test
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| the rules of coding are represented in the official ? for coding and reporting | guidelines
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| if there is no clear cut outpatient guidelines would you refer to | inpatient guidelines
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| it is important to code all the conditions that are being managed during an encounter t/f | true
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| the cause of a disease or condition is aka its | etiology
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| when two or more interrelated conditions exist, either could be the ? diagnosis | first listed
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| which codes are used when a person who is not ill receives health care services? | V codes
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| how many chapters are located in Vol 1, tabular list of icd-9 | 17
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| when a specific diagnosis is not yet known what do you report | signs and symptoms
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| a(n) ? ? is a residual effect I(condition) produced after the acute phase of an illness or injury has ended | late effect
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| which term is now used in place of principle diagnosis | first listed
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| the same dcoding guidelines apply to both the inpatient and outpatient settings. t/f | false
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| in the outpatient setting, the term first listed diagnosis is use instead of principal | true
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| the first listed diagnosis is the diagnosis that the physician lists first in all circumstances t/f | false
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| in the outpatient setting, a diagnosis that is documented as 'rule out' should be coded as if it exists t/f | false
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| v codes can be assigned as first listed or secondary diagnoses. t/f | true
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| if a patient is admitted to observation status for a medical condition a code is assigned for the medical condition as the first listed diagnosis t/f | true
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| it is acceptable to use codes that descibe signs or symptoms when a definitive diagnosis has not been established by the provider. t/f | true
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| if the pre and postoperative diagnoses are different, the preoperative diagnosis should be coded first t/f | false - code post op only
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| code - personal history of peptic ulcer | digestive system v12.71
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| Screening for sickle cell | screening, sickle cell V78.2
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| long term use of high risk medication | long term, high risk V58.69
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| family history of breast cancer, female | history, family, malignant, breast v16.3 female
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| preoperative evaluation for elective cholecystectomy due to gallstones. pt is seen by pulmonologist because of copd | look up how
v72.82 - 574.20 - 496
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| a multi-gravida pt presents for routine prenatal visit. no complications are noted | look for directions
v22.1
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| encounter for paternity testing | v70.4
paternity - testing
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| exposure to tuberculosis | v01.1
exposure - tuberculosis
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| pt admitted to observation following accident at work. no injuries found | v71.3
observation - accident - work
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| screening for osteoporosis | v82.81
screening - osteoporosis
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| id first listed diagnosis established pt presents with chest pain. has a history of previous myocardial infarction | chest pain
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| id first diagnosis initial office visit for pt with diarrhea. physician documented gastroenteritis. |
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| id first diagnosis established pt seen for redness and discharge from right eye. a diagnosis of bacterial conjunctivitis was made |
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| an established patient is seen for management of diabetes and rheumatoid arthritis |
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| an established pt is seen for amenorrhea and galactorrhea to rule out pituitary tumor |
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| coders should assign a code to the highest level of ? | specificity
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| the first step to accurate coding is to identify the ? ? in the diagnosistic statement | main terms
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| a ? code can be used when a condition that is both acute and chronic exists | combination
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| a three digit code is to only be used if it is not further ? | SUB divided
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| a single code that entails two diagnoses is called an | combination code
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| always assign codes from the icd 9 index | false
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| when locating and assigning a correct diagnosis code use this index | both alphabetical index and tabular index
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| which is the correct code for unspecificed acute pericarditis | 420.90
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| an ? ? is a residual effect (condition) produced after the acute phase of an illness or injury has ended | late effect
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| what is the max number of digits an icd9 code contain | five
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| the official guidelines for coding and reporting are updated every year | true
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| if there are separate codes for both the acute and chronic forms of a condition, the code for the chronic condition is sequenced first | false
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| the routinely associated signs and symptoms should not be coded in addition to a code for the particular disease or condition | true
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| a late effect is the residual condition that is still present 2 months after the acute illness or injury | false (no time limit)
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| it is unacceptable to code an impending condition as if it exists | true
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| it is acceptable to assign codes directly from the the alphabetic index of the icd9 | false
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| when sequencing codes for residuals and late effect, the residual code is generally sequnced first followed by the late effect code. | true
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| it is important to follow any cross referenced instructions such as see also | true
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| always verify the code from the alph index in the tabular list to assure accurate coding | true
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| a combination code is a single code that may be used to classify two diagnoses | true
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| multiple coding should not be used when there is a combination code that identifies all the elements documented in the diagnosis | true
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| a combination code is a single code used to classify | 1. 2 diagnoses
2. a diagnosis w/ an associated secondary process (manifestation)
3. a diagnosis with an associated complication
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| terms that may be used to describe a threatened condition include | evolving, impending, threating
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| the correct code for a threatened spontaneous abortion is | 640.03
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| the correct code for impending shock is | no code assigned
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| the correct code for cough due to pneumonia is/are | code pneumonia first 486, 786.2
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| the correct codes for dehydration due to pneumonia i/are | code pneumonia first 486, 276.51
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| correct codes for acute cystitis due to e.coli are | e.coli first574.40, 574.30
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| the correct code for viral pneumonia is/are |
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| the correct code for acute and chronic laryngitis is/are | acute first
464.00, 476.0
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| acute on chronic diastolic heart failure |
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| acute on chronic respiratory failure |
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| calculus of the bile duct with acute and chronic cholecystitis |
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| impending sirs (systemic inflammatory response syndrome) |
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| acute bronchitis due to respiratory syncytial virus (rsv) |
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| pneumonia due to respiratory syncytial virus (rsv) |
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| malunion of previous humeral fracture |
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| facial droop due to previous cva |
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| dysphagia, oropharyngeal phase, due to previous stroke |
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| acute and chronic renal failure IN PT WITH HYPERTENSION |
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| when a pt is to have outpt surgery and the surgery is not perfored due to contraindication, the reason that the surg was not performed is the 1st dia | false
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| it is appropriate to code the postoperative diagnosis as it is the most definitive diagnosis for ambulatory surgery | true
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| chronic disease that are treated on an ongoing basis should be coded and reported as often as the pt receives treatment and care for the chronic conditions | true
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| in the phy office it is acceptable to code v codes as the first listed diag | true
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| in the outpt setting it is unacceptable to have a sign or symptom as the 1st listed diagnosis | false
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| when coding an encounter for preoperative evaluation the reason that the pt is having the surgery or procedure performed is the 1st listed | true
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| in the outpt setting, diag that are documented as 'prob' 'susp' 'r/o' or quest are coded only to the highest degree | false
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| the 1st listed diag is defined as the diag that is the most serious | true
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| it is acceptable to use a code from the icd9 manual, ch 11 in conjunction w/ v22.0 or v22.1 | false
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| it is acceptable to code signs and sympt even when a definitive diagn has been confirmed | false
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| it is not acceptable to code a symp when a definitive diag has been confirmed | true
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| Codes from ch 11 should not be reported in conjunction w v 22.0 and v 22.1 | true
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| it is acceptable to codee suspected pneumonia to the pneumonia code | false
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| the phy office v codes shold only be assigned as the secondary codes | false
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| when a pt is to have outpt surg and the surg is canncled the v code to indicate the reason for the canncellation is the frist listed diag | false
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| when coding an encounter for a preoperative evaluation the approp v code that indicates the type of preoperative evaluation is the 1st list diag | true
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| the guidlenes for coding and reporting are the same for inpt and out pt service | false
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| the difinition for principal diagnos applies only to inpt in acute sht term long term care psychiatric hosp | true
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