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Terminology Quiz

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Question
Answer
Acute   Refers to the condition that is the primary reason for the current encunter. e.g.: Sudden Onset  
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Adverse   Any response to a drug that is noxious and unintended and occurs with proper dosage. e.g.: alergic reaction  
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Aftercare   An encounter for something planned in advance, for example, cast removal.  
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Alphabetic   The portion of the ICD-9-CM that lists definitions and codes in alphabetic order. Also called Volume 2.  
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Carry-Over Lines   Are always indented more than two spaces from the level of the preceding line.  
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Category   Refers to diagnoses code listed within a specific three-digit category, for example, category 250, Diabetes Mellitus.  
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Cause   That which brings about any condition or produces any effect.  
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Chronic   Continuing over a long period of time or recurring frequently.  
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Coding   The process of transferring written or verbal descriptions of diseases, injuries and procedures into numerical designations.  
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Combination   A code that combines a diagnosis with an associated secondary process or complication.  
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Complication   The occurance of two or more diseases in the same patient at the same time.  
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Concurrent   When a patient is being treated bymore than one provider for different care conditions at the same time.  
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CPT - Current Procedural Terminology   Listing of codes and descriptions for procedures, services and supplies published by the American Medical Association. Used to bill insurance carriers. ($ Book)  
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Diagnosis   A written description of the reason(s) for the procedure, service or encounter.  
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Down Coding   The process where the insurance carriers reduce the value of a procedure and the resulting reimbursement due to either 1) a mismatch of CPT code and description or 2) ICD-9-CM does not justify the procedure or level of service.  
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E Codes   Specific ICD-9-CM codes used to identify the cause of injury, poisoning and other adverse effects.  
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Eponyms   Medical procedures or conditions named after a person  
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Etiology   The cause(s) or origin of a disease  
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ICD-9-CM   Internationsl Classification of Diseases, 9th Revision, Clinical Modification  
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ICD-10   Internationsl Classification of Diseases, 10th Revision  
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Late Effect   A residual effect condition produced after the acute phase of an illness ot injury has ended. e.g: arthritis from broken leg years before  
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Main Term   Refers to listing in the Alphebetic Index appearing BOLDFACE type.  
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Manifestions   Characteristics, signs or symptons of an illness  
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Multiple   Refers to the need to use more than one ICD-9-CM code to fully identify a coding condition  
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Primary Code   The ICD-9-CM code that defines the main reason for the current encounter  
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Residual   The long-term condition(s) resulting froma previous acute illness or injury.  
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Rule Out   Refers to a method used to indicate that a condition is probable, suspected or questionable but unconfirmed. ICD-9-CM has no provisions for the use of this term.  
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Secondary Code(s)   Listed after the primary code that further indicate the cause(s) code for the current encounter of define the need for higher levels of care.  
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Sequencing   The process of listing ICD-9-CM codes in the proper order.  
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Specificity   Refers to requirement to code to the highest number of digits possible, 3, 4 or 5, when choosing ICD-9-CM code.  
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Sub-Term   Refers to listings appearing in the Alphebetic Index under Main Terms and always-indented two spaces to the right.  
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Sub Categories   Refers to the groupings of four-digits coded listed under three-digit categories.  
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Tabular List   Is the portion of the ICD-9-CM that lists codes and definitions in numeric order. Also referred to as Volume 1.  
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V Codes   Specific ICD-9-CM codes used to identify encounters for reasons other than illness or injury, for example, immunization.  
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Volume 1   See Tabular List  
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Volume 2   See Alphabetic Index  
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Volume 3   Procedure codes used for hospital coding. Volume 3 contains both a numeric listing and alphabetic index.  
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