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Week 5 Quiz
Question | Answer |
---|---|
Manual containing descriptive terms and identifying codes for reporting procedures | CPT-4 (Current Procedural Terminology) |
Code books are updated how often? | Annually |
Codes used by physicians for reporting key categories of their services are | E & M codes (Etiology & Management) |
Key Components of E&M Codes | History, Examination, Medical decision making |
Factors | Place of Service, Type of Service, Patient Status |
Codes that contain full descriptions of the procedure and need no additional modifiers are called | Stand Alone Codes |
What is the first step in identifying a CPT code | Identify the procedure or service to be coded |
What is the first step in identifying an ICD-9 code? | Identify the main term |
The time the provider spends in direct contact with a patient is called | Face-to-Face time |
What are manifestations? | Signs & Symptoms of a disease |
Who uses principle diagnosis? | Hospitals and Institutional Facilities |
Who used the primary diagnosis? | Physicians and Outptient Clinics |
Codes representing external causes of injury and poisoning (can indicate place of occurence) | E Codes |
Where is the alphabetic listing located in the ICD-9 book? | In Volume 2 in the front half of the manual, before Vol. 1 |
What does it mean to diagnose? | Determining the nature of the cause of disease, distinguishing one disease from another |
How many digits are the codes in the ICD-9? | 3-5 |
What is eponymn? | A disease, procedure, syndrome, named for the person who discovered it |
What is the manual for coding diagnosis? | International Classification of Disease, 9th revision, Clinical Modification |
What is morbidity? | The presence of illness of disease |
What is mortality? | The deaths that occur from illness or disease |
What is the series of questions a provider asks to identify the body parts involved? | ROS (Review of Sysytems) |
What is the transferring of verbal descriptions of a diagnosis into numbers or a combination of alphnumeric characters? | Coding |
What is the deciding factor when insurance campanies pay cliams? | Medical Necessity |
Why is Hypertention? | High Blood Pressure |
What is the CPT-4 manual for? | Reporting medical codes for procedures |
What are V-Codes? | When a patient isn't sick. |
What is a chief complaint? | The primary symptom that a patient states as the reason for seeking medical care |
Levels of Service New Patient | Level 1:Problem Focused(10) Level 2:Expanded Problem Focused(20) Level 3:Detailed History(30) Level 4:Comprehensive History(45) Level 5:Comprehensive(60) |
Levels of Service Established Patient | Level 1:Problem Focused History(10) Level 2:Expanded Probelm Focused (15) Level 3:Detailed History (25) Level 4:Comprehensive (40) |
Time as a factor | Only if 50% of the time (or more) is used for counseling |
How are the Volumes arranged in the ICD-9? | Volume 2, Volume 1, V-Codes, E-Codes |