Questions and Answers
What are the steps for locating a HCPCS code in order?
Today, ICD-10 codes are increasingly important for which of the following reasons?
What does the acronym WHO stand for?
Who may establish a diagnosis that describes the primary condition for which a patient is receiving care?
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ICD-10-CM codes allow for?
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The ICD codes are updated every year on?
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The first step in coding with ICD-10 begins with the?
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What was the ICD-10-CM originally created to classify?
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The number of characters in an ICD-10 code ranges from 3 to?
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ICD-10 codes can be used to?
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The ICD-10 code set is based on a system maintained by the?
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The 'X' in an ICD-10 code designates?
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The ICD-10-CM contains over ___________ codes.
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A code in which 2 diagnoses are included in 1 code is known as a?
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The ICD-10 Tabular list incorporates how many chapters?
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Whose responsibility can it be to locate the most appropriate code from the encounter and is supported in the medical record?
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Study Notes
Medical Coding and Billing Overview
- Effective HCPCS coding involves entering codes from the superbill and ensuring accuracy in the patient's billing record.
- Identify services and equipment needing codes from the encounter form or patient's record.
- The Alphabetic Index serves as a tool to locate relevant code categories.
- Ensure the selected code is valid for the patient's insurance.
- Codes are confirmed by consulting the Tabular Listing, reviewing descriptions carefully.
Importance of ICD-10 Codes
- ICD-10 codes facilitate payment processes for medical services.
- They assist in evaluating healthcare utilization patterns and costs.
- These codes are vital for research focused on healthcare quality and predicting trends in healthcare needs.
Key Organizations and Terms
- WHO stands for World Health Organization.
- Physicians are responsible for diagnosing primary conditions for which patients receive care.
ICD-10-CM and Updates
- ICD-10-CM codes allow for the expansion of new codes and provide detailed specificity for diagnosis.
- The ICD codes undergo annual updates every October 1.
Coding Process and Structure
- The first step in ICD-10 coding begins with the Alphabetic Index.
- Originally developed, the ICD-10-CM classified patient mortality (death) and morbidity (sickness).
- ICD-10 codes are structured with 3 to 7 characters.
Applications of ICD-10 Codes
- ICD-10 codes aid in future healthcare planning, cost analysis, and evaluating patient utilization of healthcare services.
Code Characteristics and Types
- The ICD-10 code set, maintained by the World Health Organization, encompasses over 70,000 codes.
- The "X" in an ICD-10 code signifies a placeholder within the coding structure.
- Combination codes include two diagnoses represented by a single code.
ICD-10 Organizational Structure
- The ICD-10 Tabular List contains 21 chapters detailing a wide array of medical conditions.
- Coders and medical assistants share responsibility for finding the most accurate codes, informed by provided medical records.
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Description
Test your knowledge on the steps for locating HCPCS codes with these flashcards. This resource covers essential processes related to medical billing and coding, making it ideal for students and professionals alike. Improve your coding skills and ensure accuracy in billing practices.
