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Biling and Coding
Chap. 6-8
| Question | Answer |
|---|---|
| A condition that occurs as the result of another condition for which the codes are always reported as secondary codes | manifestation |
| a patient who has not been seen by a physician or a physician in the same group/specialty within the past three years is what type of patient | new patient |
| a three character ICD-10-CM category code that has no further subdivision is an ___________code | stand-alone |
| a triangle located to the left of a code number identifies a code description that has been ________ | revised |
| a two-digit number that is appended toa code that explains special circumstances; does not change the meaning of the code but it clarifies and alters | modifier |
| According to Medicare, if it is possible that scheduled tests, services, or procedures may be found medically unnecessary, the patient sign an ______ which acknowledges the patient is responsible for payment if Medicare denies the claim. | Advance Beneficiary Notice (ABN) |
| An alpha index of anatomic sites for which there are six possible ICD-10-CM code numbers according to the status of the condition such as malignant primary or benign | Table of Neoplasms |
| Codes that have an applicable seventh character are considered _______without the seventh character. | invalid |
| Procedures and services submitted on a claim must be linked to the ______ that justifies the need for the services and procedures. | ICD-10-CM code |
| Punctuation is used after an incomplete term/phrase in the ICD-10-CM index and tabular list when one or more modifiers is needed to assign a code | colon |
| The __________ of an Evaluation and Management service refers to the kind of health care services provided to patients | Type of service (TOS) |
| The ICD-10-CM index typically uses an __________ format for ease in reference | alphabetic index |
| The subterm "due to" is located in the ICD-10-CM index in alphabetical order below a main term to indicate presence of what type of relationship between two conditions? | cause and effect |
| these appear throughout the CPT sections to clarify the assignment of codes | instructional notes |
| this is when one doctor refers a patient to a specialist to advise them on a specific problem of diagnosis with a patient | referral |
| to save space in CPT, what code is listed below main description and requires the coder to refer back to main description for a complete description of code | indented code |
| what is the section called in which define terms and explain the assignment of codes for procedures and services in a particular section of CPT? | guidelines |
| What type of care happens when a hospital inpatient is seen by multiple providers on the same day? | concurrent care |
| What type of services are provided at an intermediate care facility, long-term care, or psychiatric facility? | nursing facility services |
| when a doctor sends patient to another doctor and doesn't schedule the appointment | referral |
| doctor arranges for a patient to receive services from other providers or agencies | coordination of care |
| when an etiology and manifestation combination of codes exist, ICD-10-CM tab list manifestation code contains what kind of note? | use additional code |
| which punctuation is used in ICD-10-CM index and tabular list to enclose nonessential modifiers | parentheses |
| which section of CPT has the services most frequently used by physicians | Evaluation and Management |
| which symbol identifies codes that are not to be used with -51 | forbidden symbols |
| which term describes symptoms or conditions that result from another disease | consequences |
Created by:
aslayton