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coding for dummies

coding test

how many volumes in the ICD-9 coding book? three
what is the name of the first volume? Tabular List of Diseases and Injuries
how many chapters are in the first volume? there are 17
what is the name of the last volume? Tabular List and Alphabetic Index to Procedures
what is the name of the second volume? Alphabetic Index to Diseases
Which volume is the Appendix located in? Volume 1
consists of a group of three-digit categories that represent a single disease entity or a group of similar or closely related condition? section
represents a single disease entity or a group of similar or closely related conditions? categories
provides more specificity or information regarding the etiology, site, or manifestation. subcategories
how many appendices are traditionally included in volume 1 of ICD-9-CM? five
printed in boldface type, and are set flush with the left margin of each column for easy reference. main terms
these are indented one standard indentation to the right under the main term. they describe essential differences in site, cause, or clinical type.. subterms
these are needed because the number of words that can fit on a singlet line of print in the Alphabetic Index is limited. carryover lines
a series of terms in parentheses that sometimes directly follow main terms, as well as subterms. nonessential modifiers
many disease and operations carry the name of a person, or an _________? eponym
what are the two index tables called? hypertension and neoplasm
these are used in the Alphabetic Index as directions to look elsewhere in the codebook before assigning a code. cross-reference terms
the second type of cross-reference direction is __________. this instruction requires the review of another main term in the index if all the needed information cannot be found under the main term. see also
the least-used cross-reference in the Alphabetic Index. it is an instruction to consult a specific category in volume 1. see category
these notes are used throughout the Tabular List to further define or provide an example of a category or section. inclusion (or includes) notes
these notes are hard to miss on review because the word ___________ appears in italicized print with a box around it. they can appear at the beginning of a chapter or section, or below a category, subcategory, or subclassification. exclusion (or excludes) notes
these appear in the Tabular List and the Alphabetic Index in all three volumes of the code book. some carry an instruction to assign a fifth digit. notes
a diagnostic statement that includes phrases sch as "due to" "secondary to" or "with" may require ______________________ multiple coding
__________________ is identified in the Alphabetic Index with the second code listed in brackets. mandatory multiple coding
this notation indicated that use of an ___________ may provide more complete picture of the diagnosis or procedure. use additional code
this instruction is found in the tabular list for categories in which primary tabulation is not intended. code first underlying disease
these are subterms that indicate a relationship between the main term and an associated condition or etiology in the alphabetic index. connecting words
what is this abbreviation? NEC not elsewhere classifiable
what is this abbreviation? NOS not otherwise specified
how many different punctuation marks are in the ICD-9-CM coding book? there are five
these enclose supplementary word or explanatory information that may or may not be present in the statement of a diagnosis or procedure. parentheses
these are used to enclose synonyms, alternative wordings, abbreviations, and explanatory phrases. square brackets
these are found only in the alphabetic index. they enclose a code number that must be used in conjunction with a code immediately preceding it. slanted brackets
this is used in the tabular list after an incomplete term that needs one or more modifiers in order to be assigned to a given category or code. colon
simplifies tabular entries and saves printing space by reducing repetitive wording. brace
true/false do use a symptom or sign as the principal diagnosis if a definitive diagnosis has been established. false
true/false if there are two or more interrelated conditions that could each meet the definition of principal diagnosis either may be sequenced first true
true/false if the diagnosis is noted as probable, suspected, likely, questionable, rule out, the condition is coded as if it existed true
true/false do code diagnoses documented as probable, suspected, questionable, rule out, or working diagnosis. false
true/false for patients receiving therapeutic services only, code first the diagnosis responsible for the service. true
true/false for ambulatory surgery, use the diagnosis for which the surgery was performed. true
if the post-operative diagnosis differs from the pre-operative, select the pre-operative code. false
what does ICD-9-CM stand for? international classification of diseases, 9th edition, clinical modification
examples of cross reference terms (3) see, see also, see condition
in the tabular list, what are the 2 notes called? inclusions/includes and exclusion/excludes
Created by: kimmysingleton
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