ICD-10 Overview and Documentation
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ICD-10 Overview and Documentation

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Questions and Answers

What does the acronym ICD-10-CM stand for?

  • Injury Classification Description, 10th Edition, Modified
  • International Code of Diseases, 10th Revision, Clinical Manual
  • International Coding Definition, 10th Classification Model
  • International Classification of Diseases, 10th Revision, Clinical Modification (correct)
  • What are the two volumes of ICD-10-CM?

    Volume 1-Diseases: Tabular List, Volume 2-Diseases: Alphabetic Index, Neoplasm Table, Drugs & Chemicals Table and External Cause of Injuries Index.

    All ICD-10-CM codes must be supported by?

    physician documentation in the medical record.

    ICD-10-CM codes are updated at least how often?

    <p>annual.</p> Signup and view all the answers

    What are symbols, abbreviations, punctuation, and notations in ICD-10-CM termed?

    <p>conventions.</p> Signup and view all the answers

    What does NEC stand for in ICD-10-CM?

    <p>Not Elsewhere Classifiable.</p> Signup and view all the answers

    ICD-10-CM codes translate the ____ of services provided from verbal and narrative descriptions to nationally accepted reporting standards.

    <p>Medical necessity.</p> Signup and view all the answers

    What does NOS stand for in ICD-10-CM?

    <p>Not Otherwise Specified.</p> Signup and view all the answers

    Where is the Table of Drugs and Chemicals located?

    <p>Volume 2.</p> Signup and view all the answers

    What is the classification not included in the Table of Drugs and Chemicals?

    <p>Primary neoplasm.</p> Signup and view all the answers

    ICD-10-CM codes are used for what purpose?

    <p>Diagnostic Coding.</p> Signup and view all the answers

    ICD-10 codes are alphanumeric, with all codes beginning with a number.

    <p>False</p> Signup and view all the answers

    ICD-10 codes have a maximum of five characters.

    <p>False</p> Signup and view all the answers

    Pertaining to ICD-10 codes, the letter N is assigned as a fifth character placeholder for certain six-character codes.

    <p>False</p> Signup and view all the answers

    The ICD-10, the WHO version, does not include a procedure classification (ICD-10-PCS).

    <p>True</p> Signup and view all the answers

    Who maintains and updates ICD-10-PCS?

    <p>cms.</p> Signup and view all the answers

    How many ICD-10-CM codes are there roughly?

    <p>70,000.</p> Signup and view all the answers

    All ICD-10-CM codes have seven characters.

    <p>False</p> Signup and view all the answers

    In which month does the new ICD-10-CM version go into effect each year?

    <p>October.</p> Signup and view all the answers

    There are 21 chapters in the ICD-10-CM.

    <p>True</p> Signup and view all the answers

    Study Notes

    ICD-10 Overview

    • ICD-10-CM stands for International Classification of Diseases, 10th Revision, Clinical Modification.
    • The two main volumes of ICD-10-CM include:
      • Volume 1: Diseases - Tabular List
      • Volume 2: Diseases - Alphabetic Index, Neoplasm Table, Drugs & Chemicals Table, and External Cause of Injuries Index.

    Documentation and Updates

    • All ICD-10-CM codes must be backed by physician documentation within the medical records.
    • Updates to ICD-10-CM codes occur at least annually.

    Conventions and Classifications

    • Conventions refer to the symbols, abbreviations, punctuation, and notations used in ICD-10-CM.
    • NEC means Not Elsewhere Classifiable, while NOS stands for Not Otherwise Specified.

    Coding Purpose and Necessity

    • ICD-10-CM codes provide a standardized method for translating medical necessity from verbal descriptions to accepted reporting codes.

    Drug and Chemical Classification

    • The Table of Drugs and Chemicals is found in Volume 2 of ICD-10-CM.

    Neoplasms and Diagnostic Coding

    • Primary neoplasm classifications are not included in the Table of Drugs and Chemicals.
    • ICD-10-CM codes serve the primary purpose of diagnostic coding.

    Code Structure and Characteristics

    • ICD-10 codes are alphanumeric and may start with either a letter or a number; not all codes start with a number.
    • Maximum characters for ICD-10 codes exceed five characters.
    • The letter 'N' is not specifically assigned as a fifth character placeholder.

    Versions and Maintenance

    • The ICD-10 version maintained by the World Health Organization (WHO) does not incorporate a procedure classification (ICD-10-PCS).
    • ICD-10-PCS is updated and maintained by CMS (Centers for Medicare & Medicaid Services).

    Code Statistics and Chapter Organization

    • There are approximately 70,000 ICD-10-CM codes available.
    • Not all ICD-10-CM codes consist of seven characters.
    • The new ICD-10-CM version goes into effect each October and consists of 21 chapters.

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    Description

    This quiz covers the key concepts of ICD-10-CM, including its structure, coding conventions, and the importance of physician documentation. Learn about the main volumes, updates, and classifications within the ICD-10 framework. Test your understanding of this essential medical coding system.

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