Coding ICD-9-cm Chapter 2

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  • 1. 

     The acronym ICD-9-CM means:

    • A.

      Internal Coding Definitions, 9th Version, Coding Manual

    • B.

      International Classificationof Diseases, 9th Revision, Clinical Modification

    • C.

      International Classification of Disease, 9th Revision, Coding Manual

    • D.

      International Classification of Diagnoses, 9th Revision, Coding Modification

    Correct Answer
    B. International Classificationof Diseases, 9th Revision, Clinical Modification
    Explanation
    The correct answer is "International Classification of Diseases, 9th Revision, Clinical Modification." This acronym refers to a coding system used for classifying and coding medical diagnoses and procedures. It is widely used in healthcare settings for billing, research, and statistical purposes. The "9th Revision" indicates that it is the ninth edition of the classification system. The "Clinical Modification" indicates that it includes additional codes and modifications specific to the United States healthcare system.

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  • 2. 

     The three volumes of ICD-9-CM are:

    • A.

      Vol. 1- Neoplasm Table, Vol. 2- Hypertension Table, Vol. 3- Index

    • B.

      Vol. 1- CPT-4, Vol. 2- HCPCS Level II, Vol. 3- CMS 1500

    • C.

      Vol. 1- Disease: Tabular List, Vol. 2- Disease: Alphabetic Index, Vol. 3- Procedures: Tabular List and Alphabetic Index

    • D.

      Vol. 1- Alphabetic Index, Vol. 2- Numeric List, Vol. 3- Tabular List

    Correct Answer
    C. Vol. 1- Disease: Tabular List, Vol. 2- Disease: Alphabetic Index, Vol. 3- Procedures: Tabular List and Alphabetic Index
    Explanation
    The correct answer is Vol. 1- Disease: Tabular List, Vol. 2- Disease: Alphabetic Index, Vol. 3- Procedures: Tabular List and Alphabetic Index. These three volumes of ICD-9-CM provide a comprehensive classification system for diseases and procedures. The Disease: Tabular List in Volume 1 contains numerical codes and descriptions for diseases, while the Disease: Alphabetic Index in Volume 2 allows for easy searching of diseases by their names. Volume 3 includes the Tabular List and Alphabetic Index for procedures, providing codes and descriptions for medical procedures. Together, these volumes enable accurate coding and classification of medical conditions and procedures.

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  • 3. 

     E Codes are used to describe:

    • A.

      Extenuating circumstances surrounding an injury

    • B.

      Extra descriptors for coding

    • C.

      Excercise methods after injury

    • D.

      External causes of injury/poisoning, site of incident, procedures as cause of abnormal reaction

    Correct Answer
    D. External causes of injury/poisoning, site of incident, procedures as cause of abnormal reaction
    Explanation
    E Codes are used to describe external causes of injury/poisoning, site of incident, and procedures as the cause of an abnormal reaction. These codes provide additional information about the circumstances surrounding an injury, such as the location, cause, and nature of the incident. They are important for tracking and analyzing injury trends, identifying potential hazards, and developing preventive measures. E Codes are not related to extenuating circumstances, extra descriptors, or exercise methods after an injury.

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  • 4. 

    ICD-9-CM codes are updated at least: 

    • A.

      Annually

    • B.

      Every even year

    • C.

      Every odd year

    • D.

      Never

    Correct Answer
    A. Annually
    Explanation
    ICD-9-CM codes are updated annually to ensure that the coding system reflects the most current medical practices and terminology. This regular updating allows healthcare providers to accurately document and classify diagnoses and procedures for billing, research, and statistical purposes. By updating the codes annually, any new diseases, conditions, or procedures can be included, while outdated or obsolete codes can be removed. This helps to maintain the accuracy and relevance of the coding system in the ever-evolving field of healthcare.

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  • 5. 

    V codes and V code descriptions are located in: 

    • A.

      CPT-4, Medicine Section

    • B.

      Volume 3, ICD-9-CM

    • C.

      Volume 2, ICD-9-CM

    • D.

      Volume 1, ICD-9-CM

    Correct Answer
    D. Volume 1, ICD-9-CM
    Explanation
    V codes and V code descriptions are located in Volume 1 of the ICD-9-CM. The ICD-9-CM is a coding system used to classify and code diagnoses and procedures in healthcare settings. Volume 1 of the ICD-9-CM contains the tabular list of diseases and injuries, including V codes which are used to classify factors influencing health status and contact with health services. Therefore, the correct answer is Volume 1, ICD-9-CM.

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  • 6. 

     Symbols, abbreviations, punctuation, and notations in ICD-9-CM are called:

    • A.

      Grammer checks

    • B.

      Guidelines

    • C.

      Conventions

    • D.

