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Ch. 3 ICD-10-CM and ICD-10-PCS Coding Conventions Questions and Answers $12.99   Add to cart

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Ch. 3 ICD-10-CM and ICD-10-PCS Coding Conventions Questions and Answers

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Ch. 3 ICD-10-CM and ICD-10-PCS Coding Conventions Questions and Answers conventions rules ICD-10-CM/PCS coding conventions can usually be found at the _____________________ of any ICD-10-CM/PCS coding manual beginning Coders are required to reference this material when reviewing __...

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  • November 24, 2024
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Ch. 3 ICD-10-CM and ICD-10-PCS Coding
Conventions Questions and Answers
conventions - answer rules

ICD-10-CM/PCS coding conventions can usually be found at the
_____________________ of any ICD-10-CM/PCS coding manual - answer
beginning

Coders are required to reference this material when reviewing
_______________________ (and patient records) to assign ICD-10-CM/PCS codes. -
answer case scenarios

Coding conventions for ICD-10-CM/PCS are: - answer general rules used in the
classification, and they are independent of the coding guidelines. These are
incorporated into ICD-10-CM/PCS as instructional notes.

Default Codes - answer (in ICD-10-CM indexes) a code listed next to a main term. It
represents that condition that is most commonly associated with the main term, or is the
unspecified code for the condition.

If a condition is documented in a patient record without any additional information, such
as acute or chronic, the _______________ code should be assigned. - answer
default

Syndromes - answer (in ICD-10-CM) an association of clinically recognizable
features such as signs, symptoms, and/or characteristics that often occur together, so
that the presence of one or more features alerts the health care provider as to the
possible presence of the others.

Coders should follow the ICD-10-CM ___________ guidance when assigning codes to
a syndrome, and in the absence of __________ guidance, assign codes for the
documented manifestations of the syndrome. - answer index

format - answer in ICD-10-CM/PCS uses an indented arrangement. All ICD-10-CM
Index to Diseases and Injuries subterms associated with an index entry's main term are
indented two spaces, with any 2nd and 3rd qualifiers associated with the main term
further indented by two and four spaces, respectively. In addition, if an index entry
requires more than one line, the additional text is printed on the next line and indented
five spaces.

typeface - answer ICD-10-CM/PCS uses boldface and italic font for ease in
reference.

, Boldface type is used for _________ term entries in the ICD-10-CM/PCS alphabetical
indexes, all codes and descriptions in the ICD-10-CM tabular list, and sections and
characters in ICD-10-PCS tables. - answer main

Italicized type is used for all ICD-10-CM tabular list __________1 and __________2
notes and to identify manifestation codes. - answer excludes

manifestation codes - answer codes that should not be reported as the first-listed or
principal diagnosis.

additional terms - answer are indented below the term to which they are linked in the
ICD-10-CM tabular list; if a definition or disease requires more than one line, that text is
printed on the next line and indented five spaces.

eponyms - answer are diseases or syndromes that are named for people. They are
listed in appropriate alphabetical sequence as main terms in the ICD-10-CM Index to
Diseases and Injuries. They are also listed as subterms below main terms "Disease"
and "Syndrome" in the index.

The ICD-10-CM indexes and tabular list contain _____________________ to save
space. - answer abbreviations

The abbreviation NEC stands for ______________________ and means "other" or
"other specified" and identifies codes that are to be assigned when information needed
to assign a more specific code cannot be located in the code book. - answer not
elsewhere classifiable

When a specific code is not available in the disease index for a condition, the coder is
directed to the "_______________________" code in the tabular list. (Regarding NEC.)
- answer other specified

The ICD-10-CM disease index and tabular list contain the abbreviation NOS which
stands for _____________________________ and is equivalent of "unspecified". It
identifies codes that are to be assigned when information needed to assign a more
specific code cannot be obtained from the provider. - answer not otherwise specified

Because selecting a code from the disease index based on limited documentation
results in the coder being directed to an "unspecified" code in the tabular list, the coder
should contact the __________________ to request that additional documentation be
provided so that a more specific diagnosis or procedure code can be assigned. - answer
physician

ICD-10-CM includes the following _______________________:

* brackets

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