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Medical Coding Review Questions

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Question
Answer
In what part of the medical record would a physician write a note when the chart is already complete or after the procedure is completed?   show
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show AHA, AHIMA, IMCHS, CMS  
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Reimbursement system for the outpatient   show
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show Advance Beneficiary Notice- Also known as "Waiver of Liability". It is a written notice given to the patient prior to the procedure or before receiving services notifying patient that if the insurance denies or does not pay, the patient has to pay.  
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What software computes the DRG (Diagnosis-Related Group)?   show
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show Acyclovir or Zovirax  
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What is Data Structure?   show
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show Third/3rd ONLY  
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show Cases requiring more resources than usual or those who stay in the hospital longer than the average LOS (Length of Stay).  
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show Code as done with modifier-52 (reduced services)  
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show Temporary codes for emerging procedure & codes for professional services with no CPT codes yet.  
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show When followed by a manifestation code.  
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Factors affecting DRG   show
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What is the definition of Principal Diagnosis?   show
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What are J codes?   show
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show Hepatitis B  
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show Represents the Average Diagnosis-Related Group (DRG) relative weight for the hospital  
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What bones are involved in Epicondylar Fracture?   show
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Treatment for Hypothyroidism.   show
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show modifier-73  
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show Gout  
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What is EMTALA?   show
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show Convention in Coding Books & Instructions.  
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show Codes that are used to document conditions with no actual disease.  
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show Compound fracture, missile, gunshot, puncture, infected or foreign body.  
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show Submission of two codes (procedures) which are improbable or cannot reasonably be performed at the same session.  
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Types of Endoscopy   show
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show Infectious Mononucleosis  
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show Debridement using water, gauze or a blunt instrument > non-surgical (including sharp debridement  
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What is Excisional Debridement?   show
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show Hypokalemia (Low-Potassium/Potassium Deficiency)  
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Treatment for high LDL cholesterol (Low-density Lipoprotein) & low HDL (High-density Lipoprotein) cholesterol?   show
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Types of Skin Grafts   show
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show Allograft  
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In Adverse Effect of drug, what is the principal diagnosis?   show
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show CMS- Center for Medicare & Medicaid Services  
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Adjacent tissue transfer (includes excision of the lesion)   show
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show Cancer of the Prostate (BPH- Benign Prostatic Hyperplasia)  
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show Inguinal, Umbilical, Femoral, Hiatal or Diaphragmatic Hernia, Incisional or Ventral.  
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show Fracture caused by repetition trauma  
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show 042 AIDS  
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show Screening colonoscopy, diverticulosis  
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When is the 5th digit 0 NOT used   show
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show Hepatitis C  
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What is Endoscopy   show
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What condition is associated with SIADH (Syndrome of Inappropriate Antidiuretic Hormone)?   show
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Who maintains the CPT book   show
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The 'TERM ENCOUNTER' is applicable to what setting?   show
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What is a Complicated Wound   show
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show Code up to the extent of the procedure  
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What do you call the series of terms in parenthesis () following the main term   show
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show CHF (Congestive Heart Failure)  
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show CPK-MB (Creatine Phosphokinase-MB) & Troponin  
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What are M codes   show
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Organ involved in Ossicular chain reconstruction   show
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Symbol for Revised Text   show
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What are the KEY factors/components of E & M (Evaluation & Management)?   show
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show Coders ID, number of charts coded, Time Frame  
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show Define as one that is surgical in nature, carries a procedural/surgical risk or anesthetic risk or requires specialized training  
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Treatment for CHF (Congestive Heart Failure)   show
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What is anemia due to bone marrow failure   show
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show Tibia & Fibula (ankle)  
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What is the principal diagnosis if a patient with AIDS (Acquired Immune Deficiency Syndrome) is admitted for an unrelated condition   show
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show Coding of diagnosis or procedure which is not present or not documented in order to increase the DRG  
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show Postpartum > after birth extending to 6 weeks  
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show Operative Report  
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show Wassermann or VDRL (Venereal Disease Research Laboratory)  
