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