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MODULE 120-MBIC
UNIT 2 INSURANCE CODING PRINCIPLES
50
Medical
Undergraduate 2
12/15/2011

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Term
Bullet symbol
Definition
Symbol that is placed in front of the code to identify new codes.
Term
Solid Triangle Symbol
Definition
indicates that the description for the code has been changed or modified since the previous edition.
Term
Right/Left Triangle symbol
Definition
indicates the beginning and the end of the text changes.
Term
Unlisted Procedures
Definition
Procedures that are considered unusual, experimental or new and do not have a specific code number assigned.
Term
Plusa symbol
Definition
Placed in front of a code to indicate an add-on-code.
Term
Current Procedural Terminology (CPT)
Definition
A coding system developed by the American Medical Association (AMA) to convert widely accepted uniform descriptions of medical, surgical, and diagnostic services rendered by health care providers.
Term
Food and Drug Administration (FDA)
Definition
responsible for the safety of food and drugs in America.
Term
Appendix A
Definition
Located near the back of the CPT manual; lists all modifiers with complete explanations for use.
Term
Category I
Definition
CPT codes approved by the FDA and representing widely used services and procedures.
Term
see-
Definition
a cross-reference term within the index of the CPT manual used to direct the coder to another term or other terms. It indicates that the correct code will be found.
Term
Admission
Definition
Attention to an acute illness or injury resulting in admission to a hospital.
Term
Critical Care
Definition
The care of critically ill patients in medical emergencies that requires the constant attendance of the physician.
Term
Consultation
Definition
includes those services rendered by a physician whose opinion or advise is requested by another physician or agency concerning the evaluation and/or treatment of a patient;this is not the attending physician.
Term
concurrent care
Definition
the provision of simular services(e.g.; hospital visits)to the same patient by more thanone physician on the same day.
Term
Established patient
Definition
A patient who has received face-to-face professional services from the physician or another physician of the same speciailty in the same group within the past three years.
Term
New patient
Definition
A patient who has not received face-to-face professional services from the physician or another physician of the same speciailty in the same group within the past three years.
Term
Office Visit
Definition
a face-to-face encounter between a physician's private office to allow for primary management of all patient health care records.
Term
modifiers
Definition
added to codes to supply more specific information about the services provided.
Term
Outpatient
Definition
A patient who receives services in an ambbulatory health care status.
Term
Emergency Care Services
Definition
Services that are provided by the physician in the emergency department for unplanned patient encounters; no disstinction is made between new and established patients who are seen in the Emergency Department.
Term
Inpatient
Definition
one who has been formally admitted to a health care facility.
Term
Key Components
Definition
The history, examination, and medical decision-making complexity of an E/M service.
Term
Referral
Definition
the transfer of the total or specific portion of care of a patient from one physician to another that does not constitute a consultation.
Term
Attending Physician
Definition
The physician with the primary responsibility for care of the patient.
Term
ADHD
Definition
attention-ddeficit/hyperactivity disorder
Term
AED
Definition
automated external defibrillator
Term
AP
Definition
anteroposterior
Term
BPH
Definition
benign prostastic hyperplasia
Term
CCU
Definition
Critical Care Unit
Term
BM
Definition
bowel movement
Term
DOA
Definition
dead on arrival
Term
GTT
Definition
glocuse tolerance test
Term
FHR
Definition
fetal heart rate
Term
IVP
Definition
intravenous pyelogram
Term
HIPPA
Definition
Health Insurance Portability And Accountability Act
Term
XX
Definition
female sex chromosomes
Term
XY
Definition
male sex chromosomes
Term
ung
Definition
ointment
Term
MS
Definition
musculoskeletal
Term
NaCI
Definition
Sodium Chloride
Term
PDR
Definition
Physician's Desk Reference
Term
PERRLA
Definition
pupils equal, round, react to light and accommodation.
Term
PNS
Definition
peripheral nervous system
Term
SubQ
Definition
subcutaneous
Term
TPR
Definition
temperature, pulse, respiration
Term
COPD
Definition
chronic obstructive pulmonary disease
Term
DOB
Definition
Date of Birth
Term
ECG, EKG
Definition
Electrocardiogram
Term
IDDM
Definition
insulin-dependent diabetes mellitus
Term
qid
Definition
four times a day
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