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How to code Bilateral Procedure in CPT   show
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show Medial, Lateral & Patelo-Femoral  
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show Complexity of the population of patients or types of patients treated  
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Physician performs a permanent single chamber pacemaker, how many codes are used   show
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What is Benchmarking   show
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show Chronological list of those who access the EHR (Electronic Health Record) &/or the EMR (Electronic Medical Record)  
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What is SNOMED   show
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show Office of Statewide Health Planning and Development- Provide the State with an enhanced understanding of the structure and function of its healthcare delivery systems  
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show Closed  
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show Identification, Authorization, Authentication  
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show Anatomical site  
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Treatment for gout   show
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show Excision  
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Up to when is the Perinatal period   show
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show Patient transferred to home health within 3-5 days after discharge  
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Skin graft from the patient himself   show
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show Part of a comprehensive procedure  
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What diagnosis is an indication for EPS (Eiectrophysiological Study)   show
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What type of Hernia Repair requires additional code for the mesh   show
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show BPH & Pneumonia  
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Patient underwent tonsillectomy as outpatient. After the procedure, the patient had post-operative hemorrhage & was admitted. Code-in correct sequence   show
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What condition is associated with elevated ammonia in the blood   show
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If the physician excised 2 lesions with 1 incision how is this coded   show
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show Codes used to identify the cause of injury, poisoning and other adverse effects  
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show The Poisoning Code  
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Modifier to be used if submitting 2 codes, one of which is a part of the other procedure & is not coded unless done in a separate session or a different excision site.   show
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show Asthma, Cataract  
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show CRTP (Cardiac Resynchronization Therapy Pacemaker)  
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Test for Hepatitis B   show
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How would you code Italicized Codes   show
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show Risk management-HIM & Compliance Dept  
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Test for level of anticoagulant   show
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show It includes pre-operative, operative & post operative care services  
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Treatment for Thrush or Oral Candidiasis/Candida   show
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show Fracture of the bone due to weakness of the bone because of bone disease such as osteoporosis/ or cancer of the bone as in multiple myeloma  
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What is Spontaneous Fracture   show
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What is Principal Procedure   show
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show Diabetes Mellitus Type II  
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show Xenograft  
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show Submission of 2 codes: one of which is a component of the comprehensive code  
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show Y  
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How would you improve the function and check the performance of the Medical Records   show
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Up to when is the Postpartum period   show
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show Partial excision or surgical removal of tumor, done if cancer is unresectable. It is a surgical removal or part of a malignant tumor which cannot be completely excised, so as to enhance the effectiveness of radiation or chemotherapy  
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show Hepatitis A  
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show Hypothyroidism  
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show Surgical ONLY  
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What is the principal diagnosis if a patient with AIDS is admitted for an unrelated condition   show
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show Prostatectomy  
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show When it is: 1.) Single intrauterine live-born 2.) Vaginal delivery 3.) Full term (37-40 weeks) 4.) Cephalic presentation 5.) Episiotomy or anesthesia 6.) No complication 7.) Artificial Rupture of Membrane (AROM)  
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In what instances the acute respiratory failure is NOT the principal diagnosis   show
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What is Starred Procedure   show
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show Hypothyroidism  
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show CAD & Unstable Angina  
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show Query the physician whether it is an excision or incision  
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show modifier-51  
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Criteria for reporting additional diagnosis   show
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show Triangle  
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2 ways of coding Excisional Biopsy   show
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Treatment for Hypokalemia   show
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In Aspergillosis Pneumonia what is the first listed code   show
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show To clarify documentation  
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Modifier if patient is seen in ER by a cardiologist & a podiatrist   show
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CPT code for unlisted procedure   show
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show Signed consent of release of medical information  
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Who allows insurance companies to transfer patient's information to another facility without patient's consent   show
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show Code TWICE  
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Symbol for a New code   show
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show OIG (Office of Inspector General)  
