Chapter 5 Diagnostic Coding

When reporting a condition that affects the left side of the patient, the character ________ is reported to indicate laterality

2

Volume 2, Disease, is a/an ____________________ index or listing of code numbers.

Alphabetic

When selecting a code that corresponds with the condition stated in the medical record,the coder should first located the term is the ___________________ and then confirm the code in the _______

Alphabetic index Tabular list

______________ are used to enclose synonyms in the Tabular List

Brackets

The instructional note ________________ listed in the Tabular List assists the coder as it when it is appropriate to report a secondary code.

Dash

If a condition is documented in the medical record, but it is not specified as to whether the condition is acute or chronic, then the ________________ code should be assigned.

Default

ICD-10-CM requires _______________ documentation in the medical record than the previous coding system, ICD-9-CM

Greater

ICD-10-PCS is the coding system for reporting inpatient services by hospitals and replaces ________________ of the ICD-9-CM coding system.

HIPPA

The neoplasm table las column headings _____________,______________,______________________, and _________________

Malignant, benign,uncertain behavior, unspecified

Claims to insurance carriers often are denied because of lack of ________ _________, which indicates that the procedure provided was not payable for the diagnosis submitted.

Medical necessity

The abbreviation NEC appearing in the ICD-10-CM code book means

Not elsewhere classified

Diagnosis coding for services provided by a physician are reported using ICD-10-CM effective with dates off service

October 1. 2015

When submitting insurance claims or patients seen in a physician's office or in an outpatient hospital setting, the _______________ diagnosis. is listed first, but in the inpatient hospital setting, the __________ diagnosis is used.

Primary, Principal

Conventions are ______________________________ used in the diagnostic code book to assist in the selection of correct codes for the diagnosis encountered.

Rules or principle

A condition that is produced after the acute phase of an illness is listed as the main term _______________ in the alphabetic index

Sequela

Volume 1, Disease, is a/an _________________ listing of code numbers.

Tabular

The official version of the international classification of disease (ICD) was developed by the

World health organization

When using the ICD-10-CM coding system, the _________ is used as a placeholder to save space for future code expansion.

X