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23 Cards in this Set

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