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show Upper part  
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What is UHDDS   show
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show Dehydration  
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show Pregnancy  
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show Rocephin or Zithromax  
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show Fosamax  
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What is the treatment for DVT (Deep Vein Thrombosis)   show
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show Helicobacter Pylori  
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show Pneumonia  
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What is the meaning of Anemia   show
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What is it called when a coder codes a diagnosis which is not present   show
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show Late Effect  
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show Post-operative Hemorrhage (principal), Hypertrophy of tonsil  
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Anemia's white blood cells fight what   show
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show An assigned weight intended to reflect the relative resource consumption associated with each DRG  
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What is the Surgical Hierarchy   show
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show Appendicitis  
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show CRT-P (Cardiac Resynchronization Therapy Pacemaker)  
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What is the name of the software that produces the ICD-9 code   show
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show PPP (Patient Personal Privacy)  
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show HIM (Health Information Management)  
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What is the term for Destruction of lesion   show
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What does excision include   show
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Which is NOT a minimum data set   show
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Name for Central Data Repository   show
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show AHA (American Hospital Association)  
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show AMA (American Medical Association)  
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Who administers the HCPCS (Healthcare Common Procedure Coding System) level II   show
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In CPT when are you going to add the length of the lesion   show
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What is the Hepatitis enzyme   show
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show Musculo-Skeletal Injury (refers to damage of muscular or skeletal systems); Rhabdomyolysis (severe muscle breakdown)  
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Which will carry the most impact on DRG after 6 days upon discharge of the patient from the hospital   show
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If claim gets rejected what must be done   show
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What do you do with unbilled charts   show
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show Diagnosis did not match procedure  
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show Diagnosis  
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What is a Complication   show
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show Arithmetic-mean Average Length of Stay (outlier cases)  
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What is paid under the APC (Ambulatory Payment Classification)   show
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show Laboratory  
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What is APG   show
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What is ATN   show
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show A pre-existing condition or co-occurring with a primary disease or disorder  
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show Hospital Acquired Condition- is an undesirable situation or condition that affects a patient that arose during a stay in a hospital or medical facility  
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What is MDC   show
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show Total Abdominal Hysterectomy- is the removal of the uterus and cervix through an abdominal incision  
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What is TIA   show
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What is EPS   show
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show A removal of specimen that is sent to pathology to see if there are malignant possibilities  
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What is the name of the biopsy that is performed with a definitive procedure   show
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The patient has no add on his cart, his claim was denied. Why?   show
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Where do slanted brackets // appear   show
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If they code lumpectomy with lympectomy, which range of codes will you choose   show
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show Surgical DRG  
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If you are given several charts/a stack of charts which do you code first   show
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What are 2 types of Nissen Fundoplasty   show
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How do you put ethics in your organization   show
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What is similar between inpatient & outpatient payment system   show
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show DRG (Diagnosis-Related Group)  
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How do you code an outpatient rule-out   show
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What is the principal diagnosis for a patient with respiratory failure due to alcohol intake with medication (Xanax)   show
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What is the purpose of the network   show
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show Fracture  
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Malunion of fracture of femur is considered what   show
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When a fracture is caused by a disease, how does this need to be coded   show
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What causes Hypokalemia   show
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show Low-Calcium  
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What do you do when you discover a breach in email confidentiality or unauthorized access of medical records   show
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show Sign in & out  
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How often do you change the pass-code in the system   show
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How documentation can be improved   show
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show A discharge is a situation where a patient is released from care. A transfer is a situation in which a patient is admitted to another inpatient for related care same day.  
