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The acronym ICD-9-CM means:
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The three volumes of ICD-9-CM are:
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ICD-9-CM Review

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The acronym ICD-9-CM means: International Classification of Diseases, 9th Revision, Clinical Modification
The three volumes of ICD-9-CM are: Volume 1-Diseases: Tabular List, Volume 2-Diseases: Alphabetic Index, Volume 3-Procedures: Tabular List and Alphabetic Index
E codes are used to describe: external causes of injury/poisoning, site of incident, procedures as cause of abnormal reaction
ICD-9-CM codes are updated at least: Annually in October
V codes and V code descriptions are located in: Volume 1, ICD-9-CM
Symbols, abbreviations, punctuation, and notations in ICD-9-CM are called: conventions
NEC is the acronym for: Not Elsewhere Classifiable
ICD-9-CM codes translate the _____ of services provided from verbal and narrative descriptions to nationally accepted reporting standards. Medical necessity
In the ICD-9-CM, NOS means: Not Otherwise Specified
Words contained within the brackets, provide the coder with: synonyms, alternative wording, explanatory phrases, abbreviations
The colon in the Tabular list tells the coder: the terms below complete the term to make it assignable to a given category
A symbol used to identify those codes that are not usually sequenced as the principal diagnosis is called: italicized type
In the Alphabetic Index of Volume 2, ICD-9-CM nonessential modifiers are: terms enclosed in parentheses that have no effect on the selection of the code listed for the main term
Codes that have mandatory fifth digits are: codes that always require a 5th digit to fully describe them
The Table of Drugs and Chemicals is located in: Volume 2
The classification not included in the Table of Drugs and Chemicals is: Primary neoplasm
Which of the following is not an adverse effect? rash due to drug, fever due to drug, diabetes mellitus, shortness of breath due to drug diabetes mellitus
All ICD-9-CM codes must be supported by: documentation in the medical record
ICD-9-CM contains ____ appendices in the Tabular List of Volume 1. 5
ICD-9-CM contains which of the following: diagnostic codes for conditions beginning with the number 0, morphology of neoplasms, other verbiage used in correct coding morphology of neoplasms
This ICD-9-CM appendix was deleted: Appendix B (Glossary of Mental Disorders)
The ICD-9-CM manual was developed based on a text by what organization? American Medical Assocation, American Academy of Professional Coders, World Health Organization, Center for Medicare and Medicaid Services World Health Organization
Another name for the Supplementary Classification of Factors Influencing Health Status and Contact with Health Services V codes
What volume of the ICD-9-CM is used by hospitals to report inpatient procedures? Volume 3
What organization, in conjunction with the National Centers for Health Statistics, is responsible for maintenance of diagnosis classifications of ICD-9-CM, Volume 3? Department of Health and Human Services
What is defined as transforming written descriptions into numerical designations? Coding
Two insurance programs were established in 1965 by amendments to the Social Security Act known as: Part A (Hospital)and Part B (Supplemental)
The secretary of DHHS has delegated responsibility for Medicare to which department? CMS (Centers for Medicare/Medicaid Services)
Who administers funds for Medicare? Social Security Admistration
Who is eligible for Medicare? People 65 & older, people eligable for disability & people with renal failure
List the three components of the relative value unit: Work, 0verhead, Malpractice
What does RBRVS stand for? Resource Based Relative Value Scale
What is the fastest growing segment of our population today? 65 & older
What is the name given to the groups that handle the daily operations of the Medicare program? MACs (Medicare Administrative Contactors)
What is Appendix A? Morphology of Neoplasms
What is Appendix B? Glossary of Mental Disorders (Deleted in 2004)
What is Appendix C? Classification of Drugs
What is Appendix D? Industrial Accidents
What is Appendix E? Three-Digit Categories
The ICD-9-CM is designed to classify what two things? Causes of morbidity and mortality
Which of the following is not a stated use for the ICD-9-CM: facilitate payment of health services, study health care costs, plan for future health care needs, evaluate appropriateness of treatment Evaluate appropriateness of treatment
Identify the format of the chapters in the ICD-9-CM Volume 1, Tabular List, in the proper sequence, from first to last: Chapter, Section, Category, Subcategory, Subclassification
List the four cooperating parties that agree on coding principles: American Hospital Association; American Health Information Management Association; Center for Medicare and Medicaid Services; National Center for Health Statistics
8 Steps (1)Identify the main ____ in the diagnostic statement Term
(2)Locate the main term(s) in the Alphabetic Index (Volume____) Volume 2
(3)Review any ____ under the main term in the index Subterms
