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Medical Coding Review Questions

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
In what part of the medical record would a physician write a note when the chart is already complete or after the procedure is completed?   show
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show AHA, AHIMA, IMCHS, CMS  
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show APC - Ambulatory Payment Classification  
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What is ABN?   show
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show Grouper  
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Treatment for Genital Herpes?   show
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What is Data Structure?   show
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What is coded if they did catheterization of the First, Second & Third order?   show
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show Cases requiring more resources than usual or those who stay in the hospital longer than the average LOS (Length of Stay).  
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How to code incomplete procedure in CPT (Current Procedural Terminology)?   show
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show Temporary codes for emerging procedure & codes for professional services with no CPT codes yet.  
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When can you code Late Effect first?   show
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Factors affecting DRG   show
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show The condition established after study to be the main reason for admission  
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What are J codes?   show
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show Hepatitis B  
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What is Case Mix Index (CMI)?   show
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What bones are involved in Epicondylar Fracture?   show
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Treatment for Hypothyroidism.   show
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show modifier-73  
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show Gout  
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show Emergency Medical Treatment & Labor Act- All emergency cases must be treated at the ER even if the patient is not financially capable.  
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What takes precedence in the convention in coding or guidelines?   show
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show Codes that are used to document conditions with no actual disease.  
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Terms Synonymous with Open Fracture.   show
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What is Mutually Exclusive Edit?   show
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Types of Endoscopy   show
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What condition is associated with Epstein-Barr virus (EBV)?   show
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What is Non-Excisional Debridement?   show
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What is Excisional Debridement?   show
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What is being treated if a patient is receiving Potassium?   show
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show Pravachol  
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show 1.) Free Skin Graft 2.) Split Thickness 3.) Full Thickness  
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Skin graft from another human being (or cadaver)   show
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show The Manifestation Code  
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show CMS- Center for Medicare & Medicaid Services  
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Adjacent tissue transfer (includes excision of the lesion)   show
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What condition is associated with high PSA (Prostate-Specific Antigen)?   show
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show Inguinal, Umbilical, Femoral, Hiatal or Diaphragmatic Hernia, Incisional or Ventral.  
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show Fracture caused by repetition trauma  
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What is the principal diagnosis if a patient is admitted for an HIV related condition?   show
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A screening colonoscopy was performed which showed the presence of diverticulitis. How is this coded?   show
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When is the 5th digit 0 NOT used   show
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What is Blood Transfusion Hepatitis   show
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What is Endoscopy   show
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show Hyponatremia (Low-Sodium/Sodium Deficiency)  
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Who maintains the CPT book   show
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The 'TERM ENCOUNTER' is applicable to what setting?   show
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What is a Complicated Wound   show
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How to code Incomplete Procedure in ICD-9   show
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What do you call the series of terms in parenthesis () following the main term   show
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What condition is associated with elevated HBNP (Human Brain Natriuretic Peptide)   show
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show CPK-MB (Creatine Phosphokinase-MB) & Troponin  
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What are M codes   show
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show Middle ear  
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Symbol for Revised Text   show
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What are the KEY factors/components of E & M (Evaluation & Management)?   show
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show Coders ID, number of charts coded, Time Frame  
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What is a Significant Procedure   show
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show Lasix, Lanoxin, Digoxin  
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show Aplastic anemia  
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show Tibia & Fibula (ankle)  
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show The unrelated condition  
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What is the meaning of DRG creep or Up-code (fraud)   show
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show Postpartum > after birth extending to 6 weeks  
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show Operative Report  
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Test for Syphilis   show
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show With modifier-50  
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show Medial, Lateral & Patelo-Femoral  
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show Complexity of the population of patients or types of patients treated  
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Physician performs a permanent single chamber pacemaker, how many codes are used   show
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What is Benchmarking   show
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show Chronological list of those who access the EHR (Electronic Health Record) &/or the EMR (Electronic Medical Record)  
