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Coding Final Review
| Question | Answer |
|---|---|
| HPI must be documented in the medical record by: | The Physician/Provider.Remember the HPI (History of Present Illness) can be coded from the E/M Section. |
| The request for advice or opinion from one physician to another physician is this type of service: | Consultation. |
| What are the divisions of the Surgery Section based on? | Anatomical sites. |
| The surgical package includes: | (1) All routine preoperative, procedure/operative and post operative care.(2) Usual complications requiring a return to the operating room within the global period.(3) Local anesthesia. |
| Following surgery to repair a sliding inguinal hernia, the patient is turned over to his primary care physician for all follow-up care. Which would be the correct code (Modifier) for that follow-up care? | 49525-55 Specifically Modifier 55. |
| Modifier 47 is used for anesthesia services performed under difficult circumstances? | False |
| When a surgery section code has a triangle next to it, the code descriptor is a? | Revised Code |
| CPT means Current Coding Procedure and Terms? | False (Current Procedural Terminology) |
| B+T+M= | The Total Units |
| Modifiers do what? | (1) Provide additional information to third party payers (2) Modify the CPT Code and thereby provide further specificty (3) May be two numbers, two letters, or a letter and a number (4) Are tacked on to the basic five digit CPT code. |
| Unlisted CPT codes are found where? | In the Guidelines. |
| Deleted codes are found by what symbol? | With-in parentheses and > < |
| Global components are what? | The combination of the the Professional and Technical components. |
| RVG is an abbreviation for what? | Relative Value Guide |
| MDM is an abbreviation for what? | Medical Decision Making. |
| E/M is an abbreviation for what? | Evaluation and Managment. |
| B+T+M is an abbreviation for what? | Basic units + Time Units + Modifying Units. |
| Define Unbundling | Assigning multiple CPT codes when ONE CPT code would fully describe the service or procedure. |
| What is the Global Surgery Period? | The period of time following each surgery that is included in the surgery package. It is established by the third party payer and can be referred to as the post-operative surgery period. The global period is usually up to 90 days. |
| What is Coordination of Care? | Coordination of Care is arranging for other health care providers or agencies that may be necessary for the cae of a patient. The PCP usually does this job. |
Created by:
douelt
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