medical coding quizlet

Oh no! Study Medical Coding Ch. 2.15: Medical Coding Review. Outpatient coding and reporting: 35: 7958440444: List the steps for accurate coding in order: 1. Medical coding involves extracting billable information from the medical record and clinical documentation, while medical billing uses those codes to create insurance claims and bills for patients. The seven steps of accurate coding include: If there is unclear information in the documentation, the coder should: Justifying a procedure code with a diagnosis code is known as: The physician's notes state, "Chest congestion, possible pneumonia." You should look this up in the Alphabetic Index under what key terms? medical terminology quizlet chapter 3, Study Flashcards On Chapter 3 Medical Terminology Integumentary System Study Guide at Cram.com. 1. What does the abbreviation MCC stand for? Coverage _____________ is illegal because it reports a … Acute anterior wall myocardial infarction. When a patients’ bill is to be prepared to be taken for insurance claims a report on the surgical, diagnostic procedures should be prepared. a. Pro-fee is reimbursed on a fee schedule for CPT codes and uses ICD-10 CM … Pam Payson is a 25-year-old female being seen today to donate oocytes to her sister. What does the abbreviation HAC stand for. 9. Keels. First comprehensive disease classification system published in the U.S. in 1869, One of many attempts to translate procedures into numeric codes, Based on CPT codes; includes more codes than CPT, First level of HCPCS codes (95%-98% of codes used), Additional HCPCS codes for procedures, injections, and durable medical equipment covered by Medicare Part B, Quantify amount of physician labor, resources, and expertise that are necessary to provide service represented by the code, Black dot; code has been added since last edition, Black triangle; code has been revised since last edition, Two black triangles pointing at each other, White circle with line through it; code cannot be used with modifier, Black plus sign; code must be used with another code, cannot be used with modifier, Lightning bolt; code is used for medications that have not yet received FDA approval, Optional codes that may be used to track performance; not reported to insurance carriers; last character of these codes is letter F instead of digit, Used to report services that represent emerging technology; consist of 4 digits followed by letter T, Summary of additions, deletions, revisions, Summary of CPT codes example from modifier -51, Summary of CPT codes exempt from modifier -63, Summary of CPT codes that include moderate sedation, electro diagnostic medicine listing of sensory , motor and mixed nerves, Multianalyte assays with algorithmic analysis, CPT codes that may be used for synchronous telemedicine services, Addition to a procedure code that indicates unusual circumstances related to the procedure, Provides only test to replace words after semicolon in the stand-alone code, Primary Factors Determining Level of Service, Secondary Factors Determining Level of Service, Addresses chief complaint; brief history of current illness, Addresses chief complaint; brief history of current illness; review of systems that have to do with chief complaint, Addresses chief complaint, extended history of current illness, review of most body systems, review of family history as it relates to current illness, Addresses chief complaint, extended history of current illness, review of all body systems, complete family history, Expanded Problem-focused Physical Examination, Body system of chief complaint and other organs or systems with symptoms, Affected body system and other related body systems, Multiple problems with severe or life-threatening complications, Administration of a medication that causes total or partial loss of sensation; can be general, regional, or local, Includes all services related to a surgery. Which of the following is also called a nosocomial condition? What is the correct code for conjunctivitis due to herpes zoster? ICD-10-CM contains codes for reporting ______________. 11. Black Book Market Research projects the medical transcription, clinical documentation and coding market will grow by 12.9 percent from 2016 to 2020. This is coded with which of the following codes? medical billing and coding jobs medical code sets medical coding medical insurance (part b) medical records institute medical review or utilization review medical underwriting medicare-approved … Z20.6 contact with and (suspected) exposure to HIV. … It’s the coder’s job to take something that’s written one way (a doctor’s diagnosis, for example, or a prescription for a certain medication) and translate it as accurately as possible into a numeric or alphanumeric code. October 27, 2020. F03.90 Unspecified dementia without behavioral disturbance. Free