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UNIT THREE CODING AND MEDICAL BILLINO 14 Basics of Diagnostic Coding viders VOCABILARY REVIEW eerination of the nature of a disease, injury, or congenital defect is a is any contact hetween a patient and a provider of vervice is an indication of the presence of an illness lists diagnostic torms and related codes in alghabetical onder 4. The 5._ are broad sections of the ICD-10-0M coding manual grouped by disease 6 Converting oral or wrilten descriptions into alphanumeric designations is called and injuries refers to the abbreviations, punctuation, sy that help the medical assistant or coder select an accurate and specific code 8 The is the information about the diagnosis or diagnoses of the paticnt that from the medical documentation 9. H&P stands for 10. is the system currently used in the United States for classifying disease to facilitate the collec- tion of statistical data Il. The SOAP notes system of documentation divides the information into what four arcas? 12. The term is found at the etiology code so that the underlying condition is sequenced first fol- lowed by the manifestation. 13. ICD. 1OMcodes can have up to characters. x is used to fill in for positions that dont have characters. 14. 15. To prepare for medical coding, the coder must analyze the patients health record and are used to map ICD-9-CM codes to the current ICD-10-CM diagnostic codes the diagnostic statement. 16. The coder must look up codes in thefirst before assigning the code. 187 Chapter 14 Basics of Diagnostic Coding rightO 2017 Ebevier, Inc. l rights reseved
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Answer #1

1. Diagnosis

2. Encounter

3. Manifestation

4. Alphabetic index

5. Chapter

6. Medical coding

7. Conventions

8. Diagnostic statement

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