Conventions Flashcards

0
Q

What do brackets enclose in the tabular?

A

Synonyms, alternate wording or explanatory phrases

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1
Q

What do brackets enclose in the alphabetic index mean?

A

Manifestation codes

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2
Q

Index : see

A

Explicit direction to look elsewhere

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3
Q

Index: see also

A

Go elsewhere only if all the information you are searching for cannot be located

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4
Q

Index :see category

A

Directs to tabular for important information about that specific code

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5
Q

And (tab and index)

A

And or

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6
Q

With (tab and index)

A

Associated with or due to

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7
Q

Index of diseases main terms

A

Disease, condition, nouns, adjectives

eponyms (named for person) are listed as well as the main term for the disease

Never anatomical sites

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8
Q

Main terms alphabetic index of procedures

A

Procedure performed

Never anatomical sites

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9
Q

What is coded first, the manifestation or the etiology?

A

Etiology

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10
Q

If a patients’a condition is listed as both acute and chronic and the conditions are listed as separate entries in the alpha index at the same indentation level, what is the first listed?

A

Code acute first

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11
Q

Name the life threatening asthmatic status with symptoms of severe intractable wheezing and airway obstruction not relieved by medication

A

Asthmaticus

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12
Q

How would you code multiple burns?

A

Separate code for each side

Sequence burn with highest degree first

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13
Q

How would you code burns of varying degrees at the same site

A

Code only the highest degree

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14
Q

How would you code an infected burn site?

A

Code 958.3 as an additional diagnosis (post traumatic wound infection)

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15
Q

When the category 946 be used?

A

ONLY when the burn location is not documented

16
Q

When would you code from category 948?

A

Site of burn not documented

There’s a need for more data for the burn unit to evaluate burn mortality

There was a mention of third-degree burn involving a 20% or more of the body surface

17
Q

And category 948 what does the fourth digit signify?

A

The total percentage of body surface involved all degrees

18
Q

Category 948 what doesthe fifth digit signify

A

The percentage of body that is third-degree

19
Q

Category 948 when is the fifth digit of zero assigned?

A

When zero to 10% of the total body surface is third degree

20
Q

What is the rule of nines

A

An estimation of body surface involved

21
Q

According to The rule of nines which parts of the body make up 18% individually

A

The left leg right leg anterior trunk and posterior trunk

22
Q

According to the rule of nines which body parts make up 9% individually

A

The head and neck the left and the right arm

23
Q

According to the rule of nines what percentage is the genitalia

A

One percent

24
When determining the rule of nines what type of patient might the hospital need to change the percentage?
Infants children or obese patients.
25
Documentation of redness at edge of the wound represents cellulitis (true or false)
The physician must document cellulitis
26
True or false: kidney disease is the correct terminology over chronic renal failure
True
27
Chronic kidney disease is coded based upon the severity, what does the fourth digit identity?
Fourth digit the stage Stages one through five equal fourth digit one through 5 The fourth digit of six is end stage renal disease
28
When coding a congenital anomaly when would you code for the manifestations?
You would only code the manifestations if they are not an inherent component of the congenital anomaly.
29
Is there an age limit to when a congenital anomaly can be coded?
No many symptoms don't show until much later in life.
30
What is the axis for coding coronary artery bypass graft?
The number of arteries involved
31
What are category II codes?
HCPCS category II covers therapeutic, preventative, patient safety and patient management codes
32
Which diagnosis should be listed first with sequencing inpatient codes according to UHDDS?
The principal diagnosis
33
If a patient is admitted for acute myocardial infarction and the condition has been ruled out, would you still code Ami as the principal?
No