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Flashcards in Key Terms Deck (27)
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1

an alphabetical listing of diagnoses, located in section 1, volume 2 of the ICD-9-CM codebook

alphabetical index

2

an alphabetical listing of causes and places of injuries and poisoning , located in section 3 of volume 2 of ICD-9-CM codebook, right after the table of drugs and chemicals

alphabetical index to external causes of injury and poisoning

3

three-digit related codes within each section of a chapter in the volume 1 tabular list of codes in the ICD-9-CM codebook

category

4

the first major division in the tabular list in volume 1 of the ICD-9-CM codebook. Chapters represent body systems or types of conditions

chapter

5

secondary diagnoses and conditions that influence treatment; diagnoses that coexist

comorbidity

6

a code is chosen for a less severe condition than is recorded in the patient's medical record, or for a lesser procedure than was actually performed; undercoding

downcoding

7

an explanatory code that lists the external causes and places of occurrence for injuries and poisonings

E-code

8

the code with the greatest level of detail that matches the patient's medical record with the greatest accuracy

greatest level of specificity

9

a table to assist with code choices for hypertension; part of the alphabetical index in Section 1 of Volume 2 of the ICD-9-CM codebook

hypertension table

10

International Classification of Diseases, Ninth Revision, Clinical Modification, the version of the diagnosis codebook used in the United States for diagnosis coding until the date ICD-10-CM is implemented

ICD-9-CM

11

International Classification of Diseases, Tenth Revision, Clinical Modification, the next version of the diagnosis codebook that will be used in the United States. It could be used as early as October 2007.

ICD-10-CM

12

the word to look up in an alphabetical index in ICD-9-CM, a condition, disease, or injury

main term

13

sickness or statistical incidence of disease

morbidity

14

death or statistical incidence of death

mortality

15

a table to assist with code selection for neoplasms; located in the alphabetical index in Section 1 of Volume 2 of the ICD-9-CM codebook

neoplasm table

16

the practice of using a short list of diagnosis codes and using those codes for all patients, regardless of whether the codes match actual diagnoses and conditions

pigeonholing

17

the condition that prompted an outpatient visit or treatment or the underlying cause for a hospital visit

primary diagnosis

18

the condition that is found after study to be chiefly responsible for hospitalization

principal diagnosis

19

resource-based relative value system, the prospective payment system used my Medicare to pay physicians. It considers the CPT code in relation to work, overhead expenses, and malpractice (risk). A geographical adjustment is then made to account for cost of living differences throughout the nation

RBRVS

20

a diagnosis that contributes to a condition; for an outpatient visit, it may include the underlying cause

secondary dignosis

21

related groups of codes within a chapter in the tabular list in Volume 1 of ICD-9-CM; the major divisions within each chapter

section

22

the fourth digit in an ICD-9-CM code; further defines the codes within a category in the Volume 1 tabular list of codes

subcategory

23

the fifth digit in an ICD-9-CM code; adds more specificity to distinguish between codes within a subcategory in the Volume 1 tabular list of codes

subclassification

24

a table to assist with code selections that identify drugs and other chemicals. It is located in Section 2 of Volume 2 in ICD-9-CM, right after the alphabetical index

table of drugs and chemicals

25

a numerical list of diagnosis codes presented in a format similar to a table; it is located in Volume 1 of ICD-9-CM and is arranged by body system or types of conditions

tabular list

26

a code is chosen for a more severe condition or for a more extensive procedure than is documented in the patient's medical record; overcoding

upcoding

27

a supplemental code that describes reasons other than illness for which a person might encounter the health care system; many V-Codes cannot be uses as a principal or primary diagnosis

V-Code