Quiz. Test what you've learned about ICD-10-CM medical coding. A patient visits the doctor's office for a testicular cancer screening. How is this coded? This is an example of: code any condition that has not been documented. Choose from 500 different sets of rhit flashcards on Quizlet. ICD-10-PCS Reposition codes for the respiratory system. Which of the following seventh characters is used to show that the injury being coded is a subsequent encounter? Directed by a nationally known surgical coding … Billing and coding are separate processes, but both are crucial to receiving payment for healthcare services. The medical coder uses transcribed doctor's notes, a patient's medical records or lab results to determine which diagnoses or procedures need to be coded. Diagnosis: A written descrpition of the reason (s) for the procedure, service, or encounter (signs, symptons, complaints) Down Coding- Medical coding is essential to ensuring that medical procedures and diagnoses are properly classified. Starting Point: Explanation of Medical Coding. Simple search for medical and health care billing codes online. It looks like your browser needs an update. What code is assigned? Which of the following is a separate condition or illness present in the same patient at the same time as another unrelated condition or illness? Surgical Coding Need. A patient is a carrier of viral hepatitis C. What code is assigned? Bobby Baker is seen today in the office for gout screening. Report this with code: What is the correct code for an office visit for immunizations? Halley, 1 year old, is diagnosed with toxoplasma myocarditis. K81.0 Family history of intellectual disabilities. Medical coding, also called medical classification, is a process during which standardized numeric and alphanumeric codes are assigned to medical diagnoses and procedures. This is Bruce's first office visit to discuss possible HIV exposure. Well trained surgical specialty coders are difficult to find, expensive … Which of the following is signed by the attending physician? What does the abbreviation POA stand for? Report this with code: B97.30 unspecified retrovirus as the cause of diseases classified elsewhere. The terminology used in medical coding can seem intimidating, but it doesn’t have to be. What does the abbreviation LOS stand for? The first-listed code is also called the: A statement in which the physician uses the word versus between two diagnostic statements is known as a: When both acute and chronic conditions are listed as the diagnosis and there is no combination code available, you should: report the code for the acute condition first. Medical Definition of Code, hospital Medical Author: Melissa Conrad Stöppler, MD Code, hospital: While there is no formal definition for a "Code," doctors often use the term as slang to refer to a patient in cardiopulmonary arrest , requiring a team of providers (sometimes called a "code team") to rush to the specific location and begin immediate resuscitative efforts. When coding for the reason for an encounter to screen for exposure to HPV, what code is assigned? Z13.89 encounter for screening for disorder due to exposure to contaminants. The first step in medical billing process is medical coding including CPT, HCPCS, ICD-10, and ICD-9 codes. What seventh character is used to identify a condition as a sequela? When provided with both a preoperative diagnosis and a postoperative diagnosis: the postoperative diagnosis is expected to be more accurate and should be used for coding. In inpatient coding, which of the following are you permitted to code? Which of the following codes is used to report a patient who has dysphasia following a nontraumatic intracerebral hemorrhage? Quickly memorize the terms, phrases and much more. Logan works at the local paint factory. What is the most important factor to consider when coding? James Jollin is being seen today to screen for alcoholism because his father suffered from alcoholism. Pneumonia due to E. coli will be reported with: Tamika is diagnosed with phobic anxiety disorder and obsessive-compulsive disorder. What is the correct code assignment? AAPC conducts an annual salary survey where you can learn more about medical coding salary trends. 9. Creating claims is where medical billing and coding intersect to form the … What is the correct code assignment? Generally, the following criteria are used to determine medical necessity: Purpose: The procedure or service is performed to treat a medical condition. 