Medical Terminology & Billing Flashcards

What does 'supine' mean in medical documentation?

Answer: Lying on the back, face up

Supine describes a patient positioned on their back facing upward, commonly documented for procedures and exams.

In CPT coding, what does the 'global surgical package' include?

Answer: Pre-operative, intraoperative, and post-operative care within a defined period

The global surgical package bundles pre-op evaluation, the surgery, and standard post-op care into a single reimbursement period.

The medical term 'dyspnea' refers to:

Answer: Difficulty breathing

Dys- means difficult or painful and -pnea means breathing, so dyspnea is labored or difficult breathing.

Which form is used to submit professional (physician) claims to Medicare?

Answer: CMS-1500

The CMS-1500 form is the standard paper claim form used by physicians and non-institutional providers for Medicare and many other payers.

A code is listed as 'bundled' in the NCCI edits. This means:

Answer: It cannot be billed separately when performed with a comprehensive code

NCCI (National Correct Coding Initiative) edits bundle codes that are considered integral to a comprehensive procedure, preventing separate billing.

The combining form 'gastr/o' refers to which organ?

Answer: Stomach

Gastr/o is the combining form for stomach, as in gastritis (stomach inflammation) or gastrectomy (stomach removal).

What does the CPT modifier -25 indicate?

Answer: Significant, separately identifiable E/M service on the same day as a procedure

Modifier -25 is used when a significant, separately identifiable E/M service is provided on the same day as a minor procedure or other service.