CH 1-3 INTERMEDIATE MEDICAL CODING
Abstract the documentation is action ______in coding process
1
Every encounter between patient and health care professional must have at least _____diagnosis code and at least _______procedure code(s)
1,1
What is the correct CPT code for a laparoscopy , surgical, gastronomy , without construction of gastric tube?
43653
The are _____specific actions that you should take to construct your proper coding process
6
There are six specific actions that you should take as part of the coding process. What is action 1?
ABSTRACT THE DOCUMENTATION
What is the most important factor to consider when coding?
ACCURACY
All of the following would be considered a diagnostic "main term" except
ACUTE
After abstracting the main terms, a coder will go next to the
ALPHABETIC INDEX
THE SECTION OF A CODE BOOK SHOWING CODES, FROMA -Z BY THE SHORT CODE DESCRIPTIONS
ALPHABETIC INDEX
A seperate diagnosis existing in the same patient at the same time as an unrelated diagnosis is known as
CO-MORBIDITY
THE SEQUENCE OF ACTIONS REQUIRED TO INTERPRET PHYSICIAN DOCUMENTATION INTO THE CODES THAT ACCURATELY REPORT WHAT OCURRED DURING A SPECIFIC ENCOUNTER BETWEEN THE HEALTH CARE PROFESSIONAL AND PATIENT
CODING PROCESS
Action 5 in the coding process is to
CONFIRM MEDICAL NECESSITY
Which of the following code books lists the codes in numeric order?
CPT
Which of the following is a full code description
CUTANEOUS ABSCESS OF CHEST WALL L02.213
A physicians determination of a patients condition, illness , or injury
DIAGNOSIS
Asthma is an example of a(n)
DIAGNOSIS
The abbreviation ECG stands for
ELECTROCARDIOGRAPHY
The first question you as the professional coder, will need to ask is
FOR WHOM ARE YOU REPORTING
The official guidelines for ICD 10 CM can usually be found in the
FRONT OF THE CODE BOOK
Official ___are a listing of rules and regulations instructing you how to use a specific code set accurately.
GUIDELINES
IPPB machine would be an example of a term in which Alphabetic index
HCPCS Level 2
External causes explain _______and______the patient became injured
HOW,WHERE
Pneumonia would be an example of a term found in which Alphabetic index
ICD-10-CM
Which code book contains all of the codes to report the reason why the health care provider cared for the patient during a specific encounter
ICD-10-CM code book
__________codes are composed of seven characters
ICD-10-PCS
A patient admitted into a hospital for an overnight stay or longer
INPATIENT
Converting a meaning from one language to another is called
INTERPRETING
__________confirms medical necessity by painting at least one diagnosis code to at least one procedure code
LINKING
THE SECTION OF THE CPT CODE NOOK LISTING ALL OF THE CODES IN NUMERIC ORDER
MAIN SECTION
HCPCS Level 2 Codes are presented as
ONE LETTER FOLLOWED BY FOUR NUMBERS
HCPCS Level 2 codes are presented as
ONE LETTER FOLLOWED BY FOUR NUMBERS
EXPLAINS WHO IS PROVIDED WITH CARE
PATIENT
This documentation r section that includes the patient's demographic information , as wellas health insurance policy numbers and the name of the individual who is responsible for the patients care
PATIENTS REGISTRATION FORM
Explains what the provider did for the individual
PROCEDURE
Surgical removal of a skin tag is an example of a
PROCEDURE
What is the main term in the following procedural statement? Repair of an abdominal hernia
REPAIR
Spending time with a patient and/or family about health care situations
SERVICES
Marks , similar to emojis, that provide additional direction to use codes correctly and accurately are known as
SYMBOLS
The main section and tabular list of the code books all contain additional ____and ______ to help you determine the most accurate code.
SYMBOLS, NOTATIONS
THE SECTION OF THE ICD 10 CM CODE BOOK LISTING ALL OF THE CODES IN THE ALPHANUMERIC ORDER
TABULAR LIST
The sequence of actions required to interpret physician documentation into the codes that accurately report what occurred during specific encounter between healthcare professional and patient is known as
THE CODING PROCESS
What is abstracting?
THE PROCESS IF IDENTIFYING THE KEY WORDS OR TERMS IN HEALTH CASE DOCUMENTATION IN ORDER TO DETERMINE THE BEST, MOST APPROPRIATE CODE
When ICD-10-CM codes support medical necessity this means that
THERE WAS A VALID MEDICAL REASON TO PROVIDE CARE 21WQ
Suffix: -ectomy means
TO REMOVE
The provision of medical care for a disorder or disease
Treatment
In the ICD 10 CM tabular list above code K70.31 there is a rotation. What is rotation?
USE ADDITIONAL CODE TO IDENTIFY ALCOHOL AND ABUSE AND DEPENDENCE
THE WHY JUSTIFIES THE
WHAT
A diagnosis explains
WHY THE PATIENT REQUIRES ATTENTION OF THE PROVIDER
