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15 Cards in this Set
- Front
- Back
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Current Procedural Terminology (CPT) |
Contains the standardized classification system for reporting medical procedures and services |
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Category 1 Codes |
Procedure codes found in the main body of CPT. The most numerous, have 5 digits, no decimals. i.e. 99204 |
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Category 2 Codes |
These are HCPCS codes. Used to track performance measures for a medical goal. These codes have alphabetic characters for the 5th digit. i.e. 3271F |
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Category 3 Codes |
Temporary codes for emerging technology, services, and procedures. |
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Six sections of Category 1 procedure codes |
1: Evaluation and Management 2: Anesthesia 3: Surgery 4: Radiology 5: Pathology and Laboratory 6: Medicine |
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Add-on Code |
Procedure preformed and reported in addition to a primary procedure. This is indicated by a plus sign (+) next to a code in the main text. |
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Primary Procedure |
Most resource-intensive CPT procedure during an encounter |
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Modifier |
2 digit code tacked on to another code to make it more specific
i.e. 50 (bilateral) |
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E/M codes (evaluation and management codes) |
Codes that cover physicians' services preformed to determine the optimum course for patient care. |
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Outpatient |
Patient who receives healthcare in a hospital setting without admission |
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Global Period |
Days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package |
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Unbundling |
Incorrect billing practice of breaking a panel or package of services/ procedures into component parts |
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Panel |
Single code grouping laboratory tests frequently done together. |
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Healthcare Common Procedure Coding System (HCPCS) |
Procedure codes for Medicare claims |
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Durable Medical Equipment (DME) |
Reusable physical supplies ordered by the provider for home use i.e. walkers, wheelchairs |
