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56 terms

true and false

STUDY
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Section IV Diagnostic Coding and Reporting Guidelines for Outpatient Services take precedence over the general and disease specific quidelines
False
Always begin the search for the correct code assignment in the Alphabetic Index
True
When a patient presents for outpatient surgery and the surgery is canceled, report the reason why the surgery was canceled as the first listed diagnosis
False
The codes from A00 through Z99 are always reported as first listed diagnosis
false
When a diagnosis has not been established by the provider, it is acceptable to report codes for the presenting signs and symptoms
True
External cause codes are located in the Alphabetical index for diseases under external causes
False
The code sets are updated annually ICD-9 ICD-10
true
z codes are for outpatient settings, and code be listed as first diagnosis
True
AND-WITH do they mean the say thing?
No and is for two seperate diagnosis and with is for similar diagnosis
Multiple codes can be used often
yes
8767.0
CPT
184.0
diagnosis
Report all conditions that coexist, even if they are not addressed or do not effect management/treatment during that encounter
False
For patients recieving diagnostic services only during an encounter/visit sequence first the reason for the encounter/visit indicated in the medical record
True
A patient with primary lung cancer with metastasis to the spine presents for radiation treatment of the spine. The first listed diagnosis reported is the primary lung cancer
False
For patients recieving preoperative evaluations, sequence first a code from the Z01.81, encounter for pre-procedural examinations, followed by findings related to the preoperative evaluation
False
Routine prenatal outpatient visits for high-risk patients are reported with a first-listed diagnosis from category O09, Supervision of high-risk pregnancy
True
Z codes may be reported as principle diagnosis in the hospital setting
True
Heart transplant status code Z94.1 should not be reported with a code from subcategory T86.2, Complications of heart transplant
True
The external cause codes can be reported as a first listed diagnosis
False
When a patient is admitted to observation for a complication following outpatient surfery, report the complication as the first listed diagnosis
False
An example of a late effect is hemorrage after a surgery requiring a return to the operating room
False
You may report a code from the index, without verifying in the Tabulat when there is no indication that the code requires additional charectors
False
If a patient has confirmed diagnosis, ther signs and symptoms related to that condition should also be reported
False
If the same condition is described as both acute and chronic, and separate subenteries exist in the Alphebetic Index at the same indentation level, report both codes and sequence the acute code first
True
A dash(-) at the end of an Index entry indicates that an additional character of characters is/are required
True
Cholelithiasis with chronic cholecystitis without obstruction (K80.10) is an example of a dual code
False
A code is invalid if it has not been reported to the full number of charectors available, including the 7th character, if applicable
True
In most cases the manifestation codes will have in the code title, "In diseases classified elsewhere."
True
A late effect usually occurs within 1 month of the illness or injury
False
In diabetic retinopathy, the retinopathy is the etiology and the diabetes is the manefestation
false
In the outpatient setting, it is correct to report a "probable" condition as if it exists, such as probable appendicitis as appendicitis
False
When sequencing codes for residuals and late effects, the late effect code is sequenced first followed by a code describing the residual condition
False
Section II of the ICD-10 official guidelines for coding and reporting includes instructions on oupatiet coding and reporting
False
Diagnosis codes are always reported to the highest number of characters available
True
The cooperating parties for the development and approval of the Offical guidelines for coding and reporting are CMS, AMA, and NCHS
False
It is not acceptable to code a symptom when a definitive diagnosis has been confirmed
True
Codes from Chapter 11 should not be reported in conjunction with V22.0 and V22.1
True
It is acceptable to code suspected pneumonia to the pneumonia code 486
False
In the physician office, V codes should only be assigned as secondary codes
False
When a patient is to have outpatient surgery and the surgery is canceled, the V code to indicate the reason for the cancellation is the first listed diagnosis
False
When coding an encounter for a preoperative evaluation, the appropriate V code that indicates the type of preoperative evaluaton is the first listed diagnosis
true
The guidelines for coding and reporting are the same for inpatient and outpatient services
False
The definition for principal diagnosis applies only to inpatient in acute, short term, long term care, and psychiatric hospitals
True
The first listed ICD-9 code is usually the diagnosis, condition, problem, or other reason for the encounter shown in the medical record to be chiefly responsible for the services provided
True
History V codes should be assigned if the historical condition or family history has ban impact on current care or influences treatment
True
The ICD-9 guidelines for coding and reporting are updated every other year
False
If there are seperate codes for both the acute and chronic forms of a condition, the code for the acute condition is sequenced first
True
If a patient has a certain disease or condition, the routine signs and symptoms that the patient has should be coded
False
The term "use additional code" indicates that a secondaty code should be added if supported by documentation in the medical record
True
A late defect is the residual effect after the acute phase of an illness or injury has terminated
True
A late effect usually occurs within 6 months of the illness or injury
False
In the outpatient setting, it is acceptable to code a "threatened" condition as if it exists
False
When sequencing codes for residuals and late effects, the late effect code is generally sequenced first followed by a code describing the residual
False
It is acceptable to assign codes directly form the Alphabetic Index
False
Codes must be assigned to the highest level of specificity to be valid codes
True