| Question |
Answer |
| Define NEOPLASM? |
A mass or tumor. |
| How is the recurrence of a primary neoplasm coded? |
Current neoplasm is the primary neoplasm to be coded. |
| What is the coding rule on rheumatic heart disease? |
When a diagnostic statement includes more than 1 condition affecting the mitral valves, one is rheumatic and all are rheumatic. |
| What is a sign? |
A sign is defined objective evidence of a disease that can be observed by the physician. |
| What is a symptom? |
A symptom is a subjective observation reported by the patient but not confirmed objectively by the physician.
|
| What are the instances in which you would apply a sign and symptom as a principal diagnosis? |
When the patient is admitted for sole purpose of treating the symptom and there is no treatment or further evaluation of the underlying disease. |
| What is a significant procedure according to the UHDDS? |
Surgical in nature carries anesthetic and procedural risks that requires specialized training. |
| What are the various types of burns? |
1st degree, 2nd degree and 3rd degree. |
| What is the difference between benign and malignant hypertension? |
Malignant hypertension is poor prognosis to high hypertension. Benign hypertension is slowly progressed to high hypertension. |
| What is the puerperium? |
After labor the infant is delivered allowing the uterus to return to its non pregnant size (6 weeks) |
| What are the instances that code 650 may be used? |
A normal pregnancy with normal delivery may be used 650 for coding. |
| What is the rule when assigning a mechanical ventilation code? Which is sequenced first? |
Indicating whether the patient was on ventilator for fewer than 96 hours or more than 96 hours. The admission for emergency is sequenced first when the patient is immediately ventilated before admission. |
| What are the terms to help the coder to identify an adverse effect? |
Allergic reaction, toxicity, hypersensitivity to drug, idiosyncratic reaction, paradoxical and synergestic. |
| What are the terms to help the coder to identify a poisoning? |
Wrong medication, error in prescription, wrong dosage, intentional drug overdosage and non prescribed drug. |
| What information must the coder seek when assigning the E-code for external causes? |
For external causes is when how an injury occurred, the intent, and the lace where the injury occurred. |
| Dx |
Diagnosis |
| Sx |
Sign |
| Bx |
Biopsy |
| PTCA |
Percutaneous Transluminal Coronary Angioplasty |
| DOE |
Date of Examination |
| SOB |
Shortness of Breath |
| D&C |
Dilation and Curettage |
| BUN |
Blood Urea Nitrogen |
| DM |
Diabetes Mellitus |
| HTN |
Hypertensive Nephropathy |
| CABG |
Coronary Artery Bypass Graft |
| CIN |
Chronic Interstitial Nephritis |
| DVT |
Deep Vein Thrombosis |
| MVP |
Mitral Valve Prolapse |
| TURP |
Transurethral Resection of the Prostate |
| AMI |
Acute Myocardial Infarction |
Cardio Block2anatomy