      Edits

    Correct Answer
    C. Conventions
    Explanation
    Symbols, abbreviations, punctuation, and notations in ICD-9-CM are referred to as conventions. These conventions are established guidelines and rules that dictate how information is represented and communicated within the ICD-9-CM coding system. They ensure consistency and accuracy in the coding process, allowing healthcare professionals to effectively classify and document medical diagnoses and procedures.

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  • 7. 

     NEC is the acronym for

    • A.

      Nothing Else Coded

    • B.

      Neoplasm behavior Essential for Coding

    • C.

      Not Elsewhere Classifiable

    • D.

      Not an Excluded Code

    Correct Answer
    C. Not Elsewhere Classifiable
    Explanation
    NEC is the acronym for "Not Elsewhere Classifiable." This term is used in medical coding to indicate that a specific condition or diagnosis does not fit into any other existing category or classification. It is used when there is not a more specific code available to accurately describe the condition.

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  • 8. 

    ICD-9-CM codes translate the ___ of services provided from verbal and narrative descriptions to nationally accepted reporting standards

    • A.

      Treatment plan

    • B.

      Medical necessity

    • C.

      Diagnostic code

    • D.

      Coding conventions

    Correct Answer
    B. Medical necessity
    Explanation
    ICD-9-CM codes are used to translate the services provided from verbal and narrative descriptions to nationally accepted reporting standards. These codes help in accurately documenting and reporting the medical necessity of the services provided. By using diagnostic codes, healthcare providers can justify the need for specific treatments or procedures based on the patient's condition. This ensures that the services provided are appropriate and necessary for the patient's health.

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  • 9. 

    In ICD-9-CM, NOS means: 

    • A.

      Not Otherwise Specified

    • B.

      No Other Symbol

    • C.

      No Other Sequence available

    • D.

      No Other Secondary code

    Correct Answer
    A. Not Otherwise Specified
    Explanation
    NOS stands for "Not Otherwise Specified" in ICD-9-CM. This term is used when there is no specific code available to accurately classify a particular condition or diagnosis. It is used to indicate that the information provided is not sufficient to assign a more specific code. NOS is a common abbreviation used in medical coding to indicate a lack of further specificity.

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  • 10. 

    Words contained within the brackets [ ], provide the coder with:

    • A.

      Opposite phrases

    • B.

      Incomplete terms

    • C.

      Synonyms, alternative wording, explanatory phrases, abbreviations

    • D.

      Modified terms

    Correct Answer
    C. Synonyms, alternative wording, explanatory phrases, abbreviations
    Explanation
    The words contained within the brackets [ ] provide the coder with synonyms, alternative wording, explanatory phrases, and abbreviations. These words can be used to enhance the understanding of the code or provide different ways of expressing the same concept. They can also be used to provide additional information or shorten lengthy terms.

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  • 11. 

    The colon " : " in the Tabular list tells the coder:

    • A.

      The terms below complete the term to make it assignable to a given category

    • B.

      The correct code is found in Volume 3

    • C.

      The terms are synonyms, alternative wording, or explanatory phrases

    • D.

      The preceding term is not otherwise specified

    Correct Answer
    A. The terms below complete the term to make it assignable to a given category
    Explanation
    The colon ":" in the Tabular list tells the coder that the terms below it complete the term to make it assignable to a given category. This means that the terms listed below the colon provide additional information or specificity to the main term, allowing the coder to accurately assign a code to a specific category or condition.

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  • 12. 

    A symbol used to identify those codes that are not usually sequenced as the principal diagnosis is called: 

    • A.

      Brackets

    • B.

      Parenthesis

    • C.

      Italicized type

    • D.

      Slanted brackets

    Correct Answer
    C. Italicized type
    Explanation
    Italicized type is used to identify codes that are not usually sequenced as the principal diagnosis. It is a formatting technique used in medical coding to distinguish certain codes from others. It helps coders and healthcare professionals to easily identify and differentiate these codes, ensuring accurate sequencing of the principal diagnosis.

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  • 13. 

     In the Alphabetic Index of Volume 2, ICD-9-CM, nonessential modifiers are:

    • A.

      Two digits appended to the code to modify the meaning

    • B.

      Alpha-numeric characters that clarify the meaning of the code selection

    • C.

      Terms enclosed in parenthese that have no effect on the selection of the code listed for the term

    • D.

      Denotes acute and chronic conditions

    Correct Answer
    C. Terms enclosed in parenthese that have no effect on the selection of the code listed for the term
    Explanation
    Nonessential modifiers in the Alphabetic Index of Volume 2, ICD-9-CM are terms enclosed in parentheses that have no effect on the selection of the code listed for the term. These modifiers provide additional information or clarification about the code selection but do not impact the actual code assigned. They are used to further describe the condition or provide additional context, but they do not change the assigned code.

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  • 14. 

    Codes that have mandatory fifth digits are: 

    • A.

