Exam 5: ICD-9-CM Medical Coding

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Match the following:
An area of coagulation necrosis in heart tissue
angina
A clot that forms in the heart, breaks away, and lodges in the coronary artery
malignant
Spasmodic, choking, or suffocative pain in the chest due to lack of oxygen in the heart muscles
ischemia
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An area of coagulation necrosis in heart tissue
angina
A clot that forms in the heart, breaks away, and lodges in the coronary artery
malignant
Spasmodic, choking, or suffocative pain in the chest due to lack of oxygen in the heart muscles
ischemia
A condition of elevated blood pressure, regardless of the cause
infarction
A condition that remains after a patient's acute illness or injury
benign
A term for diseases, syndromes, and procedures named for persons
residual effect
Any response to a drug that is noxious and unintended and occurs with proper dosage
adverse effect
Deficiency of blood in a body part, usually due to functional constriction or actual obstruction of a blood vessel
eponym
Type of neoplasm that does NOT have the properties of invasion or metastasis
embolism
Tumor cells that can invade surrounding structures or distant organs
hypertension
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Volume 3 of the ICD-9-CM is used by: A)physicians to code diagnoses and symptoms. B)physicians to code procedures. C)hospitals to code diagnoses and symptoms. D)hospitals to code procedures.

(Short Answer)
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Hypertension is defined in adults as 140/90 mm Hg on three separate readings recorded several weeks apart.

(True/False)
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A coder's first step in the reimbursement process is: A)registering the patient. B)reading and understanding the physician's documentation. C)filling out a claim form. D)calling the insurance carrier.

(Short Answer)
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Volume 1 of the ICD-9-CM is known as the: A)Alphabetic Index of Diseases. B)Tabular/Numerical List of Diseases. C)Tabular/Numerical Index of Diseases. D)Alphabetic List of Procedures.

(Short Answer)
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When the physician determines the patient's main reason for the encounter, this information is referred to as the: A)primary diagnosis. B)principal diagnosis. C)admitting diagnosis. D)chief complaint.

(Short Answer)
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A condition that remains after a patient's acute illness or injury is called a(n): A)complication. B)late effect. C)manifestation. D)adverse effect.

(Short Answer)
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Square brackets are used in Volume 1 to enclose: A)antonyms and synonyms. B)synonyms, alternate wording, or explanatory text. C)eponyms and other proper names. D)homonyms, alternate wording, or explanatory text.

(Short Answer)
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What indicator appears with certain codes to indicate that they are either new codes or something is different about them? A)The letter "N" B)Parentheses C)Brackets D)Symbols

(Short Answer)
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Subterms in an ICD-9-CM entry may show: A)the cause or origin of the disease. B)another name for the disease. C)a better description of the disease. D)treatments of the disease.

(Short Answer)
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A patient admitted to a hospital is given two diagnoses; the diagnosis that indicates the reason the patient needs hospital care is the __________ diagnosis.

(Short Answer)
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An E code would be used to report that a healthy person has become an organ donor.

(True/False)
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The chapters in Volume 1 (Tabular List of Diseases and Injuries) are grouped by: A)frequency of disease occurrence. B)treatment options for condition. C)complexity of condition. D)body system affected by condition.

(Short Answer)
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In coding late (residual) effects, the coder should: A)code only the cause of the late effect. B)code only the late effect. C)code first the cause followed by the code for the late effect. D)code first the late effect followed by the code for its cause.

(Short Answer)
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Volume 2 of the ICD-9-CM is the __________ of Diseases.

(Short Answer)
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An example of an eponym is: A)Hodgkin's disease. B)cardiovascular disease. C)rheumatoid arthritis. D)chronic disease.

(Short Answer)
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What is a combination code?

(Essay)
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Malignant neoplasms are classified as: A)primary, secondary, or carcinoma in situ. B)primary, secondary, or third-level. C)carcinoma in situ or noncarcinoma in situ. D)primary or secondary only.

(Short Answer)
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In Volume 2, the acronym NEC (not elsewhere classified) is used to indicate that: A)a condition hasn't been researched enough to be included in the classifications. B)the coder must choose between two similar codes. C)a specified form of the condition is classified differently. D)this is the first year a condition has been included in the classifications.

(Short Answer)
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The cause or origin of a disease is its: A)morphology. B)past history. C)etiology. D)pathology.

(Short Answer)
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