Test 1 Flashcards

0
Q

What does ICD-10 PCS stand for?

A

International Classification of Diseases, Tenth Revision, Procedure Coding System.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

What does ICD-10 CM stand for?

A

International Classification of Diseases, Tenth Revision, Clinical Modification.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the Tabular List?

A

A chronological list of codes divided into chapters based on the body system or condition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the index?

A

An alphabetical list of terms and their corresponding code.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a section?

A

Groups of three-character categories. Ex: L00-L08

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a Category?

A

Three-character code numbers. Ex: L02

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a subcategory?

A

Four-character code numbers. Ex: L02.2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a subclassification?

A

Five, six, or seven character code numbers. Ex: L02.211

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the placeholder character in ICD-10?

A

X

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the UHDDS?

A

Used for reporting inpatient data in acute care, short-term, and long-term care hospitals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a Principal Diagnosis?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a Secondary Diagnosis?

A

Those conditions that coexist at the time of admission or develop subsequently or affect patient care for the current hospital episode.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does UHDDS stand for?

A

Uniform Hospital Discharge Data Set.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are General Notes?

A

They provide information on usage in a specific section.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are Inclusion Notes?

A

Notes used to further define, or give examples of, the content of the chapter, section, or category.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does excludes1 mean?

A

“NOT CODED HERE” It instructs that the code excluded should never be used at the same time as the code above the note.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What does exludes2 mean?

A

“NOT INCLUDED HERE” It instructs that the condition excluded is not part of the condition represented by the code. Under certain conditions, it is OK to use an exculdes2 code.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does Code First mean?

A

The underlying condition should be sequenced first.

22
Q

What does Use Additional Code mean?

A

Identify the manifestations commonly associated with a disease.

23
Q

What does Code Also mean?

A

Two codes may be required to fully describe a condition.

24
Q

What does NEC stand for?

A

Not Elsewhere Classifiable.

25
Q

What does NEC mean?

A

A code or condition is not found in the codebook.

26
Q

What does NOS stand for?

A

Not Otherwise Specified.

27
Q

What does NOS mean?

A

Information can not be found in the medical record.

28
Q

What does “see” mean?

A

The coder must refer to an alternative term.

29
Q

What does “see also” mean?

A

There is another place in the index where a code can be found if one is not found where you originally looked.

30
Q

What does “see category” mean?

A

Provides the coder with a category number.

31
Q

What does “see condition” mean?

A

Refer to the main term of a condition.

32
Q

What do parenthesis mean?

A

They are used to enclose supplementary words or explanatory information. They are nonessential modifiers.

33
Q

What do square brackets mean?

A

They are used to enclose synonyms, alternative wordings, abbreviations, and explanatory phrases that provide additional information.

34
Q

What do colons mean?

A

They are used after an incomplete term that needs one or more modifiers.

35
Q

What is a Principal Procedure?

A

One which was performed for definitive treatment. Usually related to the principal diagnosis.

36
Q

What is a Secondary Procedure?

A

All other significant procedures.

37
Q

Who are the cooperating parties for ICD-10?

A

AHIMA, AHA, CMS, NCHS

38
Q

What does AHIMA, AHA, CMA and NCHS stand for?

A

American Health Information Management Association, American Hospital Association, Centers for Medicare and Medicaid Services, the National Center for Health Statistics.

39
Q

Who is responsible for the development of the diagnosis side of ICD-10?

A

CMS and NCHS.

40
Q

Who is responsible for the development of the procedure side of ICD-10?

A

3M

41
Q

When is the compliance date for ICD-10?

A

October 1, 2014

42
Q

What do Z codes represent?

A

Factors influencing health status and contact with health services that may be recorded as diagnosis.

43
Q

What do you search for first in the index?

A

The main term

44
Q

What does a dash at the end of an index entry mean?

A

Additional characters are required.

45
Q

The word “and” can be interpreted as what?

A

“And” or “or”

46
Q

The word “with” should be interpreted to mean?

A

“Associated with” or “due to”

47
Q

What does “due to” indicate in the index or tabular?

A

A casual relationship between two conditions is present.