question

Non essential modifiers are enclosed in: Brackets [ ] Braces Parentheses ( ) Boxes

answer

Parenthesis ( ) (A nonessential modifier is shown in parentheses after the term it modifies. These modifiers do not affect the code selection)

question

Brackets are used in the Alphabetic Index to identify a

answer

Manifestation Code

question

What does UHDDS stand for?

answer

Uniform Hospital Discharge Data Set

question

Diagnoses described as "suspected", "possible", "probable", "likely", and still to be ruled out" are reported if present at the time of discharge for _________ records

answer

ONLY IN-PATIENT ADMISSIONS- (All non-outpatient setting such as: acute care, short term care, psych hospital, home health, rehab facilities nursing home and such.)

question

Patients receiving therapeutic services in the outpatient setting for chemotherapy or radiation therapy, the first listed reported diagnostic is A. The diagnosis toward which the treatment is directed B. The appropriate Z code C. Either a or b D. The diagnosis that the physician lists first on the order

answer

The appropriate Z code

question

When multiple burns are present, the first sequenced diagnosis is the A. Burn that is treated surgically B. Burn that is closes to the head C. Highest degree burn D. All of the above

answer

The burn of the highest degree (ICD-10 Chapter 19)

question

A coding profession may assume a cause-and- effect relationship between hypertension and which of the following complications A. Hypertension and heart disease B. Hypertension and chronic kidney disease C. Hypertension and heart and chronic disease D. None of the above

answer

Hypertension and Chronic kidney disease (ICD-10 Chapter 9)

question

Which letter is used as a placeholder in ICD-10 CM

answer

X

question

New ICD-10 codes goes into effect on what date each year

answer

October 1

question

An "excludes 1" note means

answer

it means "Not coded here" (ICD-10 Excludes notes)

question

in ICD-10 what are brackets [ ] used for?

answer

They are used to enclose synonyms, alternative wording and explanatory phrases. (synonyms is a word having the same or nearly the same meaning such as happy, joyful, elated. )

question

The neoplasm table includes

answer

The nature and status (primary, secondary, insitu) for malignancies (Neoplasm "Table" in the Alphabetic Index of ICD-10 pg. 321)

question

The placeholder "x" is used as what character placeholder

answer

the 5th character at certain 6th character codes allow for future expansion

question

the seventh character is required in length, if a code is not full sixth characters what is used as a place holder

answer

Place holder "X"

question

Where are external cause codes for "Adverse reaction" to chemotherapy?

answer

They are found in the "Table of drugs and Chemicals"

question

Is a "benign" neoplasm reported according