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stuidy guide for classifaction and reimbursement final
coding
69
Medical
12/03/2011

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Term
semicolon ;
Definition
this signifies that the main entry appplies to, and is part of all indented entries that follow with their codes
Term
bullet
Definition
new addition
Term
triangle
Definition
revision
Term
facing triangle
Definition
beginning and ending of new or revised text within the guidelines and instructions notes
Term
plus +
Definition
add-on code
Term
circled bullet
Definition
moderate (conscious)sedation
Term
null symbol (circle w/line through it)
Definition
indicates codes that may not be appended with modifier 51
Term
PENDING SYMBOL (LIGHTING BOLT)
Definition
VACCINE THAT IS PENDING APPROVAL FROM THE FDA
Term
RESEQUENCED SYMBOL #
Definition
OUT OF NUMERICAL SEQUENCED
Term
REINSTATED CODE SYMBOL (O)
Definition
APPLIES TO CATERGORY III CODES THAT HAVE BEEN RECYCLED.
Term
WHICH CODES BEGIN WITH THE NUMBER 99 AND ARE USED TO INDICATE ANESTHESIA SERVICES PROVIDED DURING SITUATIONS THAT MAKE THE ADMINSTRATION OF THE ANESTHIA MORE DIFFICULT
Definition
QUALIFYING CIRCUMSTANCES:ANESTHESIA COMPLICATED BY:99100-EXTREME AGE, YOUNGER THAN 1 AND OLDER 70
Term
ANESTHESIA QUALIFYING CICUMSTANCES 99116
Definition
ANESTHESIA COMPLICATED UTILIZATION OF TOTAL BODY HYPOTHERMIA
Term
ANESTHESIA QUALIFYING CIRCUMSTANCES
99135
Definition
ANESTHESIA COMPLICATED BY UTILIZATION OF CONTROLLED HYPOTENSION
Term
QUALIFYING CURCUMSTANCES 99140
Definition
ANESTHESIA COMPLICATED EMERGENCY CONDITIONS
Term
NAME THE SECTION OF THE CPT AN WHAT NUMBER THEY START WITH
Definition
99201-EVALUATION MANAGEMENT
Term
NAME THE SECTION OF THE CPT AND WHAT NUMBER IT STARTS WITH
Definition
ANESTHESIA---00100
Term
NAME THE THE SECTION OF THE CPT AND ITS NUMBER IT STARTS WITH
Definition
SURGERY---10021
Term
NAME THE SECTION OF THE CPT AND THE NUMBER IT STARTS WITH
Definition
RADIOLOGY-- 70010
Term
NAME THE SECTION OF THE CPT AND WHAT NUMBER IT STARTS WITH
Definition
PATHOLOGY AND LABORATORY---80047
Term
NAME THE SECTION OF THE CPT AND WHAT NUMBER IT STARTS WITH
Definition
MEDICINE---900281
Term
WHAT ARE QUALIFYING CIRCUMSTANCES
Definition
WHEN ANESTHESIA SERVICES ARE PROVIDE UNDER DIFFICULT CIRCUMSTANCES BECAUSE OF THE PATIENT'S CONDITION, OPERATION CONDITIONS OR UNUSUAL RISK FACTORS, AN ADDITIONAL CODE MUST BE REPORTED ALONG WITH THE ANESTHESIA SERVICE. CODES 99100-99116-99135-99140
Term
NOTES
Definition
MAY APPEAR AT THE BEGINNING OF A HEADING, WITHIN PARENTHESES BEFORE OR AFTER A CODE,OR WITHIN PARENTHESES IN THE CODE DESCRIPTION. (PROVIDE ADDITIONAL CODING GUIDELINES,ADDITIONAL EXPLANATION, ADDITIONAL INFO ABOUT SERVICES OR PROCEDURES
Term
WHAT IS THE ORDER OF THE CPT
Definition
SECTION(SURGERY)-SUBSECTION(CARDIOVASCULAR SYSTEM)-SUBHEADING(ARTERIES AND VEINS)-CATERGORY(SURGERY OF SKULL BASE)-SUBCATERGORY(APPROACH PROCEDURE)-
Term
EVAULUATION/MANAGMENT CODES START WITH WHAT NUMBER
Definition
99201-99499
Term
DESCRIBE SERVICES EXAMPLES
Definition
EVALUATION/MANAGEMENT SERVICES, CONSULTAION, ANTEPARTUM CARE, POSTPARTUM CARE, CLINICAL CHEMISTRY TEST(MATERIALS,TISSUES,OR FLUIDS),PSYCHAITRIC EVAULATION, PHYSICIAL THERAPY, TRAINING,VACCINES
Term
DISCRIBE PROCEDURES EXAMPLES
Definition
CHOLECYSTECTOMY, INCISION AND DRAINAGE, INCISIONAL HERNIA REPAIR, NEPHRECTOMY, FRACTURE-OPEN/CLOSED TREATMENT
Term
DESCRIBE ANATOMIC SITE EXAMPLES
Definition
FEMUR
Term
WHAT IS IN THE FRONT OF EACH SECTION?
