Chapter 2 Flashcards

(50 cards)

1
Q

ICD 10 was originally issued in 1993 by____

A

The World Health Organization

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2
Q

This country uses ICD10-AM

A

Australia

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3
Q

ICD-10 is designed for classification of patient ______ and ________

A

Morbidity, mortality

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4
Q

CM in ICD-10-CM stands for?

A

Clinical modifications

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5
Q

Four reasons why dx codes are used.

A
  1. Facilitates payment
    2.Evaluate use of healthcare facilities
  2. Research quality of healthcare
  3. Predict trends
  4. Plan for future healthcare needs
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6
Q

ICD 10 is used to translate _________ descriptive information into alphanumeric codes.

A

Verbal or narrative

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7
Q

Three sections of alphabetic index

A

Disease and injuries
Table of drugs and chemicals
External causes of injury

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8
Q

Main terms

A

Bold and flush with left margins

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9
Q

Sub terms

A

Under main terms indented to the right

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10
Q

Essential modifiers

A

Sub terms modify main terms, creating greater specificity

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11
Q

Connecting words

A

Define relationship between main and sub terms

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12
Q

Neoplasms C00-D49

A

C for cancer

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13
Q

Endocrine, nutritional, and metabolic diseases

A

E for Endocrine

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14
Q

Nervous system G00-G99

A

G for ganglia

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15
Q

Ear and mastoid process H60-95

A

H for hearing

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16
Q

Circulatory system I10-I99

A

I for infarct

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17
Q

Musculoskeletal system, and connective tissue M00-M99

A

M for musculoskeletal

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18
Q

Genitourinary system N00-N99

A

N for nephrology

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19
Q

Certain conditions originated in the perinatal Period P00-P96

A

P for perinatal

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20
Q

Section

A

Group of three digit categories that represent a group of conditions or related conditions 

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21
Q

Category

A

A three character category code represents a single condition or disease

22
Q

Subcategory

A

Four character code provides specificity in terms of cause sight or manifestation of the condition

23
Q

Sub classification

A

5 to 7 character code, add some more information and specificity to a conditions description

24
Q

Italicize type

A

Not a primary diagnosis
Examples of code 1st

25
Bold type
Main term
26
NEC
Not elsewhere classifiable
27
NOS
Not otherwise specified
28
NEC two ways of use
Directions to coder to other classifications codes that does not have greater specificity
29
NOS use
Equivalent of unspecified Should ask physician for more specific information
30
Brackets
Include synonyms, alternative wording, or explanatory phrases
31
Parentheses
Supplementary words that may be present or absent in the statement of a disease or procedure
32
Nonessential modifiers
Words that are used to clarify the diagnoses, but do not affect the code assignment
33
Colon
Incomplete term that needs one or more of the modifiers that follow in order to make the condition assignable
34
And
Means and/or
35
With
With/in
36
Includes
Gives examples of other issues
37
Excludes 1
When two conditions cannot occur together
38
Excludes 2
Both conditions can occur at the same time
39
Etiology
Use additional follow up code
40
Manifestation (in diseases classified elsewhere)
Goes second to etiology
41
Half moon indicates
Manifestation code
42
Code also
Instructed that two codes may be required to fully describe condition
43
Default code
Most commonly associated with main term or unspecified code
44
Code assignments and clinical criteria
Providers diagnostic statement that conditions exist.
45
Acronym for I10 system reports inpatient procedures
PCS-Procedure coding system
46
Index listed by
Symptoms Encounter Complication
47
Combination codes
A code that reports more than one dx
48
See category
Describes general type of injury or disease
49
See also
Additional term should be referenced to provide other information
50
See
Following main term or sub term