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ICD-10-CM OP coding
Rules/Guidelines for coding Outpatient encounters
| Question | Answer |
|---|---|
| For which setting were the codes developed for the definition of Discharge Data Set? | Inpatient |
| in the outpatient setting, the "first-listed diagnosis" is used instead of what in the inpatient setting? | principal diagnosis |
| Where should the coder beginning in the search for the correct code - with the Index or the Tabular List? | Alphabetic Index |
| What is the term used for the reason for the encounter from the patient's perspective? | Chief Complaint (CC) |
| How will the Chief Complaint with help the coder? | Helps in identifying the diagnosis that should be listed first on the claim. |
| True or False? When reporting the first-listed diagnosis, the coding conventions and specific guidelines of the ICD-10-CM take precedence of the outpatient guidelines. | True |
| If there is no definitive diagnosis, but signs and symptoms are listed in the medical record and addressed during the visit, what will the first-listed diagnosis be? | Signs and Symptoms |
| If a patient shows up for a scheduled same day surgery, what should the first-listed code be? | The reason for the surgery |
| What should the coder place as first-listed diagnosis if the same day surgery case is cancelled? | The reason for the surgery |
| What term means "blood in stool"? | Melena |
| What term in the Index that would lead you to the code for "bloody diarrhea"? | blood > in > feces (Melena) |
Created by:
ZonaB2
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