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Billing Coding
| Question | Answer |
|---|---|
| ICD-10 | Diagnosis code |
| ICD stands for | International Classification of Diseases |
| How many Characters | 3-7 |
| First character is a | Letter |
| First 3 character | category |
| Category | Illness, Disease, Condition |
| Last 4 character | Subcategory |
| Volume 1 | Tabular Numeric |
| Volume 2 | Alphabetic |
| Volume 3 | Hospitals |
| Order of looking up a code | First Alphabetic then Tabular |
| E Code | Error or injury, Broken bone, Accident |
| M Code | Morphology (mole, Lesion, Pimple) |
| V Code | Condition/circumstances that require clinical attention but not related to mental health disorders |
| Z Code | health status factors and reasons for healthcare visits |
| Symbol for placeholder (normally in the 5 spot) | X |
| To file a claim | CMS-1500 |
| Part A | Hospital |
| Part B | Provider(Medical) |
| Medicare | Federal funding and coverage |
| Medicaid | State funding and allocated |
| CMS-1500 Parts | 3 |
| CMS-1500 form block | 33 |
| CMS-1500 part 1 | demographic of Patient |
| CMS-1500 part 2 | Diagnosis |
| CMS-1500 part 3 | NPI |
| NPI | National provider Identification number |
| Dirty claim is | If provider makes a mistake |
| Dingy claim | If insurance makes the mistake |
| Held Claim | Claim held up from processing |
| CPT | Current Procedural terminoly |
| CPT codes have how many characters | 5 |
| CPT has how many sections | 6 |
| CPT has how many indexes | 13 |
| E&M | Evaluation and Management |
| Encounter Form | Form that shows the details of the visit |
| E&M Codes are listed from | 99202-99499 |
| Adding 2 digits to a CPT code is a | Modifier |
| Doing the same procedure multiple time us a | Add-on code |
| (.) | New Procedure |
| (*) | Surgery |
| (Triangle) | Change |
| (Facing Triangles) | Change at beginning and end |
| (>) | CPT Assist |
| (+) | Add-on |
| (o with line through it) | Awaiting FDA approval |
| HCPCS | Healthcare Common Procedure Coding System |
| DME | Duriable medical equipment |
| HCPCS | Starts with letter and 5 characters long |
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