Buck's Coding Exam Review 2021

The Physician and Facility Certification Step

1st Edition - October 20, 2020
Author: Elsevier
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 2 9 5 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 4 3 8 - 4

Prepare to succeed on your coding certification exam with Buck’s Coding Exam Review 2021: The Physician and Facility Certification Step! This extensive exam review provides complet… Read more

Purchase options

LIMITED OFFER

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. No promo code is needed.

Institutional subscription on ScienceDirect

Request a sales quote

Prepare to succeed on your coding certification exam with Buck’s Coding Exam Review 2021: The Physician and Facility Certification Step! This extensive exam review provides complete coverage of all topics included on the physician and facility coding certification exams — including anatomy, terminology, and pathophysiology for each body system; reimbursement issues; CPT, HCPCS, and ICD-10-CM/PCS coding; and more. Six full practice exams (with answers and rationales) simulate the testing experience and provide enough practice to reassure even the most insecure exam-taker. It’s the only coding exam review you need!

Cover image
Title page
Table of Contents
Copyright
Dedication
About the authors
Acknowledgments
Preface
Reviewers
Success strategies
List of Illustrations
Part 1. Anatomy, Terminology, and Pathophysiology
1. Integumentary system
Anatomy and terminology
Chapter 1: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 1: Pathophysiology quiz
(Quiz answers are located in appendix b
2. Musculoskeletal system
Anatomy and terminology
Chapter 2: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 2: Pathophysiology quiz
(Quiz answers are located in appendix b
3. Respiratory system
Anatomy and terminology
Chapter 3: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 3: Pathophysiology quiz
(Quiz answers are located in appendix b
4. Cardiovascular system
Anatomy and terminology
Chapter 4: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 4: Pathophysiology quiz
(Quiz answers are located in appendix b
5. Female genital system and pregnancy
Anatomy and terminology
Chapter 5: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 5: Pathophysiology quiz
(Quiz answers are located in appendix b
6. Male genital system
Anatomy and terminology
Chapter 6: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 6: Pathophysiology quiz
(Quiz answers are located in appendix b
7. Urinary system
Anatomy and terminology
Chapter 7: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 7: Pathophysiology quiz
(Quiz answers are located in appendix b
8. Digestive system
Anatomy and terminology
Chapter 8: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 8: Pathophysiology quiz
(Quiz answers are located in appendix b
9. Mediastinum and diaphragm
Anatomy and terminology
Chapter 9: Anatomy and terminology quiz
(Quiz answers are located in appendix b
10. Hemic and lymphatic system
Anatomy and terminology
Chapter 10: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 10: Pathophysiology quiz
(Quiz answers are located in appendix b
11. Endocrine system
Anatomy and terminology
Chapter 11: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 11: Pathophysiology quiz
(Quiz answers are located in appendix b
12. Nervous system
Anatomy and terminology
Chapter 12: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 12: Pathophysiology quiz
(Quiz answers are located in appendix b
13. Senses
Anatomy and terminology
Chapter 13: Anatomy and terminology quiz
(Quiz answers are located in appendix b
Pathophysiology
Chapter 13: Pathophysiology quiz
(Quiz answers are located in appendix b
Part 2. Physician-based Reimbursement Issues
14. Physician-based reimbursement issues
Chapter 14: Reimbursement quiz
(Quiz answers are located in appendix b
Part 3. Facility-based Reimbursement Issues
15. Facility-based reimbursement issues
Medicare
National correct coding initiative (NCCI)
Prospective payment systems (PPS)
Ambulatory payment classifications (APCS)
APC structure
APC payment status indicators (SI) (fig. 15.3)
Medicare severity diagnosis-related groups (MS-DRGs)
Post acute transfer
Present on admission indicator (POA)
Hospital-acquired conditions (HAC)
Revenue codes
Data quality
Office of the inspector general (OIG)
Managed health care
Chapter 15: Reimbursement quiz
(Quiz Answers are located in Appendix B
Part 4. CPT and HCPCS Coding
16. Introduction to CPT
Introduction to medical coding
CPT
Types of CPT codes
CPT codes
CPT format
Two types of code descriptions
Modifiers add information
Unlisted services
Category II codes—supplemental tracking codes
Category III codes—new technology
The index
Appendices of CPT
17. Evaluation and management (E/M) section (99202-99499)
Integral factors when selecting E/M codes
Levels of E/M service based on
Levels of 99202-99215 based only on
E/M levels divided based on
