Chapter 14 Flashcards
V-codes
Patients who have no illnesses injury or disorders
Might indicate immunization
Primary diagnosis
Condition or chief complaint being person to medical facility for treatment
E-codes
External cause of injuries and poisoning
Audits
Investigation by government to determine compliance and detect fraud
Cross reference
- Verification against another source
- Check tabular list against alphabetical list in ICD-9coding
Eponym
Word based on or derived from a persons name
Example - Chron diseases
Etiology
The cause of disease
Late affects
Conditions that result from another condition
Specificity
Relating to a define result
Main terms
Words in a multiple word diagnosis that a coder should locate in the alphabetic listing
Advanced beneficiary notice
Informs covered patients Medicare won’t cover certain service patient will be responsible for bill
Outpatient
Patient receives care but are not admitted
Inpatient
Patients admitted for diagnostic radiographic or treatment purposes
Conventions
General notes, symbols typeface
Volume 1
Tabular list of diseases
Contains classification of diseases conditions and injuries by code numbers
Volume 2
Alphabetic index of diseases
Contains many diagnostic terms that don’t appear in volume 1
Volume 3
Tabular list and Alphabetic Index of Procedures
Used in inpatient facilities and is based on anatomy not surgical speciality
Organized by anatomy
Coding
The assignment of a number to a verbal statement or description
The International Classification of Disease Ninth Revision (ICD-9)
System for transforming verbal descriptions of disease injuries conditions and procedures into numeric codes
The Centers for Medicare and Medicaid Services (CMS)
Mandated all physician must begin using ICD-10-CMS/PS by October 1,2013
ICD-9-CM
Developed by (WHO) World Health Organization
CM- Clinical Modification addresses intent of codes to describe clinical picture of patient
Physician services are reported on
CMS-1500
Which code is listed first on the CMS-1500
Primary diagnosis
