Aapc: Chapter 6- Introduction To Cpt, Surgery Guidelines, Hcpcs, & Modifiers

Front 1

add-on code

Back 1

CPT code used to report a supplemental or additional procedure appended to a primary procedure code

Front 2

diagnosis pointer field

Back 2

a field on the medical claim form (CMS 1500) that relates the line item to the diagnosis on the base claim

Front 3

global package

Back 3

the period & services provided for a surgery inclusive of preoperative visits, intraoperative services, post-surgical complications, postoperative visits, post-surgical pain management by the surgeon, & several miscellaneous services

Front 4

global surgery status indicator

Back 4

an assigned indicator which determines classification for a minor or major surgery, based on RVU calculations

Front 5

locum tenens

Back 5

substitute physician who takes over the professional practice of a physician who is absent for reasons such as illness, pregnancy, vacation, or continuing medical education

Front 6

major surgery

Back 6

surgeries that have a global surgical period that includes the day before the surgery, the day of the surgery, & any related follow-up visits with/by the physician 90 days after the procedure

Front 7

minor surgery

Back 7

surgeries that have a global surgical period that includes the preoperative service the day of the surgery, surgery, & any related follow-up visits with/by the physician 0-10 days after the surgery

Front 8

Resource-Based Relative Value Scale

Back 8

physician payment schedule established by Medicare

Front 9

Relative Value Units

Back 9

a national payment schedule based upon the resources used in furnishing physician services

Front 10

National Correct Coding Initiative

Back 10

used by professional coders to determine codes considered by CMS to be bundled codes for procedures & services deemed necessary to accomplish a major procedure

Front 11

Healthcare Common Procedure Coding System

Back 11

national procedure code set for healthcare practitioners, providers, & medical equipment suppliers when filing insurance claims for medical devices, medications, transportation services, & other items & services