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100 terms

ICD-9 Coding True or False Part I

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TRUE
When the histological term of the neoplasm is documented, that term should be referenced before going to the Neoplasm Table.
FALSE
Only one code is reported when a patient is seen for the purpose of radiotherapy, immunotherapy, or chemotherapy and develops complications.
FALSE
Signs and symptoms associated with an existing malignancy can be used to replace the malignancy as the first-listed diagnosis.
TRUE
When the treatment is directed to the secondary site only, the secondary neoplasm is sequenced as the first-listed diagnosis.
TRUE
A code from the category V10 (personal history of malignant neoplasm) is reported when a malignancy has been previously removed and the patient is not receiving any further treatment of the site.
FALSE
When an encounter is for the treatment of dehydration due to a malignancy, the code for the malignancy is sequenced as the first-listed diagnosis.
TRUE
The code V58.11 (Encounter for antineoplastic chemotherapy) is reported as the first-listed code when the reason for the encounter is for the administration of chemotherapy.
TRUE
The codes for administration of chemotherapy, immunotherapy, and radiation therapy are always sequenced as the first-listed code when a patient is admitted solely for the administration of chemotherapy, immunotherapy, or radiation therapy.
FALSE
When the reason for the encounter is to determine the extent of the malignancy, and the patient also receives chemotherapy, the code for the administration of the chemotherapy is reported as the first-listed code.
TRUE
The code 285.22 (anemia in neoplastic disease) is sequenced as a secondary code when a patient has anemia due to a neoplasm and the patient is being treated for a malignancy.
FALSE
A 5th digit is not required for all of the codes in category 250 (Diabetes mellitus).
TRUE
Type I diabetes mellitus is also referred to as juvenile diabetes.
TRUE
To assign the 5th digits of 2 or 3, the physician has to document that the diabetes is uncontrolled.
FALSE
The code V58.67 (long-term use of insulin) should be assigned if insulin is given temporarily to a type II diabetic.
TRUE
The codes from category 250 (Diabetes mellitus) must be sequenced before the codes for any associated manifestations.
FALSE
The age of a patient is the determining factor in deciding which type of diabetes to assign.
TRUE
When a patient receives an underdose of insulin due to an insulin pump failure, the code 996.57 (mechanical complication due to insulin pump) is reported as the first-listed codes.
FALSE
The use of insulin means that a patient is a type I diabetic.
TRUE
When the type of diabetes is not documented, type II should be reported.
TRUE
Code V58.67 (long-term use of insulin) should be assigned as a secondary code for type II diabetes patients who routinely use insulin.
FALSE
When no neurological deficits are present from a previous CVA, report code V12.59 (Other diseases of circulatory system).
FALSE
The diagnosis of elevated blood pressure is assigned to a code from category 401 (Essential hypertension.
TRUE
The 4th digits for category 401 are 0 (malignant), 1 (benign), and 9 (unspecified).
TRUE
A relationship between hypertension and chronic kidney disease is assumed.
TRUE
The terms stroke and CVA are used interchangeably to refer to a cerebral infarction.
FALSE
When an acute MI is specified as nontransmural or subendocardial, and the site is specified, it is not coded as a subendocardial MI.
TRUE
Late effects of a CVA are reported with a code from category 438 (Late effects of cerebrovascular disease).
TRUE
Heart conditions are assigned to a code from category 402 (Hypertensive heart disease) when a causal relationship is stated as due to hypertension.
TRUE
The default category for the unspecified term acute myocardial infarction is 410.9 (Acute MI of unspecified site).
FALSE
Codes from category 438 (Late effects of cerebrovascular disease) may be assigned when no neurologic deficits are present.
TRUE
When status asthmaticus is documented with COPD or acute bronchitis, the status asthmaticus is sequenced first.
FALSE
The diagnosis of acute bronchitis with COPD requires two codes to fully describe this diagnosis.
TRUE
There are many instructional notes under the COPD subcategories that need to be reviewed to assure correct code assignment.
TRUE
The code 496 (Chronic airway obstruction) should only be reported when the documentation does not specify the type of COPD.
FALSE
An acute exacerbation of chronic obstructive bronchitis and asthma is equivalent to an infection superimposed on a chronic condition.
FALSE
Chapter 11 (Complications of pregnancy, childbirth, and the puerperium) codes can be reported on the maternal and newborn records.
TRUE
Codes in the category V23 (Supervision of high-risk pregnancy) may be reported as the principal or first-listed diagnosis.
TRUE
Fetal and placental problems affecting the management of the mother are only assigned when the condition is responsible for modifying the management of the mother.
FALSE
The 5th digits of 0-4 can be assigned to all of the codes in Chapter 11.
TRUE
Chapter 11 (Complications of pregnancy, childbirth, and the puerperium) codes have sequencing priority over codes from other chapters.
TRUE
When the physician specifies the pregnancy is incidental to the encounter, then code V22.2 (Pregnant state, incidental) is reported instead of a Chapter 11 code.
FALSE
Codes V22.0 (Supervision of normal first pregnancy) and V22.1 (Supervision of other normal pregnancy) should be used in conjunction with Chapter 11 (Complications of pregnancy, childbirth, and the puerperium) codes.
TRUE
The codes in the category V27.0-V27.9 (Outcome of delivery codes) should only be reported on the delivery episode.
TRUE
Code 650 (Normal delivery) is reported for a full-term delivery of a single healthy infant without any complications.
FALSE
A late effect of complication of pregnancy code is sequenced first followed by a code for the sequelae of the complication.
