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 _____
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.
_____ 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.
The following items are always found in the UHDDS:
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
***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:
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:
-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 originally considered as likely is no longer a possibility
-Due to previous injury or illness
-Following previous injury or illness
-Traumatic, unless there is evidence of current injury
**TEST** 8 "terms" used to identify "late effects"
-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: