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Medical Assisting > Medical Coding > Flashcards

Medical Coding Flashcards

1
Q

Who maintains the international classification of diseases? (ICD-10-CM)

A

World Health Organization (WHO)

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2
Q

What is the structure of ICD-10 codes?

A

1st = alphabetical
2nd/3rd = numeric
4th-7th = mix of both letters and numbers

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3
Q

What are ICD-10 codes used for?

A

patient’s diagnosis

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4
Q

What are ICD-10-Z codes used for?

A

indicates the presence of a health-related circumstance or problem, which is not necessarily an injury or illness

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5
Q

What is CPT? What is it used for?

A

current procedural terminology
- 5 digit numerical
- documents procedures and services in outpatient settings

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6
Q

What are modifiers used for?

A

help further describe a procedure code without changing its definition

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7
Q

What is the range of codes for evaluation and management?

A

99201-99499

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8
Q

What is the range of codes for anesthesiology?

A

00100-01999
99100-99140

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9
Q

What is the range of codes for surgery?

A

10021-69990

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10
Q

What is the range of codes for radiology?

A

70010-79999

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11
Q

What is the range of codes for pathology and laboratory?

A

80048-89356

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12
Q

What is the range of codes for medicine?

A

90281-99602
99500-99602

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13
Q

What are CPT codes used for?

A

billing procedures

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14
Q

What are evaluation and management codes used for?

A

represent 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 are level 2 HCPCS codes for?

A

represents non-physician services

17
Q

What is downcoding?

A

reimbursement on a lower code level than submitted
- lack of documentation is most common cause

18
Q

What is upcoding?

A

reimbursement on a higher code level than submitted for a higher fee
- fraudulent

19
Q

What is NPI?

A

national provider identifier
- ID number for health care providers

Medical Assisting (51 decks)

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