Term
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Definition
| codes used to report diagnoses, signs, and symptoms of a patient (in America) |
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Term
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Definition
| the conclusion reached about a patient's ailment by thorough review of the patient's history, examination, and review of laboratory data |
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Term
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Definition
| What is the plural of diagnosis? |
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Term
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Definition
| In ICD-9, considered to be the heading of a category of codes |
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Term
False
It should only be used if there is no further subdivision |
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Definition
| T or F: A three digit ICD-9 code should never be used |
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Term
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Definition
| There is a three digit code that has further subdivisions into four-digit codes. Which codes would you use? |
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Term
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Definition
Which codes show the highest division of classification:
a) two digit
b) three digit
c) four digit
d) five digit |
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Term
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Definition
| ICD-9 codes assigned for preventive medicine services and for reasons other than disease or injuries |
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Term
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Definition
| codes used to describe external causes of injury, poisoning, or other adverse reactions affecting the patient's health |
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Term
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Definition
| Preventive medicine for both children and adults is always designated with a ______ code as a diagnosis. |
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Term
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Definition
| T or F: E codes are never used as the primary diagnosis code, only as a secondary code |
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Term
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Definition
| Modifier for unusual procedural service, sugeries for which services are significantly greater than usually required |
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Term
| Concise statement explaining how service differs from the usual, supportive documentation |
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Definition
| What two things need to be included if you use modifier -22? |
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Term
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Definition
| Modifier for unusual anesthesia |
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Term
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Definition
| Modifier for unrelated evaluation and management service by the same physican during a postoperative period |
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Term
| Evaluation and Management |
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Definition
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Term
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Definition
| Modifier for significantly, separately identifiable E&M service by the same physican on the same day of the procedure or other therapeutic service that has a a 0-10 day global period |
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Term
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Definition
| T or F: A separate diagnosis is needed to use modifier -25. |
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Term
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Definition
| Modifier for Professional component |
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Term
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Definition
| Modifier for bilateral procedure |
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Term
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Definition
| T or F: Bilateral services are procedures performed on both sides of the body during the same operative session or on the same day |
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Term
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Definition
| Medicare will approve ____% of the fee-schedule amount for bilateral procedures |
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Term
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Definition
| modifier for multiple procedures, only used internally by carriers |
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Term
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Definition
| Modifier for reduced services |
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Term
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Definition
| If a claim using modifier -52 is submitted electronically, what will the insurer request before processing it? |
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Term
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Definition
| Modifier for discontinued procedure |
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Term
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Definition
| If a claim with modifier -53 is submitted electronically, an insurer will request medical records except if the procedure is an ________ |
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Term
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Definition
| modifier used for surgical care only, where a physician performs the surgical procedure but another does the pre and postoperative care |
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Term
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Definition
| Modifier used for postoperative managemet only |
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Term
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Definition
| Modifier for initial decision for surgery (90-day global period), used on an E&M service the day before or day of surgery to exempt it from the global surgery package |
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