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