Term
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Definition
T or F: Do not code symptoms routinely associated with a disease |
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Term
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Definition
CODE
gastroenteritis with abdominal pain |
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Term
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Definition
T or F: You should code symptoms if they are not routinely associated with a disease |
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Term
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Definition
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Term
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Definition
CODE
Urinary tract infection with hematuria |
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Term
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Definition
T or F: Hematuria is a common symptom of UTIs, and therefore would not be coded |
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Term
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Definition
When a diagnosis is documented as "possible", "probable", "likely", "questionable", "?", "rule out", or "suspected", the coder should:
a) should code the condition for inpatient services
b) should code the condition for outpatient services
c) should code the condition for both inpatient and outpatient services
d) should not code the condition for either inpatient or outpatient services |
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Term
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Definition
Outpatient services:
a) are coded to highest level of certainty
b) you would code a diagnosis even if it was labeled probable, likely, questionable, rule out, possible, or suspected
c) often requires symptom coding
d) often has a diagnosis to code at discharge
e) all but b
f) all but a
g) a and c
h) all but d |
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Term
Code both and sequence the acute code first |
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Definition
If the same condition is described as both acute (subacute) and chronic, and separate subterms exist in the alphabetic diagnosis index at the same indentation level, what do you do? |
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Term
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Definition
CODE
Acute and Chronic cystitis |
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Term
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Definition
If two or more interrelated conditions can be the principal diagnosis:
a) you code only one of the conditions
b) either condition can be sequenced first
c) if treatment is directed at one condition more, that is the principal diagnosis
d) all but a
e) all but b |
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Term
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Definition
T or F: When two or more contrasting diagnoses are documented as "either/or" or "versus", either may be sequenced as the principal diagnosis |
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Term
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Definition
A symptom is followed by contrasting diagnoses. How would you code this?
a) code the symptom code only
b) code one of the contrasting diagnoses only
c) code both contrasting diagnoses but not the symptom
d) code the contrasting diagnoses first and the symptom second as principal diagnoses
e) code the symptom first and then the contrasting diagnoses as principal diagnoses |
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Term
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Definition
Chest pain secondary to hiatal hernia versus costochondritis. You code as principal diagnosis:
a) chest pain only
b) hiatal hernia only
c) costochondritis only
d) either hiatal hernia or costochondritis
e) chest pain, hiatal hernia, costochondritis
f) chest pain, hiatal hernia
g) chest pain, costochondritis
h) hiatal hernia, costochondritis, chest pain
i) both hiatal hernia and costochondritis |
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Term
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Definition
A patient was admitted to the hospital for care. However, the treatment was not performed due to unforeseen circumstances. The principal diagnoses would be: a) A V code that said treatment was not done b) A symptom code c) the diagnosis for which the patient was admitted to the hospital d) V code that diagnosis is unknown |
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Term
the residual condition, late effect |
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Definition
A residual condition from a prior injury, disease, adverse effect of medication, or poisoning is the reason for admission. Which would be sequenced first: the residual condition or the cause of the residual condition? What type of code would explain the cause of a residual condition? |
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Term
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Definition
CODE
Residual scar from old burn to arm
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Term
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Definition
a biopsy that involves an incision |
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Term
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Definition
a biopsy that is performed without an incision--by endoscope, percutaneous aspiration, or brush |
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Term
the entire lesion is removed |
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Definition
An excisional biopsy is coded to "excision, lesion" under what circumstances? |
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Term
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Definition
T or F: An operative approach is normally considered a routine part of the operation and is not coded |
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Term
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Definition
A laparotomy with appendectomy is done. You code:
a) laparotomy only
b) laparotomy, appendectomy
c) appendectomy only
d) appendectomy, laparotomy
e) either laparotomy or appendectomy |
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Term
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Definition
A biopsy is a(n) __________ procedure.
a) operative
b) diagnostic |
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Term
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Definition
A biopsy is performed, and it is the only procedure performed. You would code:
a) the biopsy only
b) biopsy, operative approach
c) operative approach, biopsy
d) operative approach only |
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Term
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Definition
CODE
Exploratory laparotomy with percutaneous liver biopsy |
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Term
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Definition
Many laparoscopic procedures are substituting open procedures because:
a) they are less invasive
b) healing time is quicker
c) hospital stay is shorter
d) all of the above |
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Term
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Definition
If a laparoscopic procedures is converted to an open procedure, code:
a) laparoscopic procedure, V code for operation conversion, open procedure
b) open procedure, laparoscopic procedure, V code for operation conversion
c) open procedure, V code for operation conversion, laparoscopic procedure
d) V code for operation conversion, laparoscopic procedure, open procedure
e) V code for operation conversion, open procedure, laparoscopic procedure
f) laparoscopic procedure, V code for operation conversion
g) open procedure, V code for operation conversion
h) V code for operation conversion, laparoscopic procedure
i) V code for operation conversion, open procedure
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Term
Laparoscopic surgical procedure converted to open procedure |
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Definition
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Term
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Definition
There are no codes for bilateral procedures in ICD-9-CM. How would you code it?
a) use the unilateral code once
b) use the unilateral code twice
c) use the unilateral code X 2
d) use the unilateral code with a modifier saying it was a bilateral procedure |
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Term
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Definition
V codes can be found under:
a) admission for b) encounter for c) follow-up d) attention to
e) history of f) status post g) examination h) aftercare i) problem
j) screening for k) long-term use l) all of the above
n) all but c, d, h |
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Term
accident occurred at home |
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Definition
What does E849.0 indicate? |
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Term
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Definition
CODE
Accidental poisoning with acetaminophen |
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Term
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Definition
CODE
Patient's injury was due to fall from ladder |
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Term
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Definition
CODE
Patient was cut in a powered lawn mower accident |
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Term
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Definition
CODE
Patient's injury occurred while playing basketball |
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