coding guidelines quizlet

Codes are to be used and reported at their highest number of characters available.

Ch1. by medical personnel, to report health statistics, to classify mortality and morbidity data for the indexing of medical records, and for medical care review. Code the underlying systemic infection first with the localized infection code second. The sum of the lengths of the legs is 23 cm. It isn't necessary to refer to the additional entry, if the information presented under the initial indexed entry contains all that is necessary for specific code assignment. A company assembles two products: A and B. Colons are also used in both inclusion and exclusion notes. Coding guidelines use the term _____________________ for all health care settings, including inpatient hospital admissions. The following guidelines should be followed in selecting the princiapl diagnosis for the inpatient admission: A symptom followed by contrasting/comparative dagnoses: When a symptom is followed by contrasting/compatative diagnoses, the symptom code is sequenced first. Ch1. Secondary codes should be added, if known. If blindness or visual loss is documented without any information about whether one or both eyes are affected, assign code ____. For ambidextrous patients, which side is dominant? When a patient is admitted for the insertion of a neurostimulator for pain control code ____ should be used as the principal diagnosis. The codes for unspecified psychoactive substance abuse should only be assigned based on ________ and when they meet the definition of a ________. Make sure you assign only the _________________________ code when that code fully identifies the diagnostic conditions involved or when the index so directs.

Assigning the code for the underlying systemic infection. Patients with secondary diabetes mellitus who routinely use insulin or oral hypoglycemic drugs, should assign code ____ to identify the long-term use of insulin or oral hypoglycemic drugs as an additional code. Fossils are often dated using the differential equation dA/dt = A, Follow the alphabetic index guidance when coding syndromes. The coder is responsible for providing complete and accurate ________________________________ and reporting diagnoses and procedures. The principal or first-listed code for an encounter due to an insulin pump malfunction resulting in an overdose of insulin, should use code ____, followed by code ____. Code____ is used only in cases when no determination has been made as to the primary malignancy site. When information in the medical record provide details for which a specific code does not exist. Additional signs and symptoms that may not be associated routinely with a disease process should be coded when present. during the first 24 hrs the patient also experienced convulsions due to the high fever. When a patient is receiving chemotherapy or radiation therapy for an excised primary neoplasm, the primary malignancy code should be used until treatment is _____. When a "code first" note is present and an underlying condition is documented in the patient record, the underlying condition is reported ________________.

if the conditon either worsens or doesn't improve, the physician may decide to admit the patient as an inpatient. To obtain reimbursement for biologicals and other items associated with implantable devices, the coder should: Marine Safety Information is promulgated via satellite through which system? When a patient experiences postoperative pain associated with a specific postoperative complication, assign the appropriate code from Chapter ____. a) Use mathematical induction to show that the minimum number of moves to transfer n rings from one peg to another, with the rules we have described, is 2n - 1. b) An ancient legend tells of the monks in a tower with 64 gold rings and 3 diamond pegs. A _____________ at the end of a code in the index indicates that additional character(s) are required. The sequencing of secondary diabetes codes are based on the tabular list instructions for code category ________. are used in the tabular list, after an incomplete term, which needs one or more of the modifiers that follows, in order to make it assignable to a given category. When a patient has bilateral glaucoma and each eye is documented as having the same type, but different stage and the classification does not distinguish laterality, assign a code for the type of glaucoma of each eye with the 7th character for the ________ of glaucoma for each eye. When selecting codes for mental and behavioral disorders due to psychoactive substance use, it requires the ____ clinical judgement. Answer true or false to the following statements: If the conclusion is in the form All S are P, and inspection of the diagram reveals that the part of the S circle that is outside the P circle is shaded, then the argument is valid. The code excluded should never be used at the same time as the code above the excludes one note. Must be used to identify diagnoses, symptoms, conditions, problems, complaints, or other reasons for the encounter/visit. the principal dagnosis reported would be the medical condition that led to the hospital admission. Any applicable seventh character is done using the _________________________________. True or False: If an author is not listed in Contemporary Authors by Thomson-Gale Publishers or Marquis Who's Who, then you shouldn't use him or her in your research.

