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Billing and Coding Chapter 5

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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.  
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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.  
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What is coded first, the acute or chronic?   Acute is first and Chronic is second.  
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Maximum ICD-9 Codes on a claim form?   4  
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Malignant   life threatening/high-risk  
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Benign   under control/low-risk  
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Secondary   caused by another primary condition  
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Essential   no cause can be found  
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Lesion & Classification   abnormality of tissue; such as, a boil, a rash, or sore. Classified as benign or malignant.  
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Neoplasm & Classification   a new growth of tissue forming an abnormal mass; a tumor. Classified as primary, secondary, CA, SITU, benign (with uncertain behaviors).  
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Sequence V Codes as:   Primary or secondary depending on the condition.  
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Classification of E codes & Poisoning   *Intentional poisoning or overdose. *Accidental overdose. *Poisoning code for therapudic use. *Reverse Effect.  
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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.  
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NEC   not elsewhere classified.  
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NOS   not otherwise specified.  
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Primary Diagnosis   main chief complaint.  
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Secondary Diagnosis   another chief complaint.  
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Prinicipal Diagnosis   (hospital use) obtained after the testing has been completed.  
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Admitting Diagnosis   when you are admitted to the hospital.  
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