Definition
GUIDELINES
Term
STAND-ALONE CODE
Definition
A CODE THAT HAS ALL OF THE WORDS THAT DESCRIBE THE CODE FOLLOWING IT
Term
SEPARATE PROCEDURE
Definition
TYPE OF PROCEDURE THAT IS PERFORMED INDEPENDENTLY OF AND IS IMMEDIATLEY RELATED TO, ANOTHER PROCEDURE
Term
WHEN THE WORDS "SEPARATE PROCEDURE" APPEAR AFTER THE DESCRIPTOR OF A CODE, YOU KNOW WHICH OF THE FOLLOWING ABOUT THAT CODE?
Definition
THE PROCEDURE WAS A MINOR PROCEDURE THAT WOULD ONLY BE CODED IF IT WAS THE ONLY SERVICE PROVIDED
Term
P MODIFIERS REPRESENT ANESTHESIA WHAT ARE THEY
Definition
PHYSICAL STATUS MODIFIERS:P1--A NORMAL HEALTHY PATIENT, P2--A PATIENT WITH MILD SYSTEMIC DISEASE,P3--A PATIENT WITH SEVERE SYSTEMIC DISEASE,P4--A PATIENT WITH SEVERE SYSTEMIC DISEASE THAT IS A CONSTANT THREAT TO LIFE,P5--A MORBID PATIENT WHO IS NOT EXPECTED TO SURVIVE WITHOUT OPERATION,P6--A DECLARED BRAIN DEAD PATIENT WHOSE ORGANS ARE BEINF REMOVED FOR DONOR PURPOSES
Term
TYPES OF ANESTHESIA
Definition
LOCAL
REGIONAL
GENERAL
Term
A TYPE OF SEDATION THAT DECREASES THE LEVEL OF CONSCIOUSNESS WITHOUT PUTTING TO PATIENT TO SLEEP
Definition
MODERATE(CONSCIOUS)SEDATION
Term
MOST USED MODIFIERS
Definition
-22-INCREASED PROCEDURAL SERVICES
Term
MOST USED MODIFIERS
Definition
23-UNUSUAL ANESTHESIA
Term
MOST USED MODIFIERS
Definition
47-ANESTHESIA BY SURGEON
Term
MOST USED MODIFIERS
Definition
51-MULTIPLE PROCEDURES
Term
MOST USED MODIFIERS
Definition
59-DISTINCT PROCEDURAL SERVICE
Term
MOST USED MODIFIERS
Definition
26-PROFESSIONAL COMPONENT
Term
MOST USED MODIFIERS
Definition
50-BILATERAL
Term
MOST USED MODIFIERS
Definition
52-REDUCED SERVICES
Term
MOST USED MODIFIERS
Definition
53-DISCONTINUED PROCEDURE
Term
HOW ARE CODES DIVIDED IN ANESTHESIA
Definition
FIRST BY BODY SITE AND THEN BY SPECIFIC SURGICAL PROCEDURE PERFORMED
Term
DEFINE TUNNELED CATHETER
Definition
TUNNELED CATHETERS HAVE AN ENTRANCE SITE AT A DISTANCE FROM WHERE THEY ENTER THE VASCULAR SYSTEM.THESE ARE TUNNELED THROUGH THE SKIN AND SUBCUTANEOUS TISSUE TO A GRAT VEIN.(TYPICALLY FOR LONG TERM USE)
Term
DEFINE NON-TUNNELED
Definition
FIXED IN PLACE AT THE SITE OF INSERTIC WITH THE CATHETER AND ATTACHMENTS PROTURDING DIRECTLY.
Term
DEFINE NON-TUNNELED
Definition
FIXED IN PLACE AT THE SITE OF INSERTIC WITH THE CATHETER AND ATTACHMENTS PROTURDING DIRECTLY.
