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Chap 2. Basic ICD-9
Basic ICD-9-CM Coding, chapter 2, scraffenberger
| Question | Answer |
|---|---|
| Hosptial outpatient departments and other ambulatory facilities are required to use what to code outpaient procedures? Likewise, physician practices are also required to use these. | Current Procedural Terminology, Fourth Edition (CPT) & the Healthcare Common Procedure Coding System (HCPCS) |
| Volume that has 17 chapters. It has codes that begin with digits 00. Chapters describe operations and procedures. Some ICD-9 market books do not include this volume. | Volume 3. |
| Volume 3 of ICD-9-CM uses numeric codes only. How many digits do the codes consists of? | 3-4 with 2 digits preceding a decimal point. |
| This phrase is seen in volume 3 it can serve as a reminder to code additional procedures that are often performed together, or it directs the coder to assign a specific code along with the code in question. | "code also" |
| This phrase is seen in volume 3 it indicates that no code is to be assigned and usually applies to the following procedures: An exploratory procedure; usual surgical approaches; blunt, digital, manual, or mechanical lysis of adhesions; the closure portion | "omit code" |
| You should never code what together with a definitive procedure (ex. cholecystectomy) regaurdless if it is not mentioned in ICD-9. | operative approach (ex. exploratory laparotomy) |
| When an endoscopic definitive procedure is performed but the endoscopic code is not available or included in the code what code should you assign? | The open difinative procedure code is assigned. (ex. Nephrectomy) |
| If an endoscopic approach is unsucessful and a surgeon elects to perform an open approach to complete the procedure what codes are assigned? | The open procedure (ex. appendectomy) & a supplementary V code. |
| When an endoscope is passes through more than one body cavity the code for the endoscope should identify what? | The most distant site. (ex- esophgogastroduodenoscopy) |
| In Volume 3's Alphabetic Index to Disease what main term is used to locate the code that describes changing from endoscopic procedure to an open procedure? | Conversion |
| An endoscope for examining the peritoneal or abdominal cavity. | Laparoscope |
| What type of code would a cancelled procedure be? | It would be under the diagnosis codes and the appropreate V code for the cancled procedure would be assigned. V64 "Procedure not done." |
| If an incision is made on a patient for surgery but the surgery could not be completed what would you code? | Code the site of the inciscion. |
| Regurdless of the order done when coding an extensive 'surgical' procedure and a biopsy what should always be coded 1st? | Surgical procedure *(-tomy does not need to be coded) |
| If ICD-9 does not provide a single code for a biopsy and -scopy how should you code it? | You use seperate codes. One for -scopy and 1 for the biopsy. |
| In some cases ICD-9 provides a single code to identiy that a bilateral procedure was performed such as 53.10, Bilateral inguinal hernia repair. If ICD-9 does not identify a procedure as being performed bilaterally how should it be coded? | You assign the code twice. ex) 79.04 and 79.04, Closed reduction of two finger fractures. |
| Procedural codes 00.31-00.39. It is coded based on what imaging technologies are used. It uses various technologies in planning, performance, and completion of sugical procedures. | Computer-Assisted surgery (CAS) |
| Codes 17.41-17.4. Technology that uses a robot to assist in surgical procedures. | Robotic-Assisted Surgery |
| Codes 92.30-92.39. A painless radiation procedure that treats tumors of the brain, spinne, lung, prostate, and other sites. | Robotic Radiosurgery |
| Who requires the Department of Health and Human Services to establish national standars for electronic healthcare transactions and national identifiers for providers, health plans, and employers? | Health Insurance Portability and Accountability Act of 1996 (HIPPA) |
| What must hoptials use (instead of ICD-9) for outpatient services? | Healthcare Common Procedure Coding System with Current Procedural Terminology, 4th edition. HCPCS/CPT on the uniform bill (UB-01)or electronic claim form. |
| According to the UHDDS all significant procedures need to be reported. How is a procedure identified as significant? | 1. Is surgical in nature 2. Carries a procedural risk 3. Carries an anethetic risk 4. Requires specialized training |
| A procedure coding system that will be used for codding of all inpatient procedures. Codes are 7 characters long, they are alphanumeric and constructed from tables. | ICD-10-PCS |
| Root operation term which can be used to locate a procedure in the index. It is defined as cutting out or off without replacement, all of a body part. | Resection 'OFT' code |
| Root operation term which can be used to locate a procedure in the index. It is defined as cutting out or off without replacement, a portion of a body part. | Excision |
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