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What is SNOMED   show
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What is OSHPD   show
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If a Fracture is NOT stated as Open or Closed, how is the fracture coded   show
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How can access to the network be controlled   show
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Basis for the HCPCS (Healthcare Common Procedure Coding System) Level II Modifiers   show
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Treatment for gout   show
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Term for Full Thickness removal of skin lesion   show
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Up to when is the Perinatal period   show
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show Patient transferred to home health within 3-5 days after discharge  
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Skin graft from the patient himself   show
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What is a Separate Procedure   show
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What diagnosis is an indication for EPS (Eiectrophysiological Study)   show
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What type of Hernia Repair requires additional code for the mesh   show
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show BPH & Pneumonia  
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Patient underwent tonsillectomy as outpatient. After the procedure, the patient had post-operative hemorrhage & was admitted. Code-in correct sequence   show
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What condition is associated with elevated ammonia in the blood   show
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show 2 Excision codes with modifier-51 on the last  
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show Codes used to identify the cause of injury, poisoning and other adverse effects  
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show The Poisoning Code  
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Modifier to be used if submitting 2 codes, one of which is a part of the other procedure & is not coded unless done in a separate session or a different excision site.   show
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show Asthma, Cataract  
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show CRTP (Cardiac Resynchronization Therapy Pacemaker)  
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Test for Hepatitis B   show
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How would you code Italicized Codes   show
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What hospital department is involved in EMTALA   show
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Test for level of anticoagulant   show
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show It includes pre-operative, operative & post operative care services  
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Treatment for Thrush or Oral Candidiasis/Candida   show
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show Fracture of the bone due to weakness of the bone because of bone disease such as osteoporosis/ or cancer of the bone as in multiple myeloma  
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What is Spontaneous Fracture   show
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show Procedure done for definitive treatment (not for diagnostic or exploratory purposes)  
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show Diabetes Mellitus Type II  
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What is a Skin graft taken from a different species ex. PIG (non-human)   show
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What is Unbundling   show
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show Y  
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show Audit & Monitoring  
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show Six weeks after delivery  
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show Partial excision or surgical removal of tumor, done if cancer is unresectable. It is a surgical removal or part of a malignant tumor which cannot be completely excised, so as to enhance the effectiveness of radiation or chemotherapy  
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show Hepatitis A  
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What condition is associated with high TSH (Thyroid-Stimulating Hormone)   show
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show Surgical ONLY  
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show The unrelated condition  
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show Prostatectomy  
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show When it is: 1.) Single intrauterine live-born 2.) Vaginal delivery 3.) Full term (37-40 weeks) 4.) Cephalic presentation 5.) Episiotomy or anesthesia 6.) No complication 7.) Artificial Rupture of Membrane (AROM)  
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In what instances the acute respiratory failure is NOT the principal diagnosis   show
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show Code exempted from surgical package & includes only one service or limited services  
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show Hypothyroidism  
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Patient was admitted with chest pain due to unstable angina & CAD (Coronary Artery Disease)-Code in correct sequence   show
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show Query the physician whether it is an excision or incision  
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show modifier-51  
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show When patient care requires: 1.) Clinical evaluation 2.) Therapeutic treatment 3.) Diagnostic procedure 4.) Extended length of hospital stay 5.) Increased nursing care or monitoring  
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Symbol for a Revised code   show
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2 ways of coding Excisional Biopsy   show
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show : K-Dur  
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In Aspergillosis Pneumonia what is the first listed code   show
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What is the purpose of a physician query   show
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show modifier-27  
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show Ending in 99  
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show Signed consent of release of medical information  
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Who allows insurance companies to transfer patient's information to another facility without patient's consent   show
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show Code TWICE  
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Symbol for a New code   show
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Who investigates coding fraud   show
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show Upper part  
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What is UHDDS   show
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show Dehydration  
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show Pregnancy  
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What is the treatment for Pneumonia (community acquired)   show
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What is the treatment for osteoporosis   show
