Study Guide Flashcards
When an anesthesia was administered to a patient during a surgical procedure but the procedure was discontinued, what anesthesia modifier is applied to the anesthesia code?
53
When a participating physician _____ on the claim form, the insurance claim is sent directly to the physician.
Accepts assignment
To determine the correct diagnosis to assign to a procedure, what must be understood?
Medical necessity for code linkage
What type of report can be helpful in the claim tracking process?
Insurance Aging Report.
What do parentheses “()” represent in the ICD-10-CM manual?
Non-Essential Modifiers
How is the CPT radiology section organized?
By anatomical location
Which diagnosis is sequenced first in the inpatient setting?
Principal
What is included in the surgical service package?
Preoperative visit one day prior to surgery, care on the day of surgery, postoperative visits within the global period
Which type of managed care plan has the least flexibility?
HMO
A patient is diagnosed with pneumothorax, which is a(n) _____.
Collapsed lung
ICD-10-CM Coding compliance includes accurate transformation of _____ into numbers.
Diagnoses
