Ch. 6 ICD-10-CM Coding Quiz

The ICD-10-CM Index and Tabular List contains:

A chronological list of codes compiled in 21 chapters based on body system or condition

A physician query process may be activated when:

A coder has questions about documented diagnoses or procedures/services

A patient with Lyme disease. The ICD-10-CM code assigned is:

A69.20

Which is the development of a pathologic condition that results from a drug or chemical substance that was properly administered or taken?

Adverse Effect

Which is an example of an iatrogenic illness?

Adverse reaction to contrast material injected prior to a scan

The Table of Neoplasms is an alphabetical index arranged by:

Anatomic site

Disease index entries for the main term lesion contain subterms according to:

Anatomic sites

The "see also" instruction is located after a main term in the ICD-10-CM index directs the coder to:

Another main term for a condition, found in the ICD-10-CM disease index entries

The patient came into the office seeking treatment for a fungal toenail infection. The ICD-10-CM code assigned to this case is:

B35.1

A patient has an ulcerative impetigo caused by superficial staph infection. The ICD-10-CM code assigned is:

B95.8, L01.09

Which are used in the index to identify manifestation codes and in the tabular list to enclose abbreviations, synonyms, alternative wording, or explanatory phrases?

Brackets

A patient came to the office to discuss treatment options for a new diagnosis of a malignant melanoma of the forehead. The ICD-10-CM code assigned to this case is:

C43.39

The ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting are prepared by:

CMS and NCHS

The guidelines are approved by the Cooperating Parties for ICD-10-CM/PCS, which include the:

CMS, NCHS, AHA, AHIMA

Wherever an etiology and manifestation combination of codes exists, the manifestation code contains an instructional note to:

Code first underlying disease

Which instruction requires the disease that manifest another condition to be sequenced first if present?

Code, if applicable, any casual condition first

Which is used after an incomplete term or phrase in theICD-10-CM index and tabular list when one or more modifiers is needed to assign a code?

Colon

Automating the medical coding process is the goal of:

Computer-assisted coding

Which term describes the origin of a tumor that involves two or more adjacent sites?

Contiguous

Morbidity pertains to:

Disease

The "see condition" instruction directs the coder to the main term for a condition, found in the ICD-10-CM:

Disease index

Which subterm is located in the index to indicate the presence of a cause-and-effect or causal relationship between two conditions?

Due to

A patient seen in the emergency department today has known Graves' disease; the patient present signs and symptoms of a thyroid storm, which include extremely elevated heart rate, blood pressure, and body temperature. Patient transferred to ICU with admitting diagnosis of Graves' disease with thyrotoxic storm. The ICD-10-CM code assigned to this admission is:

E05.01

The patient presents with type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema. The ICD-10-CM code is:

E11.319

Which is a face-to-face contact between a patient and a health care provider who assess and treats the patient's condition?

Encounter

A patient was seen in the office today requesting medications to assist with alcohol withdrawal. The ICD-10-CM code assigned is:

F10/239

Preadmission testing (PAT) is routinely completed prior to an inpatient admission or outpatient surgery to:

Facilitate the patient's treatment and reduce the length of stay

The ICD-10-CM Diagnostic Coding and Reporting Guidelines for Outpatient Services -- Hospital-Based Outpatient Services and Provider-Based Office Visits were developed by the:

Federal Government

The patient's daughter brought her father in for a follow-up of progressive Alzheimer's dementia. The ICD-10-CM code assigned to this case is:

G30.9

Which are translation dictionaries that can be used to roughly identify ICD-10-CM and ICD-10-PCS codes for their ICD-9-CM equivalent codes and vice versa?

General equivalence mappings

The first column of the Table of Drugs and Chemicals lists:

Generic names of drugs and chemicals

A 6-year-old patient was found to have colorblindness. The ICD-10-CM code assigned is:

H53.50

A 3-year-old patient was brought in to the physician office by the her mother because of fever, fussiness, and tugging at the right ear. Otoscopy confirmed acute infection of the canal, with erythema and pus in the canal noted on the exam. The ICD-10-CM code assigned to this case is:

H66.001

"Neoplasms are new growths, or tumors, which:"

Have uncontrolled cell reproduction

The patient was seen in follow-up for right bundle branch block with incomplete left bundle branch block. The ICD-10-CM code assigned to this case is:

I45.2

Which are general rules used in the classification of diseases and injuries and are incorporated into the ICD-10-CM as instructional notes?

ICD-10-CM coding conventions

Which is often found in the manifestation code title and indicates that the manifestation codes are a component of the etiology/coding convention?

In diseases classified elsewhere

Which appears in the ICD-10-CM tabular lists blow certain categories to further define, clarify, or give examples of the content of a code category?

Includes note

When the word "and" appears in the category titles and code descriptions in the ICD-10-CM Tabular List of Diseases and Injuries, it is:

Interpreted as meaning and/or

With implementation of the ICD-10-CM and ICD-10-PCS coding systems, ICD-9-CM will become a legacy coding system (or legacy classification system), which means:

It will be used to archive data but will no longer be supported or updated by the ICD-9-CM Coordination and Maintenance Committee

A patient was seen with complaints of melena and iron deficiency anemia. The patient has a strong family history of stomach cancer. The ICD-10-CM codes assigned to this case is:

K92.1, D50.9, Z80.0

The patient was seen for evaluation of a pilonidal cyst. The ICD-10-CM code is assigned to this case is:

L05.91

The patient took ampicillin as directed, but returns to the physician's office today with urticaria and swelling which are classic signs of an allergic reaction. The ICD-10-CM code assigned to this is:

L50.0

A vacationing patient was seen in the urgent care clinic for second-degree sunburn of both shoulder areas. The ICD-10-CM code assigned to this case is:

L55.1

Carcinoma in situ describes a malignant tumor that is:

Localized, circumscribed, encapsulated, and noninvasive

When the word "with" appears in the ICD-10-CM index, it is:

Located immediately below the main term, not in alphabetical order

When the word "in" appears in the ICD-10-CM index, it is:

Located in alphabetical order below the main term

A patient was seen in the physician's office because of pain and swelling of the right elbow. The joint does not appear to be unstable. Rule out fracture. The ICD-10-CM code assigned to this case is:

M25.421

Which are found boldfaced and listed in alphabetical order in the ICD-10-CM index?

