HIT Review Quiz 2
Classification
Nomenclature
Dictionary
Glossary
Identifies codes used when information is needed to code to a more specific catefory
Directs the coder to a more specific term under which the correct code can be found
Indicates further information is available that may provide an additional diagnosis code
Defines ters, clarifies information, or lists choices for additional digits (i.e., fifth digits)
Provides instruction that a condition is to be coded elsewhere and is associated with the excludes notes found in the first volume of the ICD-9-CM
Identified codes and terms to be used only when information necessary to code the diagnosis to a more specific category is not found in ICD-9-CM
Indicates that the ICD-9-CM code is unspecified and, if possible, the coder should seek additional information so that a more precise code can be assigned
Appears under three-digit category codes to further define or give an example of the contents of the category in Volume 1 of the ICD-9-CM manual
Condition
Site
Morphology
Body system
Both biagnoses
Neither diagnosis
The principal diagnosis
The primary diagnosis
American Hospital Association
American Medical Association
Centers for Medicare & Medicaid Services
American College of Surgeons
19160, 19160-50
19160, 09950
19160-99, 19160-50
19160-09950
Total layngectomy without radical neck dissection
Total laryngectomy with/without radical neck dissection
Total radical neck dissection with laryngectomy
Total laryngectomy with radical neck dissection
10140
99025
10140, 99025
99203
10140, 99025, 99203
Such treatment is included in the original code number assigned
The patient is not treated for complications; thus no code is assigned
A code is assigned to each service rendered to treat the complication
The patient is referred to a specialist for treatment of the complication
ICD-9-CM, Volume 1
ICD-9-CM, Volume 2
ICD-9-CM, Volume 3
A separate E code volume
The coder assigns additional ICD-9-CM diagnosis codes at his or her discretion
The attending physician should be consulted before assigning the additional codes
Policies should be developed as to whether or not to assign the additional codes
The coder must add further information by using an additional code assignment
Communicates to the coder that a condition is to be coded elsewhere; this abbreviation is associated with includes notes found in Volume 1
Identifies codes and terms to be used only when information necessary to code the diagnosis to a more specific category is not found in ICD-9-CM
Indicates that the ICD-9-CM code is unspecified and, if possible, the coder should seek additional information so that a more precise code can be assigned
Appears under three-digit category codes to further define or give an example of the contents of the category in Volume 1 of the ICD-9-CM manual
Holmes' syndrome
AIDS
Miscarriage
Carcinoma
Coded as a suspected conition
Not coded for this patient case
Coded if the condition has been ruled out
Coded using a V code from ICD-9-CM
Excision
Repair
Grafting
Injection
Notes
Introduction
Guidelines
Instructions
The specific section of the CPT-4 coding manual
The anatomy of the human body, from head to toe
The physician's specialty (e.g., pathology, surgery, etc.)
The procedure, anatomic site, eponyms, and other indicators
Performed the eletrocardiogram, interpreted it, and dictated a report
Performed an electrocardiogram tracing, interpreted it, and dictated a report
Interpreted and prepared (documented) the patient's electrocardiogram report
Performed, interpreted, and prepared a report on the patient's electrocardiogram
A second code number is to be assigned
There is a revised CPT code description
There is a new code in this edition of CPT
Special rules apply to these CPT codes
CMS
CPT-4
HHS
WHO
Are used after an incomplete term that needs one or more of the midifiers that follow to make it assignable to a given category within the ICD-9-CM coding manual
Enclose a series of terms, wach of which is modified by the statement appearing at the right of the punctuatino mark(s) in Volume 2 of the ICD-9-CM coding manual
Contain supplementary words that may be present or absent in the statement of a disease or procedure, without affecting the code number to which it is assigned
Are nonessential modifiers that follow the main term to clarify the diagnoses and must be present in the diagnostic statement in order for the coder to assign the code
Including
And/or
Also
With
Acute bronchitis only
Chronic bronchitis only
The condition that occurred first
Both acute and chronic bronchitis
The documentation in the patient's record will be in error
The fiscal intermediary will change the code assignment
The insurance company will require a special report
The provider will not be eligible for precalculated payment rates
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