Chapter 18

Codes are updated and new ICD manuals are available

Every year

In Chapter 19 of the ICD-10, the letters A, D, and S are referred as

Extensions

The main term for gastroesophageal reflux disease is

GERD

The note EXCLUDES2 in ICD-10 indicates that

the condition is excluded as not part of the condition represented by the code

When you apply the ICD-10 guidelines for laterally codes, right and left are coded using

1 = right and 2 = left

Six reasons ICD codes are used today

1) Facilitation of payment for medical serves 2)Evaluation of utilization patterns 3) Study of healthcare costs 4) Research regarding quality for healthcare 5)Predictions of healthcare trends 6) Planning for future healthcare needs

When choosing an ICD code, you need to have

A chart, note, an encounter form, and/or a superbill

The patient's primary reason for seeking care

Chief complaint

What is the difference between an acute and chronic condition?

Chronic can be long lasting; acute is sudden onset, more long-standing condition that suddenly worsened

Which of the following descriptions accurately reflects the difference between acute and chronic

Chronic conditions may become acute, and when coding, the acute aspect of a condition is listed before the chronic aspect

International Classification of Diseases

Code set based on a system maintained by WHO whose use is mandated by HIPAA for reporting diseases, conditions, signs, and symptoms

EXCLUDES 1 is a note that indicates

Codes may never be coded together

The list of abbreviation, punctuations, symbols, typefaces, and instructional notes providing guidelines for using the ICD code set

Convention

NOS, NEC, brackets, and parentheses are examples of

Conventions

Why was there a mandate to transition from the ICD-9-CM coding system to ICD-10-CM?

ICD-10 offers greater specificity for diagnosis classification and provides expansion for new codes. ICD-9 did not allow for new additions

The first step in locating the appropriate code in the ICD is

Identify the main term in the alphabetic index

Causes and severity if illness

Morbidity

When a condition or disease cannot be described more specifically, the abbreviation that may be used is

NOS

The code T36 from ICD-10 is used to code

Poisoning by, by adverse effect of, and underdosing of systemic antiboitics

The first diagnosis listed for outpatient claims is the primary reason for the patient visit

Primary diagnosis

Burns are classified by the extent of the burn based on the

Rule of nines

The ICD-10 an injury from being burned with battery acid would be coded from the range

S00-T98

One of two ways diagnosis are listed in ICD; diagnoses appear in alpha order with their corresponding diagnosis code(s)

Tabular list

Which of the following statements is true concerning the X character used in the ICD-10 coding

The X is a placeholder and is used when the 7 characters are required and fewer than 6 characters are present

When the word EXCLUDES1 is found in the ICD-10, it means that

The entry is not classified as part of the preceding code

Which of the following statements is true about ICD-10

The format of the ICD-10 includes 3-7 characters

Cross Reference

The notation within ICD using directions See or See also after the main terms in the index; notes that another term may be appropriate with coding the referenced diagnosis

The abbreviation NEC is used when

There is not a code that is specific enough to match the physician's description

In the alphabetic index, brackets within a code are used

To indicated manifestations (secondary) codes

What is a combination code and when it is used?

When one code in which two diagnosis are used; this may be a diagnosis with complication

The organization that maintains and updates ICD

WHO

An ICD-10 code used to identify healthcare encounters for reasons other than illness or injury, such as an annual exams and immunization

Z code

Which of the following ICD-10 code ranges represents the "healthy visit" codes?

Z00-Z99

The cause of a disease or condition

etiology

An external cause code is used to

explain how an injury happened

An example of a condition requiring a Z code in ICD-10 is

an annual check up

Divisions of ICD-10 named for a body system or a specific disease type

chapters

Analysis of the connection between diagnostic and procedural information in order to evaluate the medical necessity of the reported charges

code linkage

Another term for the physician's assessment of the patient's condition

diagnosis

The alphanumeric designation used to communicate the diagnosis to third-party payers on the healthcare claim form

diagnosis code

When the phrase Code first underlying disease appears beneath a coded condition, you will

list the primary diagnosis code first, then list this code as the secondary diagnosis code

Causes of death

mortality

The first diagnosis listed for inpatient claims as the principal reason found, after study, for the patient's hospitalization

principal diagnosis

the 3-digit code subdivisions in ICD-10

rubrics

One of the reasons the ICD was originally created was to classify statistics of patient "morbidity", which means

sickness

Subdivisions of the alphabetic index for ICD-10 chapters containing clinical descriptions of the code range and guidelines for coding

subcategories

When coding malignant neoplasms, the primary site is

the location where the cancer originated