example: a patient was admitted with nausea and vomitind due to infectious gastroenterits, nausea and vomiting are common symptoms of infectious gastroenterits and are not reported. icd codes sdoh standardized asthma When an episode of care involves the surgical removal of a neoplasm followed by chemotherapy or radiation treatment during the same episode of care you should___. Code listed next to a main term in the ICD-10-CM alphabetic index. fever is commonly associated with pneumonia, however and no code is asssigned. 8 C. 1680 D. 3584 E. 4096. Codes that describe signs and symptoms used when a definitive diagnosis has not been confirmed by the provider. When the admission/encounter is for management of an anemia associated with an adverse effect of radiotherapy, ___ should be sequenced first, followed by the ___, and code ___. A space is totally disconnected if its only connected subspaces are one-point sets. Instances where the code for the sequela is followed by the manifestation code identified in the tabular list or the sequela has been expanded to include the manifestations. a 5 yr old boy was admitted with a 104-degree fever associated with acute pneumonia. Whether the patient is newly diagnosed.

Ch1. A puppy spends an average of 10 minutes (exponentially distributed) in the whelping box before jumping out. 1. Ch1. Section IV, of the ICD-10-CM "Official Guidelines for Coding and Reporting", covers _______________ coding and reporting. When they finish transferring the rings to the second peg, the world will end. Do not report multiple codes when ICD-10-CM provides a combination code that clearly identifies all of the elements documented in the diagnosis. Does the converse hold? And for good reasonthe concept itself is For suppose that $\mathcal{A}$ denotes the "set of all sets." UHDDS defines other diagnoses, commonly called secondary diagnoses, as "all conditions that coexist at the time of admission, that develop subsequently, or that affect the treatment received and/or length of stay. When the admission/encounter is for management of an anemia associated with an adverse effect of the administration of chemotherapy or immunotherapy and the treatment is only for the anemia, you should: Code the anemia first with the codes for the neoplasm and the adverse effect as secondary codes. Code assignment is based on the documentation by the patient's provider, physician, or other qualified healthcare practitioner legally accountable for establishing the patient's diagnosis. Two or more comparable or contrasting condition: A patient may be treated in the hospital's observation unit to determine if the conditon improves sufficiently for the patient to be discharged. Code if applicable, any causal condition first: A code with this note indicates this code may be assigned as a first-listed or principal diagnosis, when the causal condition is unknown or not applicable. Most of the famous paradoxes of naive set theory are associated in some way or other with the concept of the "set of all sets." When an encounter is for a primary malignancy with metastatic and treatment is directed toward the metastatic (secondary) site (s) only, the ___ site is designated as the primary diagnosis. Coding of a sequela generally requires _______ codes sequenced in the following order: Residual condition or nature of the sequela is sequenced __________. Either code may be sequenced first/circumstances of admission. A farmer purchased 100 head of livestock for a total cost of $4000. Show that if X has the discrete topology, then X is totally disconnected. ), Exceptions for Code Assignments for Late Effects. Code the unrelated condition as the principal diagnosis followed by B20 and all other HIV related conditions. Is $\mathcal{B}$ an element of itself or not? b.

The principal diagnosis should be B20 followed by additional diagnosis codes for all reported HIV related conditions. Ch1. The residual effect (condition produced) after the acute phase of an illness or injury has terminated. Code for underlying systemic infection and R65.2, Ch1.

codes from sections 790-796 for nonspecific abnormal findings should be assigned only when the physician has not been able to arrive at a related diagnosis. both the pneumonia and the convulsions are reported because convulsions are not routinely associated with pneumonia. When an acute organ dysfunction is not clearly associated with the sepsis. conditions that are not an integral part of a disease process should be coded when present. When a patient is admitted for an HIV related infection in Pregnancy, Childbirth, or Puerperium, use ____.

When a particular condition is due to another underlying causal condition, the underlying condition (etiology) code is sequenced first, followed by the code for the manifestation.

