Root Operations
Approaches
CM - Instructional Notes
CM - Coding Guidelines
Miscellaneous
100
Breaking solid matter in a body part into pieces
What is fragmentation
100
Application of force (indirectly applied) through the skin or mucous membrane
What is external
100
Coder has more specific diagnostic information than the classification system allows for
What is NEC - Not Elsewhere Classified
100
Probable or suspected conditions may be coded in the ___________ setting
What is inpatient
100
What code or code(s) would be assigned for: Pharyngitis (acute) (catarrhal) (gangrenous) (infective) (malignant) (membranous) (phlegmonous) (pseudomembranous) (simple) (subacute) (suppurative) (ulcerative) (viral) J02.9 Chronic (atrophic) (granular) (hypertrophic) J31.2
What is J31.2
200
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
What is supplement
200
Laparotomy
What is open
200
Terms which may be either present or absent in the statement of diagnosis and not affect code assignment
What is a non-essential modifier ( )
200
If an impending or threatened condition did not actually occur, and there is no code for impending what should the coder do
What is assign a code for the precursor condition or symptoms
200
When looking up a condition in the Alphabetic Index the coder should take the following actions, before going to the tabular
What is reviewing all nonessential modifier, subterms, instructional notes and following cross reference instructions.
300
The NEC (not elsewhere classified) root operation
What is repair
300
Utilizes instrumentation to visualize the site
What is endoscopic (percutaneous or via natural or artificial opening)
300
Which cross reference instruction need only be followed when all the specific diagnostic information cannot be found at the original entry accessed in the alphabetic index
What is see also
300
How many codes are usually required for a late effect and what do they represent
What is two codes - residual or manifestation and cause of the late effect
300
Name one specific concept that can be reflected in ICD-10-CM that was not present in ICD-9-CM
What is laterality, trimester, type of encounter (initial, subsequent or sequela
400
Laparoscopy with excision of old suture from mesentery
What is extirpation
400
Bronchoscopy
What is via natural or artificial opening endoscopic
400
A note instructing that the condition in question is not a part of the condition represented by the code. And in fact, the patient may have both conditions at the same time, requiring two codes
What is Excludes2 note
400
If you have a 7th character extender, but the code is only 4 characters in length what should the coder do
What is utilize the filler digit "x" for characters 5 and 6
400
What characters are reflected in a ICD-10-PCS Medical/Surgical code?
What is Section, Body System, Root Operation, Body Part, Approach, Device and Qualifier
500
Full-thickness skin graft (from buttock) to right lower arm
What is replacement and excision (for harvest of graft)
500
Needle biopsy of the thyroid
What is percutaneous
500
Code first instructional note is associated with
What is mandatory dual coding or the underlying disease
500
In reviewing the record, a coder, notices an elevated sedimentation rate. What action should be taken by the coder?
What is review the documentation for evidence of further evaluation, consultation, treatment, etc. If found, query physician about the need for an associated diagnosis.
500
A patient with recurrent nosebleeds (epistaxis) presents to the physicians office and has the bleeding vessel cauterized with silver nitrate. What is the root operation assigned to this case?
What is Destruction