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23 Cards in this Set
- Front
- Back
What does the CPT and the ICD-9-CM manual do?
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Translate service/ procedures/ supplies/ drugs into CPT/ HCPCS codes. ICD-9-CM translate diagnosis(es) into codes.
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Three levels of service codes?
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1. Level 1 CPT
2. Level 2 HCPCS, National Codes 3. Level 3 Local Codes-no longer used. |
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What does ICD-9-CM stand for?
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International Classification Of Diseases, 9th edition Clinical Modification
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ICD-9-CM how many volumes it have and what are they?
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Volume 1, Tabular List
Volume 2, Alphabetic List Volume 3, Index and Tabular of Procedure (Hospital Version) |
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CPT was developed by and what year?
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AMA in 1966
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What are the types of CPT codes
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Medical
Surgical Diagnostic service Anesthesia Evaluation and Management |
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CPT Codes is a effective and efficient communicate to what?
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Inform the third- party of service/ procedure provided, used as a basic of payment.
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Outpatient Physician (non-hospital) services report on standardized insurance form which is?
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CMS-1500= Health Insurance Claim Form
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CPT Bullet mean?
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new code symbol
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CPT Triangle mean?
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revised code
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CPT Right and Left triangle mean?
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Beginning and end of a text change
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CPT Plus mean?
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add-on code
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CPT circle with line means?
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modifier -51 exempt code
modifier -51 cannot be used with these codes. |
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CPT Bullseye means?
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codes that includes moderate (conscious) sedation.
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CPT Lightning bolt symbol means?
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Codes for which the FDA status pending.
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CPT # number sign means?
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resequenced CPT codes
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What are the CPT section?
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Evaluation & Management E/M
Anesthesia Surgery Pathology & Laboratory Medicine |
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What are the Guideline due in the CPT?
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Section- specific information begins each section, provides instruction pertinent to the entire section.
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Note in the CPT due what and where are they located?
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located throughout CPT and provides instruction pertinent to specific subsections.
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What are the two type of codes descriptions?
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Stand-alone
Indented |
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What are stand-alone codes?
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Full description of the codes
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What are Indented codes?
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Dependent on preceding stand-alone code from meaning.
Ex: 10080 Incision and drainage of pilonidal cyst; simple 10081 complicated |
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What does a semicolon (;) mean?
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Description preceding semicolon is the common part of the description and applies to any indented code under it, you must return to the stand-alone for full description
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