Certified Billing and Coding Specialist Flashcards

Information I used to study for my CBCS exam

9326422978	Rejected Claim	Claim that requires and investigation and needs further clarification	0
9326422979	CPT Appendix I	Genetic Testing Code Modifiers	1
9326422980	CPT Appendix H	Alphabetic index of performance measures by clinical condition or topic	2
9326422981	CPT Appendix G	Summary of CPT Codes that include moderate (conscious) sedation	3
9326422982	ICD-9-CM Volume II	Index to Diseases and Injuries	4
9326422983	CPT Appendix L	Vascular Families	5
9326422984	99201-99499	Evaluation and Management	6
9326422985	CPT Appendix K	Product pending FDA approval	7
9326422986	mast	breast	8
9326422987	lith	stone	9
9326422988	myo	muscle	10
9326422989	ICD-9-CM Volume III	Tabular List of Procedures and Alphabetic Index to Procedures	11
9326422990	CPT Appendix B	Summary of additions, deletions, and revisions	12
9326422991	-graphy	process of recording	13
9326422992	-gram	record	14
9326422993	-lysis	separation, breakdown, destruction	15
9326422994	supra-	above,beyond	16
9326422995	brady-	slow	17
9326422996	lighting bolt symbol in the CPT manual means	FDA approval pending	18
9326422997	endo-	inside, within	19
9326422998	oste	bone	20
9326422999	derm	skin	21
9326423000	filled in triangle symbol in the CPT manual means	revised CPT code	22
9326423001	# in the CPT manual means	re-sequenced code	23
9326423002	bow tie symbol in the CPT manual means	contains new or revised text	24
9326423003	90281-99199 & 99500-99602	medicine, except anesthesiology	25
9326423004	enter	intestine	26
9326423005	Medicare Part A	Hospital Insurance Benefits, pays for portions of inpatient hospital care, skilled nursing care, home health care, and hospice care	27
9326423006	episi	Vulva	28
9326423007	gastro	stomach	29
9326423008	CPT Appendix F	Summary of CPT codes exempt from modifier 63	30
9326423009	80048-89356	Pathology and Laboratory	31
9326423010	CPT Appendix C	Clinical examples	32
9326423011	Chapter	Main division of the ICD-9-CM Tabular list	33
9326423012	70010-79999	Radiology Section, including Nuclear Medicine and Diagnostic Ultrasound	34
9326423013	Subclassifications	Five digit ICD-9-CM codes that provide the highest level of specificity to describe the condition; use of the fifth digit sub-classification is mandatory if available	35
9326423014	ICD-9-CM Appendix E	list of three-digit categories	36
9326423015	CPT Category III codes	temporary codes for emerging technology, services and procedures. Also have an alphabetic character for the 5th digit.	37
9326423016	CPT Appendix M	deleted CPT codes	38
9326423017	salping	Fallopian tube	39
9326423018	artn	joints	40
9326423019	Medicare Part C	(Formerly Medicare plus (+) choice plan) Was created to offer a number of healthcare services in addition to those available under Part A part B. The CMS contracts with managed care plans or provider service organizations to provide Medicare benefits. A premium similar to part B may be required for coverage to take effect.	41
9326423020	stomat	mouth	42
9326423021	(/) in the CPT manual means	modifier 51 exempt	43
9326423022	ICD-9-CM Volume I	Diseases: Tabular list	44
9326423023	inter-	Between	45
9326423024	-pexy	surgical fixation	46
9326423025	-algia	Pain	47
9326423026	hemi-	half, partial	48
9326423027	hypo-	Below, deficient	49
9326423028	infra-	Below	50
9326423029	CPT Appendix A	modifiers	51
9326423030	CPT Category II Codes	codes used for performance measurement	52
9326423031	Implied Contract	no formal exchange takes place between the parties either verbally or in writing EX. When patients enter the practice	53
9326423032	-emia	blood condition	54
9326423033	epi-	upon, above	55
9326423034	neo-	new	56
9326423035	oligo-	scanty, little	57
9326423036	gloss	tongue	58
9326423037	Medicare Part B	Covers outpatient care, physician services and services ordered by physicians (diagnostic tests, medical equipment, supplies).	59
9326423038	hepato	liver	60
9326423039	hyster	uterus	61
9326423040	lapar	abdomen	62
9326423041	CPT Appendix D	Summary of CPT add-on codes	63
9326423042	Categories	3 digit codes representing a single disease or condition	64
9326423043	lact	milk	65
9326423044	CPT category I code	permanent codes and consist of six sections	66
