Term
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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 |
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Term
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Definition
| T or F: Physicians are familiar with coding conventions and guidelines. |
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Term
| Uniform Hospital Data Discharge Set |
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Definition
| What does UHDDS stand for? |
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Term
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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 |
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Term
| general instructional notes |
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Definition
| appears in all three ICD-9-CM volumes to provide instructions for correct code assignments, italic print within boxes |
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Term
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Definition
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Term
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Definition
| abbreviation indicates that the physician's documents were specific, but there is not a precise classification code available |
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Term
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Definition
| a cross-reference word that directs the coder to look elsewhere |
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Term
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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 |
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Term
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Definition
| another name for connecting words |
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Term
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Definition
| This relational term expresses a causal relationship between conditions |
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Term
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Definition
| ___________ are used to display the manifestation code when mandatory dual coding is required |
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Term
| underlying condition; manifestation |
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Definition
| In dual coding, the first code identifies the ____________, and the second code identifies the _________. |
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Term
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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 |
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Term
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Definition
| T or F: Codes in slanted brackets can be sequenced as the principal diagnosis. |
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Term
False
They are listed in numerical order and in bold print |
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Definition
| T or F: Category, subcategory, and subclassification codes are listed in alphabetical order and bold print. |
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Term
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Definition
| notes that explain the content of a particular classification code |
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Term
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Definition
| notes that explain what is not part of the content of a particular classification code |
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Term
| code first underlying condition |
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Definition
| signifies that the code for the underlying condition must be sequenced first before the italicized manifestation of the disease code |
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Term
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Definition
| required to convey the patient's condition completely |
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Term
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Definition
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Term
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Definition
| code that indicates that a physician's documentation was not specific |
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Term
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Definition
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Term
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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 |
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Term
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Definition
| used to indicate that a second code is needed to complete the procedure |
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Term
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Definition
| used to indicate that a procedure is a component part of another integral procedure code and should not be coded |
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Term
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Definition
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Term
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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 |
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Term
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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 |
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Term
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Definition
What type of code is 427.89?
a) NEC
b) NOS |
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