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Questions and Answers
If a patient with HIV disease is admitted for an _____ condition, the code for the ______ condition should be the principal diagnosis.
If a patient with HIV disease is admitted for an _____ condition, the code for the ______ condition should be the principal diagnosis.
unrelated, unrelated
The Tabular List section of the ICD-10-CM book lists every code and its complete description in ______ order by code.
The Tabular List section of the ICD-10-CM book lists every code and its complete description in ______ order by code.
alphanumeric
If two (or more) diagnoses are of equal severity, then report them in order of anatomical site— ______.
If two (or more) diagnoses are of equal severity, then report them in order of anatomical site— ______.
head to toe
According to the ICD-10-CM Official Guidelines, section ____ corresponds to Selection of Principal Diagnosis.
According to the ICD-10-CM Official Guidelines, section ____ corresponds to Selection of Principal Diagnosis.
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_____ is the reaction of tissues to infection or injury; characterized by pain, swelling, and erythema.
_____ is the reaction of tissues to infection or injury; characterized by pain, swelling, and erythema.
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The section of the ICD-10-CM code book listing drugs, chemicals, and other biologicals that may poison a patient or result in an adverse reaction is known as the:
The section of the ICD-10-CM code book listing drugs, chemicals, and other biologicals that may poison a patient or result in an adverse reaction is known as the:
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Exposure due to physical interaction with blood, bodily fluids, nonintact skin, and mucous membranes can enable a long list of bloodborne pathogens to make their way from one person to another. This type of exposure is known as:
Exposure due to physical interaction with blood, bodily fluids, nonintact skin, and mucous membranes can enable a long list of bloodborne pathogens to make their way from one person to another. This type of exposure is known as:
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The coder reports a code directly from the Alphabetic Index without checking it in the Tabular List.
The coder reports a code directly from the Alphabetic Index without checking it in the Tabular List.
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A _____ located to the left of a code in the Tabular List is a symbol that notifies you that an additional character is required.
A _____ located to the left of a code in the Tabular List is a symbol that notifies you that an additional character is required.
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According to the ICD-10-CM Official Guidelines, I.C.21.c.5: ______ is the testing for disease or disease precursors in seemingly well individuals so that early detection and treatment can be provided for those who test positive for the disease.
According to the ICD-10-CM Official Guidelines, I.C.21.c.5: ______ is the testing for disease or disease precursors in seemingly well individuals so that early detection and treatment can be provided for those who test positive for the disease.
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What is the first step in looking up an ICD-10-CM diagnosis code?
What is the first step in looking up an ICD-10-CM diagnosis code?
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Mushrooms, yeast, and mold are edible forms of:
Mushrooms, yeast, and mold are edible forms of:
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Staphylococcus aureus is what type of infection?
Staphylococcus aureus is what type of infection?
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Janie was diagnosed with salmonella poisoning. The coder should assign code(s) for:
Janie was diagnosed with salmonella poisoning. The coder should assign code(s) for:
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In order to code a diagnosis of meningitis, you have to know the specific virus or bacterium at the core of the inflammation. This can typically be found in the ______ report.
In order to code a diagnosis of meningitis, you have to know the specific virus or bacterium at the core of the inflammation. This can typically be found in the ______ report.
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A patient complains of dizziness. The physician states that she has hypertension. The coder should assign a code for:
A patient complains of dizziness. The physician states that she has hypertension. The coder should assign a code for:
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Debbie Simmons is diagnosed with influenza with respiratory manifestations. The main term is _____; the correct diagnosis code is ______.
Debbie Simmons is diagnosed with influenza with respiratory manifestations. The main term is _____; the correct diagnosis code is ______.
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Signs and symptoms of an existence of infection include all except a(n): rash.
Signs and symptoms of an existence of infection include all except a(n): rash.
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In the ICD-10-CM Alphabetic Index turn to Disease>Alzheimer's. What punctuation(s) do you find?
In the ICD-10-CM Alphabetic Index turn to Disease>Alzheimer's. What punctuation(s) do you find?
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_______ will show you alternate terms, alternate phrases, and/or synonyms to provide additional detail or explanation to the description.
_______ will show you alternate terms, alternate phrases, and/or synonyms to provide additional detail or explanation to the description.
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George Honker is diagnosed with acute hepatitis B without delta-agent with hepatic coma. The main term is _____; the correct diagnosis code is ______.
George Honker is diagnosed with acute hepatitis B without delta-agent with hepatic coma. The main term is _____; the correct diagnosis code is ______.
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Outpatient coders cannot assign a diagnosis code for a diagnosis documented as: All of these.
Outpatient coders cannot assign a diagnosis code for a diagnosis documented as: All of these.