FALSE
If a woman delivers outside the hospital, and is admitted afterwards for postpartum conditions, make sure to always assign a delivery diagnosis code first.
TRUE
Postpartum complications occurring during the same admission as the delivery are given a fifth digit of "2."
TRUE
Two codes are required to fully describe a transplant complication.
FALSE
When a drug intentionally taken or administered results in an overdose, it is coded as an adverse effect.
TRUE
When a reaction occurs from a correctly prescribed and administered drug, the reaction is coded first followed by the appropriate E code.
TRUE
If the documentation is unclear as to whether the patient has a complication of a transplant, then the physician should be queried.
FALSE
The coding of a poisoning by a drug is sequenced with the manifestation code first followed by the poisoning code.
TRUE
Follow-up codes imply a condition has been fully treated and no longer exists.
FALSE
When a condition is discovered during a screening exam, the code for the condition is sequenced first followed by a screening V code.
FALSE
Donor V codes can be used for living donors and cadaveric donations.
TRUE
History codes can be reported on any medical record regardless of the reason for the visit.
FALSE
A code from category V29 (Observation and evaluation of newborn and infants for suspected conditions not found) is reported when the patient has signs or symptoms of a suspected problem.
TRUE
V codes may be reported either as a first-listed or secondary code, depending on the circumstances of the encounter.
TRUE
Codes in category V01 (Contact with or exposure to communicable diseases) are reported for patients who do not show any signs or symptoms of a disease but have been exposed to it by close personal contact with an infected person.
FALSE
A V code should be reported when a diagnosis is being treated or when a sign or symptom is being studied.
FALSE
Routine and administrative examination V codes are reported when an examination is for the diagnosis of a suspected condition or for treatment purposes.
TRUE
A status code is informative because the status of a patient may affect the course of treatment and its outcome.
FALSE
When the intent (accident, self-harm, assault) of the cause of an injury or poisoning is unknown or unspecified, code the intent as accidental.
TRUE
In order to report a terrorism E code, the Federal Government has to identify the cause of an injury as due to an act of terrorism.
TRUE
There are E codes used to identify the occurrence of an abnormal reaction or later complication of a surgical or medical procedure.
FALSE
E codes are assigned for both the initial and subsequent encounter of an injury, poisoning, or adverse affect of a drug.
TRUE
E codes for child and adult abuse take priority over all other E codes.
FALSE
There are late effect E codes for injuries, poisonings, and adverse effects of drugs.
TRUE
E codes are located in the "Index to External Causes."
TRUE
You should assign as many E codes as necessary to fully explain each cause of injury, poisoning, or adverse affect.
FALSE
When the place of occurrence of an injury or poisoning is not specified, assign the code E849.9 (unspecified place).
TRUE
An E code can never be reported as a principal (first-listed) code.
FALSE
Activity E codes should always be assigned with poisoning E codes.
TRUE
Do not assign code E000.9 (Unspecified external cause status) if the status is not stated.
TRUE
Diagnosis codes for uncertain diagnosis may be assigned for an inpatient stay.
FALSE
When coding late effects, the residual condition is sequenced second and the late effect is sequenced first.
FALSE
There are no exceptions to the assigning of conditions that are an integral part of a disease process.
TRUE
A code is invalid if it has not been reported to the full number of digits required to describe the diagnosis.
FALSE
The starting point for locating a code is the "Tabular List" (Volume 1).
TRUE
When coding a condition described as "impending" or "threatened," where the condition did not occur, you should reference the terms impending or threatened in the "Index to Diseases."
TRUE
When coding acute and chronic conditions, the acute condition is sequenced first.
FALSE
V codes can never be used to identify the reason for the encounter or visit.
TRUE
Signs and symptoms not associated with a disease process can be reported separately.
TRUE
The instructional note "Use additional code" refers to the multiple coding for a single condition guideline.
FALSE
"Includes" and "excludes" notes do not affect the code selection.
TRUE
Use of fourth and fifth digits, if available, is mandatory.
FALSE
The bullet symbol is used to indicate that the code description has changed.
FALSE
In the "Index to Diseases," when the main term is modified by terms listed in parentheses, these modifiers are considered essential for code selection.
TRUE
ICD-9-CM stands for International Classification of Diseases, Ninth Revision, Clinical Modification.
TRUE
The instructional note "code first" instructs the coder regarding the correct sequencing of codes.
FALSE
The slanted brackets following a main term in the "Index to Diseases" instructs you to assign the code in the slanted brackets as the first listed code.
FALSE
ICD-9-CM neoplasm diagnosis codes supplement the appropriate morphology code.
TRUE
Volume 2 is the volume you will always start with in locating and assigning diagnosis codes.
TRUE
Straight brackets enclose synonyms, alternate words, or explanatory phrases.
FALSE
Codes that appear with a gray color bar over the code title identify conditions that are considered an acceptable principal diagnosis for inpatient admissions.
TRUE
Manifestation codes appear in the 'Tabular List' in italic type and with a blue color bar over the code title.
TRUE
Medicare code edits are used by fiscal intermediaries to check for the coding accuracy on claims.
FALSE
The CC exclusion list indicates principal diagnosis codes that are excluded as CC or MCC conditions with certain secondary diagnoses.
TRUE
The AHA publication Coding Clinic for ICD-9-CM References includes additional information about specific codes that can assist the medical coder in making the final code selection.
FALSE
"Adjunct codes" has been deactivated as of October 1, 2007.