When a patient has bilateral glaucoma and both eyes are documented as being the same type and stage, report only the code for the type of glaucoma with the 7th character for __________. An underdose of insulin due to an insulin pump failure should be assigned to a code from ____, followed by code ____. Includes (introduced by the word includes when note is located at the beginning of chapter or section. Code ____ for pain no elsewhere classified may be used in conjunction with codes from other categories and chapters to provide more detail about acute or chronic pain and neoplasm-related pain, unless otherwise indicated. In ICD10CM, first code the condition for which the (underdosing) drug was prescribed by referring to that entry in the index. For patients with documented factitious disorder on self or Munchausen's syndrome, assign the appropriate code from category ____. When the reason for admission/encounter is to determine the extent of the malignancy, or for a procedure such as paracentesis or thoracentesis, the primary diagnosis should be ________, even though chemotherapy or radiotherapy is administered. Assignment of code 707.25 should be based on clinical documentation and used when the stage canNot be clinically determined (e.g. Appendix I, of the ICD-10-CM "Official Guidelines for Coding and Reporting", includes _________ reporting guidelines. Sepsis and Postprocedural infection following infusion, transfusion, therapeutic injection, or immunization. Even if a ______________ is not included at the index entry, refer to the tabular list to verify whether additional character(s) are required. Sequencing severe sepsis during an encounter includes assigning the underlying systemic infection and code R65.2 as ________. When there is a "code first" note and an underlying condition is present, the underlying condition should be sequenced first, if known. The goal of the puzzle is to move all of the rings, one at a time, without ever placing a larger ring on top of a smaller ring, from the first peg to the second, using the third as an auxiliary peg. If it did NOT occur, reference the alphabetic index to determine if the condition has a subentry term for "impending" or "threatened" and also reference main term entries for "impending" and for "threatened". Most late effect coding requires two codes, with the residual condition sequenced first, followed by the cause of the late effect, defined by the Uniform Hospital Discharge Data Set (UHDDS) as "that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.". If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indention level, code both and sequence the acute (subacute) code first. Solve tough problems on your own with the help of expert-verified explanations. $$ Codes that do not require additional character(s) are simply called _______________. If the same condition is described as both acute (or sub-acute) and chronic and separate sub-entries exist in the ICD-10-CM index at the same indentation level, code both and sequence the acute (or sub-acute) code _______________. HCPCS level II and CPT codes are reported on _____________________ claims. b) If x represents 10 cm, determine the perimeter and area of the rectangle. If there is documentation of a psychological component for a patient with acute or chronic pain, assign code ____, followed by code ____. The ____ site is coded as an additional code. When admission/encounter is for management of an anemia associated with the malignancy and the treatment is only for the anemia:___. Where in the respiratory system is the carina located. Documentation by Clinicians other than the patient's provider. The primary malignancy or appropriate metastatic site. A subclassification of ICD-9-CM coding used to IDENTIFY HEALTH CARE ENCOUNTERS THAT OCCUR FOR REASONS OTHER THAN ILLNESS OR INJURY and to identify patients whose injury or illness is influenced by special circumstances or problems. Signs and symptoms that are not associated with a disease process should not be assigned as additional codes (unless otherwise instructed by ICD-9-CM or ICD -10-CM) because they're included in the disease process. Explain your method using words and diagrams. Ch1. Ch1. When a patient is no longer receiving treatment for a previously excised primary neoplasm with no evidence of any existing primary malignancy at that site, use code ____ to indicate the former site of the malignancy. The underlying condition is sequenced first and followed by the manifestation and requires 2 codes. The health care provider is responsible for complete and accurate ___________________________________________________. Follow the instructions for coding severe sepsis. If the provider documents a "borderline" diagnosis at the time of discharge, the diagnosis is coded as confirmed, unless the classification provides a specific entry. She can invest her money in stocks and loans. When a patient has a bilateral condition and each side is treated during separate encounters, assign the bilateral code (as the condition still exists on both sides), including for the encounter to treat the first side. The word includes is not used when the note applies only to a category or subcategory): This note also appears immediately under a three digit code title to further define, or give examples of, the content of the category. Young MBA Erica Cudahy may invest up to $1,000. The tower of Hanoi was a popular puzzle of the late nineteenth century. Code ____ is used only in cases of unspecified disseminated malignant neoplasm when the patient has advanced metastatic disease and no known primary or secondary sites specified. ______________ regulations for electronic transactions require providers and TPPs, including MACs, to adhere to the "Official Guidelines for Coding and Reporting". Assignment of the 7th character "4" for __________ should be based on the clinical documentation. Words contained within the brackets[] provide coder with. Each dollar invested in stocks yields 10 profit, and each dollar invested in a loan yields 15 profit. If a patient is admitted with glaucoma and the stage progresses during the admission, assign the code for the ________ documented. Most general notes in tabular list of diseases provide information on use of 4th and 5th digits for a specific category. If a causal condition is known, the code for that condition should be reported as the _________________ diagnosis.

