Ms K #1

Primary CPT code

Code used for an office visit

Modifiers

Added to CPT codes to explain changes or specifics

Category II codes

Track performance and quality measures

ICD-10

Codes that describe diagnoses

Coordination of Benefits (COB)

Determines primary vs secondary insurance

CMS-1500

Form used to submit insurance claims

Referral

Authorization to see a specialist

Patient intake

Initial step to verify patient information

Patient identification

Use name and date of birth

Intramuscular injection (IM)

Injection into muscle tissue

IM injection angle

90 degrees

Z-track (venting)

Removes air bubbles before injection

Tourniquet time limit

Remove within one minute

Glucose test strips

Must be coded before use

Cold fingers

Can cause false glucose readings

Eye ointment administration

Apply ribbon in conjunctival sac

Transdermal patches

Remove old patch before applying new

Urticaria

Hives

Erythema

Redness of the skin

Heat stroke signs

Hot dry skin, confusion, tachycardia

Antitussive

Suppresses cough

Decongestant

Reduces nasal swelling

Expectorant

Helps remove mucus

Antihistamine

Relieves allergy symptoms

Red biohazard bag

Used for blood or body fluids

Sharps container

Used for needles and glass

Needle safety

Never recap needles

Scope of practice (MA)

Cannot give medical or insurance advice

RACE: Rescue

Remove patients from danger

RACE: Alarm

Pull alarm or call 911

RACE: Confine

Close doors and windows

RACE: Extinguish/Evacuate

Use extinguisher or evacuate

Order of draw

Yellow, Red, Light Blue, Green, Lavender

Finger stick blood

Wipe away first drop

Bandage direction

Distal to proximal

Stage 2 hypertension

Blood pressure 150/95 or higher

Most accurate temperature

Rectal

Normal BMI range

18.5–24.9

Obese BMI

30 or higher

Verify patient understanding

Have patient repeat or demonstrate

Sanitization

Reduces microorganisms

Disinfection

Kills most microorganisms

Sterilization

Removes all microorganisms

Mitochondria

Produces energy

Prions

Infectious proteins

Pyloric stenosis

Narrowing of pyloric sphincter

Extended release meds

Do not crush or chew

Full block letter style

All text aligned left