chapter 14 kinn's

STUDY
PLAY

Terms in this set (...)

etiology
The cause of a disorder; a claim may be classified according to the___________
Manifestations
An indication of existence, reality, or presence of something, especially an illness;a secondary process
Neoplasm
A growth of uncontrolled, abnormal tissue; a tumor. The ICD-10-CM assigns diagnostic codes for neoplasms based on six criteria, which can be found in a table that follows the Alphabetic Index.
NOS
The abbreviation that is the equivalent of "unspecified" is
Symptom
At times, the medical assistant must code a ______ if the physician is not yet sure of the diagnosis.
HIV
The medical assistant should never code a patient as having __________ unless it is clearly documented as confirmed in the medical record.
In situ
Which of the following terms defines a malignant neoplasm site as the absence of invasion of surrounding tissues?
Degree
Burns are coded to the site by __________.
Instructional Notations
are notes included in the Tabular Index to provide additional guidance for selected diagnosis codes.
Instructional Notations
when coding for drug toxicity, what refers to a condition when a patient takes less of a medication than is prescribed by his or her provider or by the manufacturer's instructions
underdosing
Medical assistants have the trust of the physician and practice that employs them. A medical assistant must
adhere to ethical standards, assigning and reporting codes clearly, be responsible and remain knowledgeable to ensure that no fraud takes place in coding, be responsible and remain knowledgeable to ensure that no fraud takes place in claim
NOT all conditions that occur during or following medical care or surgery are classified as complications.
Know this statement.
There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication.
This is a true statement
When a Code First Note is present and the patient has an underlying condition, the underlying condition should be sequenced first.
True statement
which of the following terms malignant neoplasm site with the absence of invasion of surrounding tissues
Ca in situ
Babies are considered newborn or perinatal for the first________
28 days
Which of the following is the second most common medical document from which diagnostic statements can be extracted
Treatment notes:
which terms apply to the period from the last month of pregnancy to 5 months after giving birth
Peripartum
what letter in the ICD-10-cm is resevered by the Who to assign new diseases with uncertain etiology
"U" which has been reserved by the World Health Organization to assign new diseases with uncertain etiology
what codes will be used for a patient with a history of myocardial infarction with no symptoms but diagnosed by means of an electrocardiogram
Code I25.2
which volume(s) of ICD-9-CM is/are used for diagnostic coding
Volume 1 & Volume 2
Which ICD-10-CM sections guidelines for reporting additional diagnoses in non-outpatient settings
Section III:
The code for HIV indicates what
The HIV virus is present
A code from category Z37 should be included on
every maternal record when a delivery has occurred.
How are sub-terms treated in the alphabetic index to diseases and injury
Indented two spaces under the level of the preceding line
Burn are coded by
site and degree as well as the body surface involved
What are instruction in the alphabetic index indicates that another main term may reference additional useful index entries
See also:
The codes for pernicious anemia and a vitamin B12 deficiency are the same
False
A neoplasm or new growth is coded by the site or location of the neoplasm and its behavior
True
The coder should always refer to the Tabular Index first
False statement The coder should ALWAYS refer to the Alphabetic Index FIRST
The "code first" notation can usually be ignored
False
Main terms appear in bold type Etiology refers to the underlying cause or origin of a disease
True