Signs/ symptoms of the times
Which ICD-10-CM code is assigned for elevated blood pressure without a diagnosis of hypertension?
R03.0
What is the CPT code for a level 5 established patient office visit?
99215
Which coronary artery is most commonly involved in a myocardial infarction?
What is the left anterior descending artery (LAD)?
Which Medicare part covers inpatient hospital care?
What is Medicare Part A?
What is the standard time limit in days to submit a claim to Medicare for reimbursement?
What is 365 days (1 year)?
What ICD-10-CM code is assigned for acute respiratory distress syndrome (ARDS) secondary to pneumonia?
What is J80 (acute respiratory distress syndrome)?
When coding an inpatient procedure under ICD-10-PCS, what root operation describes "removal of solid matter from a body part"?
What is Extirpation?
What heart valve is primarily affected in aortic stenosis?
What is the aortic valve?
What is the name of the program that allows providers to receive a set payment per enrollee, regardless of the number of services provided?
What is Medicare Advantage (Part C)?
What term refers to the process of appealing a denied insurance claim to seek payment for services that were originally denied?
What is a claim reconsideration or appeal?
What is the ICD-10-CM code for jaundice in a newborn due to hemolytic disease?
What is P55.9 (hemolytic disease of newborn, unspecified)?
What distinguishes CPT code 99291 from 99292 in critical care coding beyond time requirements?
What is that 99291 covers the first 30-74 minutes, while 99292 applies for each additional 30 minutes?
Which part of the heart initiates the electrical impulse in normal sinus rhythm?
What is the sinoatrial (SA) node?
What is the minimum amount of time spent in direct patient care required to bill under Medicare's critical care codes?
What is 30 minutes?
In the Medicare system, what is the name of the organization responsible for processing and paying Part B claims?
What is the Medicare Administrative Contractor (MAC)?
Which ICD-10-CM code would you assign for chest pain that is suspected to be due to gastroesophageal reflux disease (GERD)?
What is R07.89
(Other chest pain)?
What is the difference between modifiers -51 and -59 when coding multiple procedures?
What is Modifier -51 is for multiple procedures in the same session, while modifier -59 is for distinct procedural services that are not usually reported together.
What is the medical term for fluid accumulation in the sac around the heart, often seen in congestive heart failure?
What is pericardial effusion?
Which Medicare program
helps cover the costs of
prescription drugs?
What is Medicare Part D?
What is the term for the situation where two insurance companies share the responsibility of covering a patient’s healthcare costs?
What is coordination of benefits (COB)?
What is the appropriate ICD-10-CM code for syncope due to orthostatic hypotension?
What is I95.1 (orthostatic hypotension)?
When using Z-codes (factors influencing health status), what coding guideline must be followed to ensure correct reporting of a preventive health visit?
What is Z-codes should be sequenced as primary only when the encounter is for preventive care, such as a well-woman or well-child visit
(e.g., Z00.00 or Z00.01).
When coding for a heart transplant, which CPT code would be used for the heart-lung bypass procedure?
What is 33945 (transplantation of heart)
What is the Medicare policy that prevents unbundling of services that should be reported together, resulting in denied claims?
What is the National Correct Coding Initiative (NCCI)?
What is the name of the process that reviews healthcare services provided to ensure they are medically necessary and appropriate for the diagnosis or condition?
What is utilization review (UR)?