ICD
CPT
EOB
MOD
Misc
100

Z00.121

Examination of well care with abnormal findings

100

99391

Established preventative visit 0-12 months

100

COB

Coordination of benefits 

100

52

Reduced services 

100

Which insurance is always secondary unless paired with AHCCCS when more than one insurance 

CHAMPVA

200

R50.9

Fever, unspecified 

200

69210

impacted cerumen removal by Ottoscope and curette 

200

What is a denial for MUTUALLY EXCLUSIVE

Bundling a code into another

200

33

Preventative services 

200

What is the Birthday Rule

When insurance coverage is based on which policy holders birthday comes first in the calendar year to decide primary and secondary 

300

K59.0

Constipation, unspecified 

300

85018

Hemoglobin lab

300

PR-3

Copay

300

59

Distinct procedure -separate 

300

90661

Flu vaccine

400

R51.9

Headache, unspecified 

400

17110

Destruction by cryotherapy up to 14 (wart)

400

835 file

Electronic Remittances Advice (ERA)

400

NU

Supplies or equipment (new)

400

At what age is TDAP given 

Age 11

500

Z00.11

Encounter for newborn 

500

54160

Circumcision, neonate (28 days of age or less)

500

PR-2

Coinsurance 

500

JW

Drug wastage 

500

What are the three elements of MDM

Problem completely 

Data analyzed 

Risk

M
e
n
u