MAA CH. 16 ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
modifier - CORRECT ANSWERS one or more two-digit codes assigned to the five-digit main
code to show that some special circumstance applied to the service or procedure that the
physician performed. can add to show its unrelated or sort of related.
V Code - CORRECT ANSWERS a code used to identify encounters for reasons other than
illness or injury such as annual checkups, immunizations, normal childbirth. descriptions are
found throughout the main portion of the alphabetic index.
E Code - CORRECT ANSWERS a type of code in the ICD-9. extra, external codes. Identifies
the external causes of injuries and poisoning and various environmental events. accidents, falls,
fires. Always follows, never alone. used in collecting public health information. found in
alphabetic table of drugs and chemicals.
how to make modifier most specific - CORRECT ANSWERS add 5 numbers
how to determine if it is an E code - CORRECT ANSWERS Ask "how did it happen"
What is NOS - CORRECT ANSWERS Not otherwise specified. unspecified. used when a
condition cannot be described more specifically. should be AVOIDED unless no other option is
available.
What is NEC - CORRECT ANSWERS not elsewhere classified. used when the ICD-9 does not
provide a code specific enough for the patient's condition. only use these codes when you are
sure a more specific code does not exist. always ends with the number 8.
, Alphabetic Index - CORRECT ANSWERS contains all the medical terms in the Tabular List.
organized by condition not by body part in which the condition occurs. think about what is
wrong, the problem, not where it occurred. One of two ways diagnoses are listed in the ICD-9-
CM. They appear in alphabetic order with their corresponding diagnosis codes.
diagnosis(DX) - CORRECT ANSWERS The primary condition for which a patient is receiving
care.
diagnosis code - CORRECT ANSWERS The way a diagnosis is communicated to the third-
party payer on the health-care claim.
E/M code - CORRECT ANSWERS Evaluation and management codes that are often
considered the most important of all CPT codes. The E/M section guidelines explain how to
code different levels of services. dictates what level of care it is. how complex your problem is,
complexity of the decision making, and extent of the evaluation or examination. has to have at
least two codes to match completely.
add-on code - CORRECT ANSWERS (+) sign. A code indicating procedures that are usually
carried out in addition to another procedure. Add-on codes are used together with the primary
code and are never reported alone.
code linkage - CORRECT ANSWERS Analysis of the connection between diagnostic and
procedural information in order to evaluate the medical necessity of the reported charges. This
analysis is performed by insurance company representatives.
compliance plan - CORRECT ANSWERS A process for finding, correcting, and preventing
illegal medical office practices.
CORRECT ANSWERS
modifier - CORRECT ANSWERS one or more two-digit codes assigned to the five-digit main
code to show that some special circumstance applied to the service or procedure that the
physician performed. can add to show its unrelated or sort of related.
V Code - CORRECT ANSWERS a code used to identify encounters for reasons other than
illness or injury such as annual checkups, immunizations, normal childbirth. descriptions are
found throughout the main portion of the alphabetic index.
E Code - CORRECT ANSWERS a type of code in the ICD-9. extra, external codes. Identifies
the external causes of injuries and poisoning and various environmental events. accidents, falls,
fires. Always follows, never alone. used in collecting public health information. found in
alphabetic table of drugs and chemicals.
how to make modifier most specific - CORRECT ANSWERS add 5 numbers
how to determine if it is an E code - CORRECT ANSWERS Ask "how did it happen"
What is NOS - CORRECT ANSWERS Not otherwise specified. unspecified. used when a
condition cannot be described more specifically. should be AVOIDED unless no other option is
available.
What is NEC - CORRECT ANSWERS not elsewhere classified. used when the ICD-9 does not
provide a code specific enough for the patient's condition. only use these codes when you are
sure a more specific code does not exist. always ends with the number 8.
, Alphabetic Index - CORRECT ANSWERS contains all the medical terms in the Tabular List.
organized by condition not by body part in which the condition occurs. think about what is
wrong, the problem, not where it occurred. One of two ways diagnoses are listed in the ICD-9-
CM. They appear in alphabetic order with their corresponding diagnosis codes.
diagnosis(DX) - CORRECT ANSWERS The primary condition for which a patient is receiving
care.
diagnosis code - CORRECT ANSWERS The way a diagnosis is communicated to the third-
party payer on the health-care claim.
E/M code - CORRECT ANSWERS Evaluation and management codes that are often
considered the most important of all CPT codes. The E/M section guidelines explain how to
code different levels of services. dictates what level of care it is. how complex your problem is,
complexity of the decision making, and extent of the evaluation or examination. has to have at
least two codes to match completely.
add-on code - CORRECT ANSWERS (+) sign. A code indicating procedures that are usually
carried out in addition to another procedure. Add-on codes are used together with the primary
code and are never reported alone.
code linkage - CORRECT ANSWERS Analysis of the connection between diagnostic and
procedural information in order to evaluate the medical necessity of the reported charges. This
analysis is performed by insurance company representatives.
compliance plan - CORRECT ANSWERS A process for finding, correcting, and preventing
illegal medical office practices.
