1. list the volumes of the ICD-9- CM

·      Volume 1: Tabular List

·      Volume 2: Alphabetic Index

2. Explain medicare’s definition of medical necessity

·      the determination that a service or procedure rendered is reasonable and necessary for the diagnosis or treatment of a illness or injury’s .

3. list four settings in which an outpatient is treated.

·      Hospital/ ER

·      Same day surgery

·      Ambulatory

·      Doctors office

4. what is the difference between a first-listed diagnosis and a principal diagnosis.

5. where are V codes located and When are they assigned?

·      Located in the Volume 1: tabular list

·      Med. care for a reason other than illness or injury, such as annual checkups, immunization

·      Volume 1: tabular list

·      Identify the external causes of injuries and poisoning. car accidents, falls, fires, accidental poisoning of drugs or other substance.

7. What is a principal procedure?

·      is a procedure performed or definitive treatment rather that diagnostic purposes

8. What is the definition of a complication?

·       a condition that develops after outpatient care has been provided or during an inpatient admission.

9. why are evaluation and management codes located out of sequence at the beginning of CPT?

·      because E/M codes are reported by all specialties.

10. State the purpose of CPT modifiers

·      shows that one or more special circumstance applies to the service or procedure the physician performed.

11. to code surgeries properly, what three questions must be asked?

·      1. What body system was involved

·      2. What anatomical site was involved

·      3. What type of procedure was performed

12. when coding an excision of a lesion what 3 elements must be known.

·      1. Size of lesion

·      2. Number of lesions

·      3. Benign versus malignant  status.

13. Briefly explain how to properly code multiple lacerations that are in the same CPT coding classification.

·      1. Add together the lengths for each laceration

·      2. And report the total as a single code.