Podcast
Questions and Answers
What typographic technique does ICD-10 use when a digit space is empty but a character is required?
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?
What does 'NOS' stand for in the context of coding?
Which of the following correctly describes 'Excludes 1' in ICD-10?
Which of the following correctly describes 'Excludes 1' in ICD-10?
What is contained within Volume 1 of ICD-10-CM?
What is contained within Volume 1 of ICD-10-CM?
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What do inclusion notes in ICD-10 indicate?
What do inclusion notes in ICD-10 indicate?
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How are subcategories categorized in ICD-10?
How are subcategories categorized in ICD-10?
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What does the term 'eponym' refer to in medical coding?
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?
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?
What does 'Code Also' signify in ICD-10 coding?
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What is indicated by nonessential modifiers in ICD-10 coding?
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?
Which of the following is a characteristic of a subcategory in ICD-10?
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Which statement about Excludes 2 is correct?
Which statement about Excludes 2 is correct?
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What is the role of inclusion notes in ICD-10?
What is the role of inclusion notes in ICD-10?
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What does the term NEC stand for in coding terminology?
What does the term NEC stand for in coding terminology?
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Which statement correctly describes main terms in ICD-10?
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?
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?
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?
What does the presence of brackets in ICD-10 coding signify?
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What is meant by sequelae in a medical context?
What is meant by sequelae in a medical context?
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What do exclusion notes that are headed by 'excludes 1' indicate?
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?
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?
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?
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!
