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Chapter 5

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
How many volumes are in the codebook?   3 volumes  
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Which volumes are used in physicians offices?   Volumes 1 and 2  
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Which volumes are used in hopspitals?   Volume 3  
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When do you code Acute (something has changed in an otherwise stable condition ~ short, but severe course) conditions?   1st  
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When do you code Chronic (condition that persists for a long period of time or reccurent) conditions?   2nd  
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Etiology   underlying cause *code 1st*  
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Manifestation   signs and symptoms associated with disease *code 2nd*  
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How many ICD codes can be used on a claim?   4  
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HTN   Hypertension  
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Benign   low risk, under control  
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Secondary   caused by another primary condition (tumor- appears cancer has spread as a result)  
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Essential   no cause found  
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Malignant   high risk, life threatening  
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Neoplasm   tumor, or new growth ~ classification: benign (or uncertain behavior) or malignant (primary CA in SITU (cancer in situation))  
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Lesion   abnormality of tissue ~ classification: benign or malignant  
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Sequence of V codes when coding   may be listed primary or secondary depending on the condition  
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Poisioning   considered an intentional overdose ~ ex. suicide (E code classification)  
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Adverse effect   appropriate dose given resulting in and adverse reaction (E code classification)  
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Accident   accidental overdose (E code classification)  
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Theraputic use   identify agent of an adverse effect (E code classification)  
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Late effect   inactive condition produced after acute phase of illness  
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And/With   two conditions are present & BOTH must be present to use  
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NEC   Nowhere Else Classified  
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NOS   Not Otherwise Specific  
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How do you code fractures?   Always coded as closed, unless stated as open (an open fracture is also known as a compound fracture)  
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Primary diagnosis (diagnosis = dx)   1st diagnosis listed on the claim form  
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Encounter form   lists chief complaint  
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Admitting   diagnosis given after addmission into the hospital  
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Secondary   diagnosis that contributes to patient's condition  
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Principal   diagnosis obtained after inpatient setting  
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Italicized bracket   need for another code  
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Brackets   synomyn or same meaning  
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Black circle   new code  
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parenthesis   add additional words to the code  
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triangle   revised code  
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Created by: maxphia32
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