CHAPTER 6

Classwork- Underline the main term in each procedure statement and construct the appropriate ICD-10-PCS procedure code(s)

1. Bilateral augmentation mammoplasty last year using synthetic substitute, open approach _____________________

2. Percutaneous biopsy of spleen _____________________

3. Laparoscopic oophorectomy, left ______________________

4. Open biopsy of prostate _______________________

5. Esophagoscopy __________________________

Homework- FILL IN THE BLANK

1. Inpatient procedures are classified using __________________.

2. Outpatient and physician office settings report __________________ and HCPCS Level II codes for procedures and services.

3. When CMS implemented ___________________, they discontinued the practice of sequencing procedure codes for reimbursement purposes.

4. When required for reimbursement purposes, the principal procedure is sequenced _____________________.

5. A paper based UB-04 claims allows for the reporting of one principal procedure and _________________ significant procedure(s).

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