Professionals report services on this form and
Facilities report services on this form
What are the CMS-1500 and UB-04
100
Unusual Procedural Services
What is modifier -22
100
Number of chapters in the ICD-10 book
What is 21
100
joint, cartilage, movement, bone, muscle, tendon can be found in this system.
What is the musculoskeletal system
100
Anesthesia services performed personally by an anesthesiologist [or when an anesthetist assists a physician in the care of a single patient]
What is the modifier AA
Modifier AA informs the insurance company that the anesthesiologist provided care to the patient alone, and not alongside a certified registered
nurse anesthetist (CRNA).
200
To be considered a new patient, the patient should not have received services within the past
What is 3 years
200
When one physician performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services must be identified by adding the CPT modifier
What is CPT Modifier 54
200
The ICD-10 CM utilizes this placeholder chacter "X" for fifth or sixth character codes.
What is the Dummy Placeholder
200
the mind, spinal cord, cerebrum, brain can be found in this system
What is the Nervous System
200
Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist
What is the QY modifier
Modifier QY tells the insurance company that the anesthesiologist was directing at least one CRNA.
300
office or other outpatient, observation, inpatient, emergency, critical care, nursing facility, rest home, home
What are the eight places of service?
300
CPT Modifier 80
What is Assistant Surgeon Surgical assistant services may be identified by adding the CPT modifier 80 to
the usual procedure number(s).
300
red blood cell, spleen, tonsil and thymus gland can be found in this system
What is Hemic & Lymphatic System
300
Medical direction of two, three, or four concurrent anesthesia procedures involving qualified
individuals
What is the modifier QK
Modifier QK tells the insurance company to make adjustments for the
anesthesiologist medically directing more than one case or procedure
at the same time he or she is directing the CRNA on the reported case.
400
In order to report a critical care code, a physician must spend at least ____ minutes with a critically ill patient
What is 30 mins
400
When one physician performs the postoperative management and another physician performs the surgical procedure, the postoperative component must be identified by adding the CPT modifier
What is CPT Modifier 55
400
these ICD-10 categories further define the site, etiology and manifestation or state of the disease or condition
What is a Four Character Category
400
the urinary bladder, kidney and renal pelvis can be found in this system
What is the Urinary System
400
Medical supervision by a physician: more than four concurrent anesthesia procedures
What is the modifier AD
Modifier AD describes a situation similar to that described by modifier QK, but with more involvement and a greater patient load.
500
counseling, coordination of care, nature of presenting problem, time
What are the four contributory elements in E/M coding?
500
CPT Modifier 66
What is Surgical Team
Under some circumstances, highly complex procedures (requiring the services of several physicians, often of different specialties, plus other highly skilled, specially trained personnel, and various types of complex equipment) are carried out under the "surgical team" concept. Such circumstances must be identified by each participating physician with the addition of the CPT modifier 66 to the basic procedure number used for reporting services.
500
This term represents a single code used to classify: two diagnoses, either a diagnoses with an associated sign or symptom or a diagnosis with an associated complication.
What is a Combination Code
500
the diaphragm, lungs, trachea and nose can be associated with this system
What is the Respiratory System
500
CRNA service: with medical direction by a physician
In this case, the CRNA is working under an anesthesiologist.