Once a batch has been posted, the transactions linked to it are locked in the system. ex. For the victim of a patient suffering from MSBP, assign a code from ____ or code ____. Conditions that are an integral part of a disease process. \begin{array} { c } { \text { Area is } } \\ { 6 x ^ { 2 } + 13 x - 8 } \end{array} In the alphabetic index, the underlying code is listed first, followed by the manifestation code, which is in brackets. Conditions that are NOT an integral part of a disease process, Conditions that are not considered an integral part of a disease process, such as additional signs and symptoms that may not be associated routinely with a disease process, should be coded when present (e.g., severe headache for which treatment or medical management is provided is coded when the pain patient is diagnosed with pneumonia.). No time limit on when a sequela can be used. Use ____ when there is no definitive diagnosis or manifestations of HIV related conditions. A manifestation code can never be sequenced as the first-listed or principal diagnosis. Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification. Sepsis due to a postprocedural infection. Any condition described at the time of discharge as "impending" or "threatened" If it did occur, code as a confirmed diagnosis. Human immunodeficiency virus (HIV) Infections. Use____ for HIV testing and for assigning a code for negative results.

HOWEVER, if the symptom code is integral to each of the conditions listed, no additional code for the symptom reported. In the absence of alphabetic index guidance, assign codes for the documented manifestations of the syndrome. ICD-10-PCS procedure coding guidelines apply to _________________ hospitalizations only. They started moving the rings, one move per second, when the world was created. If the medical documentation does not indicate the type of diabetes but indicates that the patient uses insulin, assign code____ for diabetes mellitus, type ____. Appropriate codes from ICD-10-CM (A00.0 through T88.9, Z00-Z99.8) are reported to identify diagnoses, symptoms, conditions, problems, complaints, or other reason(s) for the ________________________. Interpreted as "associated with" or "due to". Once out of the box, a puppy spends an average of 15 minutes (exponentially distributed) before jumping back into the box. Locate each term in the ICD-10-CM _____________ first, and verify the code selected in the tabular list.

When a patient has bilateral glaucoma and each eye is documented as having a different type and the classification does not specify laterality, assign a code for ______ rather than the code for bilateral glaucoma. They include: AHA, AHIMA, CMS, and NCHS. is the residual effect (condition produced) after the acute phase of an illness or injury has terminated. The fourth digit has been expanded to (5 digits). Formulate an LP that can be used to maximize total profit earned from Ericas investment. If a person wants to get to know a person in class who he or she finds attractive and talks to a friend who also knows the person, he or she is using? A unit of product B requires 2 units of raw material, 1 unit of A, and 2 hours on line 2. A unit of raw material may be bought (for $3 a unit) or produced (at no cost) by using 2 hours of time on line 1. are defined as those conditons that coexist at the time of admission or develop subsequently or affect patien care for the current hospital episode. quizlet "Code first" notes are located below certain ICD-10-CM codes in the tabular lists that are not specifically manifestation codes but may be the underlying cause. This designation indicates there is an additional indexed entry where the coder may find pertinent information related to the documented condition. This designation is used to signal the coder that another additional code may be necessary to fully define the disease process or condition. The following arguments were abstracted from newspaper articles, editorials, and letters to the editor. General ICD-10-CM diagnosis guidelines are to be used as a companion to the official version of the ICD-10-CM coding manual, which contains _________________________ to ensure accurate coding. The nurse says there are four possibilities: poison ivy, poison oak, poison sumac, or something else. The code for the malignancy is sequenced as the principal diagnosis followed by the code for anemia. Code assignment is based on the provider's documentation of the relationship between the infection and the procedure. If a definitive diagnosis has not been established by the end of the encounter, it is appropriate to report codes for signs and/or symptoms in lieu of a definitive diagnosis. A malignant neoplasm of a transplanted organ should be coded as a transplant complication and assigned code ____ and followed by code ____ with additional codes added for specific malignancy.