9326423045	bulls eye symbol in the CPT manual means	Moderate (conscious) Sedation	67
9326423046	CMS-1500	Health Insurance Claim Form	68
9326423047	-plasty	Surgical repair	69
9326423048	section	compromised of a group of 3-digit categories representing a group of conditions or related condtions	70
9326423049	oophor	ovary	71
9326423050	Tricare	A government health program that serves dependents of active-duty service members, military retirees and their families, some former spouses, and survivors of deceased military members; formerly called CHAMPUS.	72
9326423051	Medicare	1965 , a federal program of health insurance for persons 65 years of age and older	73
9326423052	ante-	Before	74
9326423053	filled in circle symbol in the CPT manual means	new code	75
9326423054	cholecyst	gallbladder	76
9326423055	-megaly	enlargement	77
9326423056	-meter	measure	78
9326423057	chondro	cartilage	79
9326423058	subcategories	4 digit codes (3 digits a decimal point and the 4th digit) are more specific than the category (3 digit) code in terms of cause, site, or manifestation of the condition	80
9326423059	10021-69990	Surgery	81
9326423060	ICD-9-CM Appendix A	Morphology of Neoplasms	82
9326423061	V Codes	are used to describe circumstances or encounters with physician or healthcare provider when no current illness or injury exists.	83
9326423062	anti-	against	84
9326423063	E Codes	supplementary classification of external causes of injury and poisoning and other adverse effects	85
9326423064	+ symbol in the CPT manual means	Add-on Code	86
9326423065	-centesis	surgical puncture	87
9326423066	-ectomy	removal, resection, excision	88
9326423067	CPT Appendix E	Summary of CPT codes exempt from modifier 51	89
9326423068	-rrhagia	bursting forth of blood	90
9326423069	pre-	before, in front of	91
9326423070	pseudo-	false	92
9326423071	colp	vagina	93
9326423072	pan-	all	94
9326423073	para-	beside	95
9326423074	-oma	tumor, mass	96
9326423075	-osis	abnormal condition	97
9326423076	CHAMPVA	Civilian Health and Medical Program of the Department of Veteran Affairs; health benefits program that provides coverage to the spouse or widow(er) of a U.S. military veteran.	98
9326423077	Medicaid	health insurance program in which the federal government makes payments to states under the FMAP	99
9326423078	Workers' Compensation Plans	Federal- or State- designated coverage for work-related illnesses and injuries	100
9326423079	cephal	head	101
9326423080	cardi	heart	102
9326423081	pneum	lung	103
9326423082	express contract	A contract in which the terms of the agreement are fully and explicitly stated in words, oral or written.	104
9326423083	ex-	out, out of	105
9326423084	nat	birth	106
9326423085	-stomy	opening	107
9326423086	-therapy	treatment	108
9326423087	tetra-	four	109
9326423088	sub-	under	110
9326423089	-rrhea	discharge, flow	111
9326423090	-pathy	disease conditon	112
9326423091	poly-	many	113
9326423092	Medicare Part D	Private Prescription Plans that help with the cost of prescription medication	114
9326423093	-per	through	115
9326423094	ICD-9-CM Appendix D	Classification of Industrial Accidents according to agency	116
9326423095	ICD-9-CM Appendix C	Classification of Drugs by American Hospital Formulary services list number and their ICD-9-CM equivalents	117
9326423096	-sclerosis	hardening	118
9326423097	ICD-9-CM Appendix B	Glossary of Mental Disorders (Deleted in 2004)	119
9326423098	Rhin	nose	120
9326423099	a- or an-	without	121
9326423100	-scopy	to view	122
9326423101	-tomy	incision, to cut into	123
9326423102	dys-	painful, difficult	124
9326423103	00100-01999 & 99100-99140	Anesthesiology	125
9326423104	-itis	inflammation	126
9326423105	-rrhaphy	suture	127
9326423106	CPT Appendix J	electrodiagnostic medicine listing of sensory, motor, and mixed nerves	128
9326423107	CPT Appendix N	summary of re-sequenced CPT codes	129
9326423108	Microcephaly	Down's Syndrome	130
9326423109	Dirty Claim	contains errors or omissions	131
9326423110	clean claim	has all required fields accurately filled out, contains no deficiencies and passes all edits	132
9326423111	invalid claim	contains complete necessary information but is incorrect or illogical in some way	133