Coding Final Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| 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.
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| The request for advice or opinion from one physician to another physician is this type of service: | Consultation.
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| What are the divisions of the Surgery Section based on? | Anatomical sites.
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| 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.
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| 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.
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| Modifier 47 is used for anesthesia services performed under difficult circumstances? | False
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| When a surgery section code has a triangle next to it, the code descriptor is a? | Revised Code
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| CPT means Current Coding Procedure and Terms? | False (Current Procedural Terminology)
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| B+T+M= | The Total Units
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| 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.
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| Unlisted CPT codes are found where? | In the Guidelines.
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| Deleted codes are found by what symbol? | With-in parentheses and > <
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| Global components are what? | The combination of the the Professional and Technical components.
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| RVG is an abbreviation for what? | Relative Value Guide
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| MDM is an abbreviation for what? | Medical Decision Making.
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| E/M is an abbreviation for what? | Evaluation and Managment.
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| B+T+M is an abbreviation for what? | Basic units + Time Units + Modifying Units.
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| Define Unbundling | Assigning multiple CPT codes when ONE CPT code would fully describe the service or procedure.
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| 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.
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| 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.
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