Chapter 5 Coding
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| When submitting insurance claims for patients seen in a physician’s office or in an outpatient hospital setting, the ___________________________diagnosis is listed first | Primary diagnosis
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| When submitting insurance claims for patients seen in a inpatient hospital setting, the ___________________________diagnosis is used. | Principal diagnosis
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| Claims to insurance carriers oftentimes are denied due to lack of ___________________________, which indicates that the procedure provided was not payable for the diagnosis submitted. | medical neccesity
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| The abbreviation ICD-10-CM means ________. | International Classification of Diseases Tenth Revision Clinical Modification
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| The official version of the International Classification of Diseases was developed by the__________. | World Health Organization
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| ICD-10-CM requires ___________________________ documentation in the medical record than the previous coding system, ICD-9-CM. | greater
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| ICD-10-CM is the coding system for reporting inpatient services by hospitals and replaces ___________________________ of the ICD-9-CM coding system. | Volume 1 & 2
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| ICD-10-CM is the standard code set required under ___________________________ legislation and must be used by covered entities when assigning diagnostic codes. | HIPPA
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| Volume 2, Diseases, is a/an ___________________________index or listing of code numbers | Alphabetic
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| Volume 1, Diseases, is a/an ___________________________listing of code numbers | Tabular
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| When using the ICD-10-CM coding system, the ___________________________ is used as a placeholder to save space for future code expansion. | X
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| Conventions are ___________________________used in the diagnostic code books to assist in the selection of correct codes for the diagnosis encountered. | Rules or principals
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| The abbreviation NEC appearing in the ICD-10-CM code book means __________________________. | Not elsewhere classifable
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| ___________________________ are used to enclose synonyms in the Tabular List. | Brackets
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| If a condition is documented in the medical record, but it is not specified as to whether the condition is acute or chronic, then the ___________________________ code should be assigned | default code
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| When selecting a code that corresponds with the condition stated in the medical record, the coder should first locate the term in the ___________________________and then confirm the code in the____. | alphabetic index, tabular list
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| The instructional note ___________________________ listed in the Tabular List assists the coder as to when it is appropriate to report a secondary code. | dash
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| A condition that is produced after the acute phase of an illness is listed as the main term ___________________________in the Alphabetic Index | sequela or late effect
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| When reporting a condition which affects the left side of the patient, the character _______ is reported to indicate laterally | 2
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| The neoplasm table has column headings for __________, and ___________. | Malignant , benign
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| In juvenile diabetes, the patient’s _____________________ does not function and produce enough insulin. | pancreas
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| When coding for diabetes in pregnancy, a code from category ______ is assigned as the primary diagnosis. | 024
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| _________hypertension is indicative of a life-threatening condition. | Malignant
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| Full-term uncomplicated _________________________ deliveries are always reported with the code O80. | vaginal
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| When reporting accidents and injuries, a seventh character of “A” identifies that the encounter is __________. | inital
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| If documentation states that the incident related to a poisoning was a suspected suicide attempt, the code would be reported from the column entitled ___________________________.” | undetermined
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| If a patient falls and fractures his or her wrist, the fracture code is the primary code, followed by a/an ___________________________code to explain how the accident occurred. | External cause
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