Chapter 3 Flashcards
Diagnosis that is probable suspected possible or rule out
Uncertain diagnosis
Health condition due to external cause never a first listed diagnosis
External cause codes
Indicates a patient has the sequelae, or a residual of a pass disease or condition
Status code
Selection of principal diagnosis for non-outpatient setting
Section 2
Codes to classify persons who are not sick
Z codes
First listed diagnosis used in outpatient setting instead of what?
Principal diagnosis
What to code when document a condition is not confirmed in outpatient setting
Signs and symptoms
First listed diagnosis for outpatient surgery
Reason for surgery
Coding all conditions or problems, promotes what?
Data integrity
What setting is Z codes mostly used
Outpatient
first listed diagnosis for observation or suspected conditions
Z03 and Z04
Additional diagnosis codes are used to report what conditions
Coexisting conditions
Uncertain diagnosis reported in what setting
Inpatient
Conditions that can be reported multiple times
Chronic conditions
Code for routine laboratory/radiology testing without any signs or symptoms of illness
Z01.89
Primary reason for therapeutic services is chemo or radiation therapy. What codes are listed first?
Z codes
Additional diagnosis for preoperative evaluation
Condition for surgery
Routine prenatal visits with no complications
Z34
T/F: when did patient is to have outpatient surgery in the surgery is not perform do the contraindication the reason the surgery was not performed is the first listed diagnosis
False
T/F: it is appropriate to code a postoperative diagnosis as it is the most definitive diagnosis for ambulatory surgery
True
T/F: chronic diseases that are treated on an ongoing basis should be coded and reported as often as a patient receives treatment and care for chronic conditions
True
T/F: uncertain diagnosis can be reported in the outpatient setting
False
T/F: in all outpatient Settings report the highest degree of certainty, rather than probable or suspected conditions
True
When we putting the diagnosis for a patient admitted to observation for a medical condition, assign a code for the _______ condition as the first listed diagnosis
Medical
T/F: Status Z Codes can indicate that a patient is a current carrier of a disease
True
Where to begin the search for correct code assignment
Alphabetic index
T/F : the codes, A00 thru Z99 are always reported as first listed diagnosis
False
Where are external cause code located?
In the external cause code section
Prenatal outpatient visits for high-risk patients have a first listed diagnosis of
O09
T/F: When a patient is admitted to observation for a complication, following outpatient surgery, report the complication as first listed diagnosis
False
