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ICD-9-CM Review
Question | Answer |
---|---|
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 |