Understanding the Procedure Coding System

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These flashcards cover essential concepts and codes associated with the Procedure Coding System, including definitions and applications of each code type.

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19 Terms

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CPT Codes

Codes maintained by the American Medical Association that cover physician services and procedures.

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Level II National Codes

Used for non-physician services such as medical equipment, ambulance services, and lab tests.

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A Codes

Ambulance and transportation codes for billing ambulance and other medical transportation services.

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B Codes

Codes for enteral and parenteral therapy, specifically for nutritional therapy services like tube feeding.

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C Codes

Outpatient Prospective Payment System (OPPS) codes used for outpatient hospital services.

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D Codes

Codes for dental procedures related to teeth.

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E Codes

Durable medical equipment (DME) codes for items like wheelchairs and oxygen tanks.

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G Codes

Codes for the Physician Quality Reporting Initiative (PQRI) and temporary codes for quality reporting.

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H Codes

Codes for treatment services related to alcohol and drug abuse.

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J Codes

Codes used to bill for drugs administered other than orally, such as injectable medications.

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K Codes

Codes for wheelchair and special temporary equipment.

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L Codes

Codes for orthotic and prosthetic devices, such as braces and artificial limbs.

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M Codes

Codes for other miscellaneous medical services not categorized elsewhere.

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P Codes

Codes for pathology and laboratory services including lab tests.

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Q Codes

Miscellaneous services and temporary codes.

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R Codes

Codes for diagnostic radiology services like X-rays and MRIs.

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S Codes

Temporary National codes (non-Medicare) for services not covered by Medicare.

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T Codes

Medicaid codes for services specific to Medicaid.

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V Codes

Codes for vision, hearing, and speech pathology services.