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29 Cards in this Set
- Front
- Back
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CPT
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Current Procedure Terminology
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6 Sections
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1. E/M
2. Anesthesia 3. Surgery 4. Radiology 5. Pathology & Laboratory 6. Medicine |
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Guidlines are located.....
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CPT---located in the front of each section
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Codes can be found in CPT by...
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Procedure, eponym, condition, and anatomical site
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Hyphen---
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indicates a range of codes
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Comma,,,,
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separates individual codes
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Semi-colon;;;
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where the wording stops for the indented codes
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Plus+++
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add on code
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Parenthesis ()()()
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parenthetical information
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Appendix
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between Alpha & Numeric
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Appendix A
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Modifiers
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Appendix C
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Clinical examples
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Hospitals use.......
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ICD-9-CM volume III for their procedure codes
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3 Key Components
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1. Location
2. Relationship 3. Complexity/time |
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Evaluation & Management
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The section that includes codes for face-to-face time spent with patients
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Anesthesia
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The section that includes codes for services for administering anesthetics
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Surgery
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The section that includes codes for surgical procedures
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Radiology
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The section that includes codes for X-rays, nuclear medicine, and diagnostic ultrasound
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Pathology & Laboratory
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The section that includes codes for lab tests and analysis
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Medicine
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The section that includes codes for other medical services
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Location
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where the provider met with the patient
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New patient
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A person who has not received any professional service from this provider within the past three years
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Established patient
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A person who has received professional services from this provider within the past three years
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Complexity
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the measure of how complicated the issue is
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Levels of patient history
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the amount of detail involved in the documentation of patient history
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Level of physical exams
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the extent of the patient's body systems investigated during the encounter
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Medical Decision Making (MDM)
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the description of how difficult it was for the provider to decide what to do next
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Modifier
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a code added to a CPT code to provide more detail or an explanation of an unusual circumstance affecting a service
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Mutually exclusive codes
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two codes that are not permitted to be placed on the same claim form
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