Medical Coding Chapter 2 Flashcards
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Questions and Answers

The CM in ICD-10-CM stands for 'Clinical Modification'.

True

The ICD-10-CM was designed for classification of patient morbidity and mortality.

True

ICD 10 is widely used in Europe.

True

The National Center for Health Statistics is responsible for the disease classification system in the United States.

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

The 10th revision of the International Classification of Diseases (ICD-10) was issued in 1989 by the World Health Organization.

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

The I-10 index presents main terms in bold type.

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

The I-10 contains 20 chapters.

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

All I-10 codes start with a letter and can have as many as 7 characters.

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

The subterms in the index modify the main term and are called essential modifiers.

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

In the tabular list, italicized type is used to identify codes not sequenced as first-listed diagnosis.

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

Bold type is used throughout the entire Tabular List.

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

There are two tables located within the index to diseases and injuries, hypertension and neoplasm.

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

NOS (not otherwise specified) is the equivalent of 'unspecified'.

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

NEC is used when the I-10 code does not have codes that provide greater specificity.

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

What is the first format of chapters in the ICD-10 tabular list?

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

What is the second format of chapters in the ICD-10 tabular list?

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

What is the third format of chapters in the ICD-10 tabular list?

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

What is the fourth format of chapters in the ICD-10 tabular list?

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

What is the fifth format of chapters in the ICD-10 tabular list?

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

Who originally issued the I-10?

<p>WHO (World Health Organization)</p> Signup and view all the answers

Which country currently uses the ICD-10-AM?

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

The I-10 is designed for the classification of patient _____ and ______.

<p>morbidity and mortality</p> Signup and view all the answers

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

<p>Clinical Modification</p> Signup and view all the answers

List four of the six reasons why diagnosis codes are used today.

<ol> <li>Study health care costs 2. Research the quality of healthcare 3. Predict healthcare trends 4. Plan for future health care needs</li> </ol> Signup and view all the answers

The I-10 is used to translate what descriptive information into alphanumeric codes _____ or _______.

<p>verbal or narrative</p> Signup and view all the answers

In the index of the I-10, the main term is identified in this typeface.

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

What does 'Includes' indicate in coding?

<p>Gives further definition or examples of content.</p> Signup and view all the answers

What does 'Excludes 1' indicate?

<p>Pure excludes</p> Signup and view all the answers

What does 'Excludes 2' indicate?

<p>Not included here</p> Signup and view all the answers

What does 'Code first' indicate?

<p>Indicates a manifestation due to underlying etiology.</p> Signup and view all the answers

What does 'Code also' mean?

<p>Two codes may be required to fully describe the condition but the sequencing of the two codes is discretionary.</p> Signup and view all the answers

What does 'With' mean in coding?

<p>Should be interpreted to mean 'due to'.</p> Signup and view all the answers

What are default codes?

<p>Indicate condition most commonly associated with the main term.</p> Signup and view all the answers

I-10 codes are alphanumeric.

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

All main terms in the I-10 index are bold.

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

The I-10 contains 20 chapters.

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

All versions of the ICD-10-CM are based on the official government version.

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

When was I-10 issued?

<p>1993</p> Signup and view all the answers

What is the acronym used in the United States for the I-10 system that reports inpatient procedures?

<p>PCS (procedure coding system)</p> Signup and view all the answers

Terms in the index are listed by?

<p>Symptoms, encounter, complication</p> Signup and view all the answers

Study Notes

ICD-10-CM Overview

  • ICD-10-CM stands for "International Classification of Diseases, 10th Revision, Clinical Modification."
  • Primarily used for classifying patient morbidity and mortality.
  • Widely adopted across Europe for health statistics.

U.S. Classification System

  • The National Center for Health Statistics oversees the disease classification system in the U.S.
  • The ICD-10 was officially released in 1993 by the World Health Organization (WHO).

Structure and Format of ICD-10-CM

  • Contains 21 chapters, not 20, organized into formats:
    • Chapters, Sections, Categories, Subcategories, and Subclassifications.
  • Main terms in the index appear in bold type.
  • Italicized type designates codes not sequenced as the first-listed diagnosis.
  • Subterms, known as essential modifiers, help clarify main terms.

Code Characteristics

  • All ICD-10 codes begin with a letter and may have as many as 7 characters.
  • Codes follow a systematic approach that translates descriptive information into alphanumeric codes.
  • Default codes reflect conditions most commonly linked with the main term.
  • NOS (Not Otherwise Specified) is synonymous with "unspecified."
  • NEC (Not Elsewhere Classified) applies when no specific code offers greater specificity.

Use and Application of Codes

  • Diagnosis codes are utilized for various reasons, including:
    • Analyzing healthcare costs.
    • Researching healthcare quality.
    • Forecasting healthcare trends.
    • Planning future healthcare requirements.
  • Terms are arranged by symptoms, encounters, and complications within the index.

Additional Points

  • The U.S. also employs the Procedure Coding System (PCS) for inpatient procedures.
  • Exclusion notes indicate whether conditions are purely excluded (Excludes 1) or not included here (Excludes 2).
  • Instructions such as "Code first" identify relationships between conditions, while "Code also" suggests multiple codes may be needed, but sequencing is flexible.
  • "With" translates to "due to," enhancing understanding of conditions.

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Test your knowledge of medical coding with these flashcards based on Chapter 2 of the ICD-10-CM. Each card provides definitions and key concepts necessary for understanding the classification of patient morbidity and mortality. Perfect for students and professionals in the healthcare field!

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