: ICD-10-CM Components Flashcards

1
Q

what does ICD-10-CM stand for

A

International Classification of Diseases

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2
Q

what are codes recognized by?

A

pms,clearing houses, insurance companies

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3
Q

diagnostic codings

A

has been used to standardize diagnoses

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4
Q

the purpose of diagnostic codings?

A

to prove medical necessity so that insurance companies can remiburse

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5
Q

who is responsible?

A

World Health Organization (WHO)

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6
Q

mortality

A

DEATH RATE

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7
Q

what is diagnosis?

A

determination of disease/condition

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8
Q

what is the etiology of diagnosis

A

underlying cause/orgin of a disease

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9
Q

reimbursement

A

payment for services rendered.

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10
Q

alphabetical index

A

a—>z of dx

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11
Q

tabulan index***

A

codes in alphamerical order

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12
Q

Main Goal of Coding

A

coding to the highest level of specificity

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13
Q

How many numbers are in an ICD-10-CM code

A

7 characters

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14
Q

IMPORTANT codes to know PART ONE.

A

The letter U
new conditions/diseases
For example: COVID

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15
Q

IMPORTANT CODES TO KNOW PART TWO.

A

The letter Z
■ prophylactic/preventative care (ON RMA)
■ Z codes is when a patient isn’t sick but the code still needs to have
a letter to get billed.

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16
Q

Steps in ICD-10-CM Coding

A

○ Step 1: determine the correct diagnosis
○ Step 2: use the main term to look up the diagnosis in the alphabetic index
○ Step 3: look up the “see” term in the alphabetic index
○ Step 4: review essential modifiers under the main term
○ Step 5: choose correct essential modifier based on diagnosis
○ Step 6: look up code in the Tabular List (double-check codes)

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17
Q

A 3-7 more number after the category is considered the diagnosis in more detail.

A

○ Ex: R12.1234

18
Q

U codes***

A

new conditions/diseases

19
Q

Z codes

A

prophylactic preventative

20
Q

Code Hiv

A

this indicates only the virus is present

21
Q

NOS***

A

the diagnostic statement does not contain any more specific wording

22
Q

abstract***

A

to collect important information from the health record

23
Q

carcinoma

A

a cancer of epithelial origin or cancer of the internal or external lining of the body

24
Q

benign ( cancer has not invaded)

A

the growth is noncancerous,ninmalignat and has not invaded adjacent structures or spread to distant sites

25
Q

if no Dx, then code

A

sigh/symptom’s

26
Q

postpartum

A

Occurs after giving birth. The person has feelings of extreme sadness, exhaustion, and anxiety. These feelings interfere with daily life and caring for the new baby.

27
Q

sequela***

A

an abnormal condition resulting from a previous disease

28
Q

malignant**

A

cancerous growth

29
Q

primary site*****

A

identifies the ordinating anatomic site or site of the cancer

30
Q

burns are coded by*******

A

site and degree and by the extent of body surface involvment all burns cases should have at LEAST HAVE TWO CODES, and third if the wound is infected

31
Q

carcinoma in situ***

A

is define as situated

32
Q

when your finding a code

A

the letters should be 3 no more than 7

33
Q

How many different type of coding systems are there?

A

3.

34
Q

Code for postpartum

A

Z39. 2

35
Q

Codes begin in the of the book

A

Alphabetical index/section

36
Q

Codes end in the

A

Tabular index/section of the book

37
Q

Epidemiological

A

idea. the study of the distribution and determinants of health-related states or events in specified populations

38
Q

2 Sections in the ICD-10-CM book

A

○ Alphabetic Index (an A-Z list of diagnoses)
■ Diagnosis to codes
○ Tabular List (a list of the codes in numerical order)
■ Codes to diagnosis

39
Q

Diagnostic Coding*****

A

○ Purpose: to prove medical necessity so that insurance companies can be
reimbursed.
○ Responsible? World Health Organization (WHO)
○ First used for? document/track death rates

40
Q

A 1-2 letter/number is considered a category

A

Ex: R12