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Lice and mites are examples of:
Lice and mites are examples of:
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Tetanus is an infection of the nervous system and is caused by the entry of _______ into the body through a break in the skin.
Tetanus is an infection of the nervous system and is caused by the entry of _______ into the body through a break in the skin.
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ICD-10-CM code range V00-Y99 identifies:
ICD-10-CM code range V00-Y99 identifies:
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Malaria, a disease spread by mosquitoes, is an example of a:
Malaria, a disease spread by mosquitoes, is an example of a:
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______ is severe; serious.
______ is severe; serious.
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The physician's notes state, 'Chest congestion, possible pneumonia.' The coder in the physician's office should code:
The physician's notes state, 'Chest congestion, possible pneumonia.' The coder in the physician's office should code:
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The word or phrase _____ means the same thing as NEC: The physician specified additional information that the ICD-10-CM book doesn't have in any of the other codes in the category.
The word or phrase _____ means the same thing as NEC: The physician specified additional information that the ICD-10-CM book doesn't have in any of the other codes in the category.
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The diagnosis of severe sepsis must include:
The diagnosis of severe sepsis must include:
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If one code exists with a description that includes two or more diagnoses identified in one patient at the same time, you must choose the code that includes as many conditions as available. These codes are known as:
If one code exists with a description that includes two or more diagnoses identified in one patient at the same time, you must choose the code that includes as many conditions as available. These codes are known as:
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An infection can spread through:
An infection can spread through:
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When an infection or virus spreads throughout the entire body it is known as:
When an infection or virus spreads throughout the entire body it is known as:
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In your ICD-10-CM turn to code L03.211 in the Tabular List. What notation is found under the code?
In your ICD-10-CM turn to code L03.211 in the Tabular List. What notation is found under the code?
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The correct sequence for coding SIRS is:
The correct sequence for coding SIRS is:
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The ______ notation provides you with additional terms and diagnoses that are included in the above code (this code's description).
The ______ notation provides you with additional terms and diagnoses that are included in the above code (this code's description).
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A condition that affects the entire body and virtually all body systems, therefore requiring the physician to consider this in his or her medical decision-making for any other condition is known as a:
A condition that affects the entire body and virtually all body systems, therefore requiring the physician to consider this in his or her medical decision-making for any other condition is known as a:
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One disease that affects or encourages another condition is known as a:
One disease that affects or encourages another condition is known as a:
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A breakout section of the Alphabetic Index listing the suggested codes for benign and malignant neoplasms is known as the:
A breakout section of the Alphabetic Index listing the suggested codes for benign and malignant neoplasms is known as the:
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Refer to the ICD-10-CM Official Guidelines Section I. How many parts does Section I have?
Refer to the ICD-10-CM Official Guidelines Section I. How many parts does Section I have?
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ICD-10-CM code range J00-J99 identifies the Diseases of the:
ICD-10-CM code range J00-J99 identifies the Diseases of the:
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The code description that states 'diseases classified elsewhere' means that:
The code description that states 'diseases classified elsewhere' means that:
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The diagnosis of sepsis must include:
The diagnosis of sepsis must include:
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Which of the following punctuation is found in the Alphabetic Index?
Which of the following punctuation is found in the Alphabetic Index?
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Which of the following are named by their shape?
Which of the following are named by their shape?
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Which of the following embed themselves in host cells and can be difficult to isolate?
Which of the following embed themselves in host cells and can be difficult to isolate?
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The Neoplasm Table is set up as a seven-column table organized by the information in column 1—the anatomical location of the tumor, in alphabetic order. Moving to the right, what information is found in column four?
The Neoplasm Table is set up as a seven-column table organized by the information in column 1—the anatomical location of the tumor, in alphabetic order. Moving to the right, what information is found in column four?
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Coding for septic shock will require:
Coding for septic shock will require:
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Refer to the ICD-10-CM Official Guidelines Section IV.C. This guideline concerns:
Refer to the ICD-10-CM Official Guidelines Section IV.C. This guideline concerns:
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When the physician indicates that the patient's signs and symptoms may closely lead to two different diagnoses and using the word versus or or between two diagnostic statements this is known as a/an:
When the physician indicates that the patient's signs and symptoms may closely lead to two different diagnoses and using the word versus or or between two diagnostic statements this is known as a/an:
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Throughout the ICD-10-CM code book you will find which of the following to help guide you to the most accurate code for a patient encounter?
Throughout the ICD-10-CM code book you will find which of the following to help guide you to the most accurate code for a patient encounter?
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What are hookworms, pinworms, and tapeworms examples of?
What are hookworms, pinworms, and tapeworms examples of?
