Caution!!! Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 2

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1 My Coding Coach

2 Caution!!! You are entering the knowledge portal. Only proceed if you are prepared to expand your clinical knowledge and grasp of complex scenarios. No coding books are required for the flashcard quiz bank. 2

3 Question: How many types of excludes notes are there in ICD-10- CM? 3

4 Answer: There are two types of exclusion notes in ICD-10-CM. Excludes note 1 indicates Not Coded Here. Excludes note 2 indicates Not included Here. 4

5 Question: Does the term and have the same meaning in ICD-10-CM that it does in ICD-9-CM? 5

6 Answer: Yes, the term and has the same meaning between the two classifications. 6

7 Question: What term in ICD-10- CM is meant to be the equivalent of associated with or due to? 7

8 Answer: With is the term that has this meaning. This is the same as it was in ICD-9-CM. My Coding Coach Note: Coders will commonly find this terminology in the diabetes section of ICD-10-CM. Reference: ICD-10 Coding Guideline Conventions for the ICD-10 CM 1.A.14 Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 8

9 Question: These codes are found in the ICD-10-CM Alphabetic Index and they are next to the main term. What are these codes called? Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 9

10 Answer: These are called default codes. This means there is no further specificity such as acute or chronic and that is when the default code will be assigned. 10

11 Question: Has there been any significant change in the coding for laterality in ICD-10 CM from ICD-9-CM? 11

12 Answer: Yes, ICD-10 CM allows for the reporting of many conditions on the basis of laterality where ICD- 9-CM did not. Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 12

13 Question: May an ICD-10-CM diagnosis code be reported more than once for any encounter? Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 13

14 Answer: No, just like ICD-9-CM, diagnoses codes may not be coded and reported more than one time. 14

15 Question: A patient presents with abdominal pain and fever. The symptoms are documented as being due to acute appendicitis. Are the signs and symptoms coded in addition to the definitive diagnosis. Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 15

16 Answer: No, signs and symptoms are not coded in addition to the definitive diagnosis. 16

17 Question: The aftermath of a disease process that is causing management problems on later encounters is coded as a of the original condition. 17

18 Answer: Sequela. My Coding Coach Hint: Remember, there is no timeframe when a late affect can be coded! It can be immediate in the case of a cerebral infarction or significantly delayed. 18

19 Question: Is a pressure ulcer documented as healed assigned a code in ICD-10 CM? Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 19

20 Answer: No, pressure ulcers that are documented as healed are not assign a code in ICD- 10-CM as they are not considered clinically relevant. Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 20

21 Question: A patient is admitted to the hospital and documented as having chronic pain. Is that the equivalent of chronic pain syndrome when coding in ICD-10 CM? 21

22 Answer: No, chronic pain is not coded to chronic pain syndrome. The physician must provide that specific documentation. 22

23 Question: What entity was responsible for the development of the ICD-10-CM classification? 23

24 Answer: National Center for Health Statistics (NCHS) Copyright 2014, Lynn Thornton My Coding Coach, All Rights Reserved 24

Question: Copyright My Coding Coach All Rights Reserved

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