HI253 Medical Coding I Chapter 3

What actions should be taken when double-checking codes?

1) Check for typos. 2) Go back into the code books to reread the full description.

Where can you find conventions that offer tips and hints in selecting the correct code?

1) ICD-10-CM Tabular List 2) HCPCS Level II Main Section

You cannot report a code from the Alphabetic Index until you have confirmed it is correct and complete by using the ___________ code book.

1) ICD-10-CM's Tabular List 2)CPT's Main Section 3) ICD-10-PCS's Tables section

To select the best, most accurate code(s) a coder should base the selection on...

1) Official guidelines 2)Documentation

What is the number one consideration when coding?

Accuracy

What are included in the Tabular List (ICD-10-CM) and Main Section (CPT) to provide tips and hints to point you toward the correct code?

Conventions

In what type of setting must the diagnosis code(s) support medical necessity for a patient requiring around the clock acute care from trained health care professionals?

Inpatient

When coding a procedure, for whom might you be reporting?

Inpatient facility, physician, and outpatient facility.

Which of the following is a term seen in the ICD-10-CM Alphabetic Index?

Shock

Which of the following is true when comparing the Alphabetic Index to a GPS mapping app?

You cannot count on it to give you accurate information.

In an outpatient setting, there must be a __________ and a __________ to support medical necessity.

diagnosis code; procedure code

With so many code sets and codes, the process to get from __________ to __________ is more complicated than simply finding a word here and a code there.

documentation; code

The code that identifies the reasons why the patient was seen by a health care professional _____________ what the physician or health care professional did to the patient only when they are in accordance with the standard of care.

justify

If you are unclear or are missing information necessary to code an encounter, you should...

query the health care provider who cared for the patient.

Once you read the documentation, you should reread and identify the main words regarding the _________ and __________ of the encounter.

why; what