Diagnostic Coding Final
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| The Official Guidelines for Coding and Reporting are updated | Every year, annually.
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| When two or more diagnoses equally meet the definition for principal diagnosis, | Either one can be selected as the principal diagnosis.
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| When is the use of a POA required? | For all acute-care facilities that are reimbursed under MS-DRGs.
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| "probable", "suspected", or "likely" | Acceptable diagnosis terms to assign codes in the inpatient setting.
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| In the inpatient setting, | A CPT code cannot be assigned for a procedure code.
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| A procedure code from the ICD-9-CM Volume 3 would, | Be assigned to identify a procedure in the inpatient setting.
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| In the inpatient setting, the physician documents possible aspiration pneumonia in the discharge summary. | The aspiration pneumonia is coded as if it exists.
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| A procedure that is performed for definitive treatment rather than for diagnostic or exploratory purposes, or one necessary to take care of a complication is. | A principal procedure
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| Is not defined as the most serious condition during a patient's hospital stay, | The principal diagnosis
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| Also called the "first-listed" diagnosis in the inpatient setting, | What is the principal diagnosis
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| NOT responsible for the development of the ICD-10-PCS, | Who is The American Hospital Association
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| Responsible for the development of the ICD-10-PCS, | Who is The Centers for Medicare and Medicaid Services (CMS)
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| The ICD-10-PCS has, | What is a Seven-character alphanumeric code structure.
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| The Tabular List of the ICD-10-PCS contains, | Grids that represent the last four characters of a procedure code.
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| The removal of a tooth is an example of an | What is an Extraction
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| A procedure that carries an anesthetic risk, is surgical in nature, and requires specialized training, | What is a significant procedure.
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| When a patient is admitted with dysuria due to a severe urinary tract infection, the diagnosis would be, | Urinary tract infection
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| If the discharge summary states the patient's diagnosis are peptic ulcer disease versus chronic cholecystitis, | Then either one can be the principal DX.
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| If the discharge summary states the patient's diagnosis is acute abdominal pain due to peptic ulcer disease or cholecystitis, then... | you would report all three
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| If a patient is admitted following an outpatient procedure because of an exacerbation of the patient's asthma, then... | You would diagnosis the exacerbation of asthma
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| The Uniform Hospital Discharge Data Set | What is the acronym UHDDS
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| Resection: | What is the root operation that is defined as cutting out or off, without replacement, all of the body part.
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| Release: | The root operation that is defined as freeing of a body part.
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| Drainage: | The root operation that is defined as taking into or letting out of fluids and/or gases in a part of the body.
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| Revision of device in: | The root operation that is defined as correcting a portion of a previously performed procedure.
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| Repair: | The root operation that is defined as restoring, to the extent possible, a body part to its natural anatomic structure.
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| True of False: A patient does have to be actively bleeding to code gastrointestinal hemorrhage. | False
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| When the fertilized ovum implants outside the uterus usually in the fallopian tubes is known as, | An Ectopic pregnancy
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| If the discharge summary states the patient's diagnosis is acute abdominal pain due to peptic ulcer disease or cholecystitis, then... | you would report all three
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| If a patient is admitted following an outpatient procedure because of an exacerbation of the patient's asthma, then... | You would diagnosis the exacerbation of asthma
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| The Uniform Hospital Discharge Data Set | What is the acronym UHDDS
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| Resection: | What is the root operation that is defined as cutting out or off, without replacement, all of the body part.
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| Release: | The root operation that is defined as freeing of a body part.
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| Drainage: | The root operation that is defined as taking into or letting out of fluids and/or gases in a part of the body.
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| Revision of device in: | The root operation that is defined as correcting a portion of a previously performed procedure.
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| Repair: | The root operation that is defined as restoring, to the extent possible, a body part to its natural anatomic structure.
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| True of False: A patient does have to be actively bleeding to code gastrointestinal hemorrhage. | False
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| When the fertilized ovum implants outside the uterus usually in the fallopian tubes is known as, | An Ectopic pregnancy
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| True or False: A V27 "outcome of delivery" code does not have to be assigned as an additional code to the baby's record. | True
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| True or False: A pathologic fracture is a break in a bone that happens because of the bone disease or weak bone. | True
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| True or False: The perinatal period does extend through the first 6 weeks following birth. | False
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| True of False: A post traumatic wound infection code DOES include a non-healing burn. | False
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| True of False: A complicated wound does not have to include a tendon. | True
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