Medical Coding Flashcards

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1
Q

What is the ICD-10-CM?

A

International classification of diseases

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2
Q

How many characters does the ICD-10 codes have?

A

3-7 characters

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3
Q

What is the breakdown of the ICD-10 codes

A

first character –> alphabetical

second and third character –> numeric

fourth-seventh character –> either alphabetical or numeric

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4
Q

What does the ICD-10 codes translate?

A

Translates patient’s diagnosis into codes

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5
Q

What is the starting point for coding?

A

Alphabetic index

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6
Q

Where do you choose the final code of a diagnosis?

A

Tabular list

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7
Q

What are the ICD-10 Z codes?

A

Codes that are used to translate a person who may or may not be sick encounters health service for some specific purpose (not current injury or illness)

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8
Q

What is the CPT?

A

Current Procedural Terminology

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9
Q

How many digits are the CPT codes?

A

5 digits

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10
Q

What are CPT codes used to do?

A

Used to document procedures and services in outpatient settings

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11
Q

What do modifiers help with?

A

Helps with further describe a procedure code without changing its definition

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12
Q

What are E&M codes?

A

Evaluation and management codes

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13
Q

What is the range of the CPT E&M codes?

A

99202-99499

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14
Q

What does the E&M codes represent?

A

Represents services provided by a physician or other qualified healthcare professional

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15
Q

What is HCPCS?

A

Healthcare Common Procedure Coding

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16
Q

What does the HCPCS represent?

A

Represents non-physician services such as ambulance rides, wheelchairs, walkers, and other durable medical equipment

17
Q

What is a superbill?

A

A routing slip of all the services by the physicians for payment

18
Q

What is downcoding?

A

Reimbursement on a lower code level than submitted

19
Q

What is upcoding?

A

Reimbursement on a higher code level than submitted for a higher fee

20
Q

What is the NPI?

A

National Provider Identifier

  • unique identification number for covered health care providers
  • must be used when using clearinghouses
21
Q
A