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Biling & Coding > Diagnostic Coding > Flashcards

Diagnostic Coding Flashcards

(77 cards)

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1
Q

What are z codes used for?

A

Identify encounters for reasons other than illness or injury

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2
Q

What is used in ICD-10 to hold a place for future expansion of the code’s specificity?

A

“X” placeholders

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3
Q

What does the Tabular List contain?

A

diagnosis codes and a description

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4
Q

What is a diagnosis defined as?

A

The primary condition for which a patient is receiving care

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5
Q

Codes from Ch. 19 & 20 of the ICD-10 Tabular List are used to what?

A

Identify the external cause of injuries and poisoning

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6
Q

WHat is the purpose of using ICD-10 codes?

A

Document the patient’s diagnosis by using a code

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7
Q

What is an example of a diagnosis that would require a Z code?

A

Influenza immunization

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8
Q

In ICD-10 codes, if laterality is included, which position would the character be in?

A

5th

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9
Q

What is the next step after locating a code in the Alphabetic Index?

A

Verify the code in the Tabular List

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10
Q

Additional conditions or symptoms that affect the patient’s management are known as what?

A

Coexisting conditions

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11
Q

Who requires you to use ICD-10 codes?

A

HIPAA

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12
Q

If more than one diagnosis is described in a patient’s chart, you should . . .

A

Work on finding only one diagnosis at a time

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13
Q

When locating the code for green color blindness in the Alphabetic Index, what is the main term you would look up first?

A

Blindness

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14
Q

What would you do after obtaining the current year’s coding manual?

A

Update office forms and computer programs with the new codes

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15
Q

In the ICD-10 manual, where is the Alphabetic Index located?

A

At the front of the manual

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16
Q

Who maintains the ICD code sets?

A

the World Health Organization (WHO)

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17
Q

All tumors are found under what key term in the ICD manual?

A

Neoplasm

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18
Q

What is the first step in locating an ICD code?

A

Look up the diagnosis in the Alphabetic Index

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19
Q

What establishes medical necessity for treatment provided?

A

Diagnoses

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20
Q

What does ICD-10 stand for?

A

International Classification of Diseases, Tenth Revision

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21
Q

Which ICD manual should you always code from?

A

The current year’s manual

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22
Q

How often are the ICD manuals updated?

A

Every year

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23
Q

Figuring out which diagnosis is the reason for the patient’s procedure or service is known as what?

A

Medical necessity

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24
Q

An abnormal finding (without an actual diagnosis being available) will be coded using which type of diagnosis code?

A

R code

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25
What is code linkage?
A connection between the diagnostic and procedural information
26
What is th ename of the list of abbreviations, punctuation, symbols, typefaces, and instructional notes at the beginning of the ICD manual that provides basic guidelines for using the code set?
Conventions
27
ICD-10 codes can have up to how many characters?
3-7 characters
28
ICD-10 codes contain both . . .
letters and numbers
29
In ICD-10, the convention "with" is tinterpreted to mean what?
Associated with or due to
30
The abbreviation NOS is equivalent to what?
Not otherwise specified
31
There are 22 chapters in ICD-10 that are arranged by what?
Body system
32
When coding, you must look in the ? first, then proceed to the ?.
Alphabetic Index, Tabular List
33
*True or False:* An ICD-10 code may be reported twice for an encounter.
False
34
*True or False:* If a definitive diagnosis has been established, signs and symptoms are not reported as a diagnosis code.
True
35
*True or False:* If a diagnosis of obesity is reported, the patient's BMI should be the first listed condition.
False
36
*True or False:* When coding HIV, whether or not the patient is newly diagnosed is irrelevant.
True
37
What is morbidity?
Sickness
38
What is mortality?
Death
39
A description of a patient's medical problem that the patient reports to the physician
Chief Complaint
40
The cause of a disorder
Etiology
41
The primary condition for which a patient is receiving care
Principal diagnosis
42
An additional condition or symptom that is related to a patient's current illness
Coexisting condition
43
A physical condition that existed before the issuance of a patient's health plan
Preexisting condition
44
The determination of the nature of a disease, injury, or congenital defect. It's communicated to the third-party payer through codes
Diagnosis
45
*Chapter Structure:* Certain infectious & parasitic diseases (A00-B99)
Ch. 1
46
*Chapter Structure:* Neoplasms (C00-D49)
Ch. 2
47
*Chapter Structure:* Diseases of blood, blood forming organs, immune disorders (D50-D89)
Ch. 3
48
*Chapter Structure:* Endocrine, nutritional, and metabolic diseases (E00-E89)
Ch. 4
49
*Chapter Structure:* Mental, behavioral, and neuodevelopmental disorders (F01-F99)
Ch. 5
50
*Chapter Structure:* Diseases of the nervous system (G00-G99)
Ch. 6
51
*Chapter Structure:* Diseases of the eye and adnexa (H00-H95)
Ch. 7
52
*Chapter Structure:* Diseases of the ear and mastoid process (H60-H95)
Ch. 8
53
*Chapter Structure:* Diseases of the circulatory system (I00-I99)
Ch. 9
54
*Chapter Structure:* Diseases of the respiratory system (J00-J99)
Ch. 10
55
*Chapter Structure:* Diseases of the digestive system (K00-K95)
Ch. 11
56
*Chapter Structure:* Diseases of the skin and subcutaneous tissue (L00-L99)
Ch. 12
57
*Chapter Structure:* Diseases of the musculoskeletal system & connective tissue (M00-M99)
Ch. 13
58
*Chapter Structure:* Disease of the genitourinary system (N00-N99)
Ch. 14
59
*Chapter Structure:* Pregnancy, childbirth, and the puerprium (O00-O9A)
Ch. 15
60
*Chapter Structure:* Certain conditions originating in the perinatal period (P00-P96)
Ch. 16
61
*Chapter Structure:* Congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
Ch. 17
62
*Chapter Structure:* Symptons, signs, and abnormal clinical/laboratory findings, not elsewhere classified (R00-R99)
Ch. 18
63
*Chapter Structure:* Injury, poisoning, and certain other consequences of external causes (S00-T88)
Ch. 19
64
*Chapter Structure:* External causes of morbidity (V01-Y99)
Ch. 20
65
*Chapter Structure:* Factors influencing health status and contact with health services (Z00-Z99)
Ch. 21
66
NOS
"not otherwise specific" or "unspecified"
67
NEC
not elsewhere classified
68
[] Brackets Tabular List
Used around alternative wording used to assist you in choosing the correct code by providing specific terms
69
[] Brackets Alphabetic Index
Indicate that 2 codes are required to completely code the diagnosis
70
() Parantheses
non-essential or supplementary terms
71
: Colon
Incomplete term, needs one of the words behind the colon to make it assignable
72
INCLUDES
The entries following it further define the content of a preceding entry
73
EXCLUDES1
Indicates that the code is excluded and never should be used at the same time as the code above
74
EXLUDES2
"not included here"
75
*Use additional code*
An additional code should be used
76
*Code first underlying disease*
When the category is NOT to be used as the primary diagnosis
77
7th Character A = D = S =
A = Initial encounter D = Subsequent encounter S = Sequela (late effects)

Biling & Coding (7 decks)

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