A medical assistant is reviewing the chart of a patient who has arteriosclerotic heart disease. In which of the following references should the assistant look for You are logged in as PAM appropriate diagnostic code?
Physicians' Desk Reference
CPT manual
HCPCS
ICD-10-CM coding manual
The Correct Answer is D
A. Physicians' Desk Reference: The Physicians' Desk Reference (PDR) provides drug information and is not used for diagnostic coding. It includes details about medications, such as their uses, dosages, and side effects.
B. CPT manual: The CPT (Current Procedural Terminology) manual is used to find codes for procedures and services provided by healthcare professionals, not diagnostic codes.
C. HCPCS: The Healthcare Common Procedure Coding System (HCPCS) is primarily used for coding supplies, equipment, and services not included in the CPT manual. It is not used for diagnostic coding.
D. ICD-10-CM coding manual: The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) manual is the correct reference for finding diagnostic codes, including those for arteriosclerotic heart disease.
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Correct Answer is D
Explanation
A. Alcohol: Alcohol can be used for cleaning but may not be sufficient for all minor surgical preparations. It is not considered an antiseptic in the context of preoperative skin cleaning.
B. Normal saline: Normal saline is used for irrigation and wound cleaning but does not have antiseptic properties.
C. Disinfectant: Disinfectants are used to clean surfaces and equipment but are not typically used directly on the skin for surgical preparation.
D. Antiseptic: Antiseptics, such as iodine-based solutions or chlorhexidine, are used to clean the skin and reduce the risk of infection before a minor surgical procedure.
Correct Answer is A
Explanation
A. Place the arm electrodes facing downward. The arm electrodes should be placed with the tabs facing downward to reduce the risk of artifacts on the EKG tracing caused by movement or improper lead contact.
B. Place the electrodes over bony prominences when possible. Electrodes should not be placed over bony prominences, as this can interfere with the accuracy of the EKG reading. Instead, they should be placed on soft tissue.
C. Place the leg electrodes downward. Leg electrodes should also be placed with the tabs facing downward to prevent artifacts, similar to the arm electrodes.
D. Place the chest electrodes in a straight line just below the nipple. Chest electrodes should be placed according to specific anatomical landmarks, not in a straight line, to ensure accurate heart rhythm tracing.