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Questions and Answers
What typographic technique does ICD-10 use when a digit space is empty but a character is required?
What does 'NOS' stand for in the context of coding?
Which of the following correctly describes 'Excludes 1' in ICD-10?
What is contained within Volume 1 of ICD-10-CM?
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What do inclusion notes in ICD-10 indicate?
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How are subcategories categorized in ICD-10?
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What does the term 'eponym' refer to in medical coding?
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What symbol is used in ICD-10 to enclose synonyms or explanatory phrases?
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What does 'Code Also' signify in ICD-10 coding?
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What is indicated by nonessential modifiers in ICD-10 coding?
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Which of the following is a characteristic of a subcategory in ICD-10?
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Which statement about Excludes 2 is correct?
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What is the role of inclusion notes in ICD-10?
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What does the term NEC stand for in coding terminology?
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Which statement correctly describes main terms in ICD-10?
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What is the significance of the 'x' character in ICD-10 coding?
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Which volume of ICD-10 is the instruction module found in?
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What does the presence of brackets in ICD-10 coding signify?
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What is meant by sequelae in a medical context?
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What do exclusion notes that are headed by 'excludes 1' indicate?
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In terms of Medicare, which of the following is typically a cost borne by the beneficiary?
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Which aspect of ICD-10-CM does Volume 2 primarily contain?
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What is the primary function of conventions in ICD-10-CM?
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Study Notes
Renumbered CPT Codes Citations Crosswalk
- Appendix M in CPT contains the renumbered codes citations crosswalk.
- This section details the relationship between deleted codes and their replacements.
- Helps coders track changes and understand updated CPT codes.
International Classification of Diseases (ICD-10)
- ICD-10 has conventions that serve as visual guidance for coding.
- Uses a placeholder "x" for characters when a preceding digit space is empty.
- ICD-10 contains three volumes:
- Volume 1: Tabular list
- Volume 2: Instruction module
- Volume 3: Alphabetical list
Main Terms, Sub Terms, and Nonessential Modifiers
- Main terms are in bold and are followed by default codes.
- Sub terms detail associated conditions and their etiologies.
- Nonessential modifiers, shown in parentheses, are supplementary information.
Common Necessary Terms in Coding
- Eponym: Disease named after a person (e.g., Hodgkin’s disease).
- NEC: Not Elsewhere Classifiable, used when no specific code exists.
- NOS: Not Otherwise Specified, applies when descriptions are incomplete.
- Code Also: Instruction notes indicating a second code may be required.
Categorization
- Category: Three-character alphanumeric code for a single disease or condition.
- Subcategory: Four or five-character alphanumeric subdivision of a category.
Inclusion and Exclusion Notes
- Inclusion Notes: Headed by "includes" to refine the category's content.
-
Exclusion Notes:
- Excludes 1: Indicates conditions that cannot coexist.
- Excludes 2: Signifies that the listed condition does not include others potentially present.
Punctuation in ICD-10
- Brackets { }: Enclose synonyms or alternative phrasing; identify manifestation codes.
- Parentheses ( ): Used for nonessential modifiers in both index and list.
- Colons (:): Indicate incomplete terms needing modifiers in the Tabular List.
Sequelae
- Refers to conditions remaining after a patient's acute illness or injury.
- Example: Deviated septum due to a previous nasal fracture.
Providers and Payment Structure
- Providers include physicians, hospitals, and suppliers for Medicare patients.
- Beneficiary pays are comprised of deductibles, premiums, and co-insurance (20%).
- Medicare covers 80% of covered services.
Renumbered CPT Codes Citations Crosswalk
- Appendix M in CPT contains the renumbered codes citations crosswalk.
- This section details the relationship between deleted codes and their replacements.
- Helps coders track changes and understand updated CPT codes.
International Classification of Diseases (ICD-10)
- ICD-10 has conventions that serve as visual guidance for coding.
- Uses a placeholder "x" for characters when a preceding digit space is empty.
- ICD-10 contains three volumes:
- Volume 1: Tabular list
- Volume 2: Instruction module
- Volume 3: Alphabetical list
Main Terms, Sub Terms, and Nonessential Modifiers
- Main terms are in bold and are followed by default codes.
- Sub terms detail associated conditions and their etiologies.
- Nonessential modifiers, shown in parentheses, are supplementary information.
Common Necessary Terms in Coding
- Eponym: Disease named after a person (e.g., Hodgkin’s disease).
- NEC: Not Elsewhere Classifiable, used when no specific code exists.
- NOS: Not Otherwise Specified, applies when descriptions are incomplete.
- Code Also: Instruction notes indicating a second code may be required.
Categorization
- Category: Three-character alphanumeric code for a single disease or condition.
- Subcategory: Four or five-character alphanumeric subdivision of a category.
Inclusion and Exclusion Notes
- Inclusion Notes: Headed by "includes" to refine the category's content.
-
Exclusion Notes:
- Excludes 1: Indicates conditions that cannot coexist.
- Excludes 2: Signifies that the listed condition does not include others potentially present.
Punctuation in ICD-10
- Brackets { }: Enclose synonyms or alternative phrasing; identify manifestation codes.
- Parentheses ( ): Used for nonessential modifiers in both index and list.
- Colons (:): Indicate incomplete terms needing modifiers in the Tabular List.
Sequelae
- Refers to conditions remaining after a patient's acute illness or injury.
- Example: Deviated septum due to a previous nasal fracture.
Providers and Payment Structure
- Providers include physicians, hospitals, and suppliers for Medicare patients.
- Beneficiary pays are comprised of deductibles, premiums, and co-insurance (20%).
- Medicare covers 80% of covered services.
ICD-10 Coding System
- Three-character alphanumeric codes represent individual diseases or related conditions.
- Exclusion notes are indicated by the word “excludes” to clarify non-classifiable conditions:
- Excludes 1 signifies that two conditions cannot coexist.
- Excludes 2 denotes that the condition is not included in the previous code, but both conditions may be present together.
Sequelae and Late Effects
- Sequelae refer to conditions persisting after an acute illness or injury, also known as residual or late effects.
- Late effects may be documented as resulting from a previous condition, e.g., "due to an old nasal fracture."
Providers and Beneficiary Costs
- Providers include physicians, hospitals, and suppliers that deliver care or supplies to Medicare patients.
- Beneficiary costs include deductibles, premiums, co-insurance (20%), and non-covered services.
- Medicare covers 80% of expenses for covered services.
Structure of ICD-10
- ICD-10 comprises three volumes:
- Volume 1 contains a tabular list of codes.
- Volume 2 provides an instruction module for coding practices.
- Volume 3 contains an alphabetical index for codes.
Coding Conventions
- ICD-10-CM employs typographic conventions as visual cues to assist coders in selecting accurate codes.
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Description
Explore the intricacies of the renumbered CPT codes citations crosswalk as outlined in Appendix M of the Current Procedure Terminology (CPT). This quiz examines the connections between deleted and new codes, and the conventions laid out for ICD-10 format. Test your understanding of these coding systems and their updates!
