—patient’s description of the symptoms or reasons for seeking medical care
What is Chief complaint (CC)
100
—services used to support a diagnosis
What is Ancillary services
100
-cover physicians’ services performed to determine the optimum course for patient care
What is E/M codes (evaluation and management codes)
100
— maximum charge a plan pays for a service or procedure
What is Allowed charge
200
—characteristic sign or symptom of a disease
What is Manifestation
200
—alphanumeric ICD code that identifies factors influencing health status and encounters not due to illness or injury
What is V Code
200
—service in which a physician advises a requesting physician about a patient’s condition and care
What is Consultation
200
—single code grouping laboratory tests frequently done together
What is Panel
200
— connection between a service and a patient’s condition or illness
What is Code linkage
300
—single code that classifies both the etiology and the manifestation of an illness or injury
What is Combination code
300
—condition that remains after an acute illness or injury
What is Late effect
300
-is a two-digit number that may be attached to most five-digit procedure codes
What is A CPT modifier
300
—code used with procedure codes to indicate a patient’s health status
What is Physical status modifier
300
— use of a procedure code that provides a higher payment
What is Upcoding
400
—patient’s unintentional, harmful reaction to a proper dosage of a drug(2codes)
What is Adverse effect
400
—represents the patient’s major illness or condition for an encounter
What is Primary diagnosis
400
—procedure performed and reported in addition to a primary procedure
What is Add-on code
400
—days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package
What is Global period
400
— internal audit conducted after claims are processed and RAs have been received
What is Retrospective audit
500
—represents the patient’s major illness or condition for an encounter
What is Primary diagnosis
500
—additional illness that either affects the primary illness or is also treated during an encounter
What is Coexisting condition
500
—factor documented for various levels of evaluation and management services & It is includes
The extent of the history documented
The extent of the examination documented
The complexity of the medical decision making
What is Key component
500
—most resource-intensive CPT procedure during an encounter
What is Primary procedure
500
— amount withheld from a provider’s payment by an MCO