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Chapter 5

How many volumes are in the codebook? 3 volumes
Which volumes are used in physicians offices? Volumes 1 and 2
Which volumes are used in hopspitals? Volume 3
When do you code Acute (something has changed in an otherwise stable condition ~ short, but severe course) conditions? 1st
When do you code Chronic (condition that persists for a long period of time or reccurent) conditions? 2nd
Etiology underlying cause *code 1st*
Manifestation signs and symptoms associated with disease *code 2nd*
How many ICD codes can be used on a claim? 4
HTN Hypertension
Benign low risk, under control
Secondary caused by another primary condition (tumor- appears cancer has spread as a result)
Essential no cause found
Malignant high risk, life threatening
Neoplasm tumor, or new growth ~ classification: benign (or uncertain behavior) or malignant (primary CA in SITU (cancer in situation))
Lesion abnormality of tissue ~ classification: benign or malignant
Sequence of V codes when coding may be listed primary or secondary depending on the condition
Poisioning considered an intentional overdose ~ ex. suicide (E code classification)
Adverse effect appropriate dose given resulting in and adverse reaction (E code classification)
Accident accidental overdose (E code classification)
Theraputic use identify agent of an adverse effect (E code classification)
Late effect inactive condition produced after acute phase of illness
And/With two conditions are present & BOTH must be present to use
NEC Nowhere Else Classified
NOS Not Otherwise Specific
How do you code fractures? Always coded as closed, unless stated as open (an open fracture is also known as a compound fracture)
Primary diagnosis (diagnosis = dx) 1st diagnosis listed on the claim form
Encounter form lists chief complaint
Admitting diagnosis given after addmission into the hospital
Secondary diagnosis that contributes to patient's condition
Principal diagnosis obtained after inpatient setting
Italicized bracket need for another code
Brackets synomyn or same meaning
Black circle new code
parenthesis add additional words to the code
triangle revised code
Created by: maxphia32