When a code first note is present and the patient has an underlying condition the underlying condition should be sequenced first?
When a Code First Note is present and the patient has an underlying condition, the underlying condition should be sequenced first. Wherever such a combination exists, a Use Additional Code Note is found with the etiology code, and a Code First Note is found with the manifestation code.
What index should the coder always refer to first?
The coder should always refer to the Tabular Index first. A neoplasm or new growth is coded by the site or location of the neoplasm and its behavior. Etiology refers to the underlying cause or origin of a disease. The "code first" notation can usually be ignored.
Which of the following letters in the ICD 10 CM is reserve by the World Health Organization to assign new diseases with uncertain etiology?
Which letters is reserved by the World Health Organization to assign new diseases with uncertain etiology in the ICD-10? All of the letters in the English language alphabet are used except for the letter "U," which has been reserved by the World Health Organization to assign new diseases with uncertain etiology.
Which of the following is the second most common medical document from which diagnostic statements can be extracted quizlet?
Treatment notes: The second most common medical document from which diagnostic statements can be extracted.
What is the purpose of the alphabetic index in ICD-10?
Alphabetic Index: An alphabetical list of ICD-10-CM (Clinical Modification) terms and their corresponding codes, which helps to determine which section to refer to in the Tabular List. It does not always provide the full code.
When is it appropriate to code from the alphabetic index?
It is acceptable to assign codes directly from the Alphabetic Index of the ICD-9-CM. When sequencing codes for residuals and late effects, the residual code is generally sequenced first followed by the late effect code. It is important to follow any cross-reference instructions, such as SEE ALSO.
Why is it important to use both the alphabetic index and the?
It is essential to use both the Alphabetic Index and Tabular List when locating and assigning a code. The Alphabetic Index does not always provide the full code. Selection of the full code, including laterality and any applicable 7th character can only be done in the Tabular List.
What do brackets [] indicate in the ICD-10-CM alphabetic Index?
manifestation codes[ ] Brackets are used in the Tabular List to enclose synonyms, alternative wording, or explanatory wording. Brackets are used in the alphabetic Index to identify manifestation codes.
Which code is sequenced first when coding injuries?
The code for the most serious injury, as determined by the provider and the focus of treatment, is sequenced first. Superficial Injuries- Superficial injuries such as abrasions or contusions are not coded when associated with more severe injuries of the same site.
What is any condition that results from a disease injury or treatment for a disease or injury?
A complication in medicine, or medical complication, is an unfavorable result of a disease, health condition, or treatment.
What is the main term in the alphabetic index?
The main term entry in the Alphabetic Index is usually followed by the code number for the unspecified condition. The unspecified code should never be assigned without a careful review of subterms to determine whether a more specific code can be located.
When documents are added to a patient's paper record the most recent information should be placed on top?
When documents are added to a patient's chart, the most recent information should be placed on top. Outguides are heavy guides used to replace a folder that has been removed temporarily. By legal definition, if it isn't charted, then it didn't happen. Numeric filing provides extra confidentiality to medical records.
When a code first note is present and the patient has an underlying condition, should the underlying condition be sequence
The HIV virus is present. When a Code First Note is present and the patient has an underlying condition, the underlying condition should be sequenced first. Wherever such a combination exists, a Use Additional Code Note is found with the etiology code, and a Code First Note is found with the manifestation code. Both statements are true.
Is a condition a complication?
All conditions that occur during or following medical care or surgery are classified as complications. There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication. Both statements are true.