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show Heparin or Coumadin  
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show Helicobacter Pylori  
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Cholecystectomy without CDE (CholeDochoEnterostomy) & with MCC (Migrating Motor Complex), which will impact the DRG (Diagnosis Related Group)   show
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What is the meaning of Anemia   show
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show Up-coding or DRG creep (Example: coder codes urosepsis as sepsis without documentation  
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show Late Effect  
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How would you code admission for hypertrophy of tonsil, had post operative hemorrhage   show
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Anemia's white blood cells fight what   show
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What is the definition of Relative Weight   show
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What is the Surgical Hierarchy   show
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show Appendicitis  
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show CRT-P (Cardiac Resynchronization Therapy Pacemaker)  
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show Encoder  
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show PPP (Patient Personal Privacy)  
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Who handles or manages patient's health information records   show
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What is the term for Destruction of lesion   show
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What does excision include   show
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show HIPAA (Health Insurance Portability and Accountability Act)  
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Name for Central Data Repository   show
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show AHA (American Hospital Association)  
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show AMA (American Medical Association)  
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Who administers the HCPCS (Healthcare Common Procedure Coding System) level II   show
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show Same anatomic group & same classification of repair  
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show Transaminase  
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show Musculo-Skeletal Injury (refers to damage of muscular or skeletal systems); Rhabdomyolysis (severe muscle breakdown)  
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Which will carry the most impact on DRG after 6 days upon discharge of the patient from the hospital   show
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show Review & re-code  
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show Check if already coded, code if not  
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show Diagnosis did not match procedure  
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show Diagnosis  
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show A medical problem that occurs during a disease, or after a procedure or treatment or a condition after admission  
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What is ALOS   show
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show Partial hospitalization  
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show Laboratory  
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show Ambulatory Patient Group- it "consolidates", "packages" and "discounts" a facility's payment for outpatient services, providers may experience decreased reimbursement for the same services when compared with the existing outpatient payment methodologies  
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show Acute Tubular Necrosis- is usually caused by a lack of oxygen to the kidney tissues (ischemia of the kidneys). It may also occur if the kidney cells are damaged by a poison or harmful substance  
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show A pre-existing condition or co-occurring with a primary disease or disorder  
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show Hospital Acquired Condition- is an undesirable situation or condition that affects a patient that arose during a stay in a hospital or medical facility  
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show Major Diagnostic Category- is formed by dividing all possible principal diagnoses (from ICD-9-CM) into 25 mutually exclusive diagnosis areas  
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show Total Abdominal Hysterectomy- is the removal of the uterus and cervix through an abdominal incision  
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show Transient Ischemic Attack- often labeled "mini-stroke," it is more accurately characterized as a "warning stroke/' a warning you should take very seriously. It is caused by a clo  
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What is EPS   show
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show A removal of specimen that is sent to pathology to see if there are malignant possibilities  
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What is the name of the biopsy that is performed with a definitive procedure   show
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The patient has no add on his cart, his claim was denied. Why?   show
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show In the Alphabetical Index  
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show Partial  
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Cardiac Resynchronization Therapy Pacemaker would go to a...   show
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show High dollar chart/ high paid chart  
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What are 2 types of Nissen Fundoplasty   show
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show Mandatory Compliance Training  
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show Both are paid under the Prospective Payment System  
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show DRG (Diagnosis-Related Group)  
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How do you code an outpatient rule-out   show
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show Poisoning  
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What is the purpose of the network   show
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show Fracture  
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show Late Effect  
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When a fracture is caused by a disease, how does this need to be coded   show
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show Low-Potassium/Potassium Deficeincy  
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show Low-Calcium  
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What do you do when you discover a breach in email confidentiality or unauthorized access of medical records   show
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show Sign in & out  
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How often do you change the pass-code in the system   show
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How documentation can be improved   show
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show A discharge is a situation where a patient is released from care. A transfer is a situation in which a patient is admitted to another inpatient for related care same day.  
