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Chapter 28 Coding
Coding
Term | Definition |
---|---|
bundle | things bound together |
carrier | company that provides insurance |
comorbididty | a condition that exists along with the primary diagnosis of a patient |
contributory factors | additional components to be considered when selecting an evaluation and management code |
Current Procedural Terminology (CPT) | a numerical listing of procedures performed in a medical practice |
downcoding | practice of a third party payer to change a code to less complex |
general equivalence mapping (GEMs) | temporary mechanism to link ICD-9 to ICD-10 |
Healthcare common procedure coding system (HCPCS) | used to report supplies, equipment, and devices provided to patients |
International Classification of Diseases (ICD) | comprehensive listing of diseases and disorders of the body |
key components | major factors considered when selecting an evaluation and management code |
modifier | used to supplement the information or adjust care descriptions of a CPT |
primary diagnosis | main reason a patient is seen |
reason rule | refers to the purpose or reason for doing a test or procedure |
reimbursement | to pay back |
sequenced | order of sucession |
specificity | something suited for a given purpose, detailed |
unbundling | reporting multiple codes for a service when one code could be used |
upcoding | reporting a higher level code than appropriate |