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Bill&Code Chapter 5
Billing and Coding Chapter 5
Question | Answer |
---|---|
What volumes are used in the Hospital & Doctor's office? | 1st and 2nd volumes are used in the doctor's office. The 3rd volume is used in the hospital. |
Steps to determine the diagnostic code | 1. Determine the code. 2. Look in volume 2. 3. Look in volume 1. 4. Assign & proof read the code. |
What is coded first, the acute or chronic? | Acute is first and Chronic is second. |
Maximum ICD-9 Codes on a claim form? | 4 |
Malignant | life threatening/high-risk |
Benign | under control/low-risk |
Secondary | caused by another primary condition |
Essential | no cause can be found |
Lesion & Classification | abnormality of tissue; such as, a boil, a rash, or sore. Classified as benign or malignant. |
Neoplasm & Classification | a new growth of tissue forming an abnormal mass; a tumor. Classified as primary, secondary, CA, SITU, benign (with uncertain behaviors). |
Sequence V Codes as: | Primary or secondary depending on the condition. |
Classification of E codes & Poisoning | *Intentional poisoning or overdose. *Accidental overdose. *Poisoning code for therapudic use. *Reverse Effect. |
In a Diagnostic Statement "AND" and "WITH" mean | AND = and/or WITH = two conditions are present & both conditions must be present to make the statement. |
NEC | not elsewhere classified. |
NOS | not otherwise specified. |
Primary Diagnosis | main chief complaint. |
Secondary Diagnosis | another chief complaint. |
Prinicipal Diagnosis | (hospital use) obtained after the testing has been completed. |
Admitting Diagnosis | when you are admitted to the hospital. |