ICD-9 Coding

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Metro Community College (Omaha, NE) Coding I Class

b. three

The ICD-9-CM codebook consists of how many volumes?
a. two
b. three
c. four
d. five

d. a numerical listing of procedures

What does Volume 1 of the ICD-9-CM contain?
a. an alphabetic listing of diseases and injuries
b. an alphabetic listing of procedures
c. a numerical listing of diseases and injuries
d. a numerical listing of procedures

d. a coder musst reference both the Alphabetic Indes and Tabular List when coding

Which of the following statements is true?
a. a coder can use only the Alphabetic Index when coding
b. a coder can use only the Tabular List when coding
c. a coder can use only the Alphabetic Index to Disease and Injuries when coding
d. a coder must reference both the Alphabetic Indes and Tabular List when coding

b. It is a numerical listing of diseases and injuries

Which statement is false in relation to the Alphabetic Indes to Disease and Injuries?
a. It is commonly referred to as the Alphabetic Index.
b. It is a numerical listing of diseases and injuries
c. It contains an alphabetic listing of the codes found in Volume I
d. It is the first volume used when locating a code for a disease

d. alphabetic and tabular listing of procedures

What does Volume 3 of the ICD-9-CM contain?
a. tabular listing of diseases and injuries
b. alphabetic listing of diseases and injuries
c. alphabetic listing or procedures
d. alphabetic and tabular listing of procedures

a. one

The classification of Diseases and Injuries is contained in which volume of the ICD-9-CM?
a. one
b. two
c. three
d. four

c. Infectious and Parasitic Diseases

Sally Smith is a coder at Sunny View Hospital. She is cogin the diagnostic state of meningococcal meningisits. This would code to which fo the following chapters of the ICD-9-CM?
a. Diseases of the Respiratory System
b. Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders
c. Infectious and Parasitic Diseases
d. Symptoms, Signs, and Ill-Defind Conditions

c. Neoplasms

A code for carcinoma in situ would be found in which of the following chapters of the ICD-9-CM?
a. Diseases of the Respiratory System
b. Intectious and Parasitic Diseases
c. Neoplasms
d. Symptons, Signs, and Ill-Defined Conditions

b. cystic fibrosis

Diseases of the blood and blood-forming organs would not include which of the following?
a. anemia
b. cystic fibrosis
c. sickle-cell disease
d. thalessemia

d. myopia

Which of the following is not a disease of the circulatory system?
a. acute pericarditis
b. heart disease
c. hypertension
d. myopia

b. Diseases of the Musculoskeletal System and Connective Tissue

Mary Smith works in a physician's office specializing in orthopedics. Which of the following chapters of the ICD-9-CM would she most commonly use?
a. Diseases of the Respiratory System
b. Diseases of the Musculoskeletal System and Connective Tissue
c. Endocrine, Nutritional, and Metabolic Disease and Immunity Disorders
d. Symptoms, Signs, and Ill-Defined Conditions

d. Table of Drugs and Chemicals

The Alphabetic Index to Poisoning and External Causes of Adverse Effects of Drugs and Other Chemical Substances is commonly referred to as which of the following?
a. Alphabetic Index
b. Index of Poisoning
c. Table of Poisoning
d. Table of Drugs and Chemicals

d. V Codes and E Codes

What are the supplementary classifications of the ICD-9-CM known as?
a. Alphabetic Indes to Poisonings and Injuries
b. Alphabetic Indes to Procedures
c. External Causes of Diseases and Injuries
d. V Codes and E Codes

b. history of a disease

V codes provide a classification for which of the following?
a. diseases
b. history of a disease
c. injuries
d. signs and symptoms

b. acute pain on the left side of head

Which of the following conditions would not be coded using a code from Chapter 5, "Mental Disorders"?
a. personality disorder
b. acute pain on the left side of head
c. alcoholic dementia
d. peranoid reaction

b. personal history of digestive system disorder

Which of the following conditions would be coded by use of a V code?
a. appendicitis
b. personal history of digestive system disorder
c. nutritional deficiency
d. fall from a ladder

a. Operations of the Nose, Mouth, and Pharynx

The statement "closure of nasal sinus fistula" would be coded by a code from which of the following?
a. Operations of the Nose, Mouth, and Pharynx
b. Disease of the Respiratory System
c. Diseases of the Nose, Mouth, and Pharynx
d. Operations on the Integuementary System

c. external causes of injuries and poisioning

E codes provide a classification for which of the following?
a. endocrine diseases
b. external causes of diseases
c. external causes of injuries and poisioning
d. external causes of adverse effects

b. E codes

Codes for the external causes of injuries and poisonings are found inthe ICD-9-CM chapter that covers which topics?
a. V codes
b. E codes
c. injury and poisoning
d. diseases of the musculoskeletal system and connective tissue

a. Alphabetic Index to Disease and Injuries

Which of the follow is not part of Volume I, "Tabular List of Disease and Injuries?"
a. Alphabetic Index to Disease and Injuries
b. Classification of Diseases and Injuries
c. supplementary classifications (V and E codes)
d. appendices

3

The Tabular List and Alphabetic Index of Procedures is contained in Volume ___ of the ICD-9-CM.

