Coding-chapter 15 Flashcards

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