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. Consent form: A consent form is a document that gives permission for medical procedures or treatments and is not the same as a superbill.
B. Assignment of benefits: Assignment of benefits is a document that allows the insurance company to pay the provider directly, not a billing form used to summarize charges.
C. Encounter form: A superbill is also known as an encounter form. It details the services provided, diagnosis codes, and charges for a patient’s visit.
D. Advanced beneficiary notice: An advanced beneficiary notice informs patients about services that Medicare may not cover and is not related to billing or charges.
Correct Answer is B
Explanation
A. Prone: The prone position (lying face down) is not suitable for patients with labored breathing as it can restrict breathing further.
B. Fowler's: The Fowler's position (sitting upright or semi-upright) helps to ease breathing and is often used for patients experiencing shortness of breath or respiratory distress.
C. Supine: The supine position (lying flat on the back) may exacerbate breathing difficulties by increasing pressure on the chest.
D. Lithotomy: The lithotomy position (lying on the back with legs raised and spread) is used for specific procedures and is not appropriate for managing labored breathing.