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11 Cards in this Set
- Front
- Back
add-on code |
CPT code used to report a supplemental or additional procedure appended to a primary procedure code |
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diagnosis pointer field
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a field on the medical claim form (CMS 1500) that relates the line item to the diagnosis on the base claim
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global package
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the period & services provided for a surgery inclusive of preoperative visits, intraoperative services, post-surgical complications, postoperative visits, post-surgical pain management by the surgeon, & several miscellaneous services
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global surgery status indicator
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an assigned indicator which determines classification for a minor or major surgery, based on RVU calculations
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locum tenens
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substitute physician who takes over the professional practice of a physician who is absent for reasons such as illness, pregnancy, vacation, or continuing medical education
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major surgery
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surgeries that have a global surgical period that includes the day before the surgery, the day of the surgery, & any related follow-up visits with/by the physician 90 days after the procedure
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minor surgery
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surgeries that have a global surgical period that includes the preoperative service the day of the surgery, surgery, & any related follow-up visits with/by the physician 0-10 days after the surgery
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Resource-Based Relative Value Scale
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physician payment schedule established by Medicare
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Relative Value Units
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a national payment schedule based upon the resources used in furnishing physician services
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National Correct Coding Initiative
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used by professional coders to determine codes considered by CMS to be bundled codes for procedures & services deemed necessary to accomplish a major procedure
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Healthcare Common Procedure Coding System
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national procedure code set for healthcare practitioners, providers, & medical equipment suppliers when filing insurance claims for medical devices, medications, transportation services, & other items & services |