Chapter 14 Vocabulary

2. of systems A list of questions related to each organ system, designed to uncover potential disease processes.
3. Additional medical documentation required to confirm the need for the use of unlisted, unusual, or newly adopted medical procedures code.
5. For purposes of CPT coding, medical services and procedures performed for the patient before, during, and after a surgical procedure, that are included with the assigned CPT code.
6. Registered Nurse Anesthetist A nursing healthcare professional who is certified to administer anesthesia.
8. A statement in the patient's own words that describes the reason for the visit.
10. An online CPT coding journal, supported by the AMA, that addresses subjects such as appealing insurance denials, validating coding to auditors, training 282staff members, and answering day-to-day coding questions.
11. The surgical removal of dead, damaged, or infected tissue to improve the function of healthy tissue.

1. The quality or state of being specific.
4. The regular collection of data to assess whether the correct processes are being performed and desired results are being achieved.
7. Pertaining to, involving, or affecting two or both sides.
9. In medical terms, a medical diagnosis or procedure named for the person who discovered it.