CPC Exam ICD conventions & guidelines latest 2022 100% pass

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CPC Exam ICD conventions & guidelines latest 2022 100% pass Precedence ✔✔Instructions and Guidelines of the classification take precedence over guidelines. Section I ✔✔general coding guidel ... ines and chapter specific guidelines Section II ✔✔selection of principal diagnosis for non outpatient settings Section III ✔✔Additional diagnoses in non-outpatient settings Section IV ✔✔Outpatient coding and reporting E&M ✔✔physicians' work New Patient ✔✔one who has not received any medical services by same physician or physician of the same specialty in the practice within the last 3 yrs. Established Patient ✔✔someone who has received medical services with in the last 3 yrs from the physician or another physician of the same specialty who belongs to the same group practice Chief Complaint ✔✔a brief statement describing the symptom, problem, diagnosis, or condition that is the reason a patient seeks medical care Volume 1 ✔✔aka Tabular, contains the disease and condition codes and the descriptions with the V codes and E codes Volume 2 ✔✔this is the alphabetic index of volume 1 Volume 3 ✔✔NOT USED ON CPC EXAM contains codes for surgical, therapeutic, and diagnostic procedures; used primarily by hospitals Volume 1 & Volume 2 ✔✔used in the inpatient and outpatient settings by physicians V codes ✔✔used to identify health care encounters that occur for other reasons other than illness or injury or to identify patients whose illness is influenced by special circumstances or problems E codes ✔✔used to describe the reason or external cause of injury, poisoning and other adverse effects. ICD updates ✔✔Yearly usually in October Tabular List ✔✔aka Volume I Consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999. Alphabetic Index ✔✔aka Volume II, look here first for codes Chapters ✔✔are the main division in the ICD-9-CM Sections ✔✔are composed of a group of three-digit codes representing a group of conditions or related conditions Categories ✔✔Composed of three-digit codes representing a single disease or condition. The three-digit code is used only if it is not further subdivided. Subcategories ✔✔Provide a 4th digit which is more specific then a category code in terms of cause, site, or manifestation of the condition. This must be used if available. Subclassification ✔✔Provides a 5th digit which gives the highest specificity of description to a condition. Use of it is mandatory if it is available. A code not reported to the full number of digits required is invalid nonessential modifiers ✔✔Terms in parenthesis who's presence/absences has no effect on the code. essential modifiers ✔✔are not enclosed in parentheses and are SUB TERMS that DO affect the selection of appropriate code Malignant hypertension ✔✔severe form of hypertension w/vascular damage and a diastolic pressure of 130 mmHg or greater Benign Hypertension ✔✔Mild or controlled hypertension and no damage to the vascular system or organs Unspecified Hypertension ✔✔this is not specified as benign or malignant in the diagnosis or medical record Malignant Neoplasm ✔✔further classified as to primary, secondary, or carcinoma in situ Primary malignancy ✔✔the original cancer site. malignant tumors are considered primary unless documented as secondary or metastatic Secondary malignancy ✔✔cancer that has metastasized(spread) to a secondary site either adjacent or remote region of the body Carcinoma in situ ✔✔IN CELL - cancer that is localized and has not spread to adjacent tissues or distant parts of the body Benign Neoplasm ✔✔noninvasive, non-spreading, nonmalignant Uncertain behavior ✔✔uncertain whether benign or malignant; borderline malignancy Unspecified Nature ✔✔a neoplasm is identified; however, no nature of the tumor is documented in the diagnosis or medical record Table of Drugs and Chemicals ✔✔contains a list of drugs and chemicals with the corresponding poisoning codes and E codes; part of Volume I NEC ✔✔not elsewhere classified; represents other specified; when code is not available for a condition the tabular includes an NEC entry NOS ✔✔not otherwise specified; equivalent of unspecified Other codes ✔✔usually with a 4th digit 8 or fifth digit 9; use when the medical record provides detail for which a specific code does NOT exist; NEC index entries; means "other" unspecified ✔✔usually with 4th digit 9 or 5th digit 0; when info does not give enough information to assign specific code, NOS; means "not specified" AND ✔✔means AND or OR in a title WITH ✔✔means associated with or due to SEE ✔✔another term should be referenced; go to the main term referenced with the "see" not to locate the correct code SEE ALSO ✔✔another main term that may also be referenced that may provide additional index entries that may be useful; not necessary if original main term provides the necessary code; might indicate a different way to look it up Guidelines ✔✔Guidelines are a set of rules developed to accompany and complement official conventions and instructions provided within the ICD9CM. when can you code 388.xx first ✔✔See I.C.6 How do you code hypertension with heart disease? ✔✔Code 402.xx followed by the type of heart failure is mentioned; See I.C.7.a.2 for the answer. How do you code hypertension with ESRD. ✔✔First code is 403.xx followed by the ESRD How do you code poisonings? ✔✔Poisonings - see guidelines I.C.17.e.2 trephination ✔✔drilling a hole in the skull to expose the dura mater tentorium cerebelli ✔✔an extension of the dura mater, separates the cerebrum from the cerebellum F wave ✔✔voltage change after electrical stimulation above the distal region of a nerve; used to measure NCV H reflex ✔✔hoffman reflex; reaction of muscles after electrical stimulation sensory fibers; used to dx proximal disease slanted brackets ✔✔in the alpha listing indicate mandatory additional codes and the order in which to list them [Show More]

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