Term
THE ENDOCRINE SUBSECTION OF THE CPT MANUAL CONTAIN HOW MANY CODES FOR ENDOCRINE GLANDS?
Definition
4 WHICH ARE THYROID GLAND,PARATHYROID GLAND,THYMUS AND ADRENAL GLANDS.
Term
WHAT IS DIRECT LARYNGOSCOPY
Definition
A PHYSICIAN INSERTS LARYNGOSCOPE AND LOOKS DIRECTLY AT THE LARYNG.THE SCOPE CAN BE EITHER RIGID OR FLEXIBLE.PATIENT IS USUALLY PLACED UNDER GENERAL ANESTHESIA.A MICROSCOPE MAY ALSO BE USED DURING THE PROCEDURE
Term
SELECTIVE ARTERIAL CATHETERIZATION
Definition
CATHETER IS REMOVED,MANIPULATED OR GUIDED INTO A PART OF ARTERIAL SYSTEM OTHER THAN THE AORTA, OR THE VESSEL PUNCTURED
Term
NON SELECTIVE ARTERIAL CATHETERIZATION
Definition
PLACEMENT OF THE CATHETER OR NEEDLE DIRECTLY INTO AN ARTERY, OR A NEEDLE IS NEGOTIATED ONLY INTO THE THORACIC OR ABDOMINAL AORTA FROM ANY APPROACH
Term
ANGIOGRAPHY: SELECTIVE CATHETER PLACEMENT
Definition
MOVED BEYOND THE VESSEL PUNCTURED OR BEYOND THE AORTA
Term
ANGIOGRAPHY:NONSELECTIVE CATHETER PLACEMENT
Definition
VASCULAR CATHTER IS LEFT IN THE VESSEL IN PUNCTURED AND NOT ADVANCED ANY FURTHER; OR IT IS ADVANCED INTO THE AORTA AND NOT BEYOND
Term
FIRST STEP IN CHOOSING DIGESTIVE ENDOSCOPIC PROCEDURE CODE
Definition
IDENTIFY THE EXTENT OF THE PROCEDURE
Term
MOST NTRVOAL ANGIOGRAPHY PROCEDURES HAVE HOW MANY COMPONENTS AND WHAT ARE THEY?
Definition
2 SURGICAL COMPONENT AND IMAGING COMPONENT. (IMAGING INCLUDES SUPERVISION AND INTERPRETATION)
Term
HYSTERECTOMY CODES ARE DIVIDED BASED ON WHAT?
Definition
SURGICAL APPROACH AND THEN ON ANY SECONDARY PROCEDURE(S) THAT WERE DONE
Term
ANTERIOR (VENTRAL)
Definition
AT OR NEAR THE FRONT SURFACE OF THE BODY
Term
POSTERIOR (DORSAL)
Definition
AT OR NEAR THE BACK SUFACE OF THE BODY
Term
SUPERIOR
Definition
ABOVE
Term
INFERIOR
Definition
BELOW
Term
MEDIAL
Definition
MIDDLE
Term
LATERAL
Definition
SIDE
Term
THE DIVISION OF THE SURGEY SECTION ARE BASED ON WHAT?
Definition
THE SURGERY SECTION PROVIDES CODES FOR PROCEDURES PERFORMED BY PHYSICIANS OF ANY SPECIALTY TYPE
Term
WHAT 3 THINGS ARE INCLUDE IN A SURGICAL PACKAGE
Definition
PREOPERATIVE,INTRAOPERATIVE, POST OPERATIVE
Term
THE DIVISIONS OF THE RADIATION ONCOLOGY SECTION OF THE CPT MANUAL ARE DIVIDED INTO SUBSECTIONS BASED ON WHAT?
Definition
TYPE LEVEL AND EXTENT OF SERVICES. OR (JUST SERVICES)
Term
IN PATH/LAB WHAT TYPE OF DRUG TEST MEASURES THE PRESENCE OF A DRUG?
Definition
QUALITATIVE
Term
WHAT TYPE OF DRUG TEST MEASURES THE AMOUNT OF A DRUG?
Definition
QUANTITATIVE
Term
WHAT IS THE NAME GIVEN TO A GROUPED LABORATORY WORK THAT REPRESENTS THOSE TESTS COMMONLY DONE TOGETHER?
Definition
PANELS
Term
HOW MANY CHANGES ARE THERE IN THE 2012 CPT?
Definition
500