**TEST** The title of Volume _____ is Tabular List of Diseases and Injuries
**TEST** The title of Volume _____ is Alphabetic Index of Diseases and Injuries
**TEST** The title of Volume _____ is Tabular List and Alphabetic List of Procedures
Codes used to indicate external circumstances responsible for injuries are referred to as __ _____
Codes used to indicate conditions not included in the main classification but that may be recorded as diagnoses are referred to as __ _____
International Classification of Diseases, Ninth Revision, Clinical Modification
What does ICD-9-CM stand for?
**TEST** In the Classification of Diseases and Injuries, groups of three-digit categories are referred to as _____
**TEST** In the Classification of Diseases and Injuries, three-digit code numbers are referred to as _____
**TEST** In the Classification of Diseases and Injuries, four-digit code numbers are referred to as _____
**TEST** In the Classification of Diseases and Injuries, five-digit code numbers are referred to as _____
Disease conditions or injuries
**TEST** Vol 2 main terms identify _____ _____ or _____
Site, type, or etiology
**TEST** Vol 2 subterms indicate _____, _____, or _____
Single spaces, single hyphens, and the final possessive "s"
The ICD-9-CM system of alphabetization ignores _____ _____, _____ _____, and ___ _____ _____ __.
Hypertension, Neoplasms, and Drugs & Chemicals
Vol 2 has separate tables set up for what three categories?
General, Inclusion, and exclusion
Instructional notes include G_____, I_____, and E_____; as well as "Code first underlying condition", "Use additional code", and "Code, If applicable, any causal condition first".
**TEST** The physician has given you specific information and you can't get to a more specific code.
**TEST** The physician didn't give enough information to get more specific.
Terms in parentheses are called _____ _____.
_____ brackets are used to indicate that the number in the bracket can only be a manifestation and the other number must be assigned first for the underlying code. They are never assigned as the principal diagnosis.
and or or
The word "and" should be interpreted to mean either _____ or _____
The following items are always found in the UHDDS: -D_____ _____ -E_____ _____ -H_____ _____ -P_____ _____ -O_____ _____ -S_____ _____
The condition established after study to be chiefly responsible for admission of the patient to the hospital
**TEST** The principal diagnosis is defined as _____________________________________________________________________________________________________________________________________________________________________________________
-Increased nursing care and/or other monitoring -Further evaluation by diagnostic studies, procedures, or consultation -Extended length of hospital stay -Therapeutic treatment -Clinical evaluation
***TEST** For UHDDS reporting purposes, the definition of "other diagnosis" includes only those conditions that affect the episode of hospital care in terms of any of the following: -N__________________________________ -E__________________________________ -E__________________________________ -T__________________________________ -C__________________________________
Present On Admission
**TEST** POA stands for _____ _____ _____ and is used for inpatient visits. Codes can be found in Appendix A.
-Significant finding on outpatient examination -Possible diagnosis based on significant findings -Injury or poisoning -Diagnosis established on an ambulatory care basis -Reason or condition
The inpatient admitting diagnosis may be reported as one of the following: -S_________________________________ -P_________________________________ -I_________________________________ -D__________________________________ -R_________________________________
-Locate the main term in the Alphabetic Index -Verify the code in the Tabular List -Follow all instructional notes
**TEST** The 3 step procedure to locate and assign appropriate codes is: -__________________________________ -__________________________________ -__________________________________
**TEST** "_____ out" indicates that a diagnosis is still considered to be possible
**TEST** "_____ out" indicates that a diagnosis originally considered as likely is no longer a possibility
-Late -Old -Due to previous injury or illness -Following previous injury or illness -Traumatic, unless there is evidence of current injury -Malunion -Nonunion -Scarring
**TEST** 8 "terms" used to identify "late effects" -L__________________________________ -O_________________________________ -D_________________________________ -F__________________________________ -T__________________________________ -M_________________________________ -N_________________________________ -S_________________________________
-Residual condition or nature of the late effect -Cause of the late effect
**TEST** Complete coding of late effects requires two codes: -_________________ or current condition -_________________ or late effect code
-Carries a procedural risk -Carries an anesthetic risk -Is surgical in nature -Requires specialized training
**TEST** A significant procedure is defined as one that meets any of the following conditions: -P________________________________ -A________________________________ -S________________________________ -S________________________________