Chapter 5 Terms
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each of the black spaces below before clicking
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| Add-on code | show 🗑
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| Bundled payment | show 🗑
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| show | Using a single procedure code that covers a group of related procedures.
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| show | Procedure codes found in the main body of CPT (Evaluation and Management, Anesthesia, Surgery, Pathology and Laboratory, Radiology, and Medicine).
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| Category II codes | show 🗑
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| Category III codes | show 🗑
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| consultation | show 🗑
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| show | Publication of the American Medical Association containing the HIPAA- mandated standardized classification system for reporting medical procedures and services performed by physicians.
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| show | Medicare term for reusable physical supplies such as wheelchairs and hospital beds that are ordered by the provider for use in the home; reported with HCPCS Level II codes.
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| E/M codes (evaluation and management codes) | show 🗑
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| Fragmented Billing | show 🗑
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| show | The number of days surrounding a surgical procedure during which all services relating to the procedure—preoperative, during the surgery, and postoperative—are considered part of the surgical package and are not additionally reimbursed.
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| Global surgery rule (Surgical Package) | show 🗑
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| Healthcare Common Procedural Coding System (HCPCS) | show 🗑
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| Key component | show 🗑
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| show | HCPCS national codes.
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| Level II modifiers | show 🗑
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| modifiers | show 🗑
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| show | Preventable medical error resulting in serious consequences for the patient; Medicare policy is never to pay the healthcare provider for these conditions.
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| Outpatient | show 🗑
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| show | In CPT, a single code grouping laboratory tests that are frequently done together.
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| show | Code used in the Anesthesia Section of CPT with procedure codes to indicate the patient’s health status.
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| show | The most resource-intensive (highest paid) CPT procedure done during a patient’s encounter.
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| show | The part of the relative value associated with a procedure code that represents a physician’s skill, time,Page G-13 and expertise used in performing it; contrast with the technical component.
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| show | CPT procedure codes that have been reassigned to another sequence, or CPT range of codes.
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| Section guidelines | show 🗑
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| show | Descriptor used in the Surgery Section of CPT for a procedure that is usually part of a surgical package but may also be performed separately or for a different purpose, in which case it may be billed.
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| Special report | show 🗑
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| Surgical package | show 🗑
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| show | The part of the relative value associated with a procedure code that reflects the technician’s work and the equipment and supplies used in performing it; in contrast to the professional component.
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| Unbundling | show 🗑
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| show | A service that is not listed in CPT; it is reported with an unlisted procedure code and requires a special report when used.
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