Chapter 5: ICD-9 Coding
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36 terms
Terms | Definitions |
|---|---|
 False (chiropractor) | True or False: the CT is taught by the ACC to develop a diagnosis. |
| ICD-9 cm | The _____ allows a chiropractor to communicate their diagnosis to a third party. |
| International classification of disease (9th edition, clinical modification) | What does ICD-9 (cm) stand for? |
| Diagnosis | ICD-9 codes are used to report/record _____. |
| True | True or False: diagnostic codes provide a standardized way to report to the insurance companies. |
| True | True or False: your ability to correctly use ICD-9 codes will have an impact on whether or not your bill is paid and if it gets paid at the maximum level. |
| 3 | There are (#) seperate volumes of information in the ICD-9 CM book. |
| Numerically | Volume One of the ICD-9 CM book organizes the codes _____. |
| Alphabetically | Volume Two of the ICD-9 CM book organizes the codes _____. |
| Volume 3 | Which volume of the ICD-9 CM book is utilized by hospitals only? |
| Anatomically, alphabetically and numerically (also includes V and E codes) | The Chirocode book organizes information _____, _____. and _____. |
| ICD-9 | The _____ book is divided numerically and into chapters. |
| Sections, categories, subsections and fifth digit classification | Each chapter in the ICD-9 book has _____, _____, _____, and _____. |
| True | True or False: it is the doctor's responsibility to identify a patient's diagnosis. |
| True | True or False: CTs may work from uncoded, written diagnosis. |
| Start with alphabet and cross reference with numeric | When working from a written diagnosis you should always __________________________. |
| Primary | Code the _____ diagnosis first. |
| neurologic, structural, functional and soft tissue | Describe the order of the heirarchy rule. |
| Medicare | This insurance company requires the structural 739 diagnosis codes to be placed as primary codes and the additional codes should follow the heirarchy rule. |
| True | True or False: when diagnosing several issues the doctor should write the primary diagnosis code first and then follow the heirarchy rule for all other diagnosis related to the primary diagnosis. Next he should code the secondary diagnosis and all other diagnosis codes related to the secondary diagnosis and so on... |
| Region | Diagnosis codes should be grouped by _____. |
| Secondary | Co-existing conditions affecting treatment are recorded as (primary/secondary/not coded). |
| Secondary | If a patient is being treated for a chronic condition but then seeks treatment for an acute condition which affects how the chronic condition is treated, the chronic condition should be coded as (primary/secondary/not coded). |
| False (highest degree of specificity) | True or False: always code to the first, most generally applicable code listed in the ICD-9 CM manual. |
| V | when a person is well, has a known illness/injury but requires ongoing treatment, when a person has a circumstance or problem that could influence their health (pregnancy) and or births are all situations in which a ____ code would be used. |
| False (can be listed as primary diagnosis but some circumstances may require they be listed as secondary) | True or False: V-codes are always listed as secondary diagnosis codes. |
| True | True or False: V-codes can be used in any healthcare setting. |
| E | _____ codes describe external causes of an injury or illness, specifically what was occurring at the time the injury or illness took place. |
| Where | Most E codes describe _____ an injury or illness occurred. |
| Clinical research and insurance questionaires | How are E codes useful? |
| 1993 | The federal government mandated the reporting of E codes in the year _____. |
| E codes | What type of codes would be useful when trying to track illness/procedures for research purposes? |
| 2 | There are (#) sets of codes for subluxation |
| 839 | This is a set of subluxation codes that relate to injury and poisoning. |
| 739 | This set of subluxation codes was introduced more recently, identifies segmental dysfunctions and is preferred for use by most insurance companies. |
| 739 | Medicare accepts only (739/839) codes on claims. |
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