      Codes that always require a 5th digit to fully describe them

    • B.

      Codes that use the numbers 1 or 2 as the fifth digit

    • C.

      Codes that require the use of number 5 in the fifth character

    • D.

      Codes that require four supporting codes

    Correct Answer
    A. Codes that always require a 5th digit to fully describe them
    Explanation
    The correct answer is "codes that always require a 5th digit to fully describe them". This means that these codes cannot be fully understood or identified without the presence of a fifth digit. The fifth digit serves as an essential component in describing and distinguishing these codes from others.

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  • 15. 

    The Table of Drugs and Chemicals is located in: 

    • A.

      Volume 3

    • B.

      Volume 2

    • C.

      Volume 1

    • D.

      None of the above

    Correct Answer
    B. Volume 2
    Explanation
    The correct answer is Volume 2 because the Table of Drugs and Chemicals is typically found in reference books or manuals that provide information about drugs and chemicals. Volume 2 is likely to be the volume that contains this specific table, as it is common for reference materials to be organized into multiple volumes based on different topics or categories.

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  • 16. 

     The classification not included in the Table of Drugs and Chemicals is

    • A.

      Primary neoplasm

    • B.

      Suicide attempt

    • C.

      Therapeutic use

    • D.

      Accident

    Correct Answer
    A. Primary neoplasm
    Explanation
    The given answer, primary neoplasm, is not included in the Table of Drugs and Chemicals. The other options, suicide attempt, therapeutic use, and accident, are all possible classifications that could be included in the Table of Drugs and Chemicals.

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  • 17. 

    Which of the following is not an adverse effect 

    • A.

      Rash due to drug

    • B.

      Fever due to drug

    • C.

      Diabetes mellitus

    • D.

      Shortness of breath due to drug

    Correct Answer
    C. Diabetes mellitus
    Explanation
    Diabetes mellitus is not an adverse effect of a drug. Adverse effects refer to negative or unwanted reactions that occur as a result of taking a medication. Examples of adverse effects mentioned in the options include rash, fever, and shortness of breath, which can occur as a result of drug intake. However, diabetes mellitus is a chronic medical condition characterized by high blood sugar levels and is not caused by drug intake. Therefore, diabetes mellitus is not an adverse effect.

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  • 18. 

     All ICD-9-CM codes must be supported by:

    • A.

      Nonessential modifiers

    • B.

      Another diagnostic code

    • C.

      V codes

    • D.

      Documentation in the medical record

    Correct Answer
    D. Documentation in the medical record
    Explanation
    ICD-9-CM codes are used for medical billing and coding purposes. These codes must be supported by documentation in the medical record, which means that there should be clear and detailed documentation of the patient's condition or diagnosis in the medical records. This documentation serves as evidence and justification for assigning the specific ICD-9-CM code. Without proper documentation, it would be difficult to accurately assign the appropriate code for billing and coding purposes.

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  • 19. 

    Hospitals use which volume of the ICD-9-CM manual to report services provided to inpatients

    • A.

      Volume 1

    • B.

      Volume 2

    • C.

      Volume 3

    • D.

      All of the above

    Correct Answer
    C. Volume 3
    Explanation
    Volume 3 of the ICD-9-CM manual is used by hospitals to report services provided to inpatients. This volume specifically deals with procedures and is used to code and classify inpatient procedures. Volumes 1 and 2 of the ICD-9-CM manual are used for coding and classifying diagnoses and diseases. Therefore, the correct answer is Volume 3.

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  • 20. 

    ICD-O contains: 

    • A.

      Diagnostic codes for conditions beginning with the number 0

    • B.

      Morphology of neoplasms

    • C.

      Other verbiage used in correct coding

    • D.

      None of the above

    Correct Answer
    B. Morphology of neoplasms
    Explanation
    ICD-O, which stands for International Classification of Diseases for Oncology, contains information about the morphology of neoplasms. Neoplasms refer to abnormal growths or tumors, and the morphology of these neoplasms refers to their structure, characteristics, and cellular composition. Therefore, ICD-O provides codes and classifications specifically for the morphology of neoplasms, allowing for standardized and accurate documentation and coding of cancer-related diagnoses.

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  • 21. 

     This ICD-9-CM manual was developed based on a text by what organization

    • A.

      American Medical Association

    • B.

      American Academy of Professional Coders

    • C.

      World Health Organization

    • D.

      Center for Medicare and Medicaid Services

    Correct Answer
    C. World Health Organization
    Explanation
    The correct answer is World Health Organization. The ICD-9-CM manual is a classification system for medical diagnoses and procedures, and it was developed based on a text by the World Health Organization. The World Health Organization is a specialized agency of the United Nations that is responsible for international public health. They develop and publish the International Classification of Diseases (ICD) to provide a standardized system for classifying diseases and other health conditions.

