necessary | 6 | |
| 3060929925 | coding | converting verbal or written into numeric and alphanumeric | 7 | |
| 3060929926 | conventions --ICD-9-CM | abv. punc. symbols, instructional notations that provide guidance in the selection of codes | 8 | |
| 3060929927 | diagnosis | description of cause, nature, manifestations of a condition or problem | 9 | |
| 3060929928 | initial diagnosis | physician's temporary impression -working diagnosis | 10 | |
| 3060929929 | differentiated diagnosis | comparison of 2 or more diseases with similar signs and symptoms | 11 | |
| 3060929930 | clinical diagnosis | conclusion after evaluating all findings | 12 | |
| 3060929931 | diagnostic statement | information about diagnosis extracted from medical documentation | 13 | |
| 3060929932 | etiology | cause of a disorder | 14 | |
| 3060929933 | excludes --ICD-9 | written in italics, excludes often in box | 15 | |
| 3060929934 | history and physical examination | H&P HPE, CC, patient's personal & family medical history, physical examination, assessment of findings, treatment plan | 16 | |
| 3060929935 | includes --ICD-9-CM | term under subdivision, indicates code & title include these terms | 17 | |
| 3060929936 | International Classification of Diseases, Ninth Revision, Clinical Modification | ICDM-9-CM --facilitates collection of uniform and comparable health information for statistical purposes and for indexing medical for data storage and retrieval | 18 | |
| 3060929937 | manifestation | sign & symptoms of a disease | 19 | |
| 3060929938 | notations --ICD-9-CM | found in Alpha and Tab; instructions or guides defining category content or use of subdivision codes | 20 | |
| 3060929939 | instructional notations --ICD-9-CM | found in Alpha and Tab; instructions or guides defining category content or use of subdivision codes | 21 | |
| 3060929940 | principal diagnosis | initial id of condition or CC | 22 | |
| 3060929941 | see --ICD-9-CM | direction to look elsewhere, in Alpha. Vol 2&3 | 23 | |
| 3060929942 | see also --ICD-9-CM | direction to see a specific category--3 digit code--; must always be followed | 24 | |
| 3060929943 | see category --ICD-9-CM | direction to see specific category --3 digit code | 25 | |
| 3060929944 | SOAP | charting system; subjective findings, objective findings, assessment, plan for treatment | 26 | |
| 3060929945 | Tabular Index --ICD-9-CM | Vol. 1, diagnostic codes grouped into 17 chapters | 27 | |
| 3060929946 | Tab. Index # chapters ICD-9-CM | 17 | 28 | |
| 3060929947 | use additional code --ICD-9-CM | term only in Tab. in subdivisions where user should add additional information | 29 | |
| 3060929948 | with --ICD-9-CM | with, with mention of, associated with in a title dictates that both parts of the title must be present in the diagnostic statement to allow assignment of code | 30 | |
| 3060929949 | associated with --ICD-9-CM | with, with mention of, associated with in a title dictates that both parts of the title must be present in the diagnostic statement to allow assignment of code | 31 | |
| 3060929950 | with mention of --ICD-9-CM | with, with mention of, associated with in a title dictates that both parts of the title must be present in the diagnostic statement to allow assignment of code | 32 | |
| 3060929951 | reasons to use ICD-9_CM | standardize, create convenient method of data storage & retrieval, maximize reimbursement, shorten clams processing time, facilitate & assess regulatory compliance, evaluate appropriateness & timeliness of medical care | 33 | |
| 3060929952 | Tab. Vol. 1- 2 -sections with supplementary classification codes --ICD-9-CM | V & E | 34 | |
| 3060929953 | Tab. Vol. 1 appendices - how many --ICD-9-CM | two | 35 | |
| 3060929954 | 17 chapters subdivided into 4 levels, name them, Tab. Vol. 1 --ICD-9-CM | section-chapter-, category-classification-, subcategory, subclassificaiton | 36 | |
| 3060929955 | section, Tab. Vol. 1 --ICD-9-CM | 3 digit codes, general category | 37 | |
