Exam 5: ICD-9-CM Medical Coding

Appendices in Volume 1 (Tabular List of Diseases and Injuries) include all of the following EXCEPT: A)morphology of neoplasms. B)symptoms, signs, and ill-defined conditions. C)classification of industrial accidents according to agency. D)list of three-digit categories.

The Rule of Nines is used in coding to: A)estimate the degree of a burn. B)estimate the body surface area involved in a burn. C)identify the chemical used in an accident that resulted in burns. D)determine the location of a burn.

What are the four basic elements involved in coding burns?

Volume 3 of the ICD-9-CM is known as the: A)Alphabetic Index of Diseases. B)Tabular/Numerical List of Diseases. C)Alphabetic List of Procedures. D)Tabular and Alphabetic Index of Procedures.

A fifth digit is always required for coding diabetes.

In addition to the reimbursement process, ICD-9-CM codes are used by outside agencies to: A)forecast healthcare needs. B)conduct studies of disease trends. C)review costs and evaluate facilities. D)all of the above.

In 1948 the International Classification of Causes of Death (ICD) came under the direction of the: A)British government. B)U.S. Department of Health and Human Services. C)World Health Organization (WHO). D)National Council of Diagnostic Coding.

What is the proper way to code late effects?

As of 1948, the International Classification of Causes of Death name was changed to: A)International Classification of Deaths. B)International Listing of Causes of Death. C)International Causes of Diseases. D)International Classification of Diseases.

The treatment provided for a particular condition is known as its manifestation.

Key coding guidelines that apply to ICD-9-CM coding include: A)coding to the lowest level of specificity. B)coding to the highest level of certainty and specificity. C)coding the primary diagnosis after the current coexisting conditions. D)downcoding to avoid any question of abuse.

Internal and external injuries are always coded the same.

List the three key coding guidelines.

How should a coder use Volumes 1 and 2 of the ICD-9-CM book?

It is acceptable to code encounters for "probable" or "suspected" conditions on a UB-04 claim form to indicate a patient's admitting diagnosis.

If the physician cannot determine the diagnosis at the time of the encounter, the coder should: A)wait until a definite diagnosis is made. B)ask the physician to guess at a possible diagnosis. C)code the symptoms, signs, or reason for the encounter. D)code any preexisting or coexisting conditions.

The medical term that describes the condition for which a patient is receiving care is located in the physician's __________ statement in the medical record.

A symptom is an objective (measurable) indication that can be evaluated by the physician.

High blood pressure is considered a disease and should be coded from the hypertension table.

In Volume 2, a(n) __________ is a term indented beneath a main term that provides greater specificity about the diagnosis.