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Is it an adverse effect or poisoning if the patient developed a reaction after synergistic effect from drug   show
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TIA (Transient Ischemic Attack) vs. Stroke   show
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Which of the following is used for external Data storage   show
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show Face To Face time  
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How do you code a diabetic patient with Nephropathy   show
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The physician documents Urosepsis due to E. Coli. The coder used this as Septicemia due to E. Coli. What is this called   show
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Excision of brain via Craniotomy   show
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What kind of Mastectomy includes excision/removal of the major pectoral muscles of the breast   show
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Sphincter of body   show
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show Patient who has hallucinations due to alcohol intake (severe form)  
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Which of the following will be coded as primary Angina or CKD   show
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show Add cheek & code simply separately (2 codes)  
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show CCI stands for National Correct Coding Initiative. In 1994, the Health Care Financing Administration (HCFA) awarded a contract to AdminaStar Federal, the Indiana Medicare carrier, to define correct coding practices that would serve as the basis for nation  
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What Enzymes are elevated in Acute Pancreatitis   show
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What type of Streptococcus resistant to Vancomycin in Enterococcus   show
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What is considered a flap rotation on skin   show
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show Xigris  
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show Query the physician  
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What is DRG optimization (legal)   show
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What are the 3 factors included in Case Mix   show
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show ELISA (Enzyme-Linked Immunosorbent Assay)  
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show Pancreas  
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show Case Resources  
🗑
show Federal Compliance Agreement  
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Sponge was left inside after surgery who to notify   show
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What is QIO   show
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show PEPPER- Program for Evaluating Payment Patterns Electronic Repor  
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In the event that the Operative Report is missing on the discharge chart, where do you look next   show
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show E&M  
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What CPT Code starts in 69   show
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What is Coding Policies and Procedures   show
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show Lotensin, Lopressor, Norvasec  
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What is the law that requires no authorization from the patient   show
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Benign type of Neoplasm/Tumor   show
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show Carcinoma  
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Other term for secondary site   show
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What is MDS   show
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The 3 words that defines the contrasting diagnosis   show
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show Inpatient: Code ALL of this: Ruled out, Probable, confirmed and Un-confirmed Outpatient: ONLY code Confirmed  
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Treatment for Atrial Fibrillation   show
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show Medical Record  
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An interventional radiology bill for common angioplasty has not been paid by the insurance company. What could be the reason for the denial   show
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APC Encounter   show
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show Medicare and Medicaid  
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show To list and define a set of common, uniform data elements. It provides uniformity and comparability in hospital discharge data  
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show Encoder Software  
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show Destruction by Ablation  
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A code that is enclosed in a Brackets [] in the index is an indication of   show
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show Polypectomy, Myomectomy, and Endometrial Ablation  
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What kind of infections are Aspergillosis, Candidiasis etc   show
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A procedure given as bilateral and only 1 side was performed   show