| 3060929956 | category, Tab. Vol 1 --ICD-9-CM | 3 digit codes, specific disease, illness, condition, illness | 38 | |
| 3060929957 | subcategory, Tab. Vol 1 --ICD-9-CM | 4th digit assigned, additional information or description to category code | 39 | |
| 3060929958 | subclassification, Tab. Vol. 1 --ICD-9-CM | 5th digit, highest level of detail | 40 | |
| 3060929959 | name supplemental classifications, Tab. Vol. 1 --ICD-9-CM | V codes when patient is not ill, or to explain a problem that influences an illness, injury, disease, or condition; E codes classify environmental or external causes of injury, poisoning, or other things that cause a problem | 41 | |
| 3060929960 | five appendices in Tab. Vol. 1, name them --ICD-9-CM | A-Morphology Neoplasms, B-Glossary Mental Disorders, C-Classification of Drugs, D-Classification Industrial Accidents, E-List of 3 digit Categories | 42 | |
| 3060929961 | Conventions Abv., 2 primary, name, describe them, Tab. Vol. 1 --ICD-9-CM | NOS Not otherwise specified, NEC Not elsewhere classifiable | 43 | |
| 3060929962 | Punctuation, 4 basic types, describe, Tab Vol. 1 --ICD-9-CM | brackets, parentheses, colon, braces | 44 | |
| 3060929963 | Symbols, used to designate what, Tab Vol. 1 --ICD-9-CM | need for fourth or fifth digit, new entries, revised text or codes | 45 | |
| 3060929964 | Conventions, misc. Bold, define, Tab Vol. 1 --ICD-9-CM | codes and titles | 46 | |
| 3060929965 | Conventions, misc.Italics, define, Tab Vol. 1 --ICD-9-CM | exclusion notes, identify diagnosis that can not be principal diagnosis | 47 | |
| 3060929966 | Conventions, Includes, define, Tab Vol. 1 --ICD-9-CM | under category, sep. terms that define, give examples of, provide modifying adjectives, site, conditions | 48 | |
| 3060929967 | Conventions, Excludes, define, Tab Vol. 1 --ICD-9-CM | in a box, in italics, some code classifications cannot be use with the code selected | 49 | |
| 3060929968 | Conventions, See, define, Tab Vol. 1 --ICD-9-CM | also see category; follows main term, indicates different term to be referenced | 50 | |
| 3060929969 | Alpha. See also --ICD-9-CM | follows main term, directs coder to another area | 51 | |
| 3060929970 | And --ICD-9-CM | means and or or | 52 | |
| 3060929971 | Alpha. With --ICD-9-CM | immediately after main term, additional definition or specificity | 53 | |
| 3060929972 | Alpha. Vol. 2 consists of --ICD-9-CM | alphabetic list of diagnostic terms and codes, 3 supplementary sections, index for E codes | 54 | |
| 3060929973 | Alpha. Supplementary Sections --ICD-9-CM | Hypertension Table, Neoplasm Table, Table of Drugs and Chemicals | 55 | |
| 3060929974 | Alpha. type settings for Main, Modifying, Subterms --ICD-9-CM | Main-bold, Modifying-indented 2 spaces to the right under main, Subterms-indented two spaced under level of preceding line | 56 | |
| 3060929975 | Modifiers --ICD-9-CM | accompanying words that describe the main term, indented in Alpha. under main terms. | 57 | |
| 3060929976 | Procedures Vol. 3 --ICD-9-CM | Used by hospitals | 58 | |
| 3060929977 | Coding process beginning | 1) Medical documentation--encounter form ie superbill, fee slip, charge ticket 2) Treatment, progress notes-SOAP notes, H&P--CC--, discharge summary, operative report to extract surgical patient information, radiology or pathology report 3) Extracting diagnostic statements-abstract, main & modifying terms | 59 | |
| 3060929978 | Coding process, ten steps in ICD-9-CM | 1abstract statement, use Alpha. to search for code to fit diagnostic, determine 2main & 3modifying terms, 4review conventions, 5choose code, 6use Tab.verify, 7 review notes, conventions, 8 verify accuracy of code, 9 carry code to highest level of specificity, 10assign code from Tab. | 60 | |
| 3060929979 | decision tree | series of questions to navigate ICD-9-CM | 61 | |
| 3060929980 | How to code: questionable, probable, likely, rule out, suspected | code the documented symptoms, signs, CC | 62 | |
