Final Exam - weeks 9, 10

what are procedure codes

CPT

what are diagnosis codes

ICD

ICD codes will begin with what

M - musculoskeletal

S - injury

What are the different CPT codes

E&M - eval and management

CMT - chiro manipulation and treatment

Active/Passive therapy

X-ray codes

which CPT codes are for New Patients

99202-99205

which CPT codes are for established patients

99212-99215

which CPT codes are used for spinal adjustments

98940-98942

40: 1-2 region

41: 3-4 regions

42: 5+ regions

43: extraspinal

which CPT codes are used for extremity adjustments

98943

X-ray codes will begin with what number

7

active/passive therapy codes will begin with what

97

what does CPT stand for

current procedural terminology

who created CPT codes

AMA (American Medical Association)

After CPT codes are selected, ICD codes from the Assessment section are linked/associated with each CPT through a process called _____

diagnosis pointing

what does diagnosis pointing establish the relationship between

diagnosis (ICD) and procedures provided (CPT)

what is the maximum number of ICD codes that can be pointed to each CPT code

4

A _____ is the basic measure used to bill for services, and the number of units depends on the type of service and the time spent on it.

unit

what is the 8-minute rule

must provide minimum of 8 minutes of direct patient code to bill 1.00 unit

how do you determine the number of full 15-minute units

divide total time by 15

1.00 unit is billed for ___-___ minutes of service

2.00 units for ___-___ minutes

8-22

23-37

_____ are a two-digit code added to a CPT code that provides additional information about the service or procedure

modifiers

what does the Modifier 25 indicate

significant, separately identified A&M service was performed on same day as procedure (chiro adjustment)

what does the modifier GP indicate

services provided are part of outpatient physical therapy plan of care

Medicare requires every CMT code (98940-98942) to have one of the following modifiers

AT - active, corrective tx performed

GA - wellness/maintenance tx performed

which radiology procedures are completed in Palmer Clinics

x-ray

ultrasound

which order type is created through an unlocked progress note and is indicated by a C

current

which order type is created through the Patient Hub when all current progress notes are locked and is indicated by a V

virtual

what fields need to be verfied before notifying the doctor that the order is ready for approval

ordering provider

study ordered

associated ICD codes

reason for order

when creating an order, what section should ALWAYS be left blank

notes box

which box is used in radiology at the time the study is performed

internal notes

what are the 3 ways you can view DI (diagnostic imaging) reports in eCW

DRTLA tab in right chart panel

DI tab on menu bar of progress note

DI tab on Patient Hub

what color paperclips indicate the results were automatically uploaded via the interface and the images are also available for viewing within eCW?

red

what color paperclips indicate the results were manually uploaded and only a PDF of the report will display

gray