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  • 22. 

     This ICD-9-CM appendix was deleted

    • A.

      Appendix A

    • B.

      Appendix B

    • C.

      Appendix C

    • D.

      Appendix D

    Correct Answer
    B. Appendix B
  • 23. 

    Another name for the Supplementary Classification of Factors Influencing Health Status and Contact with Health Services is:

    • A.

      E codes

    • B.

      J codes

    • C.

      V codes

    Correct Answer
    C. V codes
    Explanation
    The Supplementary Classification of Factors Influencing Health Status and Contact with Health Services is also known as V codes.

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  • 24. 

    What volume of the ICD-9-CM is used by hospitals to report inpatient procedures? 

    • A.

      Volume 1

    • B.

      Volume 2

    • C.

      Volume 3

    Correct Answer
    C. Volume 3
    Explanation
    Volume 3 of the ICD-9-CM is used by hospitals to report inpatient procedures. This volume specifically focuses on the classification of procedures and provides codes for surgical and other medical procedures performed in a hospital setting. It is used to accurately document and report the procedures performed on patients during their inpatient stay.

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  • 25. 

     What organization, in conjunction with the National Center for Health Statistics, is responsible for maintenance of the diagnosis classifications of the ICD-9-CM, Volume 3?

    • A.

      Department of Health, Education, and Welfare

    • B.

      Department of Health and Human Services

    • C.

      U.S. Food and Drug Administration

    Correct Answer
    B. Department of Health and Human Services
    Explanation
    The Department of Health and Human Services, in conjunction with the National Center for Health Statistics, is responsible for maintenance of the diagnosis classifications of the ICD-9-CM, Volume 3.

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  • 26. 

    What is defined as transforming written descriptions into numerical designations? 

    • A.

      Grouping

    • B.

      Coding

    • C.

      Modifying

    Correct Answer
    B. Coding
    Explanation
    Coding is defined as transforming written descriptions into numerical designations. This process involves assigning specific codes or symbols to represent different concepts or variables. Coding is commonly used in various fields such as computer programming, data analysis, and research. It allows for efficient data organization, analysis, and communication by converting qualitative information into quantitative data that can be easily processed and interpreted.

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  • 27. 

    524.01 is a... 

    • A.

      Category

    • B.

      Subcategory

    • C.

      Subclassification

    Correct Answer
    C. Subclassification
  • 28. 

     723.0 is a...

    • A.

      Category

    • B.

      Subcategory

    • C.

      Subclassification

    Correct Answer
    B. Subcategory
    Explanation
    723.0 is classified as a subcategory because it falls under a broader category or classification. A subcategory is a more specific division or subset of a category. In this case, 723.0 is a subcategory within a larger category or classification system.

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  • 29. 

    777.1 is a... 

    • A.

      Category

    • B.

      Subcategory

    • C.

      Subclassification

    Correct Answer
    B. Subcategory
    Explanation
    The term "777.1" is being classified or categorized into a more specific group or division, which is referred to as a subcategory.

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  • 30. 

    436 is a... 

    • A.

      Category

    • B.

      Subcategory

    • C.

      Subclassification

    Correct Answer
    A. Category
    Explanation
    436 is a category because it refers to a general group or class of something. It does not specify any subcategories or subclasses within that group.

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  • 31. 

    727.66 is a... 

    • A.

      Category

    • B.

      Subcategory

    • C.

      Subclassification

    Correct Answer
    C. Subclassification
  • 32. 

    51.10 

    • A.

      Diagnosis code

    • B.

      Procedure code

    Correct Answer
    B. Procedure code
    Explanation
    The given answer "procedure code" suggests that the number "51.10" is most likely referring to a specific code used to identify a medical procedure. A procedure code is a standardized system used in healthcare to classify and identify specific medical procedures or services. This code helps in accurately documenting and billing for the procedure performed. Therefore, it is reasonable to assume that "51.10" is a procedure code rather than a diagnosis code, which is used to identify a specific medical condition or disease.

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  • 33. 

     486

    • A.

      Diagnosis code

    • B.

      Procedure code

    Correct Answer
    A. Diagnosis code
    Explanation
    The given answer "diagnosis code" is correct because in the context of medical coding, a diagnosis code is used to identify and classify a patient's medical condition or disease. It is a specific alphanumeric code that represents the diagnosis made by the healthcare provider. On the other hand, a procedure code is used to identify and classify the specific medical procedure or treatment performed on the patient. Since the question does not provide any information about a procedure, the correct answer is the diagnosis code.

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  • 34. 

     250.00

    • A.

      Diagnosis code

    • B.

      Procedure code

    Correct Answer
    A. Diagnosis code
  • 35. 

    59.19 

    • A.

      Diagnosis code

    • B.

      Procedure code

    Correct Answer
    B. Procedure code

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