The Perfect Study Tool for Coding Certification (CPC)
abdomin/o - -abdomen considered? - -LCD
-agon - -assemble -algia - -pain
-22 - -Increase procedural services ABN - -Advance Beneficiary Notice; used
by CMS to notify beneficiary of payment of
provider services
When should an ABN be signed? - -When
a service is not expected to be covered by
Medicare. adipose - -fatty
acetabul/o - -hip socket an- - -not
-78 - -Unplanned return to the ante- - -before
operating/procedure room by the same physician
or other qualified health care professional
following initial procedure for a related procedure Albinism - -Lack of color pigment
during the postoperative procedure
ACL - -anterior cruciate ligament
-algesia - -pain sensation
AD - -right ear
ABG - -Arterial blood gas
AFB - -acid-fast bacillus
Absence - -without
AFI - -Amniotic fluid index
a- - -not
AGA - -appropriate for gestational age
acr/o - -height/extremities
-ar - -pertaining to
-79 - -Unrelated procedure or service by
the same physician during the postoperative
period -arche - -beginning
What are NCD's interpreted at the MAC level
, The Perfect Study Tool for Coding Certification (CPC)
-ary - -pertaining to
What OIG document should a provider review for
potential problem areas that will receive special
-asthenia - -weakness scrutiny in the upcoming year? - -OIG Work
Plan. Each year in October.
-blast - -embryonic
-80 - -Assistant surgeon
-capnia - -carbon dioxide
-81 - -Minimum assistant surgeon
-cele - -hernia
-82 - -Assistant surgeon (when qualified
resident surgeon not available)
-centesis - -puncture to remove (drain)
-90 - -Reference (outside) laboratory
What is medical billing? - -Translating
medical documentation into codes.
-91 - -Repeat clinical diagnostic laboratory
test
What part of Medicare should be billed for the
pain medication by the pharmacy? - -Part
D -99 - -Multiple modifiers
The amount on an ABN should be within how -23 - -Unusual anesthesia
much of the cost to the patient? - -$100 or
25% of cost.
aden/o - -in a relationship to a gland
An entity that processes nonstandard health
information they receive from another entity into audi- - -hearing
a standard is considered what? - -
Clearinghouse.
bi- - -two
What is PHI? - -Personal Health
Information. Allograft - -Homograft, same species graft
Intentional billing of services not provided is Alopecia - -Condition in which hair falls out
considered? - -Fraud.
, The Perfect Study Tool for Coding Certification (CPC)
-24 - -Unrelated E/M service by the same
AGCUS - -atypical glandular cells of physician during a postoperative period
undetermined
What is HIPAA? - -Health Insurance
AKA - -above-knee amputation Portability and Accountability Act of 1996. Law
passed by Congress to improve the portability
and continuity of healthcare coverage.
-chezia - -defecation
-25 - -Significant, separately identifiable
-clast, -clasia, -clasis - -break evaluation and management service by the same
physician on the same day of the procedure or
other service
-coccus - -spherical bacterium
adenoid/o - -adenoids
-cyesis - -pregnancy
adip/o - -fat
-desis - -fusion
adren/o, adrenal/o - -adrenal gland
-dilation - -widening, expanding
albin/o - -white
What is ABN? - -Advance Beneficiary
Notification
albumin/o - -albumin
What is AMA? - -American Medical
Association. alveol/o - -alveolus
What is CPT? - -Current Procedural brady- - -slow
Terminology. What was changed into codes-
services/procedures.
de- - -lack of
What is ICD-9-CM? - -International
Classification of Disease, 9th Clinical dys- - -difficult, painful
Modification. Why are diagnoses changed to
codes?
ecto- - -outside
abdomin/o - -abdomen considered? - -LCD
-agon - -assemble -algia - -pain
-22 - -Increase procedural services ABN - -Advance Beneficiary Notice; used
by CMS to notify beneficiary of payment of
provider services
When should an ABN be signed? - -When
a service is not expected to be covered by
Medicare. adipose - -fatty
acetabul/o - -hip socket an- - -not
-78 - -Unplanned return to the ante- - -before
operating/procedure room by the same physician
or other qualified health care professional
following initial procedure for a related procedure Albinism - -Lack of color pigment
during the postoperative procedure
ACL - -anterior cruciate ligament
-algesia - -pain sensation
AD - -right ear
ABG - -Arterial blood gas
AFB - -acid-fast bacillus
Absence - -without
AFI - -Amniotic fluid index
a- - -not
AGA - -appropriate for gestational age
acr/o - -height/extremities
-ar - -pertaining to
-79 - -Unrelated procedure or service by
the same physician during the postoperative
period -arche - -beginning
What are NCD's interpreted at the MAC level
, The Perfect Study Tool for Coding Certification (CPC)
-ary - -pertaining to
What OIG document should a provider review for
potential problem areas that will receive special
-asthenia - -weakness scrutiny in the upcoming year? - -OIG Work
Plan. Each year in October.
-blast - -embryonic
-80 - -Assistant surgeon
-capnia - -carbon dioxide
-81 - -Minimum assistant surgeon
-cele - -hernia
-82 - -Assistant surgeon (when qualified
resident surgeon not available)
-centesis - -puncture to remove (drain)
-90 - -Reference (outside) laboratory
What is medical billing? - -Translating
medical documentation into codes.
-91 - -Repeat clinical diagnostic laboratory
test
What part of Medicare should be billed for the
pain medication by the pharmacy? - -Part
D -99 - -Multiple modifiers
The amount on an ABN should be within how -23 - -Unusual anesthesia
much of the cost to the patient? - -$100 or
25% of cost.
aden/o - -in a relationship to a gland
An entity that processes nonstandard health
information they receive from another entity into audi- - -hearing
a standard is considered what? - -
Clearinghouse.
bi- - -two
What is PHI? - -Personal Health
Information. Allograft - -Homograft, same species graft
Intentional billing of services not provided is Alopecia - -Condition in which hair falls out
considered? - -Fraud.
, The Perfect Study Tool for Coding Certification (CPC)
-24 - -Unrelated E/M service by the same
AGCUS - -atypical glandular cells of physician during a postoperative period
undetermined
What is HIPAA? - -Health Insurance
AKA - -above-knee amputation Portability and Accountability Act of 1996. Law
passed by Congress to improve the portability
and continuity of healthcare coverage.
-chezia - -defecation
-25 - -Significant, separately identifiable
-clast, -clasia, -clasis - -break evaluation and management service by the same
physician on the same day of the procedure or
other service
-coccus - -spherical bacterium
adenoid/o - -adenoids
-cyesis - -pregnancy
adip/o - -fat
-desis - -fusion
adren/o, adrenal/o - -adrenal gland
-dilation - -widening, expanding
albin/o - -white
What is ABN? - -Advance Beneficiary
Notification
albumin/o - -albumin
What is AMA? - -American Medical
Association. alveol/o - -alveolus
What is CPT? - -Current Procedural brady- - -slow
Terminology. What was changed into codes-
services/procedures.
de- - -lack of
What is ICD-9-CM? - -International
Classification of Disease, 9th Clinical dys- - -difficult, painful
Modification. Why are diagnoses changed to
codes?
ecto- - -outside
