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billing and coding
n/a
30
Medical
Undergraduate 4
01/27/2012

Additional Medical Flashcards

 


 

Cards

Term
adverse effect
Definition
an unfavorable, detrimental, or pathologic reaction to a drug that occurs when appropriate doses are given to humans for prophylaxis, diagnosis, and therapy
Term
benign tumor
Definition
an abnormal growth that does not have the properties of invasion and metastasis and is usually surrounded by a fibrous capsule; also called a neoplasm
Term
chief compliant
Definition
a patients statement describing symptoms, problems, or conditions as the reason for seeking health care services from a physician
Term
combination code
Definition
a code from one section of the procedural code book combined with a code from another section that is used to completely describe a procedure performed
Term
complication
Definition
a disease or condition arising during the course of, or as result of, another disease modifying medical care requirements
Term
computer-assisted code
Definition
use of computer software that automatically generates a set of medical codes for review, validation, and use based on clinical documentation provided by health care practicioners
Term
convention
Definition
rules or principles for determining a diagnostic code when using diagnostic code books such as each space, typeface, indentations, punctuation marks, instructional notes, abbrevations, cross-reference notes, and specific usage of the words and, with, and due to.
Term
E codes
Definition
a classification of ICD-9-CM coding used to describe environmental events, circumstances, and conditions as the external cause of injury, poisoning, and other adverse effects.
Term
eponym
Definition
the name of a disease, anatomic structure, operation, or procedure, usually derived from the name of a place where it first occured or a person who discovered or first described it
Term
etiology
Definition
the cause of disease; the study of the cause of a disease
Term
in situ
Definition
a description applied to a malignant growth confined to the site of origin without invasion of neighboring tissues
Term
internal classification of disease, ninth revision, clinical modification
Definition
diagnostic code book that uses a system for classifying diseases and operations to assist collection of uniform and comparable health inforamtion
Term
international classification of disease, tenth revision, clinical modification
Definition
diagnostic code book that uses a system for classifying diseases and operations to assist collection of uniform and comarable health information,it has been modified, will be implemented on oct.1 2013
Term
international classification of diseases, tenth revision, procedural coding system
Definition
procedural code system developed by 3M Health information systems(HIS) under contract with the centers for medicare and medicaid services
Term
intoxication
Definition
a diagnostic coding term that relates to an adverse effect rather than a poisoning when drugs such as digitalis, steroid agents, and so on are involved
Term
italicized code
Definition
a diagnostic code in ICD-9-CM volume 1, tabular list, that may never be sequenced as a principal diagnosis
Term
late effect
Definition
an inactive residual effect or condition produced after the acute phase of an illness or injury has ended
Term
malignant tumor
Definition
an abnormal growth that has the properties of invasion and metastasis
Term
metastasis
Definition
process in which tumor cells spread and transfer from one organ to another site
Term
neoplasm
Definition
benign or malignant tumor
Term
not elsewhere classifiable
Definition
the term is used in the ICD-9-CM diagnostic coding system when the code lacks the information necessarybto code the term in a more specific category
Term
not otherwise specified
Definition
unspecified, used in ICD-9-CM numeric code system for coding diagnoses
Term
physician's fee profile
Definition
a compilation of each physician's charges and the payments made to him or her over a given period of time for each specific professional service rendered to a patient
Term
poisoning
Definition
a condition resulting from an overdose of drugs or chemical substances or from the wrong drug or agent given or taken in error
Term
primary diagnosis
Definition
initial identification of the condition or CC for which the patient is treated for outpatient medical care
Term
principal diagnosis
Definition
a condition established after study that is chiefly responsible for the admission of the patient to the hospital
Term
secondary diagnosis
Definition
a reason subsequent to the primary diagnosis for an office or hospital encounter that may contribute to the condition or define the need for a higher level of care but is not the underlying cause
Term
slanted brackets
Definition
a symbol used with a diagnostic code in ICD-9-CM, volume 2, alphabetic index, indicating the code may never be sequenced as the principle diagnosis
Term
syndrome
Definition
another name for a symptom complex (a set of complex signs, symptoms, or other manifestations resulting from a common cause or appearing in combination, presenting a distinct clinical picture of a disease or inherited abnormality)
Term
V code
Definition
a subclassification of ICD-9-CM coding used to identify health care encounters that occur for reasons other than illness or injury and to identify patients whose injury or illness is influenced by special circumstances or problems
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