ICD
CPT (E/M)
HCPCS/compliance
other stuff
Misc.
100
start here when looking up a code
What is Volume II, the alphabetic index?
100
Also known as HCPCS Level I
What is CPT?
100
abbreviated DME, this includes all the "stuff" that might be sold to a patient.
What is Durable Medical Equipment
100
billing for something that was not done.
What is fraud?
100
P1 thru P6 for anesthesia
What a physical status modifier?
200
After finding the code in the ICD-9 index, you go here to verify it.
What is Volume I, the tabular list?
200
the largest section in Category 1 of the CPT codes
What is surgery?
200
This is the system Medicare uses to make sure everybody codes correctly
What is NCCI?
200
unbundling a surgery is naughty, so this includes everything.
What is the "global surgical concept"?
200
modifier -26. this is for the person who writes and interperets the results of a test.
What is the professional component?
300
assign four or five digit codes if they exist, or if you see the "stop sign blotch" next to the code in the tabular list.
What is coding to the highest level of specificity?
300
indicate that the procedure or service has been altered
What is a modifier?
300
an appliance, apparatus, or product intended for use by a patient
What is Durable Medical Equipment?
300
The first thing you need to know when coding an E/M
What is POS?
300
tumor cells that are undergiong malignant changes; however these changes do not extend beyond the point of origin or invade surrounding normal tissue.
What is carcinoma in situ?
400
When figuring the E/M code, this is the last key component, and basically tells us how much brain power is required to figure out this patient's case.
What is Medical Decision Making?
400
The government agency that investigates Medicare abuse and fraud
What is the OIG?
400
used to code external causes
What is an E-code?
400
an inventory of body systems obtained through a series of questions asked by the physician--needed to figure out the extent of history for an E/M.
What is ROS?
500
Used when we need a reason for the encounter, but it is not a condition or illness.
What is a V code?
500
history, exam, MDM
What are the "three key components" of an E/M code?
500
Billing for something that was not "medically necessary"
What is abuse?
500
code as much as you know (and no more)
What is coding to the highest level of certainty?
500
Dr. G's middle name
What is "Michael"?
M
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