Medical Coding Practice Test

What does the term "sign" in ICD-9-CM refer to?

1. "omit code" coding procedure (ICD-9-CM)

2. "symptom" (ICD-9-CM)

3. "code as far as it proceeded. there are V codes available to code the diagnosis of surgery cancelled"

4. "code operative report"

The correct answer is: "code operative report"

In ICD-9-CM, the term "sign" refers to documenting objective evidence of a disease or condition that can be observed or measured by healthcare providers, such as a rash or abnormal heart sounds. Signs are distinguished from symptoms, which are the patient's subjective experiences, like pain or nausea. Therefore, choosing the correct answer, which is "code operative report," is essential in accurately capturing the objective findings or signs documented in the medical record for proper coding purposes. It's crucial for medical coders to accurately identify and code signs to ensure appropriate reimbursement and statistical tracking of diseases and conditions.