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HIM 215 Test 1 part 2

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rad2329's version from 2017-02-02 19:49

Section 1

Question Answer
HCPCS codes that start with letters G, K, Q, S, T are ?Temporary codes used for temporary assignment until a definitive decision can be made about appropriate code assignment.
HCPCS (healthcare Common Procedure Coding System) LEVEL II (National Codes) are ?Codes for Specific Drugs, Equipment, & Services (i.e. DME, Prosthetics, Ambulance, Renal Dialysis etc).
LEVEL II HCPCS codes will start with ?Letter A-V followed by a four digit number.
Healthcare Common Procedure Coding System (HCPCS) is updated in ____ and published ______ . How often are the codes revised and how are these changes notified.CMS, November, January, quarterly online through carrier bulletins
HCPCS (Healthcare Common Procedure Coding System) Level II Modifiers are ______ and add further specificity to the five-digit National code?Alpha or Alphanumeric
Level I modifiers are _____ and will specify if service modified or changed with procedure, will often effect reimbursement.Numeric
HCPCS is developed by _____ formerly HCFA, and started in the year _____.CMS, 1983.
What are the three main ways of finding information in the CPT index?Service or procedure, by anatomic site, or by condition or disease
What are the three factors for the code assignment in the E/M section?Place of service, type of service, and patient status
What are the four patient statues?New, Established, Outpatient, and Inpatient
memorize

Section 2

Question Answer
HCPCS Temporary S codes are used for _____Private Payers (i.e. blue cross/blue shield) Not valid for Medicare or Medicaid patients.
HCPCs Temporary T codes are used for ____State Medicaid agencies for items without permanent national codes
HCPCS A codes are used for _____Transportation Services
HCPCS B codes are used for _____Enteral & Parenteral Therapy
HCPCS C codes are used for _____CMS Hospital Outpatient Prospective Payment System
HCPCS D codes are used for _____Dental Procdures
HCPCS E codes are used for _____Durable Medical Equipment, Misc. Skin Protection
HCPCS H codes are used for _____Behavioral Health &/or Substance Abuse Treatment Services
HCPCS J codes are used for _____Drugs other than Chemotherapy; Chemotherapy drugs
HCPCS L codes are used for _____Orthotics; Prosthetics
memorize

Section 3

Question Answer
HCPCS M codes are used for _____Other Medical Services
HCPCS P codes are used for _____Laboratory Services
HCPCS R codes are used for _____Diagnostic Radiology Services
HCPCS V codes are used for _____Vision & Hearing Services
HCPCS Temporary G codes are used for _____Procedures and professional services
HCPCS Temporary K codes are used for _____Assigned to DME regional carriers
HCPCS Temporary Q codes are used for _____Assigned by CMS, services not reported with a CPT code such as Drugs, biologicals, supplies, & medical equipment/services.
Levels of service are based on what three key components.History, Examination, and MDM (Medical Decision Making)
What do the words after the semicolon indicate?alternative anatomic site, procedures or description of extent of service.
Name 3 location methods.Service/Procedure, Anatomic Site, Condition of disease
memorize

Section 4

Question Answer
What do the two opposing arrows or triangles represent?The beginning and end of text changes
what are the three level of CPT codes?Level I: CPT, Level II: HCPCS national codes, LEVEL III: Local codes - phased out due to HIPAA
Pulse, temperature & blood pressure are all parts of which Examination element?Constitutional
Unlisted Procedures are presented in numeric order in this location of what section of the guidelines?Surgery
F1, F2, F3, F4, FA are whatLeft hand Anatomical Modifiers
F5, F6, F7, F8, F9 are whatRight hand Anatomical Modifiers
Regarding dosages for Administration of drugs what does what does g, mg, and mcg stand for ?Gram (exp. up to 1 g), Milligram (exp. 50 mg), Micro Gram (per 1.25 mcg)
Regarding dosages for Administration of drugs what does what does sq cm stand for ?square centimeter (exp. Capsaicin patch dosage per sq cm)
Regarding dosages for Administration of drugs what does what does ml stand for ?milliliter (exp. Carbocaine dosage per 10 ml)
memorize

Section 5

Question Answer
Regarding method of Administration what is INJ ?Injection
Regarding method of Administration what is IV ?Intravenous
Regarding method of Administration what is IT ?Intrathecal
Regarding method of Administration what is IM ?Intramuscular
HCPCS Modifier LT stands for ?Left
HCPCS Modifier RT stands for ?Right
* J codes are reported to identify what ?Drugs administered and the dosages
Regarding method of Administration what is SC ?Subcutaneous
Regarding method of Administration what is INH ?Inhalant Solution
Regarding method of Administration what is VAR and OTHVarious Routes, Other routes
memorize