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Coding Conventions
Guidelines
Infectious Disease
Neoplasms
Blood,Endocrine,Nutritional and Metabolic Diseases
100
Follows the main term in the Alphabetic index, indicating that another term should be referenced
What is the "see"note
100
The correct sequencing of diagnostic statement: abdominal pain due to constipation vs cholelithiasis
What is abdominal pain as principal diagnosis followed by constipation and cholelithiasis as secondary diagnoses
100
The correct code for MRSA Pneumonia A. J15.212 B. J15.212, B95.62
What is A. J15.212
100
True or false, if the focus of the visit is to treat a neoplasm, the neoplasm is the principal diagnosis
What is true
100
If the type of diabetes mellitus is not documented, the default is this type.
What is type 2
200
Instructs the coder to use an additional code to identify the manifestation that is present
What is "use additional code"
200
The principal diagnosis for the treatment of anemia associated with a malignancy and the treatment is only for the anemia.
What is the malignancy as principal followed by anemia in neoplastic disease as a secondary diagnosis
200
True or false, coding of Infectious and Parasitic diseases always requires two codes.
What is false. It can sometimes only require a single code or a combination code.
200
When any of these terms are used, the neoplasm is coded as a secondary neoplasm
What is extension, invasion or metastasis (mets)
200
True or False? The body mass index must be taken from physician documentation.
What is false. The BMI may be taken from other clinicians.
300
The abbreviation for unspecified.
What is NOS
300
ICD-10-CM presumes a cause and effect between hypertension and this disease process
What is chronic kidney disease
300
The code for aymptomatic HIV
What is Z21 Asymptomatic HIV infection status
300
A patient is admitted with dehydration and lung cancer. Treatment was IV fluids. The correct sequencing of the diagnoses for this are....
What is dehydration for the principal diagnosis followed by a code for the lung cancer.
300
The code used for drug induced neutropenia
What is D70.2 Other drug induced agranulocytosis
400
A list of terms under a code, may be synonyms of the code title.
What is "includes" note
400
The same condition is described as acute and chronic, both are coded and this one is sequenced first.
What is acute?
400
The code for enteritis due to Salmonella
What is A02.0 Salmonella enteritis
400
Explain the difference between neoplasms of uncertain behavior and neoplasms of unspecified behavior
What is neoplasms of uncertain behavior are not histologically confirmed even after investigation. Neoplasms of unspecifed behavior , the behavior/morhology is not specified in the patients record
400
The code for lactose intolerance
What is E73.9 Lactose intolerance, unspecified
500
Contain nonessential modifiers which do not affect code assignment
What is parentheses
500
"Probable", "suspected", "likely", "possible" are not coded in this setting
What is outpatient
500
The code for E. coli Sepsis
What is A41.51 Sepsis due to Eshcerichia coli [E. coli]
500
Code the following: Cancer of the cecum with metastasis to the liver
What is C18.0 malignant neoplasm of cecum and C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct.
500
Code Type 1 diabetes mellitus with ketoacidosis, with coma
What is E10.11 Type 1 diabetes mellitus with ketoacidosis with coma