Anatomy & Physiology
Bleeding, blood loss
What is Hemorrhage
Examines the medical record, coding practices and financial transactions related to a healthcare service
Who is an auditor
Hpertension
What is I10
Office or outpatient visit for the evaluation and management of a new patient, moderate
What is 99204
Significant, Separately Identifiable Evaluation and Management Service by the same physician or other qualified health care professional.
What is modifier 25
inflammation of liver
What is Hepatitis
By law needs to be signed by patient before claim can be processed
What is a release of information/consent
Benign prostatic hyperplasia with lower urinary tract symptoms
Annual wellness visit, includes a personalized prevention plan of service, subsequent visit
What is G0439
Left foot, second digit
What is modifier T1
The study of disease
What is pathology
The amount that you must pay each year before your plan starts to pay for covered medical expenses
What is a deductible
Can not be used as the primary diagnosis
Current procedural terminology
What is CPT
A service that is distinct because it was performed on a separate organ/structure.
What is modifier XS
Abnormal fluid buildup in the abdomen cavity that is frequently caused by underlying health conditions.
What is ascites
Can be filled if health care professional or patient feels claim is wrongfully denied
What is an appeal
Treated on an ongoing basis and may be reported as many times as the patient received treatment and care for condition.
What is a chronic disease.
Use this to locate codes related to a specific procedure, service, anatomic site, condition, synonym, eponym, or abbreviation with highlighted main terms for a clearer, quicker search.
What is the CPT index
Tool used to see what codes can be coded together and to check the global period
What is FinThrive
The brain disorder marked by gradual and progressive mental deterioration, personality changes, and impairment of daily function
What is Alzheimer's Disease
Which of the following groups are covered by Tricare or ChampVA
Who is Military and government employees.
This abbreviation in the Alphabetic Index represents “other specified.” When a specific code is not available for a condition, the Alphabetic Index directs the coder to the “other specified” code in the Tabular List.
What is NEC "Not elsewhere classifiable"
There are _____ appendixes in the CPT book
What is 20
The purpose of these edits is to prevent improper payment when incorrect code combinations are reported
What is NCCI edits