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25 Cards in this Set

  • Front
  • Back
The first step in third-party reimbursement is establishing...
Medical necessity
How many digits can a valid code have?
three, four or five
When are V codes used?
When the patient presents for treatment with no complaints.
Appendix A includes...
Morphology of Neoplasms.
Morphology codes consist of how many digits?
Five. The first four indicate the histological type of the neoplasm and the fifth indicates behavior.
Appendix C includes...
Classification of drugs.
Appendix D includes...
Classification of industrial accidents.
What does NEC stand for?
Not elsewhere classifiable
What does NOS stand for?
Not otherwise specified.
The code in the slanted brackets is also sequenced...
After the code that appears before the slanted brackets.
Brackets are used to...

[ ]
Enclose synonyms, alternate wordings, or explanatory phrases.
Slanted brackets are used to...
Indicate multiple codes are required.
Parentheses are used to...
Enclose supplementary words that may be present or absent in the statement without affecting the code number to which it is assigned.
Eponym
A disease named after a person.

"Lou Gehrig's Disease"
Who performs maintenance on the ICD-9-CM?
NCHS and CMS

National Centers for Health Statistics/Centers for Medicare and Medicaid
Which is coded first - acute or chronic?
Acute
In what setting is it appropriate to code signs and symptoms as if the condition does exist?
In-patient setting.
For all diagnoses except HIV.
In outpatient setting, if there is no definitive diagnosis, the _______should be coded.
Signs and symptoms.
Do not code signs and symptoms when they are an....
Integral part of a disease process.

Example: Do not code nausea/vomiting for appendicitis as they are an integral part of the disease process.
How many codes are usually required with coding late effects?
Two. The residual condition is coded first.
When the purpose of the encounter is rehabilitation, the first listed code is a .....
V code from category V57.
In the outpatient setting, if a diagnosis is not confirmed it is...
Not reported.
When the purpose of the visit is for therapeutic services only, sequence first...
The diagnosis, condition, problem or other reason for the visit chiefly responsible for the service.

The only exception is chemotherapy.
What is coded first when a patient is seen for chemotherapy, radiation or rehabilitation?
The appropriate V code
How to code preoperative exams?
With the appropriate V code.