NOS stands for:
- no ovary status.
- not optional selection.
- not otherwise specified.
- not otherwise stated.
NOS stands for not otherwise specified.
Not Otherwise Specified (NOS): The absence of additional details documented in the notes.
In which of the following situations would NOS be used?
- The physician did not provide more details in his or her notes.
- The physician only stated a sign in his or her notes.
- The physician stated the detail, but there is not a code to match.
- The physician stated the detail, but placeholders are needed.
NOS is used when the physician did not give enough detail in the documentation.
Physician’s Desk Reference (PDR): A series of reference books identifying all aspects of prescription and over-the-counter medications, as well as herbal remedies.
Italicized brackets are used to:
- show alternate terms.
- surround an additional code or codes that must be included with the initial code.
- show additional descriptions that are also included in the description of the code.
- None of these
Italicized brackets are found in the Alphabetic Index and will surround an additional code or codes that must be included with the initial code.
The terms included within ____________ in a code description are called nonessential modifiers.
- brackets
- a colon
- italicized brackets
- parentheses
The terms included within parentheses in a code description are called nonessential modifiers.
Nonessential Modifiers: Descriptors that are not absolutely necessary to have been included in the physician’s notes and are provided simply to further clarify a code description; optional terms.
Which of the following punctuation is found in the Alphabetic Index?
- Brackets
- Colons
- Italicized brackets
- Italicized brackets and parentheses
Italicized brackets and parentheses are found in the Alphabetic Index. Italicized brackets are found in the Alphabetic Index and will surround additional code(s) that must be included with the initial code. Items within parentheses in the Alphabetic Index include additional descriptions, terms, or phrases that are also included in the description of the particular code, also called nonessential modifiers.
Anatomical Site: A specific location or part of the human body.
A combination code includes:
- both a diagnosis and a procedure.
- two or more diagnoses.
- two or more procedures.
- None of these
Combination codes exist with a description that includes two or more diagnoses identified in one patient at the same time.
Co-Morbidity: A separate condition or illness present in the same patient at the same time as another unrelated condition or illness.
"Other specified" is equivalent to:
- NEC.
- NOS.
- unknown.
- unspecified.
The abbreviation NEC is equivalent to "other specified."
Other Specified: Additional information that the physician specified and isn’t included in any other code description.
Which of the following seventh characters is used to show that a fracture being coded is a subsequent encounter for a fracture with delayed healing?
- A
- D
- G
- K
The seventh character G identifies a subsequent encounter for a fracture with delayed healing.
Fracture: Broken cartilage or bone.
NEC stands for:
- non-elective contraindication.
- not elsewhere classifiable.
- noted exceptional condition.
- notations, exceptions, and classifications.
The abbreviation NEC is for not elsewhere classifiable.
Not Elsewhere Classifiable (NEC): Specifics that are not described in any other code in the book; also known as not elsewhere classified.
Which of the following seventh characters is used to show that a fracture being coded is a subsequent encounter for fracture with nonunion?
- A
- D
- G
- K
The seventh character K identifies a subsequent encounter for fracture with nonunion.
Fracture: Broken cartilage or bone.
Which of the following seventh characters is used to show that the injury being coded is for a late effect?
- A
- D
- S
- X
The seventh character S is for sequela/late effect.
Late Effect: Cause-and-effect relationship between an original condition, illness, or injury and an additional problem caused by the existence of that original condition. Time is not a requirement for a diagnosis as a late effect because the additional concern may be present at any time.
Which of the following seventh characters is used to show that the injury being coded is a subsequent encounter?
- A
- D
- S
- X
The seventh character D is for subsequent encounter.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.
Which of the following seventh characters is used to show that the injury being coded is the initial encounter?
- A
- D
- S
- X
The seventh character A is for initial encounter.
Anomaly: Abnormal, or unexpected, condition.
Some ICD-10-CM codes require a seventh character. Most often the seventh character choices will be listed at the:
- bottom of the code category.
- bottom of the page.
- top of the code category.
- top of the page.
Most of the choices for the seventh character will be at the top of the code category.
ICD-10-CM: The acronym for International Classification of Diseases, Tenth Revision, Clinical Modification.
When the ICD-10-CM indicates that a fourth digit is available, its use is:
- mandatory.
- optional.
- recommended.
- irrelevant.
If an additional digit is available, it is mandatory to use it.
ICD-10-CM: The acronym for International Classification of Diseases, Tenth Revision, Clinical Modification.
Which of the following codes indicates the highest level of specificity available for a dislocation of a sacroiliac and sacrococcygeal joint, subsequent encounter?
- S33.D
- S33.2A
- S33.2XXD
- S33.3XXD
S33.2XXD is the highest level of specificity available for a dislocation of sacroiliac and sacrococcygeal joint, subsequent encounter. S33.2XXD: Index>dislocation>sacroiliac joint>subsequent encounter.
Dislocation: The displacement of a limb, bone, or organ from its customary position.
The guidelines direct a coder to exclude any conditions or diagnoses:
- that have no impact on the current treatment or service.
- that cannot be reimbursed.
- for which tests results are inconclusive.
- for which insurance companies will deny payment.
Code only those symptoms, conditions, problems, or complaints that directly correlate to the encounter.
Condition: A health-related situation.
Which of the following facilities is permitted to code a diagnosis identified as probable?
- Physician's office
- Inpatient hospital facility
- Outpatient hospital facility
- Urgent care
Only inpatient facility coders can assign a diagnosis code stated as possible, probable, likely, suspected, or rule out.
Inpatient Facility: An establishment that provides acute care services to individuals who stay overnight on the premises.