Main terms

The International Classification of Diseases (ICD) is published by the World Health Organization (WHO) and is used to classify:

Mortality

The patient came to the office for examination of a penile lesion. The physician determined that it is a classic plaque of Peyronie's disease. The ICD-10-CM code assigned to this case is:

N48.6

The ICD-10-CM/PCS Coordination and Maintenance Committee, which is responsible for overseeing all changes and modifications to ICD-10-CM (diagnosis) and ICD-10-CM (procedure) codes, is comprised of the:

NCHS and CMS

Which are supplementary words located in parentheses after a main term that do not have to be included in the diagnostic statement for the code number to be assigned?

Nonessential modifiers

A benign neoplasm is a(n):

Noninvasive, nonspreading, nonmalignant tumor

Which identifies codes that are assigned when information needed to assign a more specific code cannot be located?

Not elsewhere classifiable

Which identifies codes that are assigned when information needed to assign a more specific code cannot be obtained from the provider?

Not otherwise specified

Which identifies codes that are assigned when patient record documentation provides detail for which a specific code does not exist in ICD-10-CM?

Other and other specified code

Which are used in the index and tabular list to enclose nonessential modifiers?

Parentheses

Eponyms are diseases or syndromes that are named for:

People

If a caregiver administered the wrong medication to a patient and it resulted in drug toxicity, it would be coded as:

Poisoning assault

Which is assigned for an inadvertent overdose, wrong substance administered/taken, or intoxication that includes combining prescription drugs with nonprescription drugs or alcohol?

Poisoning: accidental

If an overdose of a drug was deliberately taken by a patient and resulted in drug toxicity, it would be coded as:

Poisoning: intentional self-harm

Which is the original tumor from which a metastasis occurs?

Primary malignancy

An infant brought in for evaluation of skin tags of the outer ear/lobe. The ICD-10-CM code assigned to this case:

Q82.8

Which are supplementary terms that further modify subterms?

Qualifers

Which is specifically prohibited by the CMS from being reported on the CMS-1500 claim submitted for outpatient care?

Qualified diagnosis

Which occurs when the pathology report recommends that the surgeon perform a second excision to widen the margins of the original tumor site?

Re-excision

A child was seen for erythema and puncture wounds on his forearm due to a cat bite. The ICD-10-CM codes assigned to this case are:

S51.859A, W55.01XA

A patient was seen for a follow-up of replantation of an amputated right middle finger. The ICD-10-CM code assigned to this case is:

S68.112D

The ICD-10-CM Index to External Causes includes:

Secondary codes that capture the cause, intent, place, activity, and status surrounding an injury or illness

Which is an instruction to refer to another term in the ICD-10-CM index and must be followed to locate the correct code?

See

Which instructions directs the coder to the ICD-10-CM tabular list, where a code can be selected from the options provided there?

See category

The ICD-10-CM Index and Tabular List is an alphabetical listing of terms and their corresponding codes that includes:

Specific illnesses, injuries, eponyms, abbreviations, and other descriptive diagnostic terms

A secondary malignancy indicates?

Spread to another site

Metastasis indicates that a tumor has:

Spread to another site

Which qualify the main term by listing alternative sites, etiology, or clinical status?

Subterms

The patient made an ophthalmologist appointment to check a foreign body in the eye. The physician removed a piece of hay from his cornea. The ICD-10-CM code assigned to this case is

T15.00XA

A child was brought into the office for evaluation and examination after swallowing a dime. The ICD-10-CM code assigned is:

T18.9XXA

A manifestation is a condition that is:

The result of another condition

An Excludes2 note indicates that:

Two codes can be reported together with supportive documentation

An Excludes1 note indicates:

Two mutually exclusive codes that cannot be reported together

Which must be specifically indicated on the pathology report in order to assign that code designation?

Uncertain behavior

According to official coding guidelines, which is never assigned as a principal or first-listed diagnosis code?

Underdosing

Which is assigned because patient record documentation is insufficient to assign a more specific code?

Unspecified code

Which is assigned when results are pending for a neoplasm that was destroyed or removed and for which a tissue biopsy had been performed?

Unspecified nature

Encoders automate the coding process by:

Using computerized or web-based software instead of paper-based coding manuals

The patient was seen for her annual gynecological examination, including a Pap smear. The ICD-10-CM code assigned to this case is:

Z01.419

A patient newly diagnosed with asthma is counseled in the physician's office regarding asthma therapy and the correct use of a nebulizer. The ICD-10-CM code assigned to this case is:

Z71.89

The patient is status post transluminal coronary angioplasty (PTCA) and is in for a one-week follow-up visit. The ICD-10-CM code assigned to this case is:

Z98.61

Which is reported in the outpatient setting as the condition, problem, or other reason for encounter/visit documented in the patient record to be chiefly responsible for the services provided?

first-listed diagnosis