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CORRECT ANSWERS |\
Alphabetic Index of the ICD-10-CM - CORRECT ANSWERS
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✔✔referenced first to identify the diagnostic term or |\ |\ |\ |\ |\ |\ |\ |\
condition to be coded |\ |\ |\
provide the first few characters for the code to then use
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to locate the appropriate section within the Tabular List to
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complete the code.
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Tabular List - CORRECT ANSWERS ✔✔provide additional
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information needed to code the condition correctly such
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as Excludes 1 notes (not coded here), Excludes 2 notes
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(not included here), Code First, Code Also, and so forth
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Excludes 1 notes - CORRECT ANSWERS ✔✔not coded here
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Excludes 2 notes - CORRECT ANSWERS ✔✔(not included
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here)
Coding clinics - CORRECT ANSWERS ✔✔published
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quarterly by the American Hospital Association (AHA).
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These provide clarification and advice on how to
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implement and interpret the Official Guidelines for Coding
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,and Reporting. Any person can submit a question to the
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AHA for assistance. All questions will receive a response
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and those deemed most beneficial to the industry will be
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published.
CPT® codebook - CORRECT ANSWERS ✔✔copyrighted
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and published by the American Medical Association (AMA)
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encoder nosology - CORRECT ANSWERS ✔✔platform for
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the CDI professional to seek guidance and ask specific
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questions regarding the correct coding and sequencing |\ |\ |\ |\ |\ |\ |\
for various scenarios
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Principal diagnosis: - CORRECT ANSWERS ✔✔"that|\ |\ |\ |\ |\ |\
condition established after study to be chiefly responsible
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for occasioning the admission of the patient to the
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hospital for care" |\ |\
Secondary (Other) diagnosis - CORRECT ANSWERS ✔✔"all |\ |\ |\ |\ |\ |\
conditions that coexist at the time of admission, that
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develop subsequently, or that affect the treatment
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received and/or the length of stay" (p. 107). In other
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words, to meet this definition, the condition must have
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received one or more of the following: |\ |\ |\ |\ |\ |\
Clinical evaluation; or |\ |\
Therapeutic treatment; or |\ |\
,Diagnostic procedures; or |\ |\
Extended length of hospital stay; or |\ |\ |\ |\ |\
Increased nursing care and/or monitoring.
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approved by the four organizations that make up the
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Cooperating Parties for the ICD-10-CM - CORRECT |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔American Hospital Association (AHA), the
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American Health Information Management Association
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(AHIMA), CMS, and NCHS. |\ |\ |\
The Alphabetic Index consists of the following parts -
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CORRECT ANSWERS ✔✔the Index of Diseases and Injury,
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the Index of External Causes of Injury, the Table of
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Neoplasms and the Table of Drugs and Chemicals. |\ |\ |\ |\ |\ |\ |\
The ICD-10-CM Tabular List contains - CORRECT ANSWERS
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✔✔categories, subcategories and codes
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"X" - CORRECT ANSWERS ✔✔used as a placeholder at
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certain codes to allow for future expansion.
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NEC - CORRECT ANSWERS ✔✔"Not elsewhere classifiable"
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This abbreviation in the Alphabetic Index represents
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"other specified." When a specific code is not available
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, for a condition, the Alphabetic Index directs the coder to
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the "other specified" code in the Tabular List.
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NOS - CORRECT ANSWERS ✔✔"Not otherwise specified"
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This abbreviation is the equivalent of unspecified.
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NEC - CORRECT ANSWERS ✔✔Not elsewhere classifiable"
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This abbreviation in the Tabular List represents "other
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specified". When a specific code is not available for a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition, the Tabular List includes an NEC entry under a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
code to identify the code as the "other specified" code.
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[ ] - CORRECT ANSWERS ✔✔Brackets are used in the
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Tabular List to enclose synonyms, alternative wording or
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explanatory phrases. Brackets are used in the Alphabetic |\ |\ |\ |\ |\ |\ |\ |\
Index to identify manifestation codes. |\ |\ |\ |\
( ) - CORRECT ANSWERS ✔✔Parentheses are used in both
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the Alphabetic Index and Tabular List to enclose
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supplementary words that may be present or absent in |\ |\ |\ |\ |\ |\ |\ |\ |\
the statement of a disease or procedure without affecting
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the code number to which it is assigned. The terms within
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the parentheses are referred to as nonessential
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modifiers.