H.I.T
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Help!
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| how are ICD-9-CM & ICD-10-CM the same? | they both classify morbidity & mortality, indexing hosp. records, reporting diagnosis by physicians
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| how many volumes are in ICD-9-CM? | 3, vol 1- tabular list of diseases & injuries. vol 2- alphabetic index to diseases & injuries. vol 3- classification for procedures for reporting hosp. procedures
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| in vol 1, what are the chapters divided into? | sections. sections are groups of 3 digit code numbers
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| categories | are a group of closely related conditions, or a single disease entity
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| sub-category level of specificity | is a 4 digit code number
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| what are the 2 supplementary classifications in vol 1? | V codes & E codes
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| V codes | codes used to classify visits when circumstances other than disease or injury are the reason for the appointment. specific to ICD-9-CM
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| when a person is not currently sick goes to a health care professional for a specific reason | V code
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| when a person goes to a health care professional for a specific treatment related to a known disease or injury | V code
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| when a problem influences a person's health status but is not a current injury or illness | V code
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| E codes | are used to classify environmental events, circumstances, & conditions, such as the cause of injury, poisoning & other adverse events. specific to ICD-9-CM
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| why are E codes important? | they provide additional info to ins comps, safety programs, & public health agencies
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| how is ICD-10-CM improving? | improving the accuracy of coding, expanded injury codes, updated med term
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| similarities between ICD- 9-CM & ICD-10-CM? | both use a 3 digits before the decimal, both include subcategory & subclassification codes after the decimal
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| differences between ICD-9-CM & ICD-10-CM? | the codes provide more info, 1st character is a letter, followed by digits, characters 3-7 can be numbers or letters
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| ICD-9-CM code: 250.41 | 250= Diabetes mellitus
250.4 = Diabetes w/ renal manifestations
250.41 =Diabetes w/ renal manifestations, type 1, not stated as uncontrolled
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| ICD-10-CM code: E10.21 | E10.2= Type 1 diabetes mellitus w/ kidney complications
E10.21= Type 1 diabetes mellitus w/ diabetic nephropathy
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| what vol 3 ICD-9-CM used for? | facility coding procedures & they are made up of 3 to 4 digits
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| ICD-10-PCS | codes are made up of 7 digits using numbers & 24 letters
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| how many sections are procedures divided into? | 16 sections related to whether it is a medical, surgical, imaging, or other kind of procedure
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| 1 | section of the ICD-10-PCS system where the code is indexed
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| 2 | the body system
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| 3 | root operation, such as excision or incision
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| 4 | specific body part
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| 5 | approach used
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| 6 | device used to perform the procedure
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| 7 | qualifier to provide additional info about the procedure (diagnostic vs. therapeutic)
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| HCPCS | is a group of codes and descriptors used to represent health care procedures, supplies, products, and services
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| how many levels are HCPCS divided into? | two levels: le
el I and II
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| level I | is the Current Procedure Terminology ( CPT-4) codes, which are maintained by the American Medical Association
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| level II codes | were established to report services, supplies, & procedures not represented in CPT codes (CMS)
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| CPT | is a uniform code that accurately describes and reports medical, surgical, and diagnostic services and procedures
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| who uses CPT codes for hosp. inpt and outpt services and for those performed in other facilities | physician
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| appendix A | has a complete list of modifiers and their descriptions
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| appendix B | is a summary of the additions, deletions, and revisions that have been put into use in the current CPT edition
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| appendix C | has clinical examples for codes in the evaluation and management section of the CPT book
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| appendix D | is a listing of CPT add-on codes
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| appendix E | is a summary of CPT codes that are exempt from modifier 51
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| appendix F | is a summary of CPT codes that are exempt from modifier 63
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| appendix G | has codes that include conscious/moderate sedation
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| appendix H | is an alphabetic index of performance measures by clinical conditions or type but was removed from CPT
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| appendix I | has genetic testing code modifiers used for reporting with lab procedures related to genetic testing
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| appendix J | includes a list of sensory, motor, and mixed nerves that are useful for nerve conduction studies
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| appendix K | lists procedures included in the CPT codebook that are not yet approved by the FDA
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| appendix L | is a reference of the vascular families, including which are considered first-, second-, and third-order vessels
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| appendix M | shows a table of deleted CPT codes and crosswalks to current codes
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| appendix N | is a listing of codes that have been resequenced
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| does HCPCS allow modifiers? | yes
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| coronal, frontal | dividing the body into front and back
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| transverse | dividing the body into top and bottom
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| sagittal | dividing the body into right and left
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| medial | middle of the body
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| lateral | pertaining to the side
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| inferior | below
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| superior | above
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| anterior, ventral | front
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| posterior, dorsal | back
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| distal | away from
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| proximal | near
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| digestive system | is responsible for ingesting and digesting food, absorbing nutrients and eliminating waste
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| respiratory system | responsible for delivering oxygenated blood to all parts of the body
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| musculoskeletal system | gives the human body form stability and enables movement
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| integumentary system | regulates body temp, acts as a sensory receptor to internal and external stimuli, excretes waste from the body through sweat, and absorbs vitamin D and calcium from sunlight to nourish the body
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| cardiovascular system | deliver nutrients and oxygen to every cell within the body and removes waste products
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| circulatory & lymphatic systems | responsible for the overall balance of the body system functions
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| urinary system | aids in the process of secreting & eliminating urine
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| endocrine system | glands that produces & secretes hormones
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| nervous system | consists of the central nervous system (CNS) and the peripheral system (PNS)
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| reproductive system | humans reproduce
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