Relacionar Columnas Claims Codes Matching GamesVersión en línea Match the claims codes with their descriptions to test your knowledge! por Eva Fisher 1 22 2 TOB (Type of Bill) Codes 3 031 4 C1713-C1898 5 12 6 0300 7 HCPCS (Healthcare Common Procedure Coding System) Codes 8 831 9 J0120-J9999 10 0111 11 24 12 0370 13 Revenue Codes 14 L8600-L8690 15 1000 16 10 17 020 18 E0100-E8002 19 02 20 21 21 11 22 837 23 POS (Place of Service) Codes 24 0137 Lab Services Revenue Code General Lab/Pathology Revenue Code Surgical Services Revenue Code Telehealth Telehealth in Private Residence HCPCS "Prosthetic implants & related devices" codes ASC. Admit thru discharge. Replacement of prior claim. Codes on UB04 Claims that are 4 digits starting with a 0, then facility type, type of care, and frequency of bill (can be 3 digits if 0 is left off) General Anesthesia Revenue Code Hospital Room & Boad Revenue Code Outpatient Hospital Hospital. Outpatient. Replacement of Prior Claim. Hospital. Inpatient. Admit thru discharge. HCPCS "Durable Medical Equipment (DME)" Codes Office HCPCS "Medicine" codes HCPCS "Implants" codes Codes on HCFA claims that are 2 digits to show the location/venue of service Home/in Private Residence Codes on HCFAs & UB04s, Level 1 are same as CPT Codes and Level 2 are alphanumeric followed by 4 digits ASC. Outpatient. Admit thru discharge. Inpatient Hospital Codes on UB04 (ONLY) that classify services & supplies provided (inpatient, outpatient, or pharmacy services) ASC (ambulatory surgical center) 1 30000-32999 2 22*** 3 20005-29999 4 33016-37799 5 97000-97799 6 00100-01999 7 70010-79999 8 50010-58999 9 28*** 10 27*** 11 10004-19499 12 99201-99205, 99242-99245, 99212-99215 13 24*** 14 60000-60699 15 43*** 16 298** 17 CPT (Current Procedural Terminology) Codes 18 61000-64999 19 23*** 20 69000-69979 21 40490-49999 22 26*** 23 25*** 24 80002-89399 Anesthesia CPT Codes (1 of Lantern Top 6 CPT Categories) Arthroscopy CPT Codes Digestive System CPT Codes (GI & Bariatric- EGDs, Colonoscopies, Gastric Sleeves, Gastric Bypasses, Gallbladders) Endocrine System CPT Codes (Thyroidectomy) Cardiovascular System CPT Codes (Heart- arteries, valves, angioplasties) Musculoskeletal System CPT Codes (Ortho- spine, joint replacement, scopes) Codes used by healthcare providers for billing purposes on both HCFAs & UB04s (5 digits), Top 6: surgery, anesthesia, E&M, radiology, pathology, & PT Arm CPT Codes Spine CPT Codes Integumentary System CPT Codes (skin- includes excision of mass) Auditory System CPT Codes (Ear Tube Insertion) Physical Therapy CPT Codes (1 of Top 6 Lantern CPT Categories) Urinary, Female, & Male Genital System CPT Codes (Kidney Stones, Bladder repair/lift, hysterectomy, hysteroscopy, tubal ligation) Respiratory System CPT Codes (ENT) Evaluation & Management CPT Codes (1 of Top 6 CPT Categories) Foot CPT Codes Bariatrics CPT Codes Radiology CPT Codes (1 of Top 6 Lantern CPT Categories) Hand Nervous System CPT Codes (Neuro-Spine) Pathology & Labs CPT Codes (1 of Top 6 Lantern CPT Categories) Wrist Shoulder (including Shoulder Joint Replacement) CPT Codes Knee (including Knee, Hip, & Shoulder Joint Replacement) CPT Codes 1 51 2 QK 3 135-159 4 26 5 50 6 ICD Code Range M00-M99 7 Common Modifiers 8 163-208 9 467 10 447-566 11 TC 12 33 13 ICD-10 Codes 14 321- 399 15 470 16 620 17 614- 645 18 59 19 SG 20 L, R 21 650-700 22 DRG Codes 23 P1, P2, P3 24 AS, 80, 81 25 QX Complexity of Anesthesia Diagnosis Related Group (usually 3 digits) in PPS Code Box 71 on UB04 only to bundle services for inpatient services facility billing on HCFA (ASC) Endocrine, Nutritional, Metabolic DRG Codes Assistant Physician Professional component was performed separately from technical component International Classification of Diseases 10th Edition alphanumeric diagnosis codes used on HCFAs and UB04s to justify patients' treatment. DRG Code for Revision of Hip or Knee Replacement Adjust CPT codes that were submitted and provided insight into the procedure. Digestive DRG Codes multiple surgeries were performed by the same doctor on the same day Technical component- billing for supplies during procedure Left, Right side of body (LT, RT Unilateral) DRG Code for Obesity Diseases of the muscoskeletal system & connective tissue Qualified non-doctor anesthesia with medical direction ENT DRG Codes Kidney & Urinary DRG Codes Diseases & Disorders of Muscoskeletal System & Connective Tissue DRG Codes Bilateral surgery (change modifier to 150%) 2 or more surgeries are performed at different anatomical sites Primary Anesthesia code to be paid Patients aren't charged for preventative services (screenings & immunizations) Respiratory DRG Codes DRG Code for Hip & Knee Joint Replacement
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