week 3 test Flashcards

1
Q

What is the symbol for new or revised text?

A

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2
Q

What must send when you bill an unlisted procedure code?

A

Special Report

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3
Q

Define separate procedure

A

a procedure unrelated to major procedure

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4
Q

What is included in a a surgical package?

A

operation itself, local anesthesia, & “typical postoperative follow care,” one e/m encounter prior procedure and immediate follow up care included written orders

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5
Q

Define local anestesia

A

as local infiltration, metacarpal/digital block, or topical anesthesia

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6
Q

what dose the global surgery period included?

A

follow up before and after surgery

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7
Q

what is the global period postoperative surgery period for major and minor surgery?

A

major 90 days

minor 10 days

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8
Q

What is the CPT and HCPCS codes used to report supplies or materials?

A

99070

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9
Q

what is the code used to report postoperative follow up care included in global package?

A

99024

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10
Q

how are i & d codes divided?

A

according to the conduction for which the procedure is being performed

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11
Q

when a n excisions is performed, what do the margins refer to?

A

narrowest margen

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12
Q

what type of anesthesia is included with simple closure of excision sites?

A

local anesthesia

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13
Q

what is the basis for coding skin tags?

A

number of tags

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14
Q

how do correctly code local treatment for burns?

A

percentage of body and depth of burn (degree)

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15
Q

autografts

A

grafts taken from the patient body

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16
Q

epidermis

A

outer layer of skin

17
Q

medicare part A

A

hospital insurance

18
Q

Medicare part B

A

Outpatient, supplemental medical insurance

19
Q

Medicare part C

A

medicare advantage plan

20
Q

Medicare part D

A

Prescription Drug benefit

21
Q

fx

A

fracture

22
Q

G, gm

A

gram

23
Q

Grav

A

gravida

24
Q

igA, igD, igE, igG, igM

A

immunoglobins

25
Q

LLL

A

left lower lobe (lungs)

26
Q

meq

A

milliequivelent

27
Q

mmhg

A

millimeters of mercury

28
Q

-plasty

A

repair or construction of

29
Q

-ostomy

A

creation of opening

30
Q

modifier -25

A

separate identifiable e/m by some physician on same day of procedure or other service

31
Q

modifier -58

A

staged procedure

32
Q

what is the responsibility of a coder

A

to ensure that you can accurately and completed to optimize reimburse for service and for classification

33
Q

when the physicians’ fee schedule updated and what is it composed of?

A

composed of RUVs for each service, geographic adjustment factor for regional variation in the cost of operating health care facility and national conversion factiors

34
Q

what is the goal of the physician payment refom

A

decrease medicare expenditure, redistribute physician payment for more equitably, ensure quality health care at a reasonable rate

35
Q

what must a medicare beneficiary pay before medicare make payment for services rendered?

A

premium, deductible, coinsurance

36
Q

special report include?

A

nature, extent, need, time, effort, equipment

37
Q

allograft

A

human donor

38
Q

pinchgraft

A

pig