ICD-9-CM Mrs. Stevens

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Chapter 2 Review TheoryTest

Appendix A

Morphology of Neoplasms
Volume 1 of ICD-9-CM

Appendix B

Deleted in 2004 Mental Diseases - classified under-
Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)

Appendix C

Classification of Drugs
Volume 1 of ICD-9-CM

Appendix D

Industrial Accidents
Volume 1 of ICD-9-CM

Appendix E

Three-Digit Categories (labled 1-17, E000-E999)
Volume 1 of ICD-9-CM

Volume 1-
for In/Out pt's use, CMS 1500 form
medical services

Diseases: Tabular List
two divisions
1. Classification of Diseases and Injuries- 17 chapters
with codes ranging from 001-999
2. Supplementary Classifications
V-codes and E-codes

Volume 2

Diseases: Alphabetic Index - 3 sections
section: I Index to Diseases
II Table of Drugs and Chemicals
III Index to external Causes of Injury (E-codes)
Listed by Condition: diagnosis, signs, symptoms

Volume 3
for Hospital use, CMS 1450 or UB-04 forms-surgical, therapeutic, diagnostic procedures

Tabular List of Procedure and Alphabetic Index to Procedures

ICD-9-CM is designed to classify what two things?

causes of Morbidity (sickness) and Mortality (death)

Which of the following is not a statement use for the ICD-9-CM?

a. facilitate payment of health services
b. study health care costs
c.plan for future health care needs
d. evaluate appropriateness of treatment (D)

ICD9-CM Volume 1, Tabular List- put in sequence from first to last.

a. subcategory--------------------- (4)
b. chapter---------------------------- (1)
c. subclassification---------------- (5)
d. section---------------------------- (2)
e. category-------------------------- (3)

identify: :

Incomplete term that needs one of the modifiers to make a code assignment

identify: [ ]

Used in Volume 2 to enclose the disease codes that are recorded with the code they list with

identify: boldtype

Typeface used for all codes and titles in Volume 1

identify: NEC

Information is not available to code to a more specific category

identify: italics

Typeface used for all exclusion notes and codes that are never listed first

identify: subterms

Located under the main terms and indented to the right

identify: Includes

Appears under a three-digit title to further defind or explain category content

identify: ( )

Encloses supplementry words and does not affect the code

identify: Excludes

Indicates terms that are to be coded elsewhere

identify: }

Encloses a series of terms that are modified by the statement to the right

identify: NOS

Equals unspecified

(convention terms) Subterms

Indented under main term and are essential to code selection

(convention terms) Modifiers

Terms in parentheses that are nonessential

(convention terms) See

Explicit direction to look elsewhere

(convention terms) Notes

Follows terms to define and give instruction

(convention terms) See also

Directs coder to look under another term since all information is ot under the first term

(convention terms) See category

Directs coder to Volume 1 for important information

(convention terms) Eponym

Disease/syndrome named for a person

Volume 3 is primarily used by which of the following?

a. clinics
b. ambulatory centers
c. hospitals (C)
d. nursing homes

Volume 3 is used to code what type of procedures?

a. surgical
b. therapeutic
c. diagnostic
d. all of the above (D)

T/F The location of the Includes and Excludes notes has no bearing on the code selection


T/F Use of fourth and fifth digits, if available, is mandatory.


T/F Appendix D-Classification of Industrial Accidents According to Agency-was deleted October 1, 2004


Appendix B-Mental Disorders-deleted-now has it's own book

T/F Four-digit codes are referred to as subcategory codes in Volume 1

Volume 1
(three digits) Category
(four digits) Subcategory
(five digits) Subclassification

T/F In Volume 2, Alphabetic Index, when the main term is modified by terms listed in parentheses following the main term, these modifiers are considered essential for code selection.


underline main term: Grief reaction


underline main term: Fracture radius and ulna


underline main term: Bowel obstruction


underline main term: Erb's palsy

Erb's palsy
can go either way

underline main term: Supervision of high-risk pregnancy

Supervision - pregnancy
can go either way

underline main term: Aortic stenosis


underline main term: Actinomycosis meningitis


Identify as category-subcategory-subclassification

(4 digits)

Identify as category-subcategory-subclassification

(5 digits)

Identify as category-subcategory-subclassification

(3 digits)

Identify as category-subcategory-subclassification

(5 digits)

Identify as category-subcategory-subclassification

(4 digits)

Identify as category-subcategory-subclassification

(5 digits)

Identify as procedure code or diagnosis code


Identify as procedure code or diagnosis code


Identify as procedure code or diagnosis code

(two-digits codes - after decimal point adds specificity)

Identify as procedure code or diagnosis code

(two-digits codes - after decimal point adds specificity)

Identify as procedure code or diagnosis code


E codes are located in Volume 2, Section:

a. 3 (A)
b. 2
c. 1
d. 0

Synchoronous means:

a. location of an opening
b.occuring at the same time (B)
c. creation of an opening
d. none of the above

T/F Includes and Excludes notes have no bearing on the code selection


T/F Brackets enclose synonyms, alternative wordings, or explanatory phrases


ICD-9-CM terms: Includes

Appears immediately under a three-digit code title to further define, or give examples of, the content of the category.

ICD-9-CM terms: Excludes

Appears under a code indicates that the terms excluded from the code are to be coded elsewhere.

ICD-9-CM terms: Inclusion terms

Is included under certain four and five digit codes. These terms are the conditions for which that code number is to be used.

ICD-9-CM terms: Conventions

are symbols, abbreviations, puncutuation, and notations
some conventions are used in all three Volumes

ICD-9-CM terms: connecting words

these define a relationship between a main term or a sub term and a associated condition or etiology

ICD-9-CM terms: essential modifiers

are subterms that modify the main term

ICD-9-CM terms: subterms

are under the main terms are indented to the right, begin with a lowercase letter and are not bold. The subterm modifies the main term. (adjectives)

ICD-9-CM terms: main term

are identified by bold print, flush with the left margin of the column (nouns). Alphabetization rules apply in locating main terms and subterms in the Alphabetic Index Volume 2

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