Cynthia Crabtree Flashcards
learn chapter 3 key terms (27 cards)
assigned letters, numbers, or a combination of both used to report procedures, services, supplies, durable medical equipment, and diagnoses
Codes
3-5 numeric (except E and V codes) digits used to report diagnoses, signs, and symptoms of a patient’s illness or disease
ICD-9-CM
used exclusively in ICD-9 for conditions and factors influencing a patient’s health and subsequent care with a health services agency
V codes
used exclusively in ICD-9 to explain causes of patient injuries and poisonings
E codes
3-7 alphanumeric digits used to report diagnoses, signs and symptoms of a patient’s illness or disease
ICD-10-CM
a form listing CPT, HCPCS, and ICD-10 codes used to record services performed for the patient and the patient’s diagnoses(es) for a given visit
superbill
5 digit numeric codes used to report services and procedures. These are level I codes under HCPCS
CPT
5 digit alphanumeric coding system used to report procedures, services, supplies, medicine, and durable medical equipment. Comprised of CPT (level I) and national (level II) codes
HCPCS
a 2-character alphabetic, numeric, or alphanumeric descriptor used to signify that a procedure or service has been altered by an unusual or specific circumstance, although the code itself has not changed. Additional use includes referencing a specific body site
modifier
a 2-character numeric descriptor used only with CPT codes
CPT modifier
a formal examination of an individual’s or organization’s accounts
audit
5 digit alphanumeric codes used to identify categories not included in HCPCS level I codes. These codes are considered level II codes
HCPCS national codes
a 2-character alphabetic or alphanumeric descriptor used with both CPT level I and level II national codes
HCPCS modifier
location where service was provided to a patient. This information is used for billing purposes
POS
the coding manual that includes E and M codes (99201-99499) is the ? manual
CPT
A durable medical equipment code is called a ? or ? code
HCPCS or level II
5-digit numeric codes are called ? codes
CPT or level I
a modifier is a ? character ?, ?, or ? descriptor
2 character alphabetic, numeric, alphanumeric
service or procedure with technical component
service or procedure with professional component
service or procedure performed by > 1 provider
service or procedure increased or reduced
only part of service was performed
an additional services was performed
a bilateral procedure was performed > once
referencing a specific body site
unusual events occurred
when modifiers are used
2 types of modifiers
CPT and HCPCS
the ? modifier can be used with either a CPT or a national code
HCPCS
Codes used to report a diagnosis
ICD-9-CM and ICD-10-CM
which volume of the ICD-9-CM manual is listed alphabetically
volume 2 index to diseases
codes used to report external causes of injury
E codes