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show Risk Analysis  
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DRG & APC groupers are part of an encoding system in w/c of the following settings   show
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Which of the following is NOT a factor of CMI   show
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What is the keyword to find EGD & lleoscopy   show
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What is an Open Incisional Hernia   show
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show Outpatient  
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show ICD-9 Official Guidelines for Coding and Reporting  
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show Episiotomy  
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The Pt. is admitted with CAD & unstable Angina. Pt. underwent PTCA & insertion of Stent. Which of the following procedure performed would optimize the DRG   show
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show When the catheter didn't go through the lesion  
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show Screening  
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show Counseling  
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Early signs of CHF include   show
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What are the diagnoses that will impact the DRG for Cholycystectomy   show
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A hospital needs to bill $25,000 to $28,000 in account. Which one will you code first   show
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show CT-Scan Vertebra  
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What is the purpose of EHR   show
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show Proventil or Atrovent  
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An example of Steroids for COPD & Allergy   show
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show TSH  
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show Full Graft of adjacent tissue  
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show Acute Inpatient Hospitals, Home Health Agencies, Hospice, Hospital Outpatient, Inpatient Psychiatric Facilities, Inpatient Rehabilitation Facilities, Long-Term Care Hospitals, and Skilled Nursing Facilities  
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show modifier-51  
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Modifier for discontinued procedure after administration of Anesthesia   show
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What are some different types of services documented in medical record   show
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What is an Operative Report   show
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show Place of Service codes Relationship codes  
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When will ICD-10-CM be effective   show
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Who enforces HIPAA Privacy and Security Rules   show
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3 volumes of ICD-9   show
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show V-codes E-codes  
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What is an Abortion   show
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show Spontaneous Induced Missed Threatened  
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4 additional contributory components of an Evaluation and Management code which are   show
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Code this when there is a decubitus X- ray, diagnostic thoracentesis, or chest-tube drainage   show
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What are the Diagnostic Descriptors that are listed in Italics   show
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It is the assignment of numbers and sometimes letters to Diagnosis and Procedures. It is also the process of translating or identifying this written or dictated medical record into a series of numeric or alpha-numeric codes   show
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The most common organs affected by Diabetes Mellitus   show
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Types of Diabetes   show
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show First degree (erythema) Second degree (blistering) Third degree (full-thickness involvement)  
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Types of Infection   show
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2 Main Conditions that make-up COPD   show
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show Tobacco smoke Dust Chemical fumes Air pollution  
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show Arteriolosclerosis Atherosclerosis Ateriolosclerosis Obliterans Medial calcific sclerosis  
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Major cause of Ischemia of the Heart, Brain and Extremities   show
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show Unstable Angina Angina Pectoris  
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Types of Infarction   show
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show Cerebral Infarction Cerebral Hemorrhage Arteriovenous Malformation of Brain  
🗑
show Treatment Reduction Stabilization  
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It is an internal fixation device that is NOT necessarily require direct exposure at fracture site, accomplished by gaining access to the bone through an incision   show
