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Bill&Code Chapter 5

Billing and Coding Chapter 5

QuestionAnswer
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.
Created by: kmariemurray
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