(4)Follow any ______-____ instructions, such as see also. Cross-reference
(5)Verifiy the code(s) selected from the Index (Volume __)in the Tabular List (Volume ____)(referred to in ths text as the Tabular) Volume 2, Volume 1
(6)Refer to any instructional notations in the _____. Tabular
(7) Assign codes to the highest level of _____. For example, if a fourth digit is available, you cannot assign only a three-digit code, and if a fifth digit is available, you cannot assign only a four-digit code. Specificity
(8) Code the diagnosis until all ____ are completely identified. Elements
A combination code is a single code used to classify: Two diagnoses, a diagnosis with an associated manifestation, a diagnosis with an associated complication
Additional signs and symptoms that may not routinely be associated with the disease process being reported should be coded when present. True
In the outpatient setting, an impending condition should be coded as if it actually exists. False
When separate codes exist to identify acute and chronic conditions, the chronic code is sequenced first. False
It is acceptable to use only the Alhabetic Index to assign ICD-9-CM codes. False
When sequencing codes for residuals and late effects, the residual is sequenced first followed by a late effect code. True
A code is invalid if it has not been coded to the full number of digits available for that code. True
ICD-9-CM assumes a relationship between hypertension and renal failure. True
If a patient is admitted for an HIV-related condition, the first-listed diagnosis, is the related condition followed by the diagnosis code 042. False
A fifth digit of 1 should be assigned to 302.0X for someone who abuses alcohol by binge drinking. False
Another term to describe malignant hypertension is accelerated hypertension. True
Hypertension that is caused by another condition is called essential hypertension False
A fifth digit of 1 to indicate status asthmaticus can be assigned if the physician documents an acute exacerbation. False
If a patient's diabetes is documented as poorly controlled, a fifth digit for out of control should be assigned. False
If a patient receives insulin for diabetes, type 1 diabetes should be reported. False
the site to which a malignant neoplasm has spread is the: metastatic site
The site in which a malignant neoplasm originated is the: primary site
In order to code a gastrointestinal condition with hemorrhage, active bleeding must be present. False
It is common to use a fifth digit of 0 when coding complicaitns related to pregnancy. False
A pathologic fracture occurs in a bone that is weakened by disease. True
The perinatal period extends for 6 weeks following birth. False
Generally you do not assign a code from chapter 16 if a definitive diagnosis is documented. True
When an accident occurs, an E code should be the first-listed diagnosis. False
If a fracture and dislocation are present at the same site, assign only the fracture code. True
An infected laceration should be coded as a complicated wound True
A poisoning occurs when a drug has been correctly prescribed and properly administered and the patient develops a reaction. False
When coding a poisoning, the poisoning code is sequenced before any manifestation code. True
ICD-10-CM codes are alphanumeric. True
ICD-10-CM is indexed in a similar manner to ICD-9-CM. True
Like ICD-9-CM, ICD-10-CM contains 17 chapters. False
The American Medical Association is responsible for the development of ICD-10-PCS. False
In ICD-10-PCS, if a character is not applicable, the letter X is used. False
When implemented, the United States will be the first nation to use ICD-10. False
The term "fusion" means the freeing of a body part. False
An example of a procdure that involves inspection is. Diagnostic arthroscopy
Altering the route of passage of the contents of a tubular body part is a: bypass
ICD-10- was issued in 1993 by: WHO (World Health Organization)
Is examination of the back an organ system or body area examinaiton? Body Area
The four types of patient status are: New, established, outpatient & inpatient
The first outpatient visit is called the ____ visit, and the second visit is called the _____ visit. initial, subsequent
see category directs coder to use Volume 1, Tabular List, for additional information
subterms terms indented under main terms, considered essential modifiers
see explicit direction to look elsewhere
Notes defines and give instructions
modifiers terms in parentheses or following main terms; they may or may not be essential
see also directs coder to look under another term if all information is not located under the first term
eponym disease, procedure, or syndrome named for a person
The Medicare Economic Index is published in what publication: Federal Register
In 1989, a major change took place in Medicare with the enactment of: Omnibus Budget Reconcilation Act (OBRA)Payment for Physician Services
What is a HMO? Health Maintenance Organization
What is a PPO? Preferred Provider Organization
The physician that is responsible to control and manage the health care of an HMO enrollee is the: Gatekeeper
What does the abbreviation PACE stand for? Program for All-Inclusive Care of the Elderly
Created by: sus008
 

 



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