Ch 12: True and False Flashcards
Diagnostic Coding
T/F: A diagnosis should never be coded from the alphabetic list alone
True
T/F: A diagnosis must be determined by the healthcare professional providing the medical care
True
T/F: When the healthcare insurance professional generates an insurance claim for payment of the provider’s services, the written diagnosis must appear on the claim
False
T/F: The U.S. healthcare system currently uses six major coding structures
False
T/F: A covered entity under the HIPAA Privacy Rule refers to health plans, healthcare clearinghouses, and healthcare providers that transmit health information electronically
True
T/F: One of the primary concerns with the former ICD-9 system was the lack of specificity expressed in the codes
True
T/F: All publishers must format and arrange the ICD-10 codes identically
False
T/F: The Tabular List lists all diagnostic codes in alphanumerical order
True
T/F: Anatomical sites are often listed as main terms in ICD-10-CM
False
T/F: Essential modifiers must be part of the diagnosis documented in the health record
True
T/F: Nonessential modifiers frequently are not a part of the diagnostic statement but are provided to assist the coder in locating the correct code
True
T/F: Main terms cannot be anatomical sites
True
T/F: If a patient has a diagnosis of deviated nasal septum, the main term is nasal
False
T/F: ‘See’ or ‘see also’ tells the coder to continue the search under another main term
True
T/F: The Alphabetic Index to Diseases contains a Hypertension table and a Neoplasm table
True
T/F: In the Tabular List, a bullet symbol preceding the code indicates the code is no longer in use
False
T/F: The Table of Drugs and Chemicals contains a classification of drugs and other chemical substances to identify poisoning states and external causes of adverse effects
True
T/F: In ICD-10, an unspecified side code should be used if laterality is not identified in the diagnostic statement
True
T/F: In ICD-10-CM, any poisoning that was intentional is classified as “poisoning, intentional, self-harm”
True
T/F: Bold type is used in ICD-10 for all exclusion notes and to identify codes that should not be used for describing the first-listed diagnosis
False
T/F: When the notation “code first underlying disease” is seen, the etiology is coded before the manifestation
True
T/F: Colons are used in the Tabular List after an incomplete term that needs one or more of the modifiers after the colon to make it assignable to a given category
True
T/F: ICD-10-CM codes may consist of up to seven characters, with the seventh character extensions representing visit encounter or sequela for injuries and external causes
True
T/F: The first character of an ICD-10-CM code is always an alphabetic letter
True
T/F: All alpha characters in the ICD-10-CM coding system are case sensitive
False
T/F: In ICD-10-CM, codes longer than three characters always have a decimal point after the first three characters
True
T/F: Categories of injuries are arranged alphabetically under the main term “Injury” rather than by the type of injury, such as dislocation
True
T/F: Indented subterms are never used in combination with the main terms
False
T/F: In ICD-10-CM, if a code has only three characters (e.g., B03 Smallpox), the coder can generally assume that the category has not been further subdivided
True
T/F: If a code that requires a seventh character is not six characters long, the placeholder “x” must be used to fill in the empty character(s)
True