Key components
Physician and patient dialogue
18. Anesthesia section (00100-01999)
Anesthesiologist
CRNA
Uses of anesthesia
Analgesia
Some methods of anesthesia
Patient-controlled analgesia (PCA)
Moderate (conscious) sedation
Anesthesia formula
19. CPT/HCPCS Level I modifiers (-22 to -99)
HCPCS Level II modifiers
20. Surgery section (10004-69990)
General subsection (10004-10021)
Integumentary system subsection (10040-19499)
Musculoskeletal system subsection (20100-29999)
Respiratory system subsection (30000-32999)
Cardiovascular system subsection
Cardiovascular in surgery section (33016-37799)
Cardiovascular in medicine section (92920-93799)
Cardiovascular in radiology section (75557-75774)
Hemic and lymphatic system subsection (38100-38999)
Mediastinum and diaphragm subsection (39000-39499)
Digestive system subsection (40490-49999)
Urinary system subsection (50010-53899)
Male genital system subsection (54000-55899)
Reproductive system procedures (55920)
Intersex surgery subsection (55970-55980)
Female genital system subsection (56405-58999)
Maternity care and delivery subsection (59000-59899)
Endocrine system subsection (60000-60699)
Nervous system subsection (61000-64999)
Eye and ocular adnexa subsection (65091-68899)
Auditory system subsection (69000-69979)
Operating microscope subsection (+69990)
21. Radiology section (70010-79999)
Diagnostic radiology subsection (70010-76499)
Diagnostic ultrasound subsection (76506-76999)
Radiologic guidance subsection (77001-77022)
Breast mammography subsection (77046-77063)
Bone/joint studies subsection (77071-77086)
Radiation oncology subsection (77261-77799)
Nuclear medicine subsection (78012-79999)
22. Pathology and laboratory section (80047-89398, 0001U-0138U)
23. Medicine section (90281-99607)
24. HCPCS coding
One of two levels of codes
Format
Temporary codes
HCPCS National Level II Index
Table of drugs
Part 5. ICD-10-CM and ICD-10-PCS Coding
25. ICD-10-CM overview
Introduction
Format
Alphabetic Index
Table of Neoplasms
Table of drugs and chemicals
Tabular List
26. Using ICD-10-CM
General guidelines
Steps to diagnosis coding
Diagnosis and services
Late effects (sequela)
27. ICD-10-CM chapters 1-10
Chapter 1, certain infectious and parasitic diseases
Chapter 2, neoplasms
Chapter 3, diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Chapter 4, endocrine, nutritional, and metabolic diseases
Chapter 5, mental, behavioral, and neurodevelopmental disorders
Chapter 6, diseases of nervous system
Chapter 7, diseases of eye and adnexa
Chapter 8, diseases of ear and mastoid process
Chapter 9, diseases of circulatory system
Chapter 10, diseases of respiratory system
28. ICD-10-CM chapters 11-14
Chapter 11, diseases of digestive system
Chapter 12, diseases of skin and subcutaneous tissue
Chapter 13, diseases of musculoskeletal system and connective tissue
Chapter 14, diseases of genitourinary system
29. ICD-10-CM chapters 15-22
Chapter 15, pregnancy, childbirth, and the puerperium
Chapter 16, certain conditions originating in the perinatal period
Chapter 17, congenital malformations, deformations, and chromosomal abnormalities
Chapter 18, symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified
Chapter 19, injury, poisoning, and certain other consequences of external causes
Chapter 20, external causes of morbidity
Chapter 21, factors influencing health status and contact with health services
Chapter 22, codes for special purposes
30. Outpatient coding
OGCR Section IV, diagnostic coding and reporting guidelines for outpatient services
31. ICD-10-PCS, reporting inpatient procedures
Table of Contents
Alphabetic Index
Tabular List
Index
Guidelines
Bundling
Part 6. Physician-based Examinations
32. Physician-based examinations
Pre-Examination and Post-Examination
Final Examination
Physician exam (Format A)—final examination
Subject area: Medical terminology
Subject area: Anatomy
Subject area: ICD-10-CM
Subject area: HCPCS
Subject area: Practice management
Subject area: Coding guidelines
Subject area: 10000 integumentary system
Subject area: 20000 musculoskeletal system
Subject area: 30000 respiratory system and cardiovascular system
Subject area: 40000 digestive system
Subject area: 50000 urinary, male genital system, female genital system, and maternity care and delivery
Subject area: 60000 endocrine system, hemic and lymphatic system, nervous system, eye and ocular adnexa, auditory system
Subject area: Evaluation and management (E/M)
Subject area: Anesthesia
Subject area: 70000 radiology
Subject area: 80000 pathology and laboratory
Subject area: 90000 medicine
Part 7. Facility-based Examinations
33. Facility-based examinations
Pre-Examination and Post-Examination
Final examination
Figure credits
Appendix A: Resources
Appendix B: Answers
Appendix C: Medical terminology
Appendix D: Combining forms
Appendix E: Prefixes
Appendix F: Suffixes
Appendix G: Abbreviations
Appendix H: Further text resources
Appendix I: Pharmacology review
Index