Find its length and width. This code may be assigned as a principal diagnosis when the causal condition is unknown or not applicable. Other diagnosis with no documentation supporting reportability: Chronic conditions that are not the thrust of treatment: Conditions that are an integral part of a disease process should not be reported as additional diagnoses, unless otherwise instructed by the classification. (See Appendix A, Section I, B10. Section I, of the ICD-10-CM "Official Guidelines for Coding and Reporting", includes the _________________________ of the classification and general guidelines that apply to the entire classification and chapter-specific guidelines that correspond to the chapters as they are arranged in the classification. When assigning a code for factitious disorder or Munchausen's syndrome, the _____ receives the diagnosis code ____. Sam, a cleared DoD employee, receives an e-mail message on his NIPRNET account that contains classified information. Signs and symptoms that are associated with a disease process should not be assigned as ____________________ codes (unless otherwise instructed by ICD-10-CM) because they are included in the disease process.

arm). other single conditions require more than one code to be reported, such as those associated with "________________________" notes found in the tabular list. What is the probability that during a given year (365-day period), there will be at least 1,000 traffic accidents in Bloomington? Codes V00 through Y99 are reported for _____________________________________________. Code, if applicable, any causal condition first. The condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. If the causal condition is known, then the code for that condition should be sequenced as the principal or first-listed diagnosis. (a) Show that $\mathcal{P}(A) \subset \mathcal{A}$ derive a contradiction. Thus, a violation of coding guidelines is technically a ____________ violation. How many four-digit numbers with no repeated digits can you make using the digits from 1 to 8? not otherwise specified- is also "unspecified" used only in the tabular lists. Assign the codes indicated for sepsis due to postprocedural infection followed by code T81.12. Postprocedural infection and Postprocedural septic shock. Complex Analysis: A First Course with Applications. Diagnoses that relate to an earlier episode and have no bearing on the current hospital stay are not reported. Codes with four, five, or six characters that require additional character(s) are ________________________________. Unspecified Sepsis is assigned with ____. Codes in category ____ are used to identify complications/manifestations associated with secondary diabetes mellitus. In most cases, the provider will want the coder to wait to send the claim in order to avoid a duplicate claim.). Who should he notify first of this incident? If the encounter is for ant other reason except pain control or pain management and a related definitive diagnosis has not been established by the provider, assign the code for the _______________ first, followed by a code from category G89. If the causal condition is known, then the code for that condition should be sequenced, as the principal or first-listed diagnosis. (medically managed). This extends to any complications of care, regardless of the chapter the code is located in. Indicates that terms in the excludes note are coded to different categories.Indicates that terms in the excludes note cannot be coded with the term from which it is excluded. Solve tough problems on your own with the help of expert-verified explanations. Codes for cataclysmic events, such as a hurricane, take priority over all other external cause codes except child and adult abuse and terrorism and should be sequenced before other external cause of injury codes. used to report whether the diagnosis and/or external cause of the injury was present at the time of admission. Where fourth through seventh characters are provided, they must be assigned. How long will the world last? CMS and NCHS are agencies in the DHHS that develop official guidelines for coding and reporting using _______________________. Code 707.20 should be assigned when there is no documentation regarding the pressure ulcer stage. What is the 3 letter and 1 letter code for Glutamine? Exceptions include codes for Body Mass Index (BMI), depth of non-pressure chronic ulcers, pressure ulcer stage, coma scale, and NIH stroke scale (NIHSS) codes. Section III, of the ICD-10-CM "Official Guidelines for Coding and Reporting", includes guidelines for reporting __________________ in non-outpatient settings. "Official Guidelines for Coding and Reporting" are a set of rules developed to accompany and complement the official ____________________ and instructions provided within ICD-10-CM.