Term
1. list the volumes of the ICD-9- CM |
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Definition
· Volume 1: Tabular List
· Volume 2: Alphabetic Index |
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Term
2. Explain medicare’s definition of medical necessity |
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Definition
· the determination that a service or procedure rendered is reasonable and necessary for the diagnosis or treatment of a illness or injury’s . |
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Term
3. list four settings in which an outpatient is treated. |
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Definition
· Hospital/ ER
· Same day surgery
· Ambulatory
· Doctors office |
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Term
4. what is the difference between a first-listed diagnosis and a principal diagnosis. |
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Definition
first listed diagnosis is used in the outpatient setting and a principal diagnosis is used in an inpatient setting. |
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Term
5. where are V codes located and When are they assigned? |
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Definition
· Located in the Volume 1: tabular list
· Med. care for a reason other than illness or injury, such as annual checkups, immunization |
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Term
6. Where are E codes located and when are they assigned? |
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Definition
· Volume 1: tabular list
· Identify the external causes of injuries and poisoning. car accidents, falls, fires, accidental poisoning of drugs or other substance. |
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Term
7. What is a principal procedure? |
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Definition
· is a procedure performed or definitive treatment rather that diagnostic purposes |
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Term
8. What is the definition of a complication? |
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Definition
· a condition that develops after outpatient care has been provided or during an inpatient admission. |
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Term
9. why are evaluation and management codes located out of sequence at the beginning of CPT? |
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Definition
· because E/M codes are reported by all specialties. |
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Term
10. State the purpose of CPT modifiers |
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Definition
· shows that one or more special circumstance applies to the service or procedure the physician performed. |
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Term
11. to code surgeries properly, what three questions must be asked? |
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Definition
· 1. What body system was involved
· 2. What anatomical site was involved
· 3. What type of procedure was performed |
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Term
12. when coding an excision of a lesion what 3 elements must be known. |
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Definition
· 1. Size of lesion
· 2. Number of lesions
· 3. Benign versus malignant status. |
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Term
13. Briefly explain how to properly code multiple lacerations that are in the same CPT coding classification. |
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Definition
· 1. Add together the lengths for each laceration
· 2. And report the total as a single code. |
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