🗑
show The International Classification of Diseases, Ninth Revision, Clinical Modification- is the official system of assigning codes to diagnoses and procedures associated with hospital utilization. It was designed for statistical reporting and used to code and  
🗑
show Classification of Diseases and Injuries Supplementary Classification Appendices  
🗑
show Main Term Subterm Carryover Lines  
🗑
3 Conditions that are always presumed to be due to Diabetes even without cause and effect relationship unless there is a stated cause   show
🗑
show En block Resection Debulking Resection Local Excision  
🗑
show Systolic heart failure Diastolic heart failure  
🗑
Anti-Anginal Medications   show
🗑
show Non-Q-Wave Non-ST-Elevation Non-transmural  
🗑
Effects of CHF   show
🗑
What disposition affects MSDRG   show
🗑
show Current Condition Affecting Pregnancy  
🗑
Compressive Fracture of the lumbar spine due to osteoporosis   show
🗑
show 644.21 - Early onset of delivery  
🗑
Colonoscopy with biopsy of the transverse colon & polypectomy of the recto-sigmoid with snare   show
🗑
show 285.9  
🗑
What Auxiliary procedure is coded in CABG   show
🗑
show 650 & V27.0  
🗑
Auto Immune Hemolytic Anemia (always choose over cold/warm type)   show
🗑
Exploratory laparotomy with appendectomy & drainage of abscess of appendix   show
🗑
CPT code for TURP (Transurethral Resection of Prostate)   show
🗑
CPT code for PTCA with insertion of coronary stent   show
🗑
CPT code for PTCA   show
🗑
What is the code for Decompensated COPD (Chronic Obstructive Pulmonary Disease)   show
🗑
CPT code for Total abdominal hysterectomy with or without salpingo-oophorectomy   show
🗑
Intertrochanteric Fracture of the femur due to multiple myeloma   show
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Code for anemia due to blood loss   show
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Code for removal of skin tags 17 lesions   show
🗑
How to code renal calculus with Hematuria & Renal Colic   show
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CPT code for Laparascopic Nissen Fundoplasty or Fundoplication   show
🗑
show 77057  
🗑
show V08  
🗑
show 54.11 & 47.19  
🗑
Positive Serology for AIDS in a 7 month old baby   show
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How to code destruction pre-malignant lesion of skin by cryosurgery or cryotherapy   show
🗑
show 58558  
🗑
CPT code for Colonoscopy with biopsy transverse colon polyp & polypectomy descending colon polyp by snare   show
🗑
What is the CPT code for angiography of the aortic arch & bilateral common carotid arteries   show
🗑
How to code fracture of the bone due to multiple myeloma or osteoporosis   show
🗑
show Poisoning code 980.0 & 980.9  
🗑
show 44376 Small intestinal endoscopy  
🗑
show 45385 (1 code only = 2 procedures on same (one) site)  
🗑
CPT code for treatment of non-union fibula   show
🗑
What is the CPT code for recurrent incisional hernia with mesh   show
🗑
What is the code for Amphetamine & Heroin dependency   show
🗑
CPT code for Destruction of pre-malignant lesion by cryotherapy -16 lesions   show
🗑
show 43239  
🗑
CPT code for Destruction of pre-malignant lesion by cryotherapy- 3 lesions   show
🗑
What is the code for a seizure on Dilantin   show
🗑
What is the code for Anemia due to CKD   show
🗑
show 250.40 & 285.9  
🗑
show 628.8 & 614.4  
🗑
show Admission for Chemotherapy V58.ll  
🗑
What is the code for BIPAP? (Bi-level Positive Airway Pressure)   show
🗑
What are the 3 Ethmoidectomy codes   show
🗑
show Polypectomy 45385 & Biopsy 45380 -59  
🗑
show Mesh 49568 (Implantation of material)  
🗑
show 303.00 means that the patient has been admitted intoxicated (drunk) 303.90 means that.... is alcohol dependent  
🗑
show 29980  
🗑
COPD with exacerbation of Asthma   show
🗑
show 28296  
🗑
show V58.63, V58.61, 427.31  
🗑
CPT Code for EGD with Percutaneous Gastrostomy   show
🗑
show 81.51, 81.51 (Code TWICE)  
🗑
Code for Anemia due to blood loss   show
🗑
Code for contusion and laceration of Eyebrow   show
🗑
show 49520  
🗑
show 29881 & 29877-59  
🗑
show 15002 & 15110  
🗑
CPT code for Destruction lumbar nerve by radio frequency ablation L2, L3 & L3   show
🗑
show 64479 64480  
🗑
Pr code for TURP with incision of bladder neck   show
🗑
show 427.89  
🗑
show 37.26  
🗑
show V58.83 V58.61 427.31  
🗑
Code for Respiratory failure and coma after ingestion of alcohol   show
🗑
show 600.01 596.0  
🗑
show 60.29 57.91  
🗑
Diagnosis: Code for BPH (Benign Prostatic Hypertrophy) with bladder neck obstruction   show
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Procedure: Code for TURP and incisions of the bladder neck   show
🗑
show 780.39  
🗑
show 345.90  
🗑
Procedure Code for Explaratory Laparotomy with Liver biopsy   show
🗑
Patient with ESRD and Diabetes came in for Catheter replacement and underwent Hemodialysis   show
🗑
Code for TIA vs Stroke   show
🗑
show 402.91 428.0  
🗑
CPT code for Repair of Incisional hernia with prosthesis   show
🗑
show 27726  
🗑
show 19000  
🗑
show 52234  
🗑
CPT code for benign forehead 2X3 cm and excision of benign lesion of the cheek 2X4 cm; both repaired by layered closure   show
🗑
show 66172  
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Code for Interstitial Lung Disease   show
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Code for Explaratory Laparotomy with liver biopsy   show
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show 19303  
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Created by: hrodil
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