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Chapters 1-6 study guide Questions and Answers

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Chapters 1-6 study guide Questions and Answers What is the definition of "Principal Diagnosis"? The condition established After Study to be chiefly responsible for why the patient was admitted Why is the designation of the correct principal diagnosis so important? info used in cost compar...

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  • December 17, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • IFPC
  • IFPC
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Chapters 1-6 study guide Questions and
Answers
What is the definition of "Principal Diagnosis"? - answer The condition established
After Study to be chiefly responsible for why the patient was admitted

Why is the designation of the correct principal diagnosis so important? - answer info
used in cost comparisons, in care analysis, and utilization review. Crucial for
reimbursement

3 of the guidelines for designating the principal diagnosis - answer •Two or more
diagnoses that equally meet the definition. •Original treatment plan not carried out. •2 or
more comparable or contrasting conditions.

What conditions must be met in order for a diagnosis to be listed as "other" diagnosis? -
answer clinical evaluation, therapeutic treatment, further evaluation by studies,
procedures, or consultation, extended length of hospital stay, increased nursing care or
monitoring

The admission diagnosis must always be the same as the principal diagnosis for
inpatient admissions. True or False? - answer False

in the case of outpatient reporting, if the physician does NOT identify a definitive
condition or problem at the conclusion of a visit, what should the coder do? - answer
Report the documented chief complaint as the reason for the visit

Accurate and ethical ICD-10-CM and ICD-10-PCS coding depends on correctly
following which of the items below? - answer All instructions in the coding manuals

All official guidelines developed by the Cooperating Parties

Coding advice published in the AHA Coding Clinic

How many chapters does the tabular list have? - answer 22

What is the most amount of characters a code can have? - answer 7

What is used as a placeholder character? - answer x to allow for future expansion

main terms - answer identify disease conditions or injuries

Subterms - answer indicate site, type or etiology for conditions or injuries.

, a dash indicates (-) - answer additional characters are required

Carryover lines - answer are used only when the complete entry cannot fit on a
single line.

Alphabetization rules ignores the following: - answer single spaces between words,
single hyphens within words, the final s in the possessive forms of words

Late effects of an earlier condition may be found in the Alphabetic Index under which of
the following terms? - answer Sequelae

The Alphabetic Index consists of the Index of Diseases and Injuries, the Index to
External Causes, the Neoplasm Table, the Hypertension Table, and the Table of Drugs
and Chemicals. True or False? - answer False

The system of alphabetization in the ICD-10-CM Alphabetic Index ignores single
hyphens within words. True or False? - answer True

Words such as "with," "in," "due to," and "associated with" are used to express the
relationship between the main term or a subterm and an associated condition or
etiology. True or False? - answer True

Which type of instructional note is used in the Tabular List of Diseases to identify a code
for a condition that is a manifestation of an underlying disease? - answer "Code first
underlying condition" note.

What do the abbreviations NEC and NOS mean? - answer NEC (not elsewhere
classified) is used in the Alphabetic Index to indicate that there is no separate code for
the condition. NOS (not otherwise specified) is the equivalent of "unspecified" and is
used only in the Tabular List.

Terms in parentheses should always be present and will always affect the code to which
a given term is assigned. True or False? - answer False

What does the word "and" mean when it appears in a code title, such as "Unspecified
anomalies of face and neck"? - answer The condition may be present in both the
face and the neck, or in the face, or in the neck

Which of the following punctuation marks are not used in ICD-10-CM?

Parentheses

Colons

Semicolons

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