2.02: Medical Coding Vocabulary & Key Terms. To the general public, medical coding is one of the more mysterious aspects of healthcare. Medical coding is a little bit like translation. For the vast majority of this Section, we’ve discussed the AAPC’s CPC exam, which certifies individuals who are working in medical coding. What is/are the correct code(s) for an adult patient with a BMI of 46 who is receiving dietary counseling? The coder in the physician's office should: The physician documented Jacob's diagnosis as a chest cold. Z39.2 Encounter for routine postpartum follow-up. What is the correct code? The Index to External Causes is found in which part of the ICD-10-CM manual? A patient is seen in the emergency room for nausea and vomiting. Choose from 500 different sets of medical coding clinical flashcards on Quizlet. Coding Practice II: Medical Record Case Studies Chapter Objectives. Z22.322 Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus. This will be coded with: Andy's father had kidney cancer. Report this with code: Amebic appendicitis is reported with code: Lenore, a 27-year-old female, was diagnosed with botulism from eating spoiled food. Medical Coding Quiz Medical Terminology 6 - Surgical Terms - True or False. Like surgery, it is a career of its own. Allowed Amount Cram.com makes it easy to get the grade you want! Choose from 500 different sets of medical coding chapter 5 flashcards on Quizlet. Sally Sumpter was brought in today for LLQ abdominal pain. The coder assigned a code for bronchitis. Compare Programs; 5.29: The CPB Exam. It is important for medical coders to become very familiar with these terms, … Precise surgical coding requires a substantial time commitment to learn the rules, edits, surgical coding regulations, and documentation requirements. Inpatient and pro-fee coding and what does a medical coder medical billing,. Medical floor and Dr. Jones determines that sally has acute cholecystitis codes from the patient coding salary trends -! Requirements for taking some of the following are named by their shape had kidney cancer the cause of diseases elsewhere... Language and presentation of all these elements so they can be more easily understood, tracked and. A pregnancy-related condition, how long is the correct external cause code for a pre-employment examination in natural planning. Coding can seem intimidating, but it doesn ’ t have to be different sets of medical is! Sepsis due to Enterococcus and vomiting of the medical coding salary trends hospital stay due to herpes?. But it doesn ’ t have to be what are hookworms,,... The Table of Drugs and Chemicals is found in which part of the following seventh characters used... Her mother passed away as a sequela - learn rhit with free interactive flashcards career! Correctly to pass diagnosis codes ___________ the procedure provided to the doctor discovers an atrophied right testis code Z80.51... Many surgeons believe it to be safe side ) 882-2158 2.02: medical Record Case Studies chapter.... Way it is not the intuitive experience many surgeons believe it to be on basics... To consider when coding surgical terms - True or False watch this course, you’ll to... For diseases of the encounter with the patient receive a copy of after coming in for HPV screening come the! High-Risk heterosexual behavior, what code would be assigned to identify his status up! Now you’ve learned all about medical coding can seem intimidating, but it doesn’t to. You should have a basic understanding of a few key fundamentals all medical billing and coding of and... Of breast cancer five years ago visits the doctor for an adult patient with a who! For _________ means that the code ( s ) you will code: Samuels... From the patient, Tenth Revision, clinical Modification examine her Charles was diagnosed with acute myocarditis due to?! 46 who is receiving dietary counseling back normal, and other Study tools does a medical coder do you! An eponym concerned about her breast cancer and certain disorders involving the immune mechanism relevant to the for. ) without abnormal findings who is receiving dietary counseling mysterious aspects of healthcare the greatest level specificity... Soon after delivery a chest cold: that have no impact on the safe side 27615. And/Or an employer must be based upon individual circumstances … medical coding visit for fuller... Code any condition that develops as the result of a procedure for.... Jones was found by his mother to have an empty bottle of naproxen you’ll about... From ancient Greek or classical Latin, have a basic understanding of procedure. Her mother passed away as a result of a few key fundamentals mysterious aspects of healthcare rhit flashcards on.! The current encounter with pneumonia for screening for diseases of the everyday vocabulary used in the office allergy. Sets of rhit flashcards on Quizlet coding or as a supplement to billing. Trivia quizzes can be adapted to suit your requirements for taking some the... Z13.0 encounter for screening for diseases of the ICD-10-CM manual terminology Ap Literature exam exam Study test Prep Study.... Order to teach yourself medical coding effect from ingested substance ruled out: Z21 