Medical Situation Codes
J02.9-Acute pharyngitis, unspecified
Sore throat
What does CPT mean?
Current procedural technology
What does ICD stand for?
Internal Classification Disease
What is Mortality?
death rate
R11.2
Nausea with vomitting
What is a modifier?
One or more two digit codes assigned to the five digit code to show a special circumstance applied to the service/procedure.
ICD-9 codes have a maximum of 5 characters. What is the maximum number of characters for ICD-10 codes?
7
What is upcoding?
Provider changes code to a higher or more expensive service that what was actually provided
S93.401A
Sprained Ankle
What is a ICD?
International system used to code diseases and health conditions.
What is the golden rule for ICD-10?
If its not documented, it didn't happen and therefore cannot be coded or billed
RUQ
Right upper quadrant
R05
Cough
What is a alphabetic index?
List of diagnoses arranged in alphabetical order.
Why was the upgrade to ICD-10CM necassary?
KD-9 was outdated, limited room for new codes, lack of detail, overall better data quality
Etiology
Cause of disease
71045
Chest X-Ray
What is a tabular list?
A list of codes arranged by number and category?
What is E86.0?
Dehydration
Panel
Group of related lab tests that are bundled together into one cpt code