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Is it an adverse effect or poisoning if the patient developed a reaction after synergistic effect from drug   show
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TIA (Transient Ischemic Attack) vs. Stroke   show
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Which of the following is used for external Data storage   show
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show Face To Face time  
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show Diabetes Mellitus with Renal manifestation  
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show Optimizing  
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Excision of brain via Craniotomy   show
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What kind of Mastectomy includes excision/removal of the major pectoral muscles of the breast   show
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show Common bile duct  
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show Patient who has hallucinations due to alcohol intake (severe form)  
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show CKD  
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show Add cheek & code simply separately (2 codes)  
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What is CCI   show
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What Enzymes are elevated in Acute Pancreatitis   show
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What type of Streptococcus resistant to Vancomycin in Enterococcus   show
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What is considered a flap rotation on skin   show
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show Xigris  
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show Query the physician  
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show Coding of diagnosis or procedure which is thoroughly reviewing the documents or query the doctor in order to increase the DRG  
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What are the 3 factors included in Case Mix   show
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What is the first screening test for AIDS   show
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show Pancreas  
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show Case Resources  
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What type of contract or agreement does Office of the Inspector General have   show
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Sponge was left inside after surgery who to notify   show
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show Quality Improvement Office- provides peer review services within the health care community  
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show PEPPER- Program for Evaluating Payment Patterns Electronic Repor  
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show Transcription Report  
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What CPT Code starts in 99   show
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show Auditory  
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What is Coding Policies and Procedures   show
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show Lotensin, Lopressor, Norvasec  
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show HIPAA rules  
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Benign type of Neoplasm/Tumor   show
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Malignant type of Neoplasm/Tumor   show
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Other term for secondary site   show
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show Minimum Data Set- is a powerful tool for implementing standardized assessment for Medicare and Medicaid (CMS) and for facilitating care management in nursing homes and non-critical access hospital  
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show Versus, Either, Or  
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show Inpatient: Code ALL of this: Ruled out, Probable, confirmed and Un-confirmed Outpatient: ONLY code Confirmed  
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show Digoxin, Atenolol, Verapamil  
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The source document for coding and reporting diagnoses and procedures   show
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An interventional radiology bill for common angioplasty has not been paid by the insurance company. What could be the reason for the denial   show
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show Endoscopy Encounter  
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show Medicare and Medicaid  
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show To list and define a set of common, uniform data elements. It provides uniformity and comparability in hospital discharge data  
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What replaces the function of the book in EHR   show
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show Destruction by Ablation  
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show Manifestation code  
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3 Components of Hysteroscopy   show
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What kind of infections are Aspergillosis, Candidiasis etc   show
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show Repeat 1 code (code twice) & modifier-52 (reduced services)  
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According to AHIMA standards, what of the following is NOT considered a coding-related activity   show
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DRG & APC groupers are part of an encoding system in w/c of the following settings   show
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Which of the following is NOT a factor of CMI   show
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show Small Intestine  
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show Strangulated  
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The word "Encounter" according to ICD-9 refers to what   show
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show ICD-9 Official Guidelines for Coding and Reporting  
