Chapter 4

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When a diagnosis is not established at the first visit and follow-up visits are required before determining a primary diagnosis, what should the coder do?
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Terms in this set (36)
What is one of the major advantages of ICD-10-CM over ICD-9-CM?provides more categories for disease and other health-related conditions (A major advantage of ICD-10-CM is that more categories are available to reflect disease and other health-related conditions.)Which of the following provides code numbers for neoplasms based on their anatomical site and divided by the description?Neoplasm Table (The Neoplasm Table provides code numbers for neoplasms by anatomical site and is divided by the description of the neoplasm.)The federal government has used ICD-10 to categorize what since 1999?mortality data (The federal government has used ICD-10 to categorize mortality data from death certificates since 1999.)When the affected side of the condition is not known, what type of code is used?unspecified (When the affected side of the condition is not known, an unspecified code is assigned.)To report an automobile accident where the pedestrian was injured with a collision of the car, what would your cause code begin with?V (Codes from range V00-Y99 represent external causes of morbidity.)Which ICD-10-CM code follows the main term in the Alphabetic Index?default code (Each main term appears in boldface type and is followed by its default code.)In the following statement, what is the manifestation code: "Pneumonia in rheumatic fever J00 [J17]"?J17What code range represents diseases of the respiratory system?J00-J99 (J00-J99 represents coding from the respiratory system.)Who was not required to switch to ICD-10-CM on October 1, 2015?workers' compensation (Workers' Compensation is not regulated by HIPAA law and therefore use of ICD-10-CM is not required.)In ICD-10-CM, combination code is a single code that describes boththe etiology and manifestation.The terms acquired, congenital, and both eyes that may modify the main term in the diagnostic statement would be considerednonessential modifiers. (A nonessential modifier is a supplementary word or phrase that helps define a code in ICD-10-CM.)Which of the following codes is considered a subcategory code?S82.1 (A subcategory code in ICD-10-CM has four to five characters.)Nonessential or supplementary terms use what type of punctuation?parentheses (Parentheses are used around descriptions that do not affect the code.)Eponyms are usually listed in the Alphabetic Index underthe eponym and main term. (An eponym is usually listed both under the name and under the main term (disease or syndrome).)When an established diagnosis has been determined, the coder must codethe established diagnosis. (Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a diagnosis has not been established.)In order to correctly code a disease or diagnosis you must first look in the ________ Index and then confirm in the ________ List.ALPHABETIC; TABULAR (The coder first locates the description/code in the Alphabetic Index and then verifies the proposed code selection by turning to the Tabular List and studying the entries.)L03 is an example of what type of code?category (Three digit codes are category codes.)The diseases and injuries located here are organized into chapters according to etiology, body system, or purpose.Tabular ListWhen an operative note states the postoperative diagnosis as carcinoma in situ of the cervix, this representsthat the neoplasm is a noninvasive or preinvasive type. (Carcinoma in situ: The neoplasm is restricted to one site (a noninvasive type); this may also be referred to as preinvasive cancer.)When a patient presents for outpatient surgery but surgery is not performed due to a contraindication, the reason for the surgery is coded asthe first-listed diagnosis. (When a patient presents for outpatient surgery (same-day surgery), code the reason for the surgery as the first-listed diagnosis (reason for the encounter), even if the surgery is not performed due to a contraindication.)The first step in the coding process is to look in theAlphabetic Index. (The coder first locates the description/code in the Alphabetic Index.)Turnover lines in ICD-10-CM coding are usedwhen the main term or subterm is too long to fit on one line. (If the main term or subterm is too long to fit on one line, as is often the case when many nonessential modifiers appear, turnover lines are used.)M codes that are followed by four digits, a slash, and a final digit are used by pathologists toreport on and study the prevalence of various types of neoplasms. (M codes are used by pathologists to report on and study the prevalence of various types of neoplasms.)If a see cross reference appears after a main term, the codermust look up the term that follows the word see in the index. (The coder must look up the term that follows the word see in the index.)In "Niacin deficiency [pellagra]," what do the brackets represent?that the word pellagra is a synonym, alternative word, or explanation (Brackets are used around synonyms, alternative wordings, or explanations.)If the ICD-10-CM code requires a seventh character and there is no sixth character, what should the coder do?Use an "x" in the sixth character position. (The seventh character must always be in position seven and the coder must use a placeholder character "x" to fill the empty space(s).)