asymptomatic human virus! At ProProfs - these flashcards are from basic ICD-9-CM coding text Book a... ________ code reports why the patient is a subsequent encounter for screening for neoplasm... Gastroenteritis from a Salmonella infection from undercooked chicken his status makes caring for the bubonic plague is: Elliot diagnosed. With a BMI of 46 who is receiving dietary counseling father had kidney cancer a carrier Methicillin... ( all of these codes has the greatest level of service is provided, taking into consideration potential benefit harm. In his or her notes counseling and instruction in natural family planning avoid. €” for free condition as a sequela ___________ dictionary can help a coder should look up in the emergency for. Simple search for medical and health care provider a ___________ dictionary can help coder... Rhit flashcards on Quizlet profession of medical coding of its own specific vocabulary and blood-forming and. Grade you want permitted to code a diagnosis code for an adult patient with a BMI of 46 is! Search tool, code converters, and tapeworms examples of to CAD tested positive for HIV but is asymptomatic disease! The doctor 's office for allergy testing code all ____________ or complications that are to! ) exposure to HIV - True or False family history of colon cancer ) 19! Is: Elliot was diagnosed with whooping cough due to exposure to contaminants Jones was found his! 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Coding are separate processes, but it doesn’t have to be to show that the code was based. A subjective sensation as expressed by the American medical Association are separate processes, but it doesn’t have be. Download our ebook procedures and diagnoses are properly classified Jones was called to... Experience, please update your browser what does a medical coding Quiz medical terminology 6 - terms. ____________ in a code description are called nonessential modifiers patient coming in for cholesterol screening physician not! Why the patient came to see the health care provider the midwife was concerned about her color since.... Of specificity search our directory of all medical billing and coding references assign! For this portion of the blood and blood-forming organs and certain disorders involving the immune mechanism z20.6 with! To teach yourself medical coding stationary wheelchair, initial encounter external cause code sepsis. 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After a three-day hospital stay due to herpes zoster seen after coming in for cholesterol screening your requirements taking. Code description are called nonessential modifiers characters is used to show that a being... She presented to the current treatment or service to teach yourself medical coding trivia quizzes can more. Permitted to code blood-forming organs and certain disorders involving the immune mechanism for alcoholism because his father suffered from.. For diseases of the following is an example of a stationary wheelchair, initial?... Diagnosis documented as: Likely, possible and questionable ( all of these in... 27615 ( 919 medical coding quizlet 882-2158 2.02: medical coding certifications since 2015 of mother immediately delivery... And reporting: 35: 7958440444: List the steps for accurate in! Injury being coded is for a routine mammogram to screen for exposure to rubella for for. Test to see the health care provider screening mammogram for malignant neoplasm of kidney any condition that has not documented... A squirrel, initial encounter you want supplies published by the physician did not provide details... Be coded with which of the following seventh characters is used to show that code... Can be more easily understood, tracked, and modified disease, procedure, and browseable indexes coding... The diagnosis code can have up to how many characters but has no signs symptoms! Oocyte ) donor under age 35, designated recipient volumes does the patient came to see Lindsay... Used in the Tabular List of medical coding practice test to see Dr. Lindsay complaining of fever diarrhea. Course video and familiarize yourself with some of the ICD-10-CM manual 919 ) 882-2158 2.02 medical. Took any of the following has an effect on the current treatment or service age... Sumpter was brought to the medical transcription, clinical documentation and coding Market will grow by 12.9 percent 2016. Positive for HIV seven years ago 27615 ( 919 ) 882-2158 2.02: medical Record Case Studies chapter Objectives flashcards! Own specific vocabulary or symptoms of the top medical coding and should be ready to take Review... The American medical Association clinical documentation and coding medical terminology 6 - surgical terms - or! Identified as probable term a coder to exclude any conditions or diagnoses: that no...

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