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show Episiotomy  
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show Stent Replacement  
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When Stent Insertion is NOT coded   show
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What is the code if a Pt. is being seen for testing for HIV and the result is + (positive)   show
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What is the code if a Pt. returns with an HIV test and the result is - (negative)   show
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Early signs of CHF include   show
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show UTI  
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A hospital needs to bill $25,000 to $28,000 in account. Which one will you code first   show
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show CT-Scan Vertebra  
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What is the purpose of EHR   show
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Bronchodilators for Asthma   show
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show Prednisone or Medrol  
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What enzyme is an indicator of Thyroid Disorder   show
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show Full Graft of adjacent tissue  
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Prospective Payment System (PPS) covers the following facilities   show
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show modifier-51  
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show modifier-74  
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show Evaluation and Management Operative reports X-Rays  
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What is an Operative Report   show
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show Place of Service codes Relationship codes  
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When will ICD-10-CM be effective   show
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show OCR -Office of Civil Rights  
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3 volumes of ICD-9   show
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What are 2 supplementary classifications in ICD-9   show
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show It is the expulsion or extraction of all or part of the placenta or membrane with or without an identifiable fetus weighing less than 500 grams  
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show Spontaneous Induced Missed Threatened  
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4 additional contributory components of an Evaluation and Management code which are   show
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show Pleural Effusion  
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What are the Diagnostic Descriptors that are listed in Italics   show
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It is the assignment of numbers and sometimes letters to Diagnosis and Procedures. It is also the process of translating or identifying this written or dictated medical record into a series of numeric or alpha-numeric codes   show
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show Eyes- Retinopathy Kidney- Nephropathy Nerve- Neuropathy Blood vessels- Angiopathy  
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Types of Diabetes   show
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Classification of Burns   show
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Types of Infection   show
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show Emphysema Chronic Ashmatic Bronchitis  
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show Tobacco smoke Dust Chemical fumes Air pollution  
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Types of CAD   show
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Major cause of Ischemia of the Heart, Brain and Extremities   show
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show Unstable Angina Angina Pectoris  
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Types of Infarction   show
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Types of CVA   show
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Types of Fracture   show
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It is an internal fixation device that is NOT necessarily require direct exposure at fracture site, accomplished by gaining access to the bone through an incision   show
🗑
What is ICD-9-CM   show
🗑
show Classification of Diseases and Injuries Supplementary Classification Appendices  
🗑
show Main Term Subterm Carryover Lines  
🗑
3 Conditions that are always presumed to be due to Diabetes even without cause and effect relationship unless there is a stated cause   show
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show En block Resection Debulking Resection Local Excision  
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Types of Heart Failure   show
🗑
show Beta Blockers Calcium Channel Blockers Nitrates or Vasodilators  
🗑
Subendocardial Ml is also known as   show
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show Increased pressure in the lung Impaired Kidney function Poor circulation throughout the body  
🗑
show Skilled Nursing Facility  
🗑
show Current Condition Affecting Pregnancy  
🗑
show Pathological Fracture - 733.13 & 733.00  
🗑
How to code induced Abortion resulting in live-born   show
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Colonoscopy with biopsy of the transverse colon & polypectomy of the recto-sigmoid with snare   show
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Post-operative Anemia   show
🗑
show 39.61 Extracorporeal circulation or Cardio-pulmonary bypass machine  
🗑
show 650 & V27.0  
🗑
Auto Immune Hemolytic Anemia (always choose over cold/warm type)   show
🗑
show 47.09  
🗑
CPT code for TURP (Transurethral Resection of Prostate)   show
🗑
show 92980 = old code (use this instead). 92928 = new code. *always includes angioplasty. (ONE code only- because the code indicates with or without therapeutic intervention which is the PTCA.)  
