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LTC Ch 2 Coding Set 1
Learning to Code, 9th Revision, Thomas J Falen Conventions, Rules, and Guidelines
30
Medical
Professional
12/08/2010

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Cards

Term
e
Definition

Coders code from:

a) history and physical examinations

b) operative report

c) progress notes

d) discharge summary

e) all of the above

f) all but c

Term
False
Definition
T or F: Physicians are familiar with coding conventions and guidelines.
Term
Uniform Hospital Data Discharge Set
Definition
What does UHDDS stand for?
Term
True
Definition
T or F:  Accurate coding requires correct sequencing of the patient's principal diagnosis and all secondary diagnoses, as well as correct sequencing of the principal procedure and secondary procedures
Term
general instructional notes
Definition
appears in all three ICD-9-CM volumes to provide instructions for correct code assignments, italic print within boxes
Term
not elsewhere classified
Definition
What does NEC stand for?
Term
NEC
Definition
abbreviation indicates that the physician's documents were specific, but there is not a precise classification code available
Term
See
Definition
a cross-reference word that directs the coder to look elsewhere
Term
See also
Definition
a cross-reference word that tells the coder to look under another main term if all the information cannot be located under the first main term accessed
Term
relational terms
Definition
another name for connecting words
Term
due to
Definition
This relational term expresses a causal relationship between conditions
Term
slanted brackets
Definition
___________ are used to display the manifestation code when mandatory dual coding is required
Term
underlying condition; manifestation
Definition
In dual coding, the first code identifies the ____________, and the second code identifies the _________.
Term
a
Definition

You see two codes.  Code B is in slanted brackets after Code A.  How are they sequenced?

a) Code A, code B

b) Code A only

c) Code B only

d) Code B, Code A

e) you can choose either Code A or Code B

Term
False
Definition
T or F: Codes in slanted brackets can be sequenced as the principal diagnosis.
Term

False

 

They are listed in numerical order and in bold print

Definition
T or F: Category, subcategory, and subclassification codes are listed in alphabetical order and bold print.
Term
includes
Definition
notes that explain the content of a particular classification code
Term
excludes
Definition
notes that explain what is not part of the content of a particular classification code
Term
code first underlying condition
Definition
signifies that the code for the underlying condition must be sequenced first before the italicized manifestation of the disease code
Term
use additional code
Definition
required to convey the patient's condition completely
Term
not otherwise specified
Definition
What does NOS mean?
Term
NOS
Definition
code that indicates that a physician's documentation was not specific
Term
section mark
Definition
What does this mean: §?
Term
§
Definition
indicates an earlier instructional note or footnote at the bottom of the page informs the coder of the need to assign a fifth digit to complete the code assignment
Term
code also
Definition
used to indicate that a second code is needed to complete the procedure
Term
omit code
Definition
used to indicate that a procedure is a component part of another integral procedure code and should not be coded
Term
lozenge symbol
Definition
What does this mean: ♦?
Term
Definition
indicates that the code is unique to ICD-9-CM and that it does not have a counterpart in the WHO's ICD-9 classification
Term
c
Definition

Read the general instruction notes in the Alphabetic Index to Diseases.  Which term is included in closed fractures?

a) compound

b) infected

c) greenstick

d) missile

e) all of the above

Term
a
Definition

What type of code is 427.89?

a) NEC

b) NOS

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