Diagnostic Coding Flashcards
Smart Book - Chapter 18
How are the parentheses used?
around descriptions that do not affect the code
_______ are used in the Tabular List after an incomplete term that needs one of the following terms to make it assignable to a category.
colons :
NEC
not elsewhere classified
There are ____ types of Excludes codes
two
Which convention indicates that an added code should be utilized, if available?
Use additional code
When brackets in the Alphabetic Index convention is used, the code in the brackets is the
[secondary code]
________ are used around descriptions that are supplementary and nonessential terms
(parentheses)
How is the : colon used in ICD-10
after an incomplete term that needs another term to make is assignable
The instruction that appears when a category is not to be used as the primary diagnosis…
code first underlying disease
words that appear after a term to indicate a cross-reference
see aslo; see
Where can you find the diagnosis if your provider uses a SOAP note?
in the assessment
“Multiple coding” is used when…
one code does not fully describe the patients diagnosis
What is the term for the 3 character category
rubric
“suspected, Rule Out, Probable” are used to flag a diagnosis that is…
uncertain
“That condition established after study to be chiefly responsible for occasioning the admission of the patient to the HOSPITAL for care”
Principal diagnosis
Multiple coding often occurs when
a disease condition is the result of another condition
Subsequent diagnosis is also referred to as a
secondary diagnosis
In outpatient coding, when should the symptoms that lead the patient to seek care be coded?
When there is an unclear diagnosis; until there is an absolute diagnosis made
There are over 700 DRGs. What is a DRG?
Diagnosis-Related Groups; based on 4 elements of inpatient coding
When a patient is healthy and has no problems a ____ code is used in the outpatient setting
Z (zer is noting wrong wit zis patient)
The 4 elements to diagnosis-related goups
Principal diagnosis (what’s wrong)
Age of the patient (how old)
Procedure preformed (how fix)
Discharge status of the patient (when leave)
Multiple coding often occurs when
a disease or condition is the result of another condition
Example of health status codes
encounter for chemotherapy
encounter for vaccination
ICD-10 created _______ codes for poisonings so that, in many cases, only one code is required
combination
Which 7th character designates a subsequent encounter
D (der is more to be done here)
This column in the Table of Drugs and Chemicals is used when the correct substance is properly administered in the correct dose but caused a poisoning/reaction
Adverse effect
Coding burns usually requires ___ codes
3 Extent, Degree, Cause
(How bad, how deep, how?)
Te Table of Drugs and Chemicals is located
directly after the Alphabetic index
Type ___ diabetes is non insulin-dependant diabetes
2
What was added to ICD-10 when coding fractures?
Laterality
Mandatory 7th character