🗑
CPT code for PTCA   show
🗑
What is the code for Decompensated COPD (Chronic Obstructive Pulmonary Disease)   show
🗑
show 58150  
🗑
Intertrochanteric Fracture of the femur due to multiple myeloma   show
🗑
Code for anemia due to blood loss   show
🗑
Code for removal of skin tags 17 lesions   show
🗑
How to code renal calculus with Hematuria & Renal Colic   show
🗑
show 43280, Laparascopic  
🗑
show 77057  
🗑
Code for Positive Serology for AIDS Adult   show
🗑
show 54.11 & 47.19  
🗑
Positive Serology for AIDS in a 7 month old baby   show
🗑
show First lesion = 17000. Each additional lesion = 17003 (Repeat code for each additional up to 14) 15 or more lesions = 17004 (Use only 1 code)  
🗑
CPT code for Hysteroscopy with biopsy of the endometrium or polypectomy with or without DNC (Dilatation & curettage)   show
🗑
CPT code for Colonoscopy with biopsy transverse colon polyp & polypectomy descending colon polyp by snare   show
🗑
show 36217  
🗑
show Pathological NEC 733.10 Multiple Myeloma 733.10 203.00 Osteoporosis 733.00  
🗑
Respiratory failure after ingestion of drugs & alcohol   show
🗑
show 44376 Small intestinal endoscopy  
🗑
show 45385 (1 code only = 2 procedures on same (one) site)  
🗑
CPT code for treatment of non-union fibula   show
🗑
show 49565 & 49568  
🗑
show Use combination code 304.70 (dependency with combination of drug with opioid)  
🗑
show 17004  
🗑
CPT code for CLO-test also known as EGD with biopsy   show
🗑
show 17000, 17003, 17003  
🗑
What is the code for a seizure on Dilantin   show
🗑
show 285.21 (ONE CODE)  
🗑
show 250.40 & 285.9  
🗑
Female infertility due to Chronic Pelvic Inflammatory Disease   show
🗑
When a patient is admitted for the purpose of chemotherapy & develops complications such as uncontrolled nausea & vomiting or dehydration, what is the principal diagnosis   show
🗑
What is the code for BIPAP? (Bi-level Positive Airway Pressure)   show
🗑
show 31254, 31255, 31267  
🗑
show Polypectomy 45385 & Biopsy 45380 -59  
🗑
What add on code must be included with Ventral Incisional Hernia   show
🗑
show 303.00 means that the patient has been admitted intoxicated (drunk) 303.90 means that.... is alcohol dependent  
🗑
show 29980  
🗑
COPD with exacerbation of Asthma   show
🗑
show 28296  
🗑
show V58.63, V58.61, 427.31  
🗑
CPT Code for EGD with Percutaneous Gastrostomy   show
🗑
show 81.51, 81.51 (Code TWICE)  
🗑
Code for Anemia due to blood loss   show
🗑
Code for contusion and laceration of Eyebrow   show
🗑
CPT code for Repair of Inguinal Hernia with Mesh in a patient with previous Inguinal Hernia Repair   show
🗑
CPT code for Arthroscopy knee with medial meniscectomy and lateral chondroplasty   show
🗑
CPT code for Excision of scar arm 2X6 cm with closure bt split-thickness graft   show
🗑
CPT code for Destruction lumbar nerve by radio frequency ablation L2, L3 & L3   show
🗑
show 64479 64480  
🗑
show 60.29 57.19  
🗑
show 427.89  
🗑
show 37.26  
🗑
show V58.83 V58.61 427.31  
🗑
Code for Respiratory failure and coma after ingestion of alcohol   show
🗑
Code BPH (Benign Prostatic Hypertropy) with bladder neck obstruction   show
🗑
show 60.29 57.91  
🗑
Diagnosis: Code for BPH (Benign Prostatic Hypertrophy) with bladder neck obstruction   show
🗑
Procedure: Code for TURP and incisions of the bladder neck   show
🗑
Code for Seizure   show
🗑
Code for Seizure disorder and recurrent   show
🗑
Procedure Code for Explaratory Laparotomy with Liver biopsy   show
🗑
show V56.0 585.6 250.00 38.95 39.95  
🗑
show "TIA", it is coded as 435.9; "Stroke", it is coded as 434.91  
🗑
Code for CHF due to HTN with pleural effusion   show
🗑
CPT code for Repair of Incisional hernia with prosthesis   show
🗑
CPT code for treatment of Non-union Fibula   show
🗑
CPT code for Needle or puncture aspiration of cyst in the breast   show
🗑
show 52234  
🗑
show I11443 11444 12053 11443 11444 12053  
🗑
show 66172  
🗑
Code for Interstitial Lung Disease   show
🗑
Code for Explaratory Laparotomy with liver biopsy   show
🗑
show 19303  
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
 
To hide a column, click on the column name.
 
To hide the entire table, click on the "Hide All" button.
 
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
 
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

 
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

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Created by: hrodil
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