Coding Flashcards
When is ICD updated?
A. April 1st
B. November 1st
C. October 1st
A. April 1st & C. October 1st
CPT and ICD are updated when?
A. Weekly
B. Annually
C. Monthly
B. Annually
Used to detail the patient’s diagnosis or reason for the service
A. ICD-10 codes
B. HCPCS codes
C. CPT codes
ICD-10 codes
Used to describe the procedures and services provided to the patient
A. CPT and HCPCS
B. Procedural codes
C. CPT codes
CPT and HCPCS
HCPCS is updated when?
A. Monthly
B. Weekly
C. Annually
C. Annually
Alphanumeric codes that represent non physician services, equipment, and supplies not covered by CPT
A. HCPCS level II
B. HCPCS LEVEL l
C. HCPCS level lll
A. HCPCS level II
Consists of AMA’s CPT codes
A. HCPCS level l
B. HCPCS level ll
C. CPT category ll
HCPCS level I
Used in U.S. hospitals for inpatient procedures
For inpatient surgical and invasive diagnostic procedures
A. ICD-10-PCS (procedure coding system)
B. ICD-10-CM
C. CPT Codes
ICD-10-PCS (procedure coding system)
Used in all U.S. healthcare settings to code and classify morbidity data
For diagnoses for conditions, illnesses, injuries, and health statuses
A. ICD-10-CM (clinical modification)
B. ICD-10-PCS (procedural coding system)
C. ICD codes
ICD-10-CM (clinical modification)
CPT codes are updated when?
A. Annually
B. Monthly
C. Weekly
A. Annually
Temporary codes for emerging technologies, services, and procedures
A. Temporary codes
B. HCPCS
C. CPT category II
CPT category II
Supplemental tacking codes used for performance management
A. CPT category lll
B. CPT category l
C. CPT category ll
CPT category II
Codes for widely used procedures and services, organized by body system or procedure type
A. CPT category l
B. ICD-10
C. CPT codes
CPT category I
Include CPT codes
A. ICD-10 codes
B. HCPCS level l
C. HCPCS codes
HCPCS level I
Codes cover services and procedures not included in CPT such as ambulance services and durable medical equipment. Plays a significant role in billing medicare and medicaid. For medications, supplies, and services not included in CPT
A. Healthcare common procedure coding system (HCPCS)
B. CPT
C. ICD
Healthcare common procedure coding system (HCPCS)
Can be: diseases, conditions, eponyms.
Are not, however, parts of the body. For instance, if a patient has been diagnosed with a rash on the face, the main term will be rash, not face.
A. Essential modifiers
B. Nonessential modifiers
C. Main terms
Main terms
Must be added to increase the level of specificity
Are found in volume 2 indented under the main term. They modify the main term by describing the site of a diagnosis, its cause, or its specific type. For instance, think again of the rash. Once rash is located as a main term, essential modifiers are, as the name suggests, required. If a main term has any essential modifiers underneath it, insurance carriers will not accept the code without a modifier.
The claim will be returned.
A. CPT
B. Essential modifiers
C. HCPCS
Essential modifiers
Can provide alternate terms or further specificity are found in volume 2. They appear in parentheses directly after the main term. These modifiers may give alternate terminology or help to add specificity, but they are not necessary for code selection.
A. Modifiers
B. Essential modifiers
C. Nonessential modifiers
Nonessential modifiers
The ICD-10-CM manual is divided into two volumes:
Volume 1 - Tabular Index: Volume 1 is a list of diagnostic codes in numeric order.
Volume 2 - Alphabetic Index: Volume 2 is an alphabetic listing of all known diagnoses.
There are two different sets of ICD-10 codes, CM and PCS. The PCS coding system is not used in the medical office as it is only used for reporting inpatient hospital procedures. Outpatient medical coding only requires the use of the first two volumes of ICD-10-CM.
A. Volumes of the ICD
B. ICD codes
C. Coding
Volumes of the ICD
Is divided into 21 sections - by anatomic system or type of condition
A. ICD-10-CM volume ll
B. CPT category l
C. ICD-10-CM volume l
ICD-10-CM volume 1
Can also be main terms - is a disease, procedure, or syndrome named after a person. - ex. Crohn’s Disease, diagnosed by Dr. Burrill Bernard Crohn in 1932
A. Main terms
B. Codes
C. Eponyms
Eponyms
Can be added to increase the specificity of essential modifiers will appear indented underneath essential modifiers. Each qualifier increases specificity. They should be used if they more accurately describe the diagnosis. Before assigning a code, assistants should read through all qualifiers. They are not required if they do not apply.
A. Qualifiers
B. Main terms
C. Essential modifiers
Qualifiers
Volume 2 of the ICD-10-CM lists all known diagnoses. The main term refers to the most general term in a diagnosis.
Divided into 3 sections
A. ICD-10-CM volume ll (comes first)
B. ICD-10-PCS
C. ICD-10- CM volume l
ICD-10-CM volume 2 (comes first)
This system is used to code diagnoses, symptoms, and procedures related to patient care.
A. ICD
B. CPT
C. HCPCS
ICD
Represent the specific actions, such as tests, surgeries, or treatments that were taken in response to diagnosis.
CPT (current procedural terminology) published by the AMA
HCPCS (healthcare common procedural coding system) published by the CMS
A. Procedural codes
B. CPT category ll
C. Qualifiers
Procedural codes
Provides diagnostic, therapeutic, and surgical codes for all the services that medical staff may perform. For encounters, services, and procedures.
A. ICD-10-PCS
B. Current Procedural Terminology (CPT)
C. Main terms
Current Procedural Terminology (CPT)
Are used to record patients’ diagnoses and treatments
Can be diagnostic or procedural
A. Codes
B. Qualifiers
C. CPT codes
Codes
