Coding Manuals Flashcards

(31 cards)

1
Q

CPT manual anatomical pattern

A
  1. Anatomic area
  2. Incision
  3. Excision
  4. Endoscopy
  5. Repair/revision/reconstruction
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2
Q

Add on codes

A

Identified by a plus sign (+) before code, always require a primary code

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3
Q

Current procedural terminology

A

CPT

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4
Q

American medical association (AMA)

A

Maintains CPT codes

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5
Q

CPT code updates

A

Updated annually

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6
Q

Types of CPT codes

A

Evaluation and management (E/M), diagnostic testing, procedures and surgeries

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7
Q

Index

A

Back of the book, starting point for code selection

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8
Q

Verifying codes

A

All codes must be verified in the tabular section

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9
Q

Appendix A

A

Provides modifier descriptions

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10
Q

Appendix B

A

Summary of annual code additions, deletions, and revisions

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11
Q

Appendix F

A

Codes exempt from modifier 63 (procedures on infants smaller than 4 kg)

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12
Q

Appendix L

A

Vascular families

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13
Q

E/M code location

A

Front of book, not in numerical order

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14
Q

Guidelines and parenthetical notes

A

Must be read, appear throughout the manual

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15
Q

Common ICD-10 main terms

A

History (family and personal), encounter (visits related to administrative or supportive services), status/status post (current condition or medical state), transplant (recipient, awaiting transplant)

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16
Q

Other ICD-10 main terms

A

Abnormal, examination, disease/disorder, complication, deficiency, deformity

17
Q

ICD-10 code characters

A

Codes can have 3-7 characters

18
Q

Red symbols in the tabular list

A

Indicate a 4th, 5th, or 7th character is required

19
Q

Placeholder character

20
Q

Laterality

A

ICD-10 code must match CPT code laterality

21
Q

Neoplasm table

A

Includes malignant (primary), malignant (secondary), carcinoma in situ, benign, uncertain behavior, unspecified behavior

22
Q

Verifying ICD-10 codes

A

Codes must be verified in the tabular section

23
Q

ICD-10 manual

A

Contains diagnosis codes only, represents signs, symptoms, and definitive diagnoses

24
Q

ICD-10 guidelines section

A

Located at the front of the book, includes section 1 conventions, general coding guidelines, and chapter specific guidelines

25
Finding ICD-10 codes
1. Index 2. Start with broad main term, narrow using subterms 3. Follow "see" or "see also" instructions 4. Verify in tabular list 5. Read all notes, guidelines, and instructions
26
Table of drugs and chemicals
Used for conditions related to drug or chemical exposure
27
Categories of drugs and chemicals
Poisoning (accidental, intentional, assault, undetermined), adverse effect, underdosing
28
External causes of injury index
Describes how an injury occurred
29
Appendix A - long term drug use (z codes)
Lists z codes for long term drug use (insulin, inhaled steroids etc)
30
Three main coding Manuals
ICD-10-CM, CPT, HCPCS
31
Modifiers
Provide additional clarity about a service