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2024 CODING GUIDELINES EXAM Q’S AND A’S 100% SCORES!!
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2024 CODING GUIDELINES EXAM Q’S AND A’S 100% SCORES!!
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2024 CODING GUIDELINES EXAM Q’S ANDA’S 100% SCORES!!
What are the Conventions for the ICD-10-CM? - -The conventions for the ICD-
10-CM are the general rules for use of the classification independent of the
guidelines. These conventions are incorporated within the Alphabetic Index
and Tabular List of the ICD-10-CM as instructional notes.
-What are The Alphabetic Index and Tabular List? - -The ICD-10-CM is
divided into the Alphabetic Index, an alphabetical list of terms and their
corresponding code, and the Tabular List, a structured list of codes divided
into chapters based on body system or condition. The Alphabetic Index
consists of the following parts: the Index of Diseases and Injury, the Index of
External Causes of Injury, the Table of Neoplasms and the Table of Drugs and
Chemicals.
-What the Format and Structure of the tabular? - -The ICD-10-CM Tabular
List contains categories, subcategories and codes. Characters for categories,
subcategories and codes may be either a letter or a number. All categories
are 3 characters. A three-character category that has no further subdivision
is equivalent to a code. Subcategories are either 4 or 5 characters. Codes
may be 3, 4, 5, 6 or 7 characters. That is, each level of subdivision after a
category is a subcategory. The final level of subdivision is a code. Codes that
have applicable 7th characters are still referred to as codes, not
subcategories. A code that has an applicable 7th character is considered
invalid without the 7th character.
-What's the Use of codes for reporting purposes? - -For reporting purposes
only codes are permissible, not categories or subcategories, and any
applicable 7th character is required.
-What's the Placeholder character? - -The ICD-10-CM utilizes a placeholder
character "X". The "X" is used as a placeholder at certain codes to allow for
future expansion. An example of this is at the poisoning, adverse effect and
underdosing codes, categories T36-T50. Where a placeholder exists, the X
must be used in order for the code to be considered a valid code.
-What's the 7th Characters used for? - -Certain ICD-10-CM categories have
applicable 7th characters. The applicable 7th character is required for all
codes within the category, or as the notes in the Tabular List instruct. The
7th character must always be the 7th character in the data field. If a code
that requires a 7th character is not 6 characters, a placeholder X must be
used to fill in the empty characters.
, -What's the abbreviation for NEC mean in the Alphabetic Index? - -"Not
elsewhere classifiable"
This abbreviation in the Alphabetic Index represents "other specified." When
a specific code is not available for a condition, the Alphabetic Index directs
the coder to the "other specified" code in the Tabular List.
-What's the abbreviation for NOS mean in the Alphabetic Index? - -"Not
otherwise specified"
This abbreviation is the equivalent of unspecified.
-What's the abbreviation for NEC mean in the Tabular List? - -"Not
elsewhere classifiable"
This abbreviation in the Tabular List represents "other specified". When a
specific code is not available for a condition, the Tabular List includes an NEC
entry under a code to identify the code as the "other specified" code.
-What's the abbreviation for NOS mean in the Tabular List? - -"Not
otherwise specified"
This abbreviation is the equivalent of unspecified
-What is the bracket punctation for? - -Brackets are used in the Tabular List
to enclose synonyms, alternative wording or explanatory phrases. Brackets
are used in the Alphabetic Index to identify manifestation codes.
-What is the pararentheses punctation for? - -Parentheses are used in both
the Alphabetic Index and Tabular List to enclose supplementary words that
may be present or absent in the statement of a disease or procedure without
affecting the code number to which it is assigned. The terms within the
parentheses are referred to as nonessential modifiers. The nonessential
modifiers in the Alphabetic Index to Diseases apply to subterms following a
main term except when a nonessential modifier and a subentry are mutually
exclusive, the subentry takes precedence. For example, in the ICD-10-CM
Alphabetic Index under the main term Enteritis, "acute" is a nonessential
modifier and "chronic" is a subentry. In this case, the nonessential modifier
"acute" does not apply to the subentry "chronic".
-What is the colon punctuation used for? - -Colons are used in the Tabular
List after an incomplete term which needs one or more of the modifiers
following the colon to make it assignable to a given category
-What does "other" codes mean? - -Codes titled "other" or "other specified"
are for use when the information in the medical record provides detail for
, which a specific code does not exist. Alphabetic Index entries with NEC in the
line designate "other" codes in the Tabular List. These Alphabetic Index
entries represent specific disease entities for which no specific code exists,
so the term is included within an "other" code.
-What does unspecified codes mean? - -Codes titled "unspecified" are for
use when the information in the medical record is insufficient to assign a
more specific code. For those categories for which an unspecified code is not
provided, the "other specified" code may represent both other and
unspecified.
-What is the incudes note mean? - -This note appears immediately under a
three-character code title to further define, or give examples of, the content
of the category.
-What is the Inclusion terms? - -List of terms is included under some codes.
These terms are the conditions for which that code is to be used. The terms
may be synonyms of the code title, or, in the case of "other specified" codes,
the terms are a list of the various conditions assigned to that code. The
inclusion terms are not necessarily exhaustive. Additional terms found only
in the Alphabetic Index may also be assigned to a code.
-What is Excludes Notes? - -The ICD-10-CM has two types of excludes notes.
Each type of note has a different definition for use, but they are all similar in
that they indicate that codes excluded from each other are independent of
each other.
-what is the Excludes1 note? - -A type 1 Excludes note is a pure excludes
note. It means "NOT CODED HERE!" An Excludes1 note indicates that the
code excluded should never be used at the same time as the code above the
Excludes1 note. An Excludes1 is used when two conditions cannot occur
together, such as a congenital form versus an acquired form of the same
condition.
An exception to the Excludes1 definition is the circumstance when the two
conditions are unrelated to each other. If it is not clear whether the two
conditions involving an Excludes1 note are related or not, query the provider.
For example, code F45.8, Other somatoform disorders, has an Excludes1
note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is
an inclusion term under F45.8. Only one of these two codes should be
assigned for teeth grinding. However psychogenic dysmenorrhea is also an
inclusion term under F45.8, and a patient could have both this condition and
sleep related teeth grinding. In this case, the two conditions are clearly
unrelated to each other, and so it would be appropriate to report F45.8 and
G47.63 together.
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