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25 Cards in this Set
- Front
- Back
The first step in third-party reimbursement is establishing...
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Medical necessity
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How many digits can a valid code have?
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three, four or five
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When are V codes used?
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When the patient presents for treatment with no complaints.
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Appendix A includes...
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Morphology of Neoplasms.
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Morphology codes consist of how many digits?
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Five. The first four indicate the histological type of the neoplasm and the fifth indicates behavior.
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Appendix C includes...
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Classification of drugs.
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Appendix D includes...
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Classification of industrial accidents.
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What does NEC stand for?
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Not elsewhere classifiable
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What does NOS stand for?
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Not otherwise specified.
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The code in the slanted brackets is also sequenced...
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After the code that appears before the slanted brackets.
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Brackets are used to...
[ ] |
Enclose synonyms, alternate wordings, or explanatory phrases.
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Slanted brackets are used to...
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Indicate multiple codes are required.
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Parentheses are used to...
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Enclose supplementary words that may be present or absent in the statement without affecting the code number to which it is assigned.
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Eponym
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A disease named after a person.
"Lou Gehrig's Disease" |
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Who performs maintenance on the ICD-9-CM?
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NCHS and CMS
National Centers for Health Statistics/Centers for Medicare and Medicaid |
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Which is coded first - acute or chronic?
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Acute
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In what setting is it appropriate to code signs and symptoms as if the condition does exist?
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In-patient setting.
For all diagnoses except HIV. |
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In outpatient setting, if there is no definitive diagnosis, the _______should be coded.
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Signs and symptoms.
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Do not code signs and symptoms when they are an....
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Integral part of a disease process.
Example: Do not code nausea/vomiting for appendicitis as they are an integral part of the disease process. |
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How many codes are usually required with coding late effects?
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Two. The residual condition is coded first.
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When the purpose of the encounter is rehabilitation, the first listed code is a .....
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V code from category V57.
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In the outpatient setting, if a diagnosis is not confirmed it is...
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Not reported.
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When the purpose of the visit is for therapeutic services only, sequence first...
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The diagnosis, condition, problem or other reason for the visit chiefly responsible for the service.
The only exception is chemotherapy. |
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What is coded first when a patient is seen for chemotherapy, radiation or rehabilitation?
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The appropriate V code
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How to code preoperative exams?
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With the appropriate V code.
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