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Chapter 28 Coding
Coding
| Term | Definition |
|---|---|
| bundle | things bound together |
| carrier | company that provides insurance |
| comorbididty | a condition that exists along with the primary diagnosis of a patient |
| contributory factors | additional components to be considered when selecting an evaluation and management code |
| Current Procedural Terminology (CPT) | a numerical listing of procedures performed in a medical practice |
| downcoding | practice of a third party payer to change a code to less complex |
| general equivalence mapping (GEMs) | temporary mechanism to link ICD-9 to ICD-10 |
| Healthcare common procedure coding system (HCPCS) | used to report supplies, equipment, and devices provided to patients |
| International Classification of Diseases (ICD) | comprehensive listing of diseases and disorders of the body |
| key components | major factors considered when selecting an evaluation and management code |
| modifier | used to supplement the information or adjust care descriptions of a CPT |
| primary diagnosis | main reason a patient is seen |
| reason rule | refers to the purpose or reason for doing a test or procedure |
| reimbursement | to pay back |
| sequenced | order of sucession |
| specificity | something suited for a given purpose, detailed |
| unbundling | reporting multiple codes for a service when one code could be used |
| upcoding | reporting a higher level code than appropriate |