Ch 4 ICD 9

Question 0

Updates to the ICD 9 CM

Answer 0

Addenda

Question 1

What what are the five conventions applied when using the alphabetic index correctly?

Answer 1

1. Turnover lines are indented farther to the right then subterms
2. See cross-references lead the coder to another main term; see also suggest additional possible key terms
3. Notes provide information on code selection
4. The abbreviation NEC appears with mean terms for which no specific code exists
5. Some conditions may require two codes

Question 2

Section of the ICD-9-CM listing diagnosis codes numerically

Answer 2

Tabular list

Question 3

Section of the ICD-9-CM listing diseases and injuries with corresponding diagnosis codes alphabetically. Organized by the condition, not body part.

Answer 3

Alphabetic index

Question 4

Covers procedures chiefly in hospitals

Answer 4

Tabular list and alphabetic index

Question 5

What are the five conventions that apply to using the alphabetic index?

Answer 5

1. Turnover lines are indented farther to the right then sub terms
2. See cross-references leave the coder to another Meanterm see also suggest additional possible key terms
3. Notes provide information on coats election
4. The abbreviation NEC appears with main terms for which no specific code exists
5. Some conditions may require two codes

Question 6

What are the 10 conventions used in the tabular list?

Answer 6

1. Fifth-digit requirement symbol
2. Includes and excludes notes
3. Colons in notes
4. Parentheses around supplementary terms
5. Brackets around supplementary synonyms, alternative wording, or explanations
6. Braces to group related terms
7. Lozenge for nonWHO codes
8. The abbreviation NOS and NEC
9. (.) Bullet for new codes or entries single triangle or facing triangles for revised descriptions
10. Codes that are not used as primary appear in italics and are usually followed by an instruction to code 1st underlying disease or use an additional code

Question 7

Alphanumeric ICD code for healthy patients to receive routine service, for therapeutic ecounters, for a problem that is not currently affecting the patient’s condition, and for preoperative evaluation’s.

Answer 7

V code

Question 8

Alpha numeric ICD code for an external cause of injury or poisoning

Answer 8

E code

Question 9

What are the coding steps? (5)

Answer 9

Step 1- review complete medical documentation
Step 2- abstract the medical conditions from the visit documentation
Step 3- identify the main term for each condition
Step 4- locate the main terms of the alphabetic index
Step 5- verify the code in the tabular list

Question 10

Patient’s description of the symptoms or reasons for seeking medical care

Answer 10

Chief complaint (cc)

Question 11

Represents the patients major illness or condition for an encounter

Answer 11

Primary diagnosis

Question 12

What are the ICD-9-CM official guidelines for coding and reporting? (3)

Answer 12

1. Code the primary diagnosis first, followed by current coexisting conditions
2. Code to the highest degree of certainty, never coding inconclusive, rule-out diagnosis
3. Code to the highest level of specificity, using fifth digits or fourth digits when available

Question 13

Condition that remains after an acute illness or injury in ICD 9 CM

Answer 13

Late effect

Question 14

Map of codes for same or similar classifications under two coating systems

Answer 14

Crosswalk