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Chapter 16 Kinn's Administrative Medical Assistant All Possible Questions and Answers with complete solution

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Review the Official Coding Guidelines to assign the most accurate ICD-10-CM diagnostic code. - An important section of the coding manual is the ICD-10-CM Official Guidelines for Coding and Reporting. Every coding guideline for the entire ICD-10-CM code set is included in this Coding Guidelines se...

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  • August 25, 2024
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Chapter 16 Kinn's Administrative
Medical Assistant.
Review the Official Coding Guidelines to assign the most accurate ICD-10-CM diagnostic code. - An
important section of the coding manual is the ICD-10-CM Official Guidelines for Coding and Reporting.
Every coding guideline for the entire ICD-10-CM code set is included in this Coding Guidelines section at
the beginning of the manual. These guidelines are a set of rules developed to accompany and
complement the official conventions and instructions provided in the ICD-10-CM proper.



Identify the structure and format of the International Classification of Diseases, 10th Revision, Clinical
Modification (ICD-10-CM). - Depending on the publisher, the ICD-10-CM coding manual will vary
somewhat in layout, symbols, color coding, and some other features. However, the format, conventions,
tables, appendixes, content, and basic structure are always the same.

Every ICD-10-CM code begins with an alphabetic letter that indicates the chapter of disease and injury in
which the code is listed. (All the letters in the English alphabet are used except U, which WHO has
reserved to assign to new diseases with uncertain etiologies.) Codes contain up to 7 alphanumeric
characters; the first 3 characters are followed by a period. Codes that require a 7th character may use an
X as a placeholder for the 4th, 5th, and 6th characters if no other code can be used for those characters.



Describe the historical use of the International Classification of Disease (ICD) in the United States and
describe how diagnostic coding is related to medical necessity. - In 1946, the International
Commission of the World Health Organization (WHO) established a code set called the Manual of the
International Statistical Classification of Diseases, Injuries, and Causes of Death (ICD). Eventually, WHO
approved an adaptation of this code set for use in the United States; the ninth edition, the International
Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), was approved and put into
use in 1975. The United States adopted ICD-10-CM diagnostic coding on October 1, 2015.

349The diagnostic code tells the insurance company why a procedure was done. If the diagnosis does
not match the procedure, then the insurance company can say that it was not medically necessary and
not pay for the procedure.



Describe how to use the Alphabetic Index to select main terms, essential modifiers, and the appropriate
code (or codes) and code ranges. - The ICD-10-CM Index to Diseases and Injuries (commonly
called the Alphabetic Index) consists of an alphabetic list of diagnostic terms and related codes. This
index includes main terms, nonessential modifiers, essential modifiers, and subterms. Fig. 16.3 provides
an example of the main term Colitis; which is followed by the nonessential modifiers (acute), (catarrhal),
(chronic), (noninfective), and (hemorrhagic). The second essential modifier listed under the main term is
"amebic (acute)," and the subterm listed under amebic is "nondysenteric." The main term is bold face;

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