ICD-10-CM Components Questions and answers, 100% Accurate, rated A+

ICD-10-CM Components Questions and answers, 100% Accurate, rated A+ ICD-10-CM - ✔✔-a coding system specifically used to identify diseases or injuries for which a patient is being treated. Coding involves an alphanum ...

ICD-10-CM Components Questions and answers, 100% Accurate, rated A+ ICD-10-CM - ✔✔-a coding system specifically used to identify diseases or injuries for which a patient is being treated. Coding involves an alphanumeric coding structure, which is a combination of letters and numbers. Where to Find Diagnostic Statements in Health Record - ✔✔-Operative reports: Contain information or diagnostic statements made by the provider Discharge summary: Reviews a patient's diagnosis at the time the patient is discharged from an inpatient facility Ancillary services reports: Contain information from radiologists and pathologists that support the patient diagnosis through imaging and lab information History and physical exam report: Provide a past look at the patient's health, as well as information about the patient's current physical status used to come up with a diagnosis ICD-10-CM Coding Structure - ✔✔-Codes can consist of three to seven characters Character 1 is alpha (letter) Character 2 is numeric Characters 3, 4, 5, 6, and 7 may be either alpha or numeric A decimal is placed after the third character Examples: A18.01 (code for tuberculosis of the spine) O9A.319 (code for physical abuse complicating pregnancy, unspecified semester) S90.922A (code for unspecified superficial injury of left foot, initial encounter) ICD-10-CM Characters 1, 2, 3 - ✔✔-The first three characters represent the code category, such as the category in which the disease or injury belongs. An example of a category is Certain Infectious and Parasitic Diseases. ICD-10-CM Characters 4, 5, 6 - ✔✔-Characters 4, 5, and 6 represent the etiology, anatomic site, and severity. ICD-10-CM Character 7 - ✔✔-If a code has seven characters, the seventh character is also called the "extension code." It is used mainly to define specific details of injury, poisoning, consequences of external causes and pregnancy, childbirth, and puerperium (postpartum). Main Terms (ICD-10-CM) - ✔✔-Represent the essence of the disease definition without any details Appear in bold Nonessential Modifiers (ICD-10-CM) - ✔✔-Serve as supplementary words or explanatory information Are placed in parentheses Do not affect the code assignment Essential Modifiers (ICD-10-CM) - ✔✔-Terms that change the description of the diagnosis (in bold) Indented one space to the right Located under the main term Subterms (ICD-10-CM) - ✔✔-Indented one space to the right Found in alphabetic index and used for diagnoses Located under the essential modifier Used when all conditions exist Table of Neoplasms (ICD-10-CM) - ✔✔-Lists neoplasms according to anatomic site Neoplasms are further classified into six categories: Malignant Primary Malignant SecondaryCa [cancer] in situ Benign Uncertain Behavior Unspecified Behavior Table of Drugs and CHEMICALS (ICD-10-CM) - ✔✔-Is used to identify poisonings and external causes of adverse effects Uses six coding classifications: Poisoning, Accidental (Unintentional) Poisoning, Intentional Self-HarmPoisoning, Assault Poisoning, Undetermined Adverse EffectUnderdosing Tabular List (ICD-10-CM ) - ✔✔-The Tabular List is divided into 21 chapters. The titles of the chapters indicate a group of diseases and injuries. Titles may also use etiology and body parts to group the codes. All titles are followed by a code range. Here are a few examples: Chapter 10: Diseases of the Respiratory System (J00-J99)Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) Chapters are further divided into categories, called blocks. Each block has an assigned three-digit character code. This three-digit code is the foundation of the ICD-10-CM coding structure. It is the first set of three characters. Place Card Holder (Tabular Convention ICD-10-CM) - ✔✔-The dummy placeholder "X" is used in two ways: As the fifth character in some six-character codes, which allows the code to be expanded on in the future without interrupting the six-character structure. As a placeholder for filling empty character spaces for the fourth, fifth, or sixth characters, when using a seven-character code. Example: V73.9XXA The code V73.9 is provided and the coding requires an "A" in the seventh position. Therefore, the X's in the fifth and sixth positions are inserted as placeholder characters. Extension Codes (Tabular List Convention ICD-10-CM) - ✔✔-The seventh character is the extension code, which provides more specific information about the condition. For example: "A" indicates initial encounter. "D" indicates subsequent encounter. "S" indicates sequela. Example: S65.002D The code represents a diagnosis of unspecified injury of ulnar artery at wrist and hand level of left arm, subsequent encounter. The "D" designates the subsequent encounter. Punctuation (Tabular List Convention ICD-10-CM) - ✔✔-The main forms of punctuation used for the Tabular List include: Braces: Enclose a series of terms, each of which is modified by the statement appearing to the right of the brace. They help coders read and understand the codes. Brackets: Enclose synonyms, alternative wording, or explanatory phrases. They help coders read and understand code descriptions. Example: B02 Zoster [herpes zoster] Instructional Notation (Tabular List Convention ICD-10-CM) - ✔✔-Located right under the main term, instructional notations are words that provide important coding instructions for accuracy. They let the coder assign codes to a high level of specificity. Examples of instructional notations are: Includes: Indicates to the coder that certain conditions should be included in the code. Example: K25 Gastric ulcer includes stomach ulcer Excludes: Tells the coder to not code something or not include something. Example: K25 Gastric ulcer excludes peptic ulcer Code first: Indicates that the underlying condition must be coded first in the sequence. Example: I41 Myocarditis in diseases classified elsewhere states to code first underlying disease, such as: typhus (A75.0-A75.9) Use additional code: Tells the coder to include the etiology code. Example: I20 Angina pectoris states to use additional code to identify: tobacco use (Z72.0) Chapters of Tabular List of Diseases and Injuries (ICD-10-CM) - ✔✔-Possible Diagnosis* ICD-10-CM Code 1 Certain Infectious and Parasitic Diseases A00-B99 Measles B05.9 2 Neoplasms C00-D49 Colon cancer C18.9 3 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism D50-D89 Iron-deficient anemia D50.9 4 Endocrine, Nutritional and Metabolic Diseases E00-E89 Type I diabetes E10 5 Mental, Behavioral and Neurodevelopmental Disorders F01-F99 Dementia F03 6 Diseases of the Nervous System G00-G99 Parkinson's disease G20 7 Diseases of the Eye and Adnexa H00-H59 Glaucoma H40.9 8 Diseases of the Ear and Mastoid Process H60-H95 Otitis media, left ear H60.92 9 Diseases of the Circulatory Syste