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66 terms

ICD-9-CM Mrs. Stevens

Chapter 2 Review TheoryTest
STUDY
PLAY
Appendix A
Morphology of Neoplasms
Volume 1 of ICD-9-CM
Appendix B
Deleted in 2004 Mental Diseases - classified under-
Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
Appendix C
Classification of Drugs
Volume 1 of ICD-9-CM
Appendix D
Industrial Accidents
Volume 1 of ICD-9-CM
Appendix E
Three-Digit Categories (labled 1-17, E000-E999)
Volume 1 of ICD-9-CM
Volume 1-
for In/Out pt's use, CMS 1500 form
medical services
Diseases: Tabular List
two divisions
1. Classification of Diseases and Injuries- 17 chapters
with codes ranging from 001-999
2. Supplementary Classifications
V-codes and E-codes
Volume 2
Diseases: Alphabetic Index - 3 sections
section: I Index to Diseases
II Table of Drugs and Chemicals
hypertention/neoplasms
III Index to external Causes of Injury (E-codes)
Listed by Condition: diagnosis, signs, symptoms
Volume 3
for Hospital use, CMS 1450 or UB-04 forms-surgical, therapeutic, diagnostic procedures
Tabular List of Procedure and Alphabetic Index to Procedures
ICD-9-CM is designed to classify what two things?
causes of Morbidity (sickness) and Mortality (death)
Which of the following is not a statement use for the ICD-9-CM?
a. facilitate payment of health services
b. study health care costs
c.plan for future health care needs
d. evaluate appropriateness of treatment (D)
ICD9-CM Volume 1, Tabular List- put in sequence from first to last.
a. subcategory--------------------- (4)
b. chapter---------------------------- (1)
c. subclassification---------------- (5)
d. section---------------------------- (2)
e. category-------------------------- (3)
identify: :
Incomplete term that needs one of the modifiers to make a code assignment
identify: [ ]
Used in Volume 2 to enclose the disease codes that are recorded with the code they list with
identify: boldtype
Typeface used for all codes and titles in Volume 1
identify: NEC
Information is not available to code to a more specific category
identify: italics
Typeface used for all exclusion notes and codes that are never listed first
identify: subterms
Located under the main terms and indented to the right
identify: Includes
Appears under a three-digit title to further defind or explain category content
identify: ( )
Encloses supplementry words and does not affect the code
identify: Excludes
Indicates terms that are to be coded elsewhere
identify: }
Encloses a series of terms that are modified by the statement to the right
identify: NOS
Equals unspecified
(convention terms) Subterms
Indented under main term and are essential to code selection
(convention terms) Modifiers
Terms in parentheses that are nonessential
(convention terms) See
Explicit direction to look elsewhere
(convention terms) Notes
Follows terms to define and give instruction
(convention terms) See also
Directs coder to look under another term since all information is ot under the first term
(convention terms) See category
Directs coder to Volume 1 for important information
(convention terms) Eponym
Disease/syndrome named for a person
Volume 3 is primarily used by which of the following?
a. clinics
b. ambulatory centers
c. hospitals (C)
d. nursing homes
Volume 3 is used to code what type of procedures?
a. surgical
b. therapeutic
c. diagnostic
d. all of the above (D)
T/F The location of the Includes and Excludes notes has no bearing on the code selection
False
T/F Use of fourth and fifth digits, if available, is mandatory.
True
T/F Appendix D-Classification of Industrial Accidents According to Agency-was deleted October 1, 2004
False

Appendix B-Mental Disorders-deleted-now has it's own book
T/F Four-digit codes are referred to as subcategory codes in Volume 1
True
Volume 1
(three digits) Category
(four digits) Subcategory
(five digits) Subclassification
T/F In Volume 2, Alphabetic Index, when the main term is modified by terms listed in parentheses following the main term, these modifiers are considered essential for code selection.
False
non-essential
underline main term: Grief reaction
reaction
underline main term: Fracture radius and ulna
Fracture
underline main term: Bowel obstruction
obstruction
underline main term: Erb's palsy
Erb's palsy
can go either way
underline main term: Supervision of high-risk pregnancy
Supervision - pregnancy
can go either way
underline main term: Aortic stenosis
stenosis
underline main term: Actinomycosis meningitis
meningitis
Identify as category-subcategory-subclassification
066.1
subcategory
(4 digits)
Identify as category-subcategory-subclassification
070.43
subclassification
(5 digits)
Identify as category-subcategory-subclassification
220
category
(3 digits)
Identify as category-subcategory-subclassification
274.11
subclassification
(5 digits)
Identify as category-subcategory-subclassification
284.9
subcategory
(4 digits)
Identify as category-subcategory-subclassification
337.21
subclassification
(5 digits)
Identify as procedure code or diagnosis code
214.0
diagnostic
Identify as procedure code or diagnosis code
251.0
diagnostic
Identify as procedure code or diagnosis code
31.41
procedure
(two-digits codes - after decimal point adds specificity)
Identify as procedure code or diagnosis code
37.96
procedure
(two-digits codes - after decimal point adds specificity)
Identify as procedure code or diagnosis code
663.61
diagnostic
E codes are located in Volume 2, Section:
a. 3 (A)
b. 2
c. 1
d. 0
Synchoronous means:
a. location of an opening
b.occuring at the same time (B)
c. creation of an opening
d. none of the above
T/F Includes and Excludes notes have no bearing on the code selection
False
T/F Brackets enclose synonyms, alternative wordings, or explanatory phrases
True
ICD-9-CM terms: Includes
Appears immediately under a three-digit code title to further define, or give examples of, the content of the category.
ICD-9-CM terms: Excludes
Appears under a code indicates that the terms excluded from the code are to be coded elsewhere.
ICD-9-CM terms: Inclusion terms
Is included under certain four and five digit codes. These terms are the conditions for which that code number is to be used.
ICD-9-CM terms: Conventions
are symbols, abbreviations, puncutuation, and notations
some conventions are used in all three Volumes
ICD-9-CM terms: connecting words
these define a relationship between a main term or a sub term and a associated condition or etiology
ICD-9-CM terms: essential modifiers
are subterms that modify the main term
ICD-9-CM terms: subterms
are under the main terms are indented to the right, begin with a lowercase letter and are not bold. The subterm modifies the main term. (adjectives)
ICD-9-CM terms: main term
are identified by bold print, flush with the left margin of the column (nouns). Alphabetization rules apply in locating main terms and subterms in the Alphabetic Index Volume 2