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ch 3 and 4 test


the rules of coding are represented in the official ? for coding and reporting guidelines
if there is no clear cut outpatient guidelines would you refer to inpatient guidelines
it is important to code all the conditions that are being managed during an encounter t/f true
the cause of a disease or condition is aka its etiology
when two or more interrelated conditions exist, either could be the ? diagnosis first listed
which codes are used when a person who is not ill receives health care services? V codes
how many chapters are located in Vol 1, tabular list of icd-9 17
when a specific diagnosis is not yet known what do you report signs and symptoms
a(n) ? ? is a residual effect I(condition) produced after the acute phase of an illness or injury has ended late effect
which term is now used in place of principle diagnosis first listed
the same dcoding guidelines apply to both the inpatient and outpatient settings. t/f false
in the outpatient setting, the term first listed diagnosis is use instead of principal true
the first listed diagnosis is the diagnosis that the physician lists first in all circumstances t/f false
in the outpatient setting, a diagnosis that is documented as 'rule out' should be coded as if it exists t/f false
v codes can be assigned as first listed or secondary diagnoses. t/f true
if a patient is admitted to observation status for a medical condition a code is assigned for the medical condition as the first listed diagnosis t/f true
it is acceptable to use codes that descibe signs or symptoms when a definitive diagnosis has not been established by the provider. t/f true
if the pre and postoperative diagnoses are different, the preoperative diagnosis should be coded first t/f false - code post op only
code - personal history of peptic ulcer digestive system v12.71
Screening for sickle cell screening, sickle cell V78.2
long term use of high risk medication long term, high risk V58.69
family history of breast cancer, female history, family, malignant, breast v16.3 female
preoperative evaluation for elective cholecystectomy due to gallstones. pt is seen by pulmonologist because of copd look up how v72.82 - 574.20 - 496
a multi-gravida pt presents for routine prenatal visit. no complications are noted look for directions v22.1
encounter for paternity testing v70.4 paternity - testing
exposure to tuberculosis v01.1 exposure - tuberculosis
pt admitted to observation following accident at work. no injuries found v71.3 observation - accident - work
screening for osteoporosis v82.81 screening - osteoporosis
id first listed diagnosis established pt presents with chest pain. has a history of previous myocardial infarction chest pain
id first diagnosis initial office visit for pt with diarrhea. physician documented gastroenteritis.
id first diagnosis established pt seen for redness and discharge from right eye. a diagnosis of bacterial conjunctivitis was made
an established patient is seen for management of diabetes and rheumatoid arthritis
an established pt is seen for amenorrhea and galactorrhea to rule out pituitary tumor
coders should assign a code to the highest level of ? specificity
the first step to accurate coding is to identify the ? ? in the diagnosistic statement main terms
a ? code can be used when a condition that is both acute and chronic exists combination
a three digit code is to only be used if it is not further ? SUB divided
a single code that entails two diagnoses is called an combination code
always assign codes from the icd 9 index false
when locating and assigning a correct diagnosis code use this index both alphabetical index and tabular index
which is the correct code for unspecificed acute pericarditis 420.90
an ? ? is a residual effect (condition) produced after the acute phase of an illness or injury has ended late effect
what is the max number of digits an icd9 code contain five
the official guidelines for coding and reporting are updated every year true
if there are separate codes for both the acute and chronic forms of a condition, the code for the chronic condition is sequenced first false
the routinely associated signs and symptoms should not be coded in addition to a code for the particular disease or condition true
a late effect is the residual condition that is still present 2 months after the acute illness or injury false (no time limit)
it is unacceptable to code an impending condition as if it exists true
it is acceptable to assign codes directly from the the alphabetic index of the icd9 false
when sequencing codes for residuals and late effect, the residual code is generally sequnced first followed by the late effect code. true
it is important to follow any cross referenced instructions such as see also true
always verify the code from the alph index in the tabular list to assure accurate coding true
a combination code is a single code that may be used to classify two diagnoses true
multiple coding should not be used when there is a combination code that identifies all the elements documented in the diagnosis true
a combination code is a single code used to classify 1. 2 diagnoses 2. a diagnosis w/ an associated secondary process (manifestation) 3. a diagnosis with an associated complication
terms that may be used to describe a threatened condition include evolving, impending, threating
the correct code for a threatened spontaneous abortion is 640.03
the correct code for impending shock is no code assigned
the correct code for cough due to pneumonia is/are code pneumonia first 486, 786.2
the correct codes for dehydration due to pneumonia i/are code pneumonia first 486, 276.51
correct codes for acute cystitis due to e.coli are e.coli first574.40, 574.30
the correct code for viral pneumonia is/are
the correct code for acute and chronic laryngitis is/are acute first 464.00, 476.0
acute on chronic diastolic heart failure
acute on chronic respiratory failure
calculus of the bile duct with acute and chronic cholecystitis
impending sirs (systemic inflammatory response syndrome)
acute bronchitis due to respiratory syncytial virus (rsv)
pneumonia due to respiratory syncytial virus (rsv)
malunion of previous humeral fracture
facial droop due to previous cva
dysphagia, oropharyngeal phase, due to previous stroke
acute and chronic renal failure IN PT WITH HYPERTENSION
when a pt is to have outpt surgery and the surgery is not perfored due to contraindication, the reason that the surg was not performed is the 1st dia false
it is appropriate to code the postoperative diagnosis as it is the most definitive diagnosis for ambulatory surgery true
chronic disease that are treated on an ongoing basis should be coded and reported as often as the pt receives treatment and care for the chronic conditions true
in the phy office it is acceptable to code v codes as the first listed diag true
in the outpt setting it is unacceptable to have a sign or symptom as the 1st listed diagnosis false
when coding an encounter for preoperative evaluation the reason that the pt is having the surgery or procedure performed is the 1st listed true
in the outpt setting, diag that are documented as 'prob' 'susp' 'r/o' or quest are coded only to the highest degree false
the 1st listed diag is defined as the diag that is the most serious true
it is acceptable to use a code from the icd9 manual, ch 11 in conjunction w/ v22.0 or v22.1 false
it is acceptable to code signs and sympt even when a definitive diagn has been confirmed false
it is not acceptable to code a symp when a definitive diag has been confirmed true
Codes from ch 11 should not be reported in conjunction w v 22.0 and v 22.1 true
it is acceptable to codee suspected pneumonia to the pneumonia code false
the phy office v codes shold only be assigned as the secondary codes false
when a pt is to have outpt surg and the surg is canncled the v code to indicate the reason for the canncellation is the frist listed diag false
when coding an encounter for a preoperative evaluation the approp v code that indicates the type of preoperative evaluation is the 1st list diag true
the guidlenes for coding and reporting are the same for inpt and out pt service false
the difinition for principal diagnos applies only to inpt in acute sht term long term care psychiatric hosp true
Created by: aapc