Medical Insurance: An Integrated Claims Approach Process
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| E-Code | An alphanumeric code used to identify the external cause of an injury or poisoning
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| Unspecified | Refers to a code that should be used for an incompletely described condition.
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| Addenda | Annual updates to the ICD-9-CM diagnostic coding system.
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| Category | A 3-digit code that covers a single disease or related condition
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| V-Code | An alphanumeric code used for an encounter that is not due to illness or injury.
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| Manifestation | The Characteristic signs and symptoms associated with a disease.
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| Eponym | A condition or procedure that is named for the physician who discovered it.
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| Convention | Typographic technique or standard practice that provides visual guidelines for understanding printed material.
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| Main Term | The medical term in boldfaced type that identifies a disease or condition in the Alphabetic index.
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| Supplementary term | A nonessential word or phrase that helps define a diagnosis code.
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| T/F IN selecting correct diagnosis codes, the chapters of the Tabular List are first searched, and the code is then verified in the Alphabetic Index. | False
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| T/F Subcategories are 4-digit diagnosis codes that define the etiology, site, or manifestation of a disease. | True
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| T/F In the alphabetic index, a see cross-reference must be followed. | True
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| T/F The etiology of a disease is the reason the patient presents for treatment. | True
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| T/F The 5th-digit requirement refers to the need to show a subclassification code for a particular diagnosis. | True
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| T/F A code that appears in italics is a secondary code and is not sequenced first. | True
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| T/F The Coding instruction "use an additional code" means that supplying another code is optional. | False
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| T/F A patient has an appointment for complaint of flulike symptoms. While the patient is in the office, the physician decides to conduct a complete physical examination. A V code is used as the primary diagnosis code for the encounter. | True
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| T/F When a diagnosis is being confirmed by tests or other procedures, only the patient's sign, symptoms, or vague condition are coded, not the possible or suspected disease. | True
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| T/F A patient's past, cured conditions have no applicability to the coding of current encounters except when late effects are noted. | True
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| Outpatient coding is based on which volume or volumes of the ICD-9-CM? | A. Volume 1
B. Volumes 1 & 2
C. Volumes 1,2, & 3
D. Volumes 2 & 3
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| The Medical terms in the alphabetic index are arranged by: | A. The condition or problem
B. The anatomical site
C. The etiology and the manifestation
D. The Signs and Syptoms
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| An Unintentional, harmful reaction to a correct dosage of a drug is called: | A. a late effect
B. a coexisting condition
C. an adverse effect
D. a manifestation
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| A condition that remains or recurs after an acute illness has finished is called: | A. a late effect
B. a coexisting condition
C. an adverse effect
D. a manifestation
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| A colon after a term in an excludes or includes note indicates that: | A. term is not complete w/o 1 or more of the additional terms listed.
B. term requires a manifestation code
C. synonyms/alternate wordings/explanations that follow may appear in the diagnostic statement
D. term requires a code for the underlying diseas
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| To code an encounter for chemotherapy, list the codes in the following order: | A. E code, condition code
B. condition code, E code
C. V code, condition code
D. Condition code, V code
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| The diagnostic statement "patient presents for removal of a cast" requires the use of which of the following types of codes. | A. E
B. V
C. R
D. M
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| If a patient is treated for both an acute and a chronic condition, each of which has a separate code, how should the codes by listed? | A. V code, condition code
B. Chronic code, acute code
C. Acute code, V Code
D. Acute code, chronic code
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| A late effect may be indicated in documentation by the use of the expression(s): | A. due to an old...or due to previous...
B. malignant
C. missile, puncture, with foreign body
D. primary or secondary
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| If fracture is not documented as closed or open, it is coded as: | A. open
B. fissured
C. greenstick
D. closed
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| What are the 3 steps in the diagnostic coding process? | 1. Determine reason for encounter
2. Locate the term in the alphabetic index
3. Verify the code in the tabular list
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| What are the 3 key coding guidelines for selecting correct diagnosis codes? | Code...
1. the primary diagnosis, followed by current coexisting conditions.
2. to the highest level of certainty.
3. to the highest level of specificity.
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| What does ICD-9-CM stand for? | International Classification of Diseases, 9 revision, Clinical Modification
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| How is the ICD-9-CM coding book organized? | Volume 2; Alphabetic Index
Volume 1; Tabular List
Volume 3; Procedures
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| What does volume 1 ad 2 entail? | Disease and Injuries
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| What year did the law under HIPAA pass for mandated diagnosis coding from ICD-9-CM? | 1996
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| When does the USA switch to ICD-10-CM? | Oct. 1, 2013
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