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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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Presentation on theme: "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."— Presentation transcript:

1 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 TERMS E/M Neoplasms ICD-9ICD-10

2 Put codes on claim forms that insurance will pay for-is considered fraudulent

3 CODING FOR COVERAGE

4 Using a code that reports a higher level of service than what was actually performed and is fraudulent

5 UPCODING

6 Two-character codes that add clarification, additional details to the original code description, and provides necessary information to insurance companies

7 MODIFIERS

8 International Classification of Disease developed by the World Health Organization

9 ICD

10 A code listed next to a main term in the Alphabetic Index

11 DEFAULT CODE

12 Determination that provider acted according to standard practice in providing a particular treatment or procedure

13 MEDICAL NECESSITY

14 Codes used to report and reimburse physicians for their expertise and thought processes involved in diagnosing and treating patients

15 EVALUATION AND MANAGEMENT

16 Levels of History, Physical Examination and Medical Decision Making

17 KEY COMPONENTS

18 One doctor transfers a patient to another for treatment

19 REFERRAL

20 A group of services included in the code for the operation and not reported separately

21 GLOBAL SURIGCAL PACKAGE

22 Malignant tumor that has spread beyond its borders

23 METASTASIS

24 The code for primary, malignant carcinoma of the prostate

25 185

26 The primary location of this carcinoma is in the pyloric area

27 STOMACH

28 Excised malignancies should be reported with this code

29 PERSONAL HISTORY OF V CODES

30 Carcinoma in situ of the cervix should be coded

31 233.1

32 Codes for an adverse effect, rash from Amobarbital

33 782.1, E937.0

34 Sunburn, first degree

35 692.71

36 If doctor does not indicate if a fracture is open or closed it is coded

37 AS CLOSED

38 Code for human immunodeficiency virus [HIV] [AIDS] disease

39 042

40 Type II, controlled diabetes mellitus with ophthalmic manifestations

41 250.50

42 The ICD-10 code for evaluation of a pilonidal cyst

43 L05.91

44 Inflammation of the stomach lining or gastritis in ICD-10

45 K29.70

46 Hodgkin’s sarcoma disease

47 C81.31

48 Non ruptured cerebral aneurysm

49 I67.1

50 Patient went into cardiac arrest at home, caused by an accidental overdose of digoxin

51 T46.0x1A, I46.8


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