Inpatient Facility

The Tabular List and Alphabetic Index of Procedures is most commonly used in the ___________setting.

Two

Volume 3 procedure codes consist of _____ digits followed by a decimal point and then one or two additional digits.

etilogy, body

Disease chapters in the ICD-9-CM are organized according to _______ or by ____________site.

anatomical site

Chapter 7, "Diseases of the Circulatory System" of the ICD-9-CM is an example of a chapter organized by _______________,

V

A(n) ___________ code is used to code those conditions or circumstances that are recorded as the reason for the patient encounter when the patient is not ill.

E

When a patient falls from a chair, the external cause of the injury is coded by use of a(n)___________ code.

appendices

Reference information within the ICD-9-CM is contained in the ______________ of Volume 1 of the ICD-9-CM.

Table of Drugs & Chemicals

The ICD-9-CM contains a table, titled _______________, which is used to classify poisonings by a drug or chemical.

3

To code the phrase "closure of fistula," a coder would first reference Volume ______ of the ICD-9-CM.

Instructional notes

Phrases or notes that appear in all three volumes of the codebook are called _______.

Includes

The notation _________ is used to define and/or give examples of the contenet of the chapter, section, category, or subcategory code.

2

The "CODE FIRST UNDERLYING CONDITION" notion instructs the coder to use ____codes to fully code the diagnostic statement.

Not elsewhere classifiable

NEC means ______

Not otherwise specificed

NOS means_______

Unspecified

The abbreviation NOS is interpreted to mean _____

NEC

The abbreviation _____ is used with poorly defined terms to warn the coder that specified forms of the diagnosis being coded are classified to differenet code numbers.

Section mark

The ___________ symbol appears before a code number and denotes the presence of a footnote.

Alphabetic Index

The first step in coding is to reference the mane term in the ________.

Excludes

The _____ notation indicates terms that are not included in a section of the code book.

Alphabetic Index

Coder must reference the _____ and the Tabular List.

Fracture

When coding the diagnosis "open fracture of the acromion process," the coder would first reference the main term _____.

4 - 5

The "INCLUDES" notiation does not appears at the _______ digit level(s); however, a listing of diagnoses contiained within these levels appears.

Status

A code that indicates that a patient is either a carrier of a disease or has the sequelae or residual of a past disease or condition is referred to as a(n) _______code.

Outcome

V codes are used for obstetric cases to indicate the _______.

Immunization

Category codes V03-V04 are used to classifiy encounters for vaccinations and to indicate that the patient is being seen to receive a ______.

Drug-resistance

When an infection is resistant to drug treatment, the infection is said to be a(n) _______microorganism.

Personal history

A patient's past medical condition that no longer exists is classified by using a(n) ______code.

Initial

After-care visit codes are used when the _____ treatment of a disease or an injury has been performed and the patient requires continued care during trhe healing or recovery phase.

Isolation

When a patient is admitted for placement in a private area to protect the patient from exposure to infectious diseases or to prevent the spread of a disease, the patient is said to be placed in _________.

Neoplasm

When a patient's encounter is solely to receive radiation, the V code is listed first follwed by the diagnosis code for the _______.

Follow-up

If a condition is found to have recurred on a follow-up visit, then the diagnosis code for the condition should be used in place of the _______code.

Environmental events

E codes are used to classify external causes, __________, or the other conditions that cause an injury or other adverse effect.

Table of drugs & chemicals

E codes are located not only in the Index to External Causes but also the ______.

Principal

If only one E code can be recorded, the coder should assign the E code that relates most closely to the _______________.

Asphayxia

Suffocation due to lack of oxygen when there is a fire is known as _____.

Condition or injury

A late effect E code should never be used with a related current _____________.

First listed, principal

E codes are never used as a(n) _____________ or ________ diagnosis.

Table of drugs & chemicals

E codes have their own Alphabetic Index located immediately after the ___________________.

All initial

Coders should assign the appropriate E code for __________ treatment of an injury, a poisoning, or an adverse drug effect.

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