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Coding_2

TermDefinition
CPT section guidelines Contain definitions of terms, explanation of notes that appear in that section, and other related information.
CPT unlisted codes Codes that may be used when no existing CPT code describes the procedure performed.
Current Procedural Terminology (CPT) A listing of codes for reporting services and procedures performed by providers and other health care professionals.
Diagnosis Identifying or determining a disease or injury by medical evaluation.
Documentation Written account of all health care services provided to a patient during the health care encounter or admission.
E Codes ICD-9-CM Supplemental Classification of External Causes of Injury and Poisoning; and adverse effects and are used for statistical purposes.
Eponyms A word or name derived from the name of a person.
Health Insurance Portability and Accountability Act (HIPAA) The federal act that sets guidelines for standardizing electronic interchange, exposing fraud and abuse, and protecting privacy and security of health information.
ICD-9-CM HIPAA-mandated code set for all diagnosis codes in all health care settings and inpatient hospital procedure codes.
ICD-9-CM Official Guidelines for Coding and Reporting Guidelines that assist with coding and sequencing instructions in situations when the ICD-9-CM does not provide direction; coding and sequencing instructions in volumes 1,2,and 3 of the ICD-9-CM take precedence over any guidelines.
In Situ Classification for a neoplasm that is localized to the site of origin and has not spread to adjacent tissue or other areas of the body.
Main Terms Words that describe illnesses, injuries, conditions, drugs, and diseases; appear in bold print in the alphabetic index to diseases; can also be abbreviations, eponyms, or acronyms.
Malignant Tissues with uncontrolled growth, also called cancer, that can spread and invade other parts of the body; when referred to in relation to hypertension, malignant refers to severe hypertension (extremely high blood pressure) that runs a rapid course and is
Created by: tina.reynolds