[OHA573 MEDICAL OFFICE CODING] CHAPTER 2b: TUTORIAL

INSTRUCTION: Answer ALL questions

1. List the six (6) steps of procedure coding.

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2. Define the following instructional terms in the context of procedure coding:

a. Code Also
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b. Omit Code
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3. Athroscopical surgical procedure was cancelled and converted to an open surgery. Explain the
impact of this may have on procedure coding process. How many code(s) to be assigned?
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ICD-9CM | ICD-10
 [OHA573 MEDICAL OFFICE CODING] CHAPTER 2b: TUTORIAL

4. Why do you think a coder should also review physician’s list of diagnosis and procedures when
coding an operative procedure?
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5. Why do you think a coder should use postoperative diagnosis, instead of preoperative diagnosis
when coding a procedure?
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6. Using appropriate example, distinguish the concepts of sign and symptoms.

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7. Describe a situation when signs and symptoms can be coded.

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ICD-9CM | ICD-10
 [OHA573 MEDICAL OFFICE CODING] CHAPTER 2b: TUTORIAL

8. What do you understand by the concept of ‘an integral part of disease process’?
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9. List any five (5) terms that commonly used by the physician to indicate unconfirmed diagnosis.

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10. Laboratory results revealed Mr. Spearman’s potassium level is slightly elevated and beyond normal
range. This however, not coded in the case note. As an experienced clinical coder, you would
normally...
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11. List any five (5) qualifying terms that indicate an HIV/AIDS infection is unconfirmed diagnosis.
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ICD-9CM | ICD-10
 [OHA573 MEDICAL OFFICE CODING] CHAPTER 2b: TUTORIAL

12. Distinguish between the concept of symptomatic infection and asymptomatic infection.
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13. Provide two (2) guidelines for code selection of HIV/AIDS infection of the following scenarios:
a. HIV infections in Pregnancy, Childbirth and Peurperium
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b. Testing for HIV/ AIDS infection

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14. Provide any three (3) guidelines for sequencing HIV/AIDS infection codes.
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ICD-9CM | ICD-10
 [OHA573 MEDICAL OFFICE CODING] CHAPTER 2b: TUTORIAL

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15. Distinguish the following type of blood pressure-related conditions

a. Primary hypertension
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b. Secondary hypertension
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c. Transient hypertension
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16. What does benign hypertension mean in disease coding? How does it differ from malignant type of
hypertension?
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17. State how may code(s) to be assigned for the following cases of hypertension
a. Hypertensive renal disease WITH chronic renal failure
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b. Hypertensive heart AND renal disease

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c. Hypertensive retinopathy

ICD-9CM | ICD-10
 [OHA573 MEDICAL OFFICE CODING] CHAPTER 2b: TUTORIAL

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d. secondary hypertension
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18. Briefly explain the utility of the three (3) fifth-digit of myocardial infarction codes
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19. In the case of insufficient information an MI infarcted area, a coder should directly ask the physician
to specify the site. Provide any other ways a coder can determine the infarcted site or location.
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ICD-9CM | ICD-10
 [OHA573 MEDICAL OFFICE CODING] CHAPTER 2b: TUTORIAL

20. State any three (3) most common serum enzyme lab tests that usually performed to detect the
presence of MI. Using appropriate reference sources, briefly explain (using your own words) the
functions of these individual lab test. Please cite your reference.
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[Sources: _________________________________________________________________________]

21. List and briefly explain six (6) common causes of a cerebrovascular accident.
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END OF TUTORIAL QUESTIONS

ICD-9CM | ICD-10