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LTC Chapter 2 Set 3
Learning to Code 2010, Thomas J Falen, Coding Conventions, Rules, and Guidelines
35
Medical
Professional
12/14/2010

Additional Medical Flashcards

 


 

Cards

Term
True
Definition
T or F: Do not code symptoms routinely associated with a disease
Term
558.9
Definition

CODE

 

gastroenteritis with abdominal pain

Term
True
Definition
T or F: You should code symptoms if they are not routinely associated with a disease
Term
urinary tract infection
Definition
What does UTI mean?
Term
599.0 [599.70]
Definition

CODE

 

Urinary tract infection with hematuria

Term
False
Definition
T or F: Hematuria is a common symptom of UTIs, and therefore would not be coded
Term
a
Definition

When a diagnosis is documented as "possible", "probable", "likely", "questionable", "?", "rule out", or "suspected", the coder should:

a) should code the condition for inpatient services

b) should code the condition for outpatient services

c) should code the condition for both inpatient and outpatient services

d) should not code the condition for either inpatient or outpatient services

Term
g
Definition

Outpatient services:

a) are coded to highest level of certainty

b) you would code a diagnosis even if it was labeled probable, likely, questionable, rule out, possible, or suspected

c) often requires symptom coding

d) often has a diagnosis to code at discharge

e) all but b

f) all but a

g) a and c

h) all but d

Term
Code both and sequence the acute code first
Definition
If the same condition is described as both acute (subacute) and chronic, and separate subterms exist in the alphabetic diagnosis index at the same indentation level, what do you do?
Term
595.0 [595.2]
Definition

CODE

 

Acute and Chronic cystitis

Term
d
Definition

If two or more interrelated conditions can be the principal diagnosis:

a) you code only one of the conditions

b) either condition can be sequenced first

c) if treatment is directed at one condition more, that is the principal diagnosis

d) all but a

e) all but b

Term
True
Definition
T or F: When two or more contrasting diagnoses are documented as "either/or" or "versus", either may be sequenced as the principal diagnosis
Term
e
Definition

A symptom is followed by contrasting diagnoses.  How would you code this?

a) code the symptom code only

b) code one of the contrasting diagnoses only

c) code both contrasting diagnoses but not the symptom

d) code the contrasting diagnoses first and the symptom second as principal diagnoses

e) code the symptom first and then the contrasting diagnoses as principal diagnoses

Term
e
Definition

Chest pain secondary to hiatal hernia versus costochondritis.  You code as principal diagnosis:

a) chest pain only

b) hiatal hernia only

c) costochondritis only

d) either hiatal hernia or costochondritis

e) chest pain, hiatal hernia, costochondritis

f) chest pain, hiatal hernia

g) chest pain, costochondritis

h) hiatal hernia, costochondritis, chest pain

i) both hiatal hernia and costochondritis

Term
c
Definition
A patient was admitted to the hospital for care. However, the treatment was not performed due to unforeseen circumstances. The principal diagnoses would be:
a) A V code that said treatment was not done
b) A symptom code
c) the diagnosis for which the patient was admitted to the hospital
d) V code that diagnosis is unknown
Term
the residual condition, late effect
Definition
A residual condition from a prior injury, disease, adverse effect of medication, or poisoning is the reason for admission.  Which would be sequenced first: the residual condition or the cause of the residual condition?  What type of code would explain the cause of a residual condition?
Term
709.2 [906.7]
Definition

CODE

 

Residual scar from old burn to arm

 

 

Term
open biopsy
Definition
a biopsy that involves an incision
Term
closed biopsy
Definition
a biopsy that is performed without an incision--by endoscope, percutaneous aspiration, or brush
Term
the entire lesion is removed
Definition
An excisional biopsy is coded to "excision, lesion" under what circumstances?
Term
True
Definition
T or F: An operative approach is normally considered a routine part of the operation and is not coded
Term
c
Definition

A laparotomy with appendectomy is done.  You code:

a) laparotomy only

b) laparotomy, appendectomy

c) appendectomy only

d) appendectomy, laparotomy

e) either laparotomy or appendectomy

Term
b
Definition

A biopsy is a(n) __________ procedure.

a) operative

b) diagnostic

Term
c
Definition

A biopsy is performed, and it is the only procedure performed.  You would code:

a) the biopsy only

b) biopsy, operative approach

c) operative approach, biopsy

d) operative approach only

Term
54.11 [50.11]
Definition

CODE

 

Exploratory laparotomy with percutaneous liver biopsy

Term
d
Definition

Many laparoscopic procedures are substituting open procedures because:

a) they are less invasive

b) healing time is quicker

c) hospital stay is shorter

d) all of the above

Term
g
Definition

If a laparoscopic procedures is converted to an open procedure, code:

a) laparoscopic procedure, V code for operation conversion, open procedure

b) open procedure, laparoscopic procedure, V code for operation conversion

c) open procedure, V code for operation conversion, laparoscopic procedure

d) V code for operation conversion, laparoscopic procedure, open procedure

e) V code for operation conversion, open procedure, laparoscopic procedure

f) laparoscopic procedure, V code for operation conversion

g) open procedure, V code for operation conversion

h) V code for operation conversion, laparoscopic procedure

i) V code for operation conversion, open procedure

 

Term
Laparoscopic surgical procedure converted to open procedure
Definition
What is V64.41?
Term
b
Definition

There are no codes for bilateral procedures in ICD-9-CM.  How would you code it?

a) use the unilateral code once

b) use the unilateral code twice

c) use the unilateral code X 2

d) use the unilateral code with a modifier saying it was a bilateral procedure

Term
l
Definition

V codes can be found under:

a) admission for   b) encounter for   c) follow-up   d) attention to

e) history of   f) status post   g) examination   h) aftercare   i) problem

j) screening for   k) long-term use   l) all of the above

n) all but c, d, h

Term
accident occurred at home
Definition
What does E849.0 indicate?
Term
E850.4
Definition

CODE

 

Accidental poisoning with acetaminophen

Term
E881.0
Definition

CODE

 

Patient's injury was due to fall from ladder

Term
E920.0
Definition

CODE

 

Patient was cut in a powered lawn mower accident

Term
E007.6
Definition

CODE

 

Patient's injury occurred while playing basketball

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