What is international classification of diseases for oncology
100
TRUE or FALSE: In the future, HIM practitioners will be manually assigning codes using SNOMED
What is False, SNOMED is an input system and clinical documentation will be captured in an EHR during the patient's stay in hospital
100
Encoders use a ____________ to assist coders with code selection.
What is a decision tree
100
DSM means?
What is diagnostic statistical manual
100
The 6th digit character in an obstetrical code identifies?
What is the episode of obstetrical care
200
In the code M9061/6, 9061 refers to?
What is histology
200
Another word for 'synonyms' is?
What is descriptions
200
Encoder systems look back at what has been coded and responds with messages regarding redundancy or missing codes thereby improving data quality for the dimension of?
What is completeness
200
DSM has _____ axes.
What is five
200
TRUE or FALSE
Z37^ Outcome of delivery can never be the MR diagnosis.
What is False, assigned as MR whenever a code from O10-O99 is not used.
300
Multiple primary & histology rules comes in 3 different formats. Name one format.
What is text, matrix, flowchart
300
Aortic aneurysm (disorder) is the FSN which means?
What is fully specified name
300
An * in the pathway indicated?
What is 'exclude codes' in Folio
300
Inadequate housing would fall under Axis # ____?
What is IV
300
Prolonged first stage for a primip (first time) mom is defined as?
What is greater than 18 hours of labour
400
Decipher TNM
What is T - primary tumour / N - regional lymph nodes (mets) / M - distant mets
400
The three core components of SNOMED are:
What is concepts, descriptions, relationships
400
A ? beside a pathway choice indicates?
What is additional information from CCS
400
An 'x' appering in a diagnostic code indicates?
What is a specific code number is required
400
Another phrase meaning 'failure to progress" is?
What is uterine inertia
500
For leukemias and lymphomas, what does the additional one digit code describe?
What is cell origin
500
One of the most populated hierarchies is clinical findings. What is included under CF?
What is signs, symptoms, abnormal findings
500
What tool when clicked on allows the coder to see other choices under the code rubric?
What is View Reference
500
The name of the assessment tool used to identify where a patient falls along the continuum of mental health illness is called?
What is GAF scale - global assessment of functioning scale
500
What is the MR diagnosis in the following scenario:
Term pregnancy, LOA, with application of forceps to the fetal head