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200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 TERMS E/M Neoplasms ICD-9ICD-10
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Put codes on claim forms that insurance will pay for-is considered fraudulent
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CODING FOR COVERAGE
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Using a code that reports a higher level of service than what was actually performed and is fraudulent
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UPCODING
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Two-character codes that add clarification, additional details to the original code description, and provides necessary information to insurance companies
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MODIFIERS
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International Classification of Disease developed by the World Health Organization
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ICD
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A code listed next to a main term in the Alphabetic Index
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DEFAULT CODE
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Determination that provider acted according to standard practice in providing a particular treatment or procedure
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MEDICAL NECESSITY
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Codes used to report and reimburse physicians for their expertise and thought processes involved in diagnosing and treating patients
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EVALUATION AND MANAGEMENT
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Levels of History, Physical Examination and Medical Decision Making
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KEY COMPONENTS
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One doctor transfers a patient to another for treatment
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REFERRAL
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A group of services included in the code for the operation and not reported separately
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GLOBAL SURIGCAL PACKAGE
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Malignant tumor that has spread beyond its borders
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METASTASIS
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The code for primary, malignant carcinoma of the prostate
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185
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The primary location of this carcinoma is in the pyloric area
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STOMACH
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Excised malignancies should be reported with this code
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PERSONAL HISTORY OF V CODES
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Carcinoma in situ of the cervix should be coded
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233.1
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Codes for an adverse effect, rash from Amobarbital
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782.1, E937.0
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Sunburn, first degree
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692.71
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If doctor does not indicate if a fracture is open or closed it is coded
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AS CLOSED
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Code for human immunodeficiency virus [HIV] [AIDS] disease
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042
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Type II, controlled diabetes mellitus with ophthalmic manifestations
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250.50
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The ICD-10 code for evaluation of a pilonidal cyst
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L05.91
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Inflammation of the stomach lining or gastritis in ICD-10
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K29.70
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Hodgkin’s sarcoma disease
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C81.31
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Non ruptured cerebral aneurysm
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I67.1
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Patient went into cardiac arrest at home, caused by an accidental overdose of digoxin
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T46.0x1A, I46.8
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