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AAPC chapter 18

Patho and Laboratory

QuestionAnswer
Clinical laboratory improvement amendments: (CLIA) establishes quality standard for all ____ testing. lab
ICD codes for lab or patho services: reason for the ____ must be reported. Common reasons: screening, s/s, previous _____ findings, current disease, personal or familty history. order, abnormal
If pts test returns a more ____ diagnosis than was known at time it was ordered: the findings of the test are ___ rather than the reason test was ordered. specific, coded
Always code to highest degree of certainty and never code "possible," "rule out" or "exclusion" diagnosis, instead code ____. s/s
To code non-specific abnormal finding: start with ICD-10 alphabetical index under _____ inconclusive, w/o diagnosis, under main term- Abnormal. abnormal
Z codes to describe reason for a test/study, or the _____, when results are negative or normal. outcome
Panels of tests often ordered together: these codes are used whenever all the _____ tests listed under the panel heading are performed whether the panel is described with the same _____ or not. specific, title
Panels of tests: if one or more of the tests listed isn't performed the panel code may ____ be used and the specific test _____ be coded separately. not, must
Drugs that can be toxic if levels get too high and need regular monitoring: these tests are _____ drug essays. therapeutic
Evocative/suppression testing: how well endocrine ____ are funtioning. Performed after evocative/suppression agent administered. glands
Clinical Pathology consults: Codes reported when the complexity of the clinical problem, the ____ of pts med record that's reviewed and the level of descision making. May also be based on ____ time spend on the date of consultation. amount, total
Clinical Pathology consults: criteria must be met for these codes: the consult must be ______. The service must require the interpretive judgement of pathologist. The tests reviewed must be outside the clinically significant _____ range. requested, normal
Molecular pathology: report these codes by how the test is _____ to determine the result. performed
Molecular pathology: when microdissection done prior to cell _____, codes reported separately. Report Tier 2 codes when procedures not listed in Teir 1 codes. Modifier 26 when doctor provides an ______ and report. lysis, interpretation
Cholesterol: direct measurement should not be used to report calculated LDL, direct measurement of LDL in addition to _____ cholesterol code. total
Hematology and coagulation: if additional related procedures are neccessary to confirm the result after a test is performed, these are _____ part of the ordered test and not reported separately. considered
Immunology: most codes are quantative or semi quantitative and describe multistep processes. If there's no ______code to describe it then use a more generic code. Multiple X's for each _____ tested. specific, substance
Microbiology: use modifier ____ when same lab test is performed on multiple specimens or sites. 59
Anatomic pathology: post mortem/autopsies. With or w/o _____ exam. CNS
In situ hybridization (ISH): marker for certain _____. cancers
If abnormal cells in 2 or more specimens are morphologically ____ and testing on one specimen by one method establishes the diagnosis don't report the other method on the ____ similiar specimen. similiar, same
Proprietary lab analysis: ___ digits followed by letter "U" 4
HCPCS: codes begining with ____ are lab and pathology services. P
Technical component of any test includes the ____ of preparing and running th test, the equipment and supplies used. The professional component: is the _____ of results. work, interpretation
If service is done in physicians office and with interpretation: bill the test code w/o a _____. modifier
Modifier 90: an office or facility bills for test performed at an _____ reference lab. outside
Modifier ____: repeat diagnostic test was needed. 90
Modifier 92: using special, single use _____ equipment or kit. transportable
Modifier QW: indicaes a CLIA waived test. Required for _____ claims. Medicare
Created by: mlovest
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