Chapter 2 Flashcards

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1
Q

ICD 10 was originally issued in 1993 by____

A

The World Health Organization

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2
Q

This country uses ICD10-AM

A

Australia

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3
Q

ICD-10 is designed for classification of patient ______ and ________

A

Morbidity, mortality

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4
Q

CM in ICD-10-CM stands for?

A

Clinical modifications

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5
Q

Four reasons why dx codes are used.

A
  1. Facilitates payment
    2.Evaluate use of healthcare facilities
  2. Research quality of healthcare
  3. Predict trends
  4. Plan for future healthcare needs
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6
Q

ICD 10 is used to translate _________ descriptive information into alphanumeric codes.

A

Verbal or narrative

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7
Q

Three sections of alphabetic index

A

Disease and injuries
Table of drugs and chemicals
External causes of injury

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8
Q

Main terms

A

Bold and flush with left margins

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9
Q

Sub terms

A

Under main terms indented to the right

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10
Q

Essential modifiers

A

Sub terms modify main terms, creating greater specificity

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11
Q

Connecting words

A

Define relationship between main and sub terms

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12
Q

Neoplasms C00-D49

A

C for cancer

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13
Q

Endocrine, nutritional, and metabolic diseases

A

E for Endocrine

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14
Q

Nervous system G00-G99

A

G for ganglia

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15
Q

Ear and mastoid process H60-95

A

H for hearing

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16
Q

Circulatory system I10-I99

A

I for infarct

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17
Q

Musculoskeletal system, and connective tissue M00-M99

A

M for musculoskeletal

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18
Q

Genitourinary system N00-N99

A

N for nephrology

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19
Q

Certain conditions originated in the perinatal Period P00-P96

A

P for perinatal

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20
Q

Section

A

Group of three digit categories that represent a group of conditions or related conditions 

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21
Q

Category

A

A three character category code represents a single condition or disease

22
Q

Subcategory

A

Four character code provides specificity in terms of cause sight or manifestation of the condition

23
Q

Sub classification

A

5 to 7 character code, add some more information and specificity to a conditions description

24
Q

Italicize type

A

Not a primary diagnosis
Examples of code 1st

25
Q

Bold type

A

Main term

26
Q

NEC

A

Not elsewhere classifiable

27
Q

NOS

A

Not otherwise specified

28
Q

NEC two ways of use

A

Directions to coder to other classifications
codes that does not have greater specificity

29
Q

NOS use

A

Equivalent of unspecified
Should ask physician for more specific information

30
Q

Brackets

A

Include synonyms, alternative wording, or explanatory phrases

31
Q

Parentheses

A

Supplementary words that may be present or absent in the statement of a disease or procedure

32
Q

Nonessential modifiers

A

Words that are used to clarify the diagnoses, but do not affect the code assignment

33
Q

Colon

A

Incomplete term that needs one or more of the modifiers that follow in order to make the condition assignable

34
Q

And

A

Means and/or

35
Q

With

A

With/in

36
Q

Includes

A

Gives examples of other issues

37
Q

Excludes 1

A

When two conditions cannot occur together

38
Q

Excludes 2

A

Both conditions can occur at the same time

39
Q

Etiology

A

Use additional follow up code

40
Q

Manifestation (in diseases classified elsewhere)

A

Goes second to etiology

41
Q

Half moon indicates

A

Manifestation code

42
Q

Code also

A

Instructed that two codes may be required to fully describe condition

43
Q

Default code

A

Most commonly associated with main term or unspecified code

44
Q

Code assignments and clinical criteria

A

Providers diagnostic statement that conditions exist.

45
Q

Acronym for I10 system reports inpatient procedures

A

PCS-Procedure coding system

46
Q

Index listed by

A

Symptoms
Encounter
Complication

47
Q

Combination codes

A

A code that reports more than one dx

48
Q

See category

A

Describes general type of injury or disease

49
Q

See also

A

Additional term should be referenced to provide other information

50
Q

See

A

Following main term or sub term