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75 Cards in this Set
- Front
- Back
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-21
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Prolonged E/M Service
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-T2
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Left Foot, third digit
Level II |
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-55
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Post-Operative Management Only
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-91
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Repeat Clinical diagnostic laboratory test.
Level I Approved for hospital use. |
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-77
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Repeat procedure by another physician.
Level I Approved for hospital use. |
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-81
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Minimum Assistant Surgeon
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-RT
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Right side
Level II |
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-74
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Discontinued outpatient procedure after anesthesia administration.
Level I Approved for hospital use. |
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-79
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Unrelated procedure or service by the same physician during the post-op period.
Level I Approved for hospital use. |
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-CA
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Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission.
Level II |
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-F8
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Right hand, fourth digit (ring finger)
Level II |
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-P3
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A patient with a severe systemic disease.
*Anesthesia Only |
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-62
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Two Surgeons
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-63
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Procedure performed on infants.
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-76
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Repeat procedure by the same physician.
Level I Approved for hospital use. |
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-T4
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left foot, fifth digit
(pinky toe) |
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-66
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Surgical team
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-27
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Multiple outpatient E/M encounters on the same date.
Level I Approved for hospital outpatient use. |
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-58
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Staged or related procedure or service by the same physician during the post-op period.
Level I Approved for hospital outpatient use. |
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-QN
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Ambulance service provided directly by a provider of services.
Level II |
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-QM
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Ambulance service provided under arrangement by a provider of services.
Level II |
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-LD
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Left anterior descending coronary artery.
Level II Hospitals use with codes: 92980-92984 92995 92996 |
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-GH
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Diagnostice mammogram converted form screening mammogram on the same day.
Level II |
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-F1
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Left hand, second digit.
(pointer finger) Level II |
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-22
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Unusual procedural service.
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-P1
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Normal healthy patient.
*Anesthesia only |
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-23
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Unusual anesthesia
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-GA
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Waiver of liability statement on file.
Level II |
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-GG
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Performance and payment of a screening mammogram and a diagnostic mammogram on the same patient, same day.
Level II |
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-26
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Professional component
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-T7
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Right foot, third digit
Level II |
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-78
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Return to the O.R. for a related procedure during the post-op period.
Level I Approved for hospital outpatient use. |
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-T6
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Right foot, second digit
Level II |
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-54
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Surgical care only
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-53
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Discontinued procedure
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-T8
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Right foot, fourth digit
Level II |
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-56
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Pre-Op management only.
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-P5
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A moribund patient who is not expected to survive without the operation.
*Anesthesia only |
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-57
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Decision for surgery.
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-E2
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Lower left eyelid.
Level II |
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-73
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Discontinued outpatient procedure prior to anesthesia administration.
Level I Approved for hospital outpatient use. |
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-LC
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Left cicrcumflex, cornoary artery.
Level II Hospitals use with codes: 92980-92984 92995 92996 |
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-F6
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Right hand, second digit.
(pointer finger) Level II |
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-P6
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A declared brain-dead patient whose organs are being removed for donor purposes.
*Anesthesia only |
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-47
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Anesthesia by surgeon.
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-P4
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A patient with sever systemic disease that is a constant threat to life.
*Anesthesia only |
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-25
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Significant, separately identifialbe E/M service by the same physician on the same day of the procedure or other service.
Level I Approved for hospital outpatient use. |
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-99
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Multiple modifiers
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-E1
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Upper left eyelid
Level II |
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-LT
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Left side
Level II |
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-F9
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Right hand,fifth digit.
(pinky finger) Level II |
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-F3
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Left hand,fourth digit.
(ring finger) Level II |
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-T3
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Left foot,fourth digit.
Level II |
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-80
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Assistant surgeon.
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-E4
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Lower right, eyelid.
Level II |
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-52
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Reduced Services
Level I Approved for hospital outpatient use. |
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-F5
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Right hand, thumb.
Level II |
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-32
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Mandated services
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-24
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Unrelated E/M service by the same physician during a post-op period.
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-50
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Bilateral procedure
Level I Approved for hospital outpatient use. |
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-RC
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Right coronary artery
Level II Hospitals use with codes: 92980-92984 92995 92996 |
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-F7
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Right hand, third digit.
(middle finger) Level II |
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-T1
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Left foot, second digit.
Level II |
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-TA
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Left foot, great toe.
Level II |
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-51
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Mulitple procedures
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-P2
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A patient with mild systemic disease.
*Anesthesia only |
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-90
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Reference(outside)Laboratory
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-82
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Assistant Surgeon (when a qualified resident surgeon is unavailable.)
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-E3
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Upper right, eyelid
Level II |
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-59
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Distinct procedural service.
Level I Approved for hospital outpatient use. |
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-F4
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Left hand, fith digit
(pinky finger) Level II |
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-F2
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Left hand, third digit
(middle finger) Level II |
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-FA
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Left hand, thumb
Level II |
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-T9
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Right Foot, fifth digit
Level II |
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-T5
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Right foot, great toe
Level II |
