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Medical Coding

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Question
Answer
ACUTE   Refers to the condition that is the primary reason forthe current encounter  
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ADVERSE   Any response to a drug that is noxious and unintended and occurs with proper dosage  
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AFTERCARE   An encounter for something planned in advanceexample-cast removal  
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Alphabetic   Portion of the of the ICD9-CM that lists definitions and codes in alphabetic order.example-also called Volume @2  
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Carry-Over Lines-   Are always indented more than two spaces from the level of the preceding line  
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Category   Refers to diagnoses coded listed within a specific three-digit categoryExample-category 250, Diabetes Mellitus  
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Cause-   That which brings about any condition or produces any effect  
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Chronic   Continuing over a long period of time or reoccuring frequently  
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Coding   The process of transferring written or verbal descriptions of diseases, injuries and procedures into numerical designations  
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Combination   A code that combines a diagnosis with an associated secondary process or complication  
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Complication   The Occurrence of two or more diseases in the same patient at the same time  
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Concurrent   When a patient is being treated by more than one provide for different conditions at the same time  
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CPT Current Procedural Terminology   Listing of codes and descriptions for procedures, services and supplies published by the American Medical Association. Use to bill insurance carriers.  
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Diagnosis   A written descrpition of the reason (s) for the procedure, service, or encounter (signs, symptons, complaints)  
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Down Coding-   The process where the insurance carriers reduce the value of a procedure and the resulting reimbursement due to either 1)a mismatchof CPT code and description or 2) ICD9-CM code does not justify the procedure or level of service  
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E Codes   Specific ICD9-CM codes used to identify the cause of injury , poisoning, and other adverse affects(never primary, always eternalexamples-car accident.  
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Eponyms-   Medical procedures or conditions named after a person or place  
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Etiology   The cause (s) or origin of a disease.  
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ICD-9   International Classifications of Diseases, 9th revision  
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ICD-10   International Clasifications of Diseases, 10th revision  
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Late Effec   A residual effect (condition produced after the acute phase of an illness or injury has ended  
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Main Term   Refers to listing in the Alphabetic Index appearing BOLD FACE type  
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Mainfestions   Characteristsics signs of symptons of an illness  
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Multiple   Refers to the need to use more than one ICD 9 CM code to fully identify a coding condition  
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Primary Code   The ICD-9-CM code that defines the main reason for the current encounter  
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Residual   The long term condition (s) resulting from a previous acute illness or injury  
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Rule Out   Refers to a method used to indicate that a condition is probable, suspected or questionable but unconfirmed.  
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Secondary Code   Listed after the primary code that further indicate the cause (s) code for the current encounter of define the need for higher levels of care.  
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Sequencing   The process of listing ICD 9CM codes in the proper order  
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Specificity   Refers to requirement to code to the highest number of digits possible, 3, 4, or 5 when chosing an ICD 9-CM code  
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Sub term   refers to listing appearing in the Alphabetic Index under Main Term and always indented two spaces to the right  
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SubCategories   Refers to the groupings of four digits codes listed under three-digit categories  
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Tabular list   is the portion of the icd 9 cm that lists codes and definitions in numeric order. also referred to as volume 1  
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V Codes   Specific ICD 9 cm code used to identify encounters for reasons other than illness or injury, for example, immunization  
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volume 1   see tabular list  
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volume 2   see alpha list  
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Created by: d.holifield
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