Deck 18: Icd-9-Cm Coding

Question 1

The Alphabetic Index for ICD-9-CM is organized by

A) the part of the body involved.
B) symptoms the patient displays.
C) codes found in the Tabular List.
D) the condition.
E) b and d

Answer 1

The ICD-9-CM refer to the international classification of disease, ninth revision, clinical modification which is used for reporting patient disease, sign and symptoms of disease, and condition of patient. This codes are updated in every year and it is maintained by world health organization.
The alphabetic index is organized by the condition of the patient, not the body part in which the disease or condition occurs.
Hence, option (a) is incorrect.
The alphabetic index does not organized based on the symptoms display of the patient.
Hence, option (b) is incorrect.
The alphabetic index contains all the medical term which is required to locate codes in the tabular list.
Hence, option (c) is incorrect.
The coding system begins with looking up in the medical term that explains the patient condition.
Hence, option (e) is incorrect.
The alphabetic index is organized by the condition of the patient, not the body part in which the disease or condition occurs.
Hence, option (d) is correct.
Hence, the correct answer is option
.

Question 2

A. A female patient is taking a medication that is known to affect the lining of the endometrium. She received an endometrial biopsy and pelvic ultrasound to monitor changes. What type of ICD-9 code is used to describe the medical need for these services?
B. A patient fell off a ladder while on the job, spraining his left ankle and fracturing the right femur. In addition to the main code, what type of ICD-9 code is used to report his diagnosis?

Answer 2

It is to be noted that the ICD-9 codes are unique in nature so the two types of health problems or conditions associated with the same do not have a similar code.
The uniqueness of codes is helpful in maintaining accuracy. The chances of reporting false health conditions and situations can be avoided.
The ICD-9 code for endometrial biopsy is 68.13 and the ICD-9 code for pelvic ultrasound is 793.6. Such practices are done in order to assess the health conditions.
The ICD-9 code for sprain in left ankle is 845.00 and for fracture in right femur 821.00. It is to be noted that the main code for a situation of fall from ladder is W11.XXXA
The V codes prove out to be helpful in reporting the conditions associated with the health problems, diseases etc. It is necessary to maintain the accuracy while reporting such codes so that the chances of mistakes could be avoided in associated with the health maintenance.

Question 3

What are some of the potential ramifications for the physicians and patients with the original erroneous diagnosis code of poisoning by psychostimulants?

Answer 3

The metropolitan health center covers the obstetrical department which is contracted with anchor health insurance. Surprise visiting of auditor request medical record of 20 patients. In the last 45 days, the company received a claim of a patient with a diagnosis of psychostimulants (969.7x) poisoning. Further investigation found that none of the patients has a diagnosis of poisoning but the company does not receive any clam of C-sections. This happened because of a coding error, the correct code should be 669.7x.
Several ramifications for the physician and patient can occur with the original inaccurate diagnosis code of poisoning by psychostimulants. The physician can be trapped in the medico-legal issue because of an inaccurate diagnosis of the patient. As the incorrect coding can lead to the health risk of the patient. Physicians have to pay a penalty if the incorrect coding system is used to diagnose the disease.
Similarly, the patient may be in trouble if he or she received the wrong diagnosis. Incorrect coding can lead to receive wrong treatment and medication which can lead to an impact on their health and wellbeing. Instant of improving health, the patient may be in trouble with receiving the wrong medication.
Hence, several consequences occur because of incorrect coding of disease or diagnosis.

Question 4

The Tabular List of ICD-9-CM is organized by

A) the condition of the patient.
B) the codes found in the Alphabetic Index.
C) the symptoms of the patient.
D) the part of the body involved.
E) All of the above

Question 5

Underline the main term in each of the following diagnoses and then determine the correct ICD-9 codes.
a. Cerebral atherosclerosis
b. Spasmodic asthma with status asthmaticus
c. Congenital night blindness
d. Recurrent inguinal hernia with obstruction
e. Incomplete bundle branch heart block

Question 6

Should the ICD-9 code 669.7x be routinely used for Cesarean sections?

Question 7

Which of the following is the correct meaning for ICD-9-CM?

A) International Coding of Diagnoses Ninth ed, Clinical Modification
B) International Classification of Diagnoses, Ninth Revision, Clinical Modifiers
C) Internal Classification of Diseases, Ninth Revision, Clinical Modification
D) Internal Classification of Diagnoses, Ninth Revision, Clinical Modification
E) International Classification of Diseases, Ninth Revision, Clinical Modification

Question 8

Why is the insurance company interested in the quality of care for their patients?

Question 9

What is the first step in choosing an ICD-9 code?

A) Locating Volume 1
B) Locating Volume 2
C) Locating the "what is wrong with the patient"
D) Locating "where the problem is located"
E) c and d

Question 10

Which of the following would require a V code?

A) Physical exam with no findings
B) Physical exam with findings
C) A fall from a ladder
D) Visual condition such as astigmatism
E) All of the above

Question 11

Which of the following would require an E code?

A) Physical exam with no findings
B) Physical exam with findings
C) A fall from a ladder
D) Visual condition such as astigmatism
E) None of the above

Question 12

When will ICD-10-CM and ICD-10-PCS be implemented?

A) January 2012
B) October 2012
C) January 2013
D) October 2013
E) A date is not yet confirmed

Question 13

What is the correct ICD-9 code for noninsulin-dependent diabetes mellitus without complication?

A) 250.00
B) 250.01
C) 250.0
D) 250.1
E) a and c

Question 14

What are the correct code(s) and sequence for a patient with hypertension in congestive heart failure (CHF)?

A) 428.0, 402.91
B) 402.91, 428.0
C) 402.11, 428
D) 402.90, 428.1
E) 428.0, 402.90

Question 15

Which of the following is the correct format to code Strep throat?

A) 462, 041.00
B) 462, 041,02
C) 462, 038
D) 034.0
E) 034.0, 462