ICD10/ICD9/CPT Flashcards

1
Q

What is a late effect?

A

a residual effect after the acute phase of an illness/injury has terminated

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2
Q

this + comes from?

A

CPT manual

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3
Q

when you see the words “include” this means in ICD9 the words “and” “with” have the same meaning? yes no

A
and = either or when
with = is do to
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4
Q

when you have a condition for acute and chronic how would you code it?

A

the acute goes 1st

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5
Q

what is an eponyms?

A

diseases, conditions, syndromes, illness or procedures named after a person

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6
Q

when coding for a particular disease or condition should you code signs and symptoms associated with the disease?

A

when signs or symptoms are due to a diagnosed condition, they do not get coded. if signs and symptoms are not due to dx they get coded seperately

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7
Q

can a patient have more than one late effect?

A

yes

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8
Q

is there a time limit on late effects?

A

no

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9
Q

if an impending condition did occur how would you code it?

A

as confirmed diagnose

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10
Q

the official guidelines are up dated…

A

annually

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11
Q

is it acceptable to code from the icd 9 index and the icd10?

A

no

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12
Q

explain what a combination code is?

A

a combination code is a single code used to classify, two diagnoses or a a dx with an associated secondary process or a dx with and associated complication

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13
Q

primary dx first -listed dx thing but

A

different situation

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14
Q

in icd 9 v codes pt not sick but encountering health services, what are they in icd10?

A

z codes

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15
Q

can z codes be used outpatient services

A

yes

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16
Q

for out pt if a dx has been ruled out should it be reported

A

no

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17
Q

in icd9 vcodes are not primary codes, in icd 10 can your z codes be used as first listed and or secondary?

A

yes

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18
Q

can a pt have an unconfirmed dx for more 4-5 visits if a definitve dx has not been stated by the doctor.

A

yes

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19
Q

if the pre and postoperative dx are different which one get codes

A

postoperative dx

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20
Q

when a pt is having a therapeutic services done what should be coded?

A

the reason for the therapeutic service

21
Q

z80-z87 these codes are used when

A

history (family, etc)

22
Q

when coding for late effects complications and obstetric you most likely would

A

multiple codes

23
Q

what terms may describe a threatens conditon

A

impending or threatened

24
Q

E codes are used to report…

A

external causes of injury and poisioning

25
ICD 9 has 3 volumes name each one and what its used for?
volume 1: disease tabular list volume 2: Disease alphabetic index volume 3: procedures tabular list and alphabetic index used primary in hospitals
26
what is the difference between the selection of the first-listed dx for inpatients and outpatients?
inpatient- reason for admission | outpatient- reason for the encounter
27
what is an unconfirmed Dx?
when patient has not been diagnosed
28
what are v codes used for
when pat is not sick bur requires health service
29
what is the first listed dx for a pt admitted to observation status?
the reason for the observation
30
what type of code reports encounters for pt who are not currently ill {icd-9}?
v- codes
31
how do you determine how many dx codes to submit for pt encounter?
code the dx and condition, problems, or other reason for encounter
32
what is the first listed dx for a pt who is receiving therapeutic treatment
code the reason for the service
33
what type of code would you expect tot report for routine outpatient prenatal visit? (icd9)
V codes v22.0
34
what is the name of the document that directs coders how to assign dx codes?
guidelines
35
why can you not code from the index?
you might not code the right thing
36
when signs and symptoms that are routinely associated with a disease process, these signs and symptoms are termed what?
integral conditon
37
what is the name of the code what includes more than one condition reported with that one code?
combination code
38
how do you report a condition that is described as both acute and chronic and separate sub-entries exist in the index at the same indention level?
1st code the acute
39
when there is a residual condition and a late effect of that condition which dx is listed first?
residual is 1st
40
if the pt is admitted for an impending condition that did not occur would you report the condition as confirmed?
no
41
what are z-codes used for?
icd 10- admissions, examination, history, observation
42
what type of code reports encounters for pt who are not ill?(icd 10)
zcodes
43
what type of code would be expected to report a routine outpatient prenatal visit (icd 10)?
zcodes
44
what is the purpose of the CPT manual
translate physician service/procedures into numbers for reimbursement
45
why is it important to use a current year cpt manual
new, revised, unlisted codes
46
what do the guidelines contain?
define and explain assignment of codes for procedures and service
47
what is unlisted service or procedure code?
miscellaneous
48
what is the purpose of a special report?
medical necessity
49
CPT is divided in
evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, medicine