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The condition, after study, that is the primary, or main, reason for the admission of a patient to the hospital for care; the condition that requires the largest amount of hospital resources for care is known as the:
The condition, after study, that is the primary, or main, reason for the admission of a patient to the hospital for care; the condition that requires the largest amount of hospital resources for care is known as the:
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____ is/are any agent that causes disease; a microorganism such as a bacterium or virus.
____ is/are any agent that causes disease; a microorganism such as a bacterium or virus.
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Chickenpox is a:
Chickenpox is a:
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Primary immunodeficiency disorders include all of the following except: AIDS.
Primary immunodeficiency disorders include all of the following except: AIDS.
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Refer to the ICD-10-CM Official Guidelines I.C.1.d.2.a which states: _______ generally refers to circulatory failure associated with severe sepsis, and therefore, it represents a type of acute organ dysfunction.
Refer to the ICD-10-CM Official Guidelines I.C.1.d.2.a which states: _______ generally refers to circulatory failure associated with severe sepsis, and therefore, it represents a type of acute organ dysfunction.
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Exposure due to some diseases, such as influenza, can be transmitted by coughing, spitting, talking, and sneezing. This type of exposure is known as:
Exposure due to some diseases, such as influenza, can be transmitted by coughing, spitting, talking, and sneezing. This type of exposure is known as:
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____ identifies that pneumonia has developed in a patient who has not recently been in the hospital or another health care facility.
____ identifies that pneumonia has developed in a patient who has not recently been in the hospital or another health care facility.
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NEC stands for:
NEC stands for:
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The ______ notation identifies codes that cannot be used together on the same health claim form with the originally listed code.
The ______ notation identifies codes that cannot be used together on the same health claim form with the originally listed code.
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_____ is of long duration; continuing over an extended period of time.
_____ is of long duration; continuing over an extended period of time.
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The coder report a code for HIV infection or illness without a specific physician diagnostic statement-a confirmed diagnosis.
The coder report a code for HIV infection or illness without a specific physician diagnostic statement-a confirmed diagnosis.
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The Table of Drugs and Chemicals' first column shows a list of substances. Moving to the right, the sixth column identifies which of the following?
The Table of Drugs and Chemicals' first column shows a list of substances. Moving to the right, the sixth column identifies which of the following?
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Which of the following can lay dormant for long periods of time?
Which of the following can lay dormant for long periods of time?
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When a patient acquires a condition that develops as a result of being in a health care facility it is known as a(n) _____ condition.
When a patient acquires a condition that develops as a result of being in a health care facility it is known as a(n) _____ condition.
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A/An ____________ notation is a warning to stop and double-check the documentation so you don't report the code above the notation when a code shown in the notation may be more accurate.
A/An ____________ notation is a warning to stop and double-check the documentation so you don't report the code above the notation when a code shown in the notation may be more accurate.
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A physical reaction, such as fever and chills, to an unspecified pathogen is a diagnosis referred to by the acronym:
A physical reaction, such as fever and chills, to an unspecified pathogen is a diagnosis referred to by the acronym:
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The presence of unknown bacteria in the blood may be diagnosed as:
The presence of unknown bacteria in the blood may be diagnosed as:
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The rules for coding uncertain diagnoses for patients of an inpatient facility are different from those for outpatients. You will find the guideline in which section?
The rules for coding uncertain diagnoses for patients of an inpatient facility are different from those for outpatients. You will find the guideline in which section?
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When there are no symptoms or manifestations this is known as:
When there are no symptoms or manifestations this is known as:
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Signs of Cellulitis include all of the following except:
Signs of Cellulitis include all of the following except:
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All of the following are types of pneumonia except:
All of the following are types of pneumonia except:
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Dysentery is transmitted by:
Dysentery is transmitted by:
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A _____ is used in the Alphabetic Index to indicate that additional characters are required.
A _____ is used in the Alphabetic Index to indicate that additional characters are required.
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What is the most common nail fungus infection?
What is the most common nail fungus infection?
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In the ICD-10-CM Tabular List turn to code G04.01. What notation do you find under this code?
In the ICD-10-CM Tabular List turn to code G04.01. What notation do you find under this code?
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The diagnosis of severe sepsis must include a(n):
The diagnosis of severe sepsis must include a(n):
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There are times when a fifth, sixth, or seventh character is required, yet there are no fourth, fifth, or sixth characters. In these cases, ICD-10-CM uses a placeholder character, the letter ____, so the following characters will fall into their correct locations.
There are times when a fifth, sixth, or seventh character is required, yet there are no fourth, fifth, or sixth characters. In these cases, ICD-10-CM uses a placeholder character, the letter ____, so the following characters will fall into their correct locations.
