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Knowledge of Coding
H.I.T
| Question | Answer |
|---|---|
| how are ICD-9-CM & ICD-10-CM the same? | they both classify morbidity & mortality, indexing hosp. records, reporting diagnosis by physicians |
| how many volumes are in ICD-9-CM? | 3, vol 1- tabular list of diseases & injuries. vol 2- alphabetic index to diseases & injuries. vol 3- classification for procedures for reporting hosp. procedures |
| in vol 1, what are the chapters divided into? | sections. sections are groups of 3 digit code numbers |
| categories | are a group of closely related conditions, or a single disease entity |
| sub-category level of specificity | is a 4 digit code number |
| what are the 2 supplementary classifications in vol 1? | V codes & E codes |
| V codes | codes used to classify visits when circumstances other than disease or injury are the reason for the appointment. specific to ICD-9-CM |
| when a person is not currently sick goes to a health care professional for a specific reason | V code |
| when a person goes to a health care professional for a specific treatment related to a known disease or injury | V code |
| when a problem influences a person's health status but is not a current injury or illness | V code |
| E codes | are used to classify environmental events, circumstances, & conditions, such as the cause of injury, poisoning & other adverse events. specific to ICD-9-CM |
| why are E codes important? | they provide additional info to ins comps, safety programs, & public health agencies |
| how is ICD-10-CM improving? | improving the accuracy of coding, expanded injury codes, updated med term |
| similarities between ICD- 9-CM & ICD-10-CM? | both use a 3 digits before the decimal, both include subcategory & subclassification codes after the decimal |
| differences between ICD-9-CM & ICD-10-CM? | the codes provide more info, 1st character is a letter, followed by digits, characters 3-7 can be numbers or letters |
| ICD-9-CM code: 250.41 | 250= Diabetes mellitus 250.4 = Diabetes w/ renal manifestations 250.41 =Diabetes w/ renal manifestations, type 1, not stated as uncontrolled |
| ICD-10-CM code: E10.21 | E10.2= Type 1 diabetes mellitus w/ kidney complications E10.21= Type 1 diabetes mellitus w/ diabetic nephropathy |
| what vol 3 ICD-9-CM used for? | facility coding procedures & they are made up of 3 to 4 digits |
| ICD-10-PCS | codes are made up of 7 digits using numbers & 24 letters |
| how many sections are procedures divided into? | 16 sections related to whether it is a medical, surgical, imaging, or other kind of procedure |
| 1 | section of the ICD-10-PCS system where the code is indexed |
| 2 | the body system |
| 3 | root operation, such as excision or incision |
| 4 | specific body part |
| 5 | approach used |
| 6 | device used to perform the procedure |
| 7 | qualifier to provide additional info about the procedure (diagnostic vs. therapeutic) |
| HCPCS | is a group of codes and descriptors used to represent health care procedures, supplies, products, and services |
| how many levels are HCPCS divided into? | two levels: le el I and II |
| level I | is the Current Procedure Terminology ( CPT-4) codes, which are maintained by the American Medical Association |
| level II codes | were established to report services, supplies, & procedures not represented in CPT codes (CMS) |
| CPT | is a uniform code that accurately describes and reports medical, surgical, and diagnostic services and procedures |
| who uses CPT codes for hosp. inpt and outpt services and for those performed in other facilities | physician |
| appendix A | has a complete list of modifiers and their descriptions |
| appendix B | is a summary of the additions, deletions, and revisions that have been put into use in the current CPT edition |
| appendix C | has clinical examples for codes in the evaluation and management section of the CPT book |
| appendix D | is a listing of CPT add-on codes |
| appendix E | is a summary of CPT codes that are exempt from modifier 51 |
| appendix F | is a summary of CPT codes that are exempt from modifier 63 |
| appendix G | has codes that include conscious/moderate sedation |
| appendix H | is an alphabetic index of performance measures by clinical conditions or type but was removed from CPT |
| appendix I | has genetic testing code modifiers used for reporting with lab procedures related to genetic testing |
| appendix J | includes a list of sensory, motor, and mixed nerves that are useful for nerve conduction studies |
| appendix K | lists procedures included in the CPT codebook that are not yet approved by the FDA |
| appendix L | is a reference of the vascular families, including which are considered first-, second-, and third-order vessels |
| appendix M | shows a table of deleted CPT codes and crosswalks to current codes |
| appendix N | is a listing of codes that have been resequenced |
| does HCPCS allow modifiers? | yes |
| coronal, frontal | dividing the body into front and back |
| transverse | dividing the body into top and bottom |
| sagittal | dividing the body into right and left |
| medial | middle of the body |
| lateral | pertaining to the side |
| inferior | below |
| superior | above |
| anterior, ventral | front |
| posterior, dorsal | back |
| distal | away from |
| proximal | near |
| digestive system | is responsible for ingesting and digesting food, absorbing nutrients and eliminating waste |
| respiratory system | responsible for delivering oxygenated blood to all parts of the body |
| musculoskeletal system | gives the human body form stability and enables movement |
| integumentary system | regulates body temp, acts as a sensory receptor to internal and external stimuli, excretes waste from the body through sweat, and absorbs vitamin D and calcium from sunlight to nourish the body |
| cardiovascular system | deliver nutrients and oxygen to every cell within the body and removes waste products |
| circulatory & lymphatic systems | responsible for the overall balance of the body system functions |
| urinary system | aids in the process of secreting & eliminating urine |
| endocrine system | glands that produces & secretes hormones |
| nervous system | consists of the central nervous system (CNS) and the peripheral system (PNS) |
| reproductive system | humans reproduce |
Created by:
diasiar
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