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Exam 18: Diagnostic Coding

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Question 1

Multiple Choice

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Which convention is used in ICD-9 and ICD-10 to indicate that an entry is not classified as part of the preceding code?

A) NOS
B) Includes
C) Excludes
D) NEC
E) Code Also

F) A) and B)
G) A) and D)

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Question 2

Multiple Choice

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A code in which two diagnoses are included in one code is known as a(n) ____.

A) preliminary code
B) mixed code
C) multiple code
D) dual code
E) combination code

F) A) and B)
G) A) and C)

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Question 3

Short Answer

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After listening to the patient's statements, performing an examination, and evaluating the information received from these sources, the physician establishes a(n) ________ that describes the primary condition for which a patient is receiving care.

In ICD-9, with which of the following code ranges can E codes be used?

The ________ Index is organized by the condition, not by the body part in which it occurs.

Which appendix in ICD-9 contained the Mental Disorders glossary until it was deleted in 2004?

Which appendix in ICD-9 contains a list of the 3-digit categories for occupational hazards divided into subcategories?

In both ICD-9 and ICD-10, the convention code first underlying disease means ____.

Phillip is in the office today for a pre-employment physical that includes a drug test. In which ICD-9 series will you locate the code for this?

The use of ICD codes is mandated by ____.

A(n) ________ diagnosis is used in addition to the primary diagnosis to describe another condition that is also affecting the patient at the time of the visit.

Kevin is a 63-year-old patient who was diagnosed with congestive heart failure two years ago. He is having an echocardiogram today so his physician can monitor the progression of the disease. The ICD-10 code for Kevin's procedure today is found in which of the following series of codes?

Eight-year-old Geri climbed the oak tree in her back yard to rescue her cat, who had climbed the tree but could not get back down. Unfortunately, Geri slipped and fell out of the tree and hurt her arm. The lower arm is bent at an odd angle and the bone is visible. The physician diagnoses an open fracture and orders X-rays of the lower arm. Where will you locate the ICD-10 code for this?

The primary condition for which a patient is receiving care is communicated to the third-party payer through a(n) ________ code on the healthcare claim.

In ICD-10, which has combination codes that include the type of diabetes, what should you code if the type of diabetes is not documented in the medical record and the physician cannot be queried?

Patients' descriptions of their medical problems is called their ________ complaint and are documented at each visit.

When a physician does not document an exact diagnosis, outpatient coding rules require that unclear diagnosis be coded using the ________ that lead the patient to seek care, until an absolute diagnosis is made.

When hypertension is caused by an underlying condition, two codes are required. The first identifies the underlying ________, or cause, and the second codes the hypertension.

The ICD-9-CM was originally created for the classification of patient ________ (sickness) and mortality statistics and to provide access for medical research, education, and administration.

In ICD-9, the common term for the Supplementary Classification of Factors Influencing Health Status and Contact with Health Services is ____.