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In the ICD-10-CM Alphabetic Index turn to Pneumoconiosis. What punctuation(s) do you find?
In the ICD-10-CM Alphabetic Index turn to Pneumoconiosis. What punctuation(s) do you find?
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AMR stands for:
AMR stands for:
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What section of the ICD-10-CM code book would provide you with a suggested code to describe how a patient was injured?
What section of the ICD-10-CM code book would provide you with a suggested code to describe how a patient was injured?
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The ______ notation is a reminder that you are going to need another code to identify the underlying disease that caused the diagnosed condition.
The ______ notation is a reminder that you are going to need another code to identify the underlying disease that caused the diagnosed condition.
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Tuberculosis is transmitted by:
Tuberculosis is transmitted by:
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Once you have a suggested code from the Alphabetic Index, Neoplasm Table, Table of Drugs and Chemicals, and/or the Index to External Cause Codes, you will need to find that code in the:
Once you have a suggested code from the Alphabetic Index, Neoplasm Table, Table of Drugs and Chemicals, and/or the Index to External Cause Codes, you will need to find that code in the:
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Study Notes
ICD-10-CM Coding Fundamentals
- Principal diagnosis for HIV patients with unrelated conditions is the unrelated condition itself.
- ICD-10-CM Tabular List organizes codes in alphanumeric order with complete descriptions.
- Equal severity diagnoses should be reported in head-to-toe anatomical order.
Official Guidelines Overview
- Section II pertains to the selection of principal diagnosis in ICD-10-CM.
- Inflammation is a tissue reaction to infection or injury, leading to pain, swelling, and redness.
- The Table of Drugs and Chemicals outlines drugs and chemicals that may cause poisoning or adverse reactions.
Exposure Types and Guidelines
- Touch exposure involves interaction with blood and bodily fluids, facilitating pathogen transmission.
- Codes should never be reported directly from the Alphabetic Index without verification from the Tabular List.
- Symbols in the Tabular List indicate the requirement for additional characters.
Screening and Diagnosis
- Screening involves testing seemingly well individuals for early disease detection.
- First step in code lookup is to find the main term in the Alphabetic Index.
- Influenza cases require coding for the condition and its manifestations.
Infectious Agents and Conditions
- Fungi include mushrooms, yeast, and mold, while Staphylococcus aureus indicates a bacterial infection.
- Salmonella poisoning should be coded as salmonella.
- Specific pathogens must be identified to appropriately code severe sepsis cases.
Neoplasm and Infection Definitions
- The Neoplasm Table categorizes tumorous conditions by anatomical location and features.
- Acute conditions are severe, while chronic conditions continue over long periods.
- Principal diagnosis reflects the primary reason for a patient’s hospital admission.
Diagnostic Notations and Coding Practices
- NEC represents "not elsewhere classifiable," while differential diagnosis refers to uncertain diagnoses.
- Excludes notations signal the need for code verification, while Includes notation elaborates associated terms.
- Codes for septic shock require multiple entries to reflect the underlying conditions accurately.
Infection Transmission and Signs
- Infections can spread through droplet, touch, and all forms of exposure.
- Symptoms like fever and chills without identified pathogens can be indicated as SIRS (Systemic Inflammatory Response Syndrome).
- Community-acquired pneumonia applies to cases not recently exposed to healthcare facilities.
Specific Pathogen Considerations
- Tuberculosis transmission occurs via air, while dysentery is linked to contaminated water consumption.
- Bacteremia diagnoses identify the presence of bacteria in the bloodstream.
- The condition necessitating the greatest hospital resources characterizes the principal diagnosis.
Important Punctuation and Coding Knowledge
- Slanted brackets in the Alphabetic Index specify related conditions, while parentheses indicate relevant diagnoses.
- A hyphen in the Alphabetic Index highlights the need for additional characters.
- The coding for conditions developed in healthcare settings is labeled as nosocomial.
Coding Guidelines and Requirements
- The correct coding sequence for SIRS requires identification of the underlying cause and acute organ dysfunction.
- Placeholder character "X" is used when additional characters are necessary but unavailable.
- AMR stands for Antimicrobial Resistance, impacting treatment strategies in healthcare.
Conclusion
- Understanding the layout and guidelines of the ICD-10-CM codebook is essential for accurate medical coding.
- Awareness of common infectious diseases and their coding conventions assists in proper documentation and billing.
Studying That Suits You
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Description
This quiz covers key concepts from Chapters 4 and 5 of the Medical Coding curriculum, focusing on the ICD-10-CM guidelines. Study the rules for coding principal diagnoses and other important coding procedures. Perfect for students preparing for exams in medical coding and billing.
