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42 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 |
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actinic keratosis
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a premalignant warty lesion occurring on sun-exposed skin of the face or hands in aged light-skinned people
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alopecia
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loss of hair
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basal cell carcinoma
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a slow growing malignant neoplasm
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benign lesion
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a tumor not forming metastases, & not invading & destroying adjacent normal tissue
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biopsy
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removal of tissue from a patient for macroscopic diagnostic examination
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congenital nevus
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a melanocytic nevus visible at birth, often larger than an acquired nevus
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contact dermatitis
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acute or chronic dermatitis caused by initial irritant effect of a substance coming in contact with the skin
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debridement
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removal of foreign materials, necrotic matter, & devitalized tissue from a wound or burn
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decubitus ulcer
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focal ischemic necrosis of skin & underlying tissues at sites of constant pressure or recurring friction
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dermabrasion
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procedure used to remove acne scars or pits, performed with sandpaper or other abrasive materials
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dermatofibroma
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a slowly-growing, benign skin nodule consisting of poorly demarcated cellular fibrous tissue
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dermis
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directly below the epidermis; the second layer of the skin
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dysplastic nevus
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cutaneous pigmented lesions with notched, irregular borders, considered pre-malignant
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epidermis
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outer layer of the skin
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eschar
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a thick, crusty covering or slough developing after thermal or chemical burn or cauterization of the skin
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gynecomastia
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excessive development of the male mammary glands
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impetigo
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a contagious superficial pyoderma, caused by Staph or group A Strep
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intradermal nevus
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a nevus in which nests of melanocytes are found in the dermis, but not at the epidural-dermal junction
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keloid
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a nodular, firm, often linear mass of hyperplastic, thick scar tissue
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lumpectomy
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surgical removal of a tumor or other lump from the breast along with some surrounding tissue, conserving normal breast appearance
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mammaplasty
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plastic surgery for altering the breast(s) size by enlarging or reducing the breasts
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mastectomy
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surgical removal of one or both breasts to treat or prevent breast cancer
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mastopexy
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plastic surgical fixation in doing a breast(s) lift or reshape the breast(s) to improve the look of sagging breast(s)
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mycoses
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any disease caused by a fungus
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necrosis
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pathologic death of one or more cells, or of a portion of tissue or organ, resulting from irreversible damage
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nevus
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a circumscribed malformation of the skin, especially one that is colored by hyperpigmentation
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pilonidal cyst
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hair-containing cyst or sinus in the tissues of the sacrococcygeal area
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pruritis
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relating to itching
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psoriasis
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a common inherited condition characterized by the eruption of reddish, silvery-scaled maculopapules
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sebaceous cyst
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a common cyst of the skin & subcutis containing sebum & keratin
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seborrhea
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overactivity of the sebaceous gland, resulting in an excessive amount of sebum |