Help
Options
Term
The bull's eye symbol means
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Term
guidelines define terms and explain the assignment of codes for
Remaining cards (32)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Chapter 7
| Term | Definition |
|---|---|
| The bull's eye symbol means | a procedure includes moderate conscious sedation |
| guidelines define terms and explain the assignment of codes for | procedures/services located in a particular section of the CPT manual |
| procedures/services listed on a claim must be linked to | the ICD-9-Cm (diagnostic) code that justifies the need for the service or procedure |
| modifier -57 would be assigned when | the reported E/M service resulted in the initial decision to perform surgery |
| appendix E contains | a complete list codes that are modifier -51 exempt |
| physician services rendered in office, home, hospital, consultations and other medical services are | listed in the E/M section of the manual |
| category l codes are procedures/services that are identified by | a 5 digit CPT code and descriptor nomenclature (these are codes traditionally associated with the CPT and organized within six sections). |
| pertinent information relates to... | nature, extent, and need |
| you will not find a star as a symbol in the CPT manual. However you will find the following: | triangle, gullet, and horizontal triangles |
| descriptive qualifier clarifies the assignment of a | CPT code |
| category lll codes contain | "emergency technology" temporary codes assigned for data collection |
| Modifiers are two digit | numeric codes |
| The following are some of the sections found in the CPT manual: | Medicine, Pathology and Laboratory, Radiology |
| E/M codes represent services most often provided by | physicians |
| Modifier -25 would be assigned when | a documented E/M services was performed on the same day as another significant, separately identifiable E/M service. |
| Medicine codes describe | specialty services |
| An established patient | has been seen by the physician in the last three years |
| Concurrent care - | services provided by more than one physician on the same day |
| Anesthesia time unit - | 15min. increments |
| Preventative medicine = | routine exams or risk management |
| Unlisted service - | E/M service with no CPT code |
| Key Components = | history, exam and medical decision-making |
| Special report is used with an | unlisted service |
| CPT -4 stands for | Current Procedural Terminology, 4th edition |
| AMA complies the information in the | CPT -4 manual |
| The CPT manual has three distinct categories: | Category l codes Category ll codes Category lll codes |
| Category l codes - | made up of six sections; codes contain five numbers; each section has its own set of guidelines |
| Category ll codes - | contain a set of codes used for performance measurement; made up of four numbers followed by the letter "F"; they are optional and cannot be substituted for category l codes |
| Category lll codes - | temporary codes used for emerging technology; made up of four numbers followed by the letter "T"; if Category lll codes is available, you must use it rather than Category l "unlisted" |
| CPT 4 manual has 14 | appendices |
| Physical Status (P1-P6) is use by | anesthesia providers |
| POS = | place of service codes |
| The six sections in Category l are: | 1. E/M - called the "99" codes for short 2. Anesthesiology 3. Surgery 4. Radiology 5. Pathology & Laboratory 6. Medicine (except anesthesiology) |
Created by:
KOS28