Exam 4: Steps in Diagnostic Code Selection

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The instructional notes in the Tabular List take precedence over the instructional notes in the Alphabetic Index.

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Sally Smith is selecting a code for the statement "left displaced fracture of posterior column of acetabulum." The main term to reference is ____________________.

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fracture

It is essential to use both the Alphabetic Index and the Tabular List when locating and assigning a code.

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For the statement "acute antitubular basement membrane nephritis," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

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A complete listing of diagnoses for inpatients is typically recorded on the _____.

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In the ICD-10-CM Index to Diseases and Injuries, the primary arrangement for diagnoses is by _____.

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The processing of medical claims will be enhanced through the use of ICD-10-CM codes.

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Medical documentation needs to be reviewed prior to code assignment.

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The "See" notes in the Tabular instruct coders to view additional sections of the Tabular.

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Sally Smith is reviewing an inpatient record for coding. She notes that the face sheet, diagnostic testing reports, and discharge summary contain different diagnoses. What should she do to code the diagnoses?

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In the statement "acute sinusitis due to allergies," the modifying term is ____________________.

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When coding the diagnostic statement "sarcoidosis of the skin of the right upper extremity," the main term to reference is ______.

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In the diagnostic statement "chronic allergic sinusitis due to animal dander," the modifying term(s) is (are) ______.

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For the statement "oligospermia due to efferent duct obstruction," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

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In the statement "bursitis of the right knee and ankle," the main term is ____________________.

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The main term to be referenced in the ICD-10-CM Index to Diseases and Injuries for the statement "complex tear of lateral meniscus of the right knee" is ____________________.

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ICD-10-CM codes indicate laterality.

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In the diagnostic statement "hysterical glottis spasm," the main term is _____.

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The instructional "See" and "See also" notes are considered ____________________ notes.

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The main term in the diagnostic statement "acute staphylococcal hematogenous osteomyelitis of the femur" is ______.

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