A medical assistant is reviewing the chart of a patient who has arteriosclerotic heart disease. In which of the following references should the assistant look for You are logged in as PAM appropriate diagnostic code?
Physicians' Desk Reference
CPT manual
HCPCS
ICD-10-CM coding manual
The Correct Answer is D
A. Physicians' Desk Reference: The Physicians' Desk Reference (PDR) provides drug information and is not used for diagnostic coding. It includes details about medications, such as their uses, dosages, and side effects.
B. CPT manual: The CPT (Current Procedural Terminology) manual is used to find codes for procedures and services provided by healthcare professionals, not diagnostic codes.
C. HCPCS: The Healthcare Common Procedure Coding System (HCPCS) is primarily used for coding supplies, equipment, and services not included in the CPT manual. It is not used for diagnostic coding.
D. ICD-10-CM coding manual: The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) manual is the correct reference for finding diagnostic codes, including those for arteriosclerotic heart disease.
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Correct Answer is C
Explanation
A. Reservoir: The reservoir is the place where a pathogen lives and multiplies, such as a human, animal, or environment. It is not how the pathogen enters a new host.
B. Susceptible host: The susceptible host is the individual who can potentially be infected by the pathogen. However, this term does not describe how the pathogen enters the host.
C. Portal of entry: The portal of entry is the correct term for the route by which a pathogen enters a new host, such as through the respiratory tract, gastrointestinal tract, or broken skin.
D. Mode of transmission: The mode of transmission refers to how the pathogen is spread from one host to another, such as through direct contact, airborne particles, or vectors. It does not describe how the pathogen enters the host.
Correct Answer is D
Explanation
A. The date the patient's illness ended: The form does not require the end date of the patient’s illness, but the date of service and diagnosis are needed.
B. The patient's filing limits: Filing limits are set by the insurance carrier and are not required information on the CMS-1500 form.
C. The patient's previous account balance: The previous account balance is not required on the claim form; this form is for billing current services.
D. The patient's insurance identification number: The patient's insurance identification number is required to process the claim with the correct insurance provider.