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UHI Chapter 7 Week 8 Study online at https://quizlet.com/_ep3hj2 Why must CPT be linked to ICD-10 CM? Procedures and services submitted on a claim must be linked to the ICD-10 CM code that justified the need for the service How are most CPT procedures/services classified as? Most CPT procedures and services are classified as stand-alone codes, which include a complete description of the procedure or services what is done to save space in CPT? To save space in CPT, some descriptions are not printed in their entirety next to a code number, and an indented code appears below another code, requiring the coder to refer back to the common portion of the code description that is located before the semicolon how to identify codes that were added to CPT? A bullet located to the left of a code number identifies codes that were added to CPT for new procedures and services Explain the flash symbol The flash symbol indicates codes that classify products that are pending FDA approval but have already been assigned a CPT code Define Guidelines defines terms and explain the assignment of codes for procedures and services located in a particular section of the CPT manual Define Unlisted codes a procedure or service code assigned when the provider performs a procedure or service for which there is no CPT code what happens when there are unlisted procedures/services? when an unlisted procedure or service code is reported, a special report must accompany the claim to describe the nature, extent, and need for the procedure or service along withy the time, effort and equipment necessary to provide the service How do you identify Mani Terms Mani terms in the CPT index are printed in boldface type What do CPT modifiers do to the meaning of services and proce- dures? CPT modifiers clarify and alter the meaning of services and pro- cedures by providers Where can you find the Evaluation and Management section of the CPT? Why is it there? the evaluation and management section is located at the be- ginning of CPT because these codes describe services most frequently provided by physicians what is "type of service"? The type of service refers to the kind of health care services provided to patients What is a new patient? a new patient is one who has not yet received any professional services from the physician, or from another physician of the same specialty who belongs to the same group practice, within the past three years What is an established patient? an established patient is one who has received professional ser- vices from the physician, or from another physician of the same specialty who belongs to the same group practice, within the past three years Define Physical examination an assessment of the patient's body areas and organ systems define coordination when the physician makes arrangements with other providers or agencies for services to be provided to a patient Define Face-to-Face time the amount of time the office or outpatient care provider spends with the patient and/or family Define consultation the examination of a patient by a health care provider, usually a specialist, for the purpose of advising the referring or attending physician in the evaluation and/or management of a specific prob- lem with a known diagnosis how many coding exercises will there be? there will be two procedure coding exercises 1 / 1

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