Match the following with the correct term or definition.
-Operative procedure performed on paired anatomic organs or tissues during the same operative session
A)Non-OR procedure affecting MS-DRG assignment
B)Limited coverage
C)Noncovered OR procedure
D)Valid OR procedure
E)Bilateral procedure

Question

Quizplus · Accepted Answer

Bilateral procedure refers to an operative procedure performed on paired anatomic organs or tissues during the same operative session.

Answer: A
 Non-OR procedure affecting MS-DRG assignment refers to a diagnostic or therapeutic procedure performed outside of the operating room that could impact the assignment of a Medicare Severity Diagnosis Related Group (MS-DRG) for inpatient hospital claims.

Answer: C
 Noncovered OR procedure refers to an operative procedure that is not covered by Medicare or other payers.

Answer: D
 Valid OR procedure refers to an operative procedure that is covered by Medicare or other payers and meets medical necessity criteria.

Answer: B
 Limited coverage refers to a situation where Medicare or other payers cover a procedure or service, but with restrictions such as only being covered in certain circumstances or for a limited number of times.

Match the Following with the Correct Term or Definition