Coding Flashcards
Which of the following manuals is used for diagnostic coding?
ICD-10-CM
Which of the following represents the reason for a patient visit?
A code that represents the reason for a pt. visit.
Which of the following best describes a procedural code?
A code that represents the service performed by the physician.
Which of the following organizations publishes the CPT manual?
The American Medical Association (AMA)
1830
International List of Causes of Death reported data on causes of death and documented diseases classified by anatomical location around the world
1893
Bertillon Classification of Causes of Death later became known as International Classification of Causes of Death used as the standard in North merica until the mid-twentieth century.
1948
World Health Organization (WHO) published reports on disease and causes of death in the International Classification of Disease. This document was used to index hospital records, categorizing them for medical research.
1977
The US began using the International Classification of Disease to code medical records acording to diagnoses. This allowed diseases to be classified and studied.
1979
Classification was modified for medical billing and insurance claims, and is used in the medical office today. The International Classification of Disease, 10th Edition, Clinical Modification, or ICD-10-CM
2015
ICD code set is updated periodically to reflect changes in medicine and clinical practice. On October 1, 2015, the code was updated to the ICD-10 code set.
In what year did CPT codes become a part of the HCPCS coding system?
1983
ICD
International Classification of Diseases are published by the United States Department of Health and Human Services, and is supervised on an international level by the United Nations World Health Organization
A12.3456
ICD code set
- used in the medical office to provide diagnostic codes
- The ICD-10-CM code set is 3-7 charcters long and each code starts with a letter, and then a three character code before a decimal point
- represented by the first three characters
CPT Codes
Current Procedural Terminology, provides diagnostic, therapeutic, and surgical codes for all services that medical staff may perform. The CPT codes were added as a part of HCPCS code set, and sometimes referred to as a Level 1 HCPCS code.
-used to report procedure performed and used for reimbursement
-five numbers long and doctors can add a modifier
12345-12
HCPCS
maintaned by the Centers for Medicare and Medicaid Services (CMS). Requires use of HCPCS codes and its claims, and only accepts CPT codes when there is no HCPCS code that is available. HCPCS codes known as Level II odes represent a variety of medical services, supplies, drugs, and durable medical equipment not found in CPT codes.
-Required for reporting of all Medicare Part B claims
In which coding system would a MA find codes for durable medical equipment?
HCPCS
Which set of codes was adopted as a part of the HCPCS coding system?
CPT
What two reasons do medical offices use ICD, CPT, and HCPCS for coding?
- to keep statistical data within an office
- to communicate with insurance carriers
Why is coding used in the medical office?
- to keep statistical data
- to communicate with insurance carriers
What is the purpose of modifiers?
To further specify the codes