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53 Cards in this Set
- Front
- Back
V- codes |
Used for a visit (physical,well baby..) not for a disease or injury
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Physician stand-by services
99360 |
Coded only when no face-to-face contact or service to patient
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Cytogenetic Studies
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Study of cells for inherited disorders.
Must use Genetic Testing Code Modifiers (Appendix I ) |
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V20.2
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Well Child visit
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Cellulitis coding |
Code location and another code for the organism causing the infection such as staphylococcus
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27130
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Total Hip REplacement
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Pilondial Cyst
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a cyst located at the bottom of the tailbone
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Pressure Ulcer |
Code by location and stage
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Dysplasia
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Abnormal tissue
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Excision of lesions
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There are different codes for Benign lesions and different codes for malignant lesions. READ op notes CAREFULLY
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Fine Needle Aspiration |
Used to take a sample fluid or tissue from a cyst or mass
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Puncture Aspiration
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A needle is used to drain cyst or mass
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Wound Repair Codes are
based on: |
Type- Simple,Intermediate, Complex
Location-Face vs all others (READ CAREFULLY) Size |
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Primary and Secondary wound defect |
Primary defect results from excision
Secondary defect results from creation of flap for closure. Measure together to get proper code |
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Actinic Keratosis
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Premalignant lesion
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Decompression
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Removing scar tissue or bone from an area to relieve pressure on nerves or nerve roots
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E-Codes
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External causes of injury and poisoning. NEVER select an E code as the 1st listed dx code
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Trigger Point Injections
(20552-20553) |
Codes are selected on the number of MUSCLES injected, not on the number of injections performed.
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Vaccination and Injection procedures
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Two codes are required
1. For actual inject/vac procedure 2. For drug or substance injected |
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The 3 Types of measurements used in the Integumentary System
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Length in cm for wound repair |
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Arthrodesis
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A surgical immobilization of a joint which results in a fusion
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Dis-articulation
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The separation of two bones at the joint,either traumatically or by surgical amputation
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Spinal Osteotomy Procedures
(22206-22224) |
coded when a portion of the vertebral segment is cut and removed to prep for re-aligning the spine to correct spinal deformities. |
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24357
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Repair of tennis elbow
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Limiting Charge
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Maximum amount a medicare patient can be billed for a service
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Cast and Strapping Codes
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Used only when cast or strapping is being replaced during follow-up care or as an initial service to stabilize or protect a fracture or sprain
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Replacement Casts
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Two codes are needed:
1. For application of the cast 2. 99070 for cast supplies |
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Pneumonocentesis
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Withdrawal of fluid from the lung
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Pneumothorax |
Air or gas in the pleural cavity
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CABG
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Coronary Artery Bypass Graft
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CPT # number sign means?
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resequenced CPT codes
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CPT Bullet mean?
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new code symbol
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CPT Bullseye means?
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codes that includes moderate (conscious) sedation.
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CPT circle with line means?
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modifier –51 exempt code
modifier –51 cannot be used with these codes. |
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CPT Codes is a effective and efficient communicate to what?
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Inform the third– party of service/ procedure provided, used as a basic of payment.
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CPT Lightning bolt symbol means?
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Codes for which the FDA status pending.
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CPT Plus mean?
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add–on code
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CPT Right and Left triangle mean?
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Beginning and end of a text change
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CPT Triangle mean?
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revised code
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CPT was developed by and what year?
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AMA in 1966
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ICD–9–CM how many volumes it have and what are they?
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Volume 1, Tabular List
Volume 2, Alphabetic List Volume 3, Index and Tabular of Procedure (Hospital Version) |
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Note in the CPT due what and where are they located?
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located throughout CPT and provides instruction pertinent to specific subsections.
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Outpatient Physician (non–hospital) services report on standardized insurance form which is?
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CMS–1500= Health Insurance Claim Form
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Three levels of service codes?
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1. Level 1 CPT
2. Level 2 HCPCS, National Codes 3. Level 3 Local Codes–no longer used. |
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What are Indented codes?
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Dependent on preceding stand–alone code from meaning.
Ex: 10080 Incision and drainage of pilonidal cyst; simple 10081 complicated |
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What are stand–alone codes?
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Full description of the codes
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What are the CPT section?
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Evaluation & Management E/M
Anesthesia Surgery Pathology & Laboratory Medicine |
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What are the Guideline due in the CPT?
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Section– specific information begins each section, provides instruction pertinent to the entire section.
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What are the two type of codes descriptions?
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Stand–alone
Indented |
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What are the types of CPT codes
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Medical
Surgical Diagnostic service Anesthesia Evaluation and Management |
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What does a semicolon (;) mean?
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Description preceding semicolon is the common part of the description and applies to any indented code under it, you must return to the stand–alone for full description
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What does ICD–9–CM stand for?
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International Classification Of Diseases, 9th edition Clinical Modification
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What does the CPT and the ICD–9–CM manual do?
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Translate service/ procedures/ supplies/ drugs into CPT/ HCPCS codes. ICD–9–CM translate diagnosis(es) into codes.
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