Icd 9 Coding

Question 1

•This punctuation enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code assignment

Answer 1

•What are parentheses?

Question 2

•This punctuation symbol encloses synonyms, alternative wording, or explanatory phrases in the tabular list

Answer 2

•What are brackets?

Question 3

•This word ______ should be interpreted to mean “associated with” or “due to” when it appears in the code title in the Alphabetic Index or an instructional note in the Tabular List

Answer 3

•What is the word “With”?

Question 4

•This cross-reference note when seen in the alphabetic index is mandatory that the coder refer to the cross-reference

Answer 4

•What is “See”?

Question 5

•The coder should never code directly from the ____________

Answer 5

•What is the Alphabetic Index

Question 6

•When a definitive diagnosis has not been established the coder can assign

Answer 6

•What are signs and symptoms?

Question 7

•If the condition is described as acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indention level the ….what should the coder do…..(you do not have to phrase as a question)

Answer 7

•The coder should assign both codes the with the acute code sequenced first.

Question 8

•When coding late effect this code should be sequenced first

Answer 8

• What is the residual code?
• The residual codes is sequenced first, followed by the late effect code
• Remember there is no time limit on when a late effect can be used

Question 9

•When coding impending or threatened conditions that did not actually occur the coder should do what? (2 steps that can be taken…you do not have to phrase in question form)

Answer 9

• 1. Reference the condition and search for subterms “impending or threatened”
• 2. Reference ‘’impending or threatened” and search the subterms for the conditon

•If the condition actual happened, code the diagnosis as confirmed

Question 10

•This infectious disease can only be coded when confirmed. You cannot code the condition if it is stated as probably, questionable, suspected….this condition doesn’t require a positive culture to be coded

Answer 10

•What is HIV/AIDS?

Question 11

•Two conditions must be met in order to code a history of malignant neoplasm

Answer 11

•What are:
–1. the primary neoplasm has been excised
–2. no further treatment

Question 12

•The provider doesn’t document the type of diabetes ….therefore the coder should

Answer 12

• What is assign the default code, non-insulin dependent
• Remember never to code a non-complication diabetes codes with a complication diabetes code on the same episode of care
• Remember to code as many complication as stated

Question 13

•ICD-9-CM presumes a cause and effect when coding hypertension and the condition ______

Answer 13

•What is chronic kidney disease?

Question 14

•Patient presents with a STEMI and converts to a NSTEMI what code would be assigned

Answer 14

•What is a STEMI?

Question 15

•This V code is assigned on the mother’s record when she delivers

Answer 15

• What is the outcome of delivery?

* Or V27.X

Question 16

•The postpartum period is defined as _____ weeks after delivery

Answer 16

•What is 6 weeks?

Question 17

•Normal delivery is defined as
–Presentation must be head or occipital
–Any antepartum complication must have been resolved prior to admission
–No abnormalities of either labor or delivery can have occurred
–No postpartum complications can be present
–No procedure other than the following can have been performed episiotomy w/o forceps, amniotomy, anesthesia, fetal monitoring, augmentation of labor, and sterilization
–And ………….

Answer 17

•What is the outcome of delivery must be single livebirth?

Question 18

•This type of fracture occurs in bones that are weakened by disease

Answer 18

• What is a pathological fracture?

* Stress fractures are caused by repetitive force

Question 19

•The time frame/limit to assign a congenital malformation

Answer 19

•What is there is no time frame/limit?

Question 20

•The condition established after study to be chiefly responsible for admission of the patient to the hospital

Answer 20

•What is the principal diagnosis?

Question 21

•The patient is admitted with unstable angina and acute congestive heart failure. The unstable angina was treated with nitrates, and IV Lasix was given for the CHF

Answer 21

• What is unstable angina or CHF?

* They both meet the definition of PDX

Question 22

•A patient with BPH was admitted for the purpose of the TURP. Shortly after admission but before the patient was taken to the OR the patient fell and broke his hip. Hip pinning was carried out

Answer 22

• What is BPH?

* Original treatment plan not carried out

Question 23

•Patient is admitted with severe abdominal pain, nausea, and vomiting due to acute pyelonephritis and diverticulitis. The patient is taken radiology to confirm the pyelonephritis and is started on IV for the treatment of pyelonephritis

Answer 23

•What is acute pyelonephritis?

Question 24

•The patient is admitted through the ED with possible cholecystitis. She had severe abdominal pain and markedly elevated white count. A U/S of the gallbladder, cholecystogram, and IVP were all normal. She was discharged on day 2 all symptoms resolved

Answer 24

•What is abdominal pain?

Question 25

* The abbreviations: * NEC * NOS

Answer 25

•What is not elsewhere classified and not otherwise/elsewhere specified

Question 26

Paralysis on one side of the body

Answer 26

What is hemiplegia

Question 27

The patient suffered CVA and has dysphagia which resolves before discharged, how would this be coded

Answer 27

Code the CVA and dysphasia

Question 28

The patient has bilateral glaucoma of the same type but different stages, how would this be coded?

Answer 28

Called the type of glaucoma and the highest stage

Question 29

Patient is discharged to a skilled nursing facility after suffering a CVA. Patient has hemiplegia and aphasia from the CVA what category of codes with skilled nursing facility assign?

Answer 29

The late effects for the CVA category 438.XX

Question 30

Patient is being treated for bilateral low, low, glaucoma. Patient has narrow angle glaucoma, mild stage in the right eye (0D) and primary open angle glaucoma, severe stage and left eye (OS). What code would be assigned?

Answer 30

Code each type such as open angle and narrow angle but only one stage the severest

Question 31

What system does not have chapter specific guidelines

Answer 31

Digestive system

Question 32

On the chest x-ray it shows the patient has pneumonia in both lungs, how would you code this?

Answer 32

Code pneumonia. 486.

Question 33

Patient is admitted to the hospital in acute respiratory failure. Patient was intubated in the ambulance. Patient is placed on ventilator for less than 96 hours. .what procedure would the hospital coder assign?

Answer 33

What is mechanical ventilation less then 96 hours?

Question 34

Patient has acute diverticulosis and diverticulitis. what code would be assigned

Answer 34

Diverticulitis

Question 35

What are the types of dialysis

Answer 35

peritoneal dialysisand hemodialysis.

Question 36

How do you code a nonhealing burn

Answer 36

As an acute burn

Question 37

Mr. Smith received Mr. Joneses medication in the hospital. Instead of his own. Patient develops a rash. how do you code this

Answer 37

Code poisoning, rash, the E code for the medication

Question 38

What terms show a relation or cause and affect and effect?

Answer 38

Due to, associated with, secondary to

Question 39

What blood cells help blood clot

Answer 39

Platelets

Question 40

This makes up the central nervous system

Answer 40

What are the brain and the spinal cord

Question 41

The pregnancy in which the fertilize although the implants and develops outside of the uterus

Answer 41

Ectopic pregnancy

Question 42

This type of heart failure occurs when the heart has a problem relaxing between the contractions to allow enough blood into the ventricles.

Answer 42

Diastolic heart failure or

Question 43

Pt is admitted because he has a metastatic malignant melanoma from the left lateral chest to the axillary lymph nodes he has history of COPD. code assignment?

Answer 43

Melanoma left lateral chest primary, axillary lymph nodes secondary, COPD.

Question 44

Term birth, living male, cesarean delivery, with hemolytic disease due to ABO isoimmunization. Code?

Answer 44

single live born, C-section, and disease ABO

Question 45

Code elderly primagravida, term delivery spontaneous, living female.

Answer 45

Elderly primagravida , outcome of delivery