Who created the first comprehensive disease classification system in the United States in 1869?
- Answers American Medical Association (AMA)
What are the main reasons to use procedure coding? - Answers To justify medical services to
insurance companies by correlating procedures to diagnosis
To collect statistics about the outcome and effectiveness of treatments
To help physicians and hospitals set fees based on the amount of time and skill required to
provide a specific service
How often are level I codes updated? - Answers annually
Who updates and publishes the CPT manual? - Answers American Medical Association(AMA)
HCPCS level II codes include what services that are not in the CPT system and may not be
covered by insurance? - Answers procedures, injections, and durable medical equipment
covered by Medicare
How often should updated code books be purchased? - Answers every year
CPT manual contains codes which are usually how many digits long? - Answers five-digit code
What is a modifier and how many digits are they? - Answers An addition to a Current Procedural
Terminology code that indicates unusual circumstances related to the procedure, such as a
more extensive procedure or two procedures performed in the same session.
two-digit
What pieces of information may be significant when choosing the correct code for a procedure?
- Answers - Location
- Size of lesion or repair
- Method of performing the procedure, test, or surgery
- Number of minutes allotted for a treatment (e.g., acupuncture)
- Complexity of the procedure or service
What are the two types of CPT codes? - Answers stand-alone codes and indented codes
, If a patient comes in for an exam and has an electrocardiogram done, per the physician's orders,
is this billed under the examination or separately, under its own code? - Answers Separately
What type of services and providers would find their appropriate codes in the E/M section? -
Answers office visits provided by primary care practitioners and specialists.
Define established patient. - Answers A patient who has been seen by one of the physicians in
the practice within the past 3 years.
Define new patient. - Answers one who has not had services performed by any provider in the
medical office in the previous 3 years
Define inpatient. - Answers a patient who has been formally admitted to a healthcare facility
Define outpatient. - Answers one who has not been admitted to a healthcare facility
What is problem-focused history? - Answers one that addresses the chief complaint, with a brief
history of the illness or problem.
What is expanded problem-focused history? - Answers addresses the chief complaint, a brief
history of the present illness or problem, and a review of systems that have to do with the chief
complaint
What is detailed history? - Answers addresses the chief complaint, an extended history of the
present illness, and a review of body systems, including other systems beyond those related to
the chief complaint.
What is comprehensive history? - Answers a chief complaint; an extended history of the present
illness; a review of all body systems, especially those directly related to the present problem;
and a complete family history.
What is a panel? - Answers A group of diagnostic tests done simultaneously in one machine.
HCPCS Level II codes are used primarily for items and services that do not have Level I (CPT)
codes. What are some examples from your text of what these might be? - Answers supplies,
materials, specific medications, ambulance services, and some procedures.
Diagnosis coding was originally developed for what four purposes? - Answers - to track disease
processes,
- to classify the causes of death,
- to collect data for medical research,
- evaluate hospital service utilization.
What organization originally published and still manages the International Classification of