coding and DX class
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | current procedural terminology - CPT
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| show | evaluation and management - E/M
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| a list of which pairs of CPT codes cannot be used with each other | show 🗑
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| show | international classification of diseases - ICD
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| an insurance company's listing of which ICD codes are acceptable as reasons for conducting a CPT procedure, therefore determining which procedures are medically necessary. | show 🗑
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| a list of the relative value of each CPT procedure | show 🗑
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| a list of relative values for hospital charges for outpatient services, meant to reduce costs. | show 🗑
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| show | diagnosis related groups - DRGs
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| show | category 1
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| in this CPT category physicians use these 4 digit codes + the letter F, to indicate that certain recognized quality services have been performed. these codes identify performance measures for data collection and quality control. | show 🗑
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| show | category 3
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| if a category 3, CPT code is used often enough it can be changed to a category 1. | show 🗑
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| show | modifier code
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| show | -26 or 09926 (professional component)
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| show | -TC
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| an EEG procedure coded without a -26 or a -TC modifier is called____ and actually includes both the professional and technical components. | show 🗑
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| show | -51 or 09551
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| show | -52 or 09952
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| this modifier is used when a procedure is stopped on ends early due to patient medical issues. | show 🗑
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| show | -59 or 09959
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| what are the 3 family's E/M codes come in? | show 🗑
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| in the E/M code family of new patient office visits, this would include what set of patients? | show 🗑
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| show | who are referred by a physician requesting an opinion.
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| show | who are using both primary physician and consultants.
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| show | 3
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| show | one,
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| this level of the hospital subsequent day family of codes us the the code ____ and is for a patient with one continuing problem that is uncontrolled and requires new physician order for tests or treatments to evaluate or manage the problem that day. | show 🗑
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| show | three
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| show | unbundling
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| NCCI _____ coding simultaneously for both the broader procedure and the included piece by piece procedures within that broader procedure. | show 🗑
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| show | centers for medicare and medicaid system - CMS
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| show | ICD-10-CM
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| show | relative value units - RVU's
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| show | 1. physician work
2. practice expense
3. malpractice
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| show | relative value update committee - RUC
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| show | time, difficulty, stressfulness
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| the payment to the physician is clculated by multiplying the procedure RVU's by ? | show 🗑
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