| 3060929981 | What do you use: asymptomatic, family or personal history ICD-9-CM | Use V code | 63 | |
| 3060929982 | How to: coding late effects | usually 2 codes, condition or nature of the late effect first, then the effect | 64 | |
| 3060929983 | How to: impending, threatened | code only if code specifically describes | 65 | |
| 3060929984 | How to: infectious and parasitic diseases | first code identifies disease or condition, second identifies organism | 66 | |
| 3060929985 | acronyms | abbreviations | 67 | |
| 3060929986 | add-on code CPT | indicates additional or supplemental procedures | 68 | |
| 3060929987 | Alpha. Index--CPT | reference section of CPT manual | 69 | |
| 3060929988 | bundled codes | designating procedures or service grouped together and paid for as one | 70 | |
| 3060929989 | categories CPT | indented one level below subsection refers to specific anatomic site | 71 | |
| 3060929990 | Category 1 code CPT | five digit primary procedure or service code in Tab. Index | 72 | |
| 3060929991 | Category II code CPT | help to track revenue and reimbursements | 73 | |
| 3060929992 | Category III code CPT | Codes for a new or experimental procedure | 74 | |
| 3060929993 | downcoding | change in the code submitted for reimbursement, usually code submitted to ins. doesn't match specs. of ins. co. | 75 | |
| 3060929994 | eponyms | procedures, diagnoses, services named after people | 76 | |
| 3060929995 | guidelines CPT | beginning of each six sections in CPT, define | 77 | |
| 3060929996 | HICK PICKS HCPCS | Level II codes to supplement procedures and services not covered in CPT | 78 | |
| 3060929997 | main term | primary, or key word, abstracted from medical record | 79 | |
| 3060929998 | main text CPT | see Tab. Index | 80 | |
| 3060929999 | modifiers CPT | 2 character code, addition to add additional clarification | 81 | |
| 3060930000 | section CPT | one of six divisions in CPT | 82 | |
| 3060930001 | Tabular Index-CPT | main text of CPT, | 83 | |
| 3060930002 | unbundled codes | components of a procedure are separated and reported separately | 84 | |
| 3060930003 | upcoding | deliberate upgrading of CPT code to next highest reimbursable code, has a lack of documentation to support claim | 85 | |
| 3060930004 | CPT purpose | encourage standard terms and descriptions, communicate accurate information, provide computer-oriented system for evaluation, contribute information for actuarial and statistical purposes | 86 | |
| 3060930005 | suspected condition | diagnosis that is questionable, probably, or likely | 87 | |
| 3060930006 | codes to describe circumstances of an accident or injury ICD-9 | E codes | 88 | |
| 3060930007 | codes to explain why a person comes in contact with a healthcare provider--even if no injury or illness, gynecological exam ICD-9 | V codes | 89 | |
| 3060930008 | coder should NEVER coded directly from | index | 90 | |
| 3060930009 | begin coding search ICD-9 | alphabetic index | 91 | |
| 3060930010 | etiology | cause of disorders | 92 | |
| 3060930011 | primary diagnosis | initial identification of condition or complaint | 93 | |
| 3060930012 | manifestation | signs and symptoms of a disease | 94 | |
| 3060930013 | ancillary diagnostic services | support patient diagnoses | 95 | |
| 3060930014 | ancillary therapeutic services | support patient treatment | 96 | |
| 3060930015 | neoplasm ICD-9 | by anatomic location | 97 | |
| 3060930016 | preexisting disease | condition occurring prior to effective date of insurance | 98 | |
| 3060930017 | hypertension table ICD-9 | malignant-rapid progression to death; benign-doesn't threaten patient's health immediately | 99 | |
| 3060930018 | CPT 12 appendices | 1modifers 2additions, deletions, revisions3clinicalexamples, 4add-in codes,5exempt from modifier 51, 6 exempt from modifier 63, 7moderate conscious sedation, 8performance measures9genetic testing, 10electrodiagnostic, 11FDA approval 12Vascular | 100 |
