HIM 140 Test 1 – Flashcards
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Anesthesia services are based on ____________time the patient is under the anesthesiologist's care. Calculation of units of time is determined by the third-party payer.
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total
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Anesthesia time begins when the anesthesilogist ___________________and continues ______________ the procedure, and ends when ______________________________________________
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begins preparing the patient to receive anesthesia, continues through the procedure, and ends when the patient is no longer under the personal care of the anesthesiologist.
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According to the Anesthesia Guidelines, what is the one modifier that is not used with anesthesia procedures? _______ (no hyphen)
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47
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"P1" is an example of what type of modifier? ___________ _____________
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physical status
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What word means "in a dying state"?
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moribund
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What word means "affecting the body as a whole"?
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systemic
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The letter "P" in combination with what number indicates a brain-dead patient?
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6
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What type of circumstance identifies a component of anesthesia service that affects the character of the service?
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qualifying
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Anesthesia procedures are divided by what type of site?
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anatomic
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According to the Anesthesia Guidelines, the Separate or Multiple Procedures section, when multiple surgical procedures are performed during a single anesthetic administration, the anesthesia code representing the most ____________ procedure is reported and the time reported is the ________________ or _________________ for all procedures.
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complex, combined total (or total time)
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Is it true that a physician who personally administers the anesthesia to the patient upon whom he or she is operating cannot bill the third-party payer? (if True, why; if False, why, AND is there any additional information you might want to add?)
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No
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What is the name of the guide that is published by the American Society of Anesthesiologists and provdides the weights of various anesthesia services?
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Relative Value Guide (RVG)
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SURGERY
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What is the largest section of the six CPT manual sections?
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NO
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Does Medicare reimburse for a surgical tray?
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medical specialty or body system or anatomical site.
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The subsections in the Surgery section are usually divided according to ___________.
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GUIDELINES
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These are found at the beginning of each section and contain information specific to he section.
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l> <l
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This symbol indicates new or revised text within the current edition of the CPT manual.
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PARENTHETICAL
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Information within parenthesis is referred to as ________ expression or phrase.
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UNLISTED
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Before assigning this type of code, you must be certain that a more specific Category I or a Category III code is not available.___________
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SPECIAL
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This report contains the nature, extent, need, time, effort, and at times equipment necessary to provide a service. ________
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SEPARATE
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This designation within the CPT manual indicates a proedure that is only reported when it is performed as the only procedure or when another procedure performed at the same time is unrelated to this procedure. This is a ______procedure.
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SURGICAL
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When time, effort, and services are bundled together, they form a______package.
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LOCAL
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______anesthesia is defined as local infiltration, metacarpal/digital block, or topical anesthesia.
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ROUTINE
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According to Medicare guidelines, ______ complications of a surgical procedure are usually included in the reimbursement of major surgical procedure.
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99070
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Code______is a CPT code that can be assigned to report a surgical tray.
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A4550
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Code______is a HCPCS code that can be assigned to report a surgical tray.
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99024
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This code reports a postoperative follow-up visit that is included in the global service.
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anatomic
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The Musculoskeletal System subsection is formatted according to what type of sites?
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any physician
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Which physician subspecialty can report the codes from the Musculoskeletal System subsection?
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1.Closed: the fracture site is not opened to view. 2.Open: the fracture site is opened to the surgeon's view or remotely opened. 3.Percutaneous skeletal fixation: neither open nor closed but where pins, screws, or other fixation is placed into the fracture through the skin.
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List the three types of fracture treatments and briefly describe each:
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extent or type
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It is the ______of the fracture that determines the method of treatment.
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traction
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__________is the application of pulling force to hold a bone in place.
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manipulation
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What is the term that describes the physician's actions of bending, rotation, pulling, or guiding the bone back into place?
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reduction
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What term is used to mean "put the bone back in place"?
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dislocation or dislocated
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What term describes a bone that is not in its normal location?
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debridement
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What term describes the cleaning of a wound?
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trocar
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This is a hollow needle that is often used to withdraw samles of fluid from a joint:
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yes
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Would a biopsy code usually include the administration of any necessary local anesthesia?
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Current Procedural terminology
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What does CPT stand for
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Category 3 Codes
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The CPT manual ofter reflects the technologic advances made in medicine with these codes
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Revisions
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The CPT manual is ever changing and is updated annually to feflect techonolgic advances and editorial
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Unlisted
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What type of code ends with 99
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guidelines
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Coding infor that pertains to an entire sectionis located in the
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Category 2 codes
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These codes provide supplemental infor and do not sub for a category 1 code
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Modifiers
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what is the name of a 2 digit number or a digit and a number that is located after the CPt code number and provides more detail about the code
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Appendix A
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Where is a list of modifiers located
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special report
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when using an unlisted or category 3 code, third party payers usually require the submission of what
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Appendix B
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Additions, deletions, and revisions are listed in which appendix
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Appendix D
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A listing of all add on codes is located in which Appendix
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hyphen
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The symbol used between 2 code numbers to indicate that a range is available is a
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lightening bolt
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Symbol that indicates a product is pending FDA approval is the
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Appendix K
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A complete list of codes designated with the symbol that indicates a product is pending FDA approval is listed in this appendix of the CPT mannual
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Appendix I
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The genetic testing code modifiers are listed in this appendix of the CPT manual
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Co- surgeons
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when more that two physicians with technicians and specialized equipment work together to complete a complicated procedure and each physician has a specific portion of the surgery to complete they are termed what
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no
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Can modifier 22 be assigned to 99291, 99292 codes
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22
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Modifier indicates an increased service and is oversued and results in an increase in payment of 20% to 30%
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Surgical Care
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when modifier 54 is assigned payment for the_____ portion of the surgical procedure is being requested
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8.8
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what is the weight in pounds of a 4 kilogram infant
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new patient, established patient and out patient
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Four types of patient status
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new patient
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first outpatient visit is call
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place of service, type of service, and patient status
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three factors a coder must consider when coding are patient
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four
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how many types of histories are there
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problem focused, expanded problem focus, detailed and comprehensive
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four types of examinations
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very low birth weight
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What does VLBW stand for
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hospital inpatient services
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what term is used to describe a patient who has been formally admitted to a hospital
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ligation, exploration, debridement
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what are three things that are considerded components of wound repair
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length, complexity, and site of repair
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wound repair codes are dtermined by what three criteria
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simple, intermediate, complex
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what are the three classifications of wound repair
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multiple procedures
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what does modifier -51 indicate
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guidelines
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what is the title for the info that precedes each section
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Debridement
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The cleanising of an area or wound
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Punch
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what biopsy may be performed to excise a disc of tissue
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tissue expander
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elastic material formed into a sac that is often filled with fluid or air
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auto graft
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name of graph taken from patients body
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benign or malignant
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the mafour distinction in coding destruction of lesions is whether the lesion is
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site and size
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the division of malignant lesion excision is based on
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dermabrasion
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procedure used to treat acne or wrinkles by means of sanding
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pathologist
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in order to report mohs surgery the physician would act as the surgeon and the
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excisional
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what biopsy is entire lesion removed
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anatomic
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What type of sites is the musculoskeletal system subsection formatted
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closed, open and percutaneous skeletal fixation
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three types of fracture treatments
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traction
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what is the application of pulling force to hold a bone n place
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manipultaion
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when physician bends rotates pulls and guids bone back into place
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dislocation
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bone not in its normal location
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Debridement
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cleaning of a wound
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trocar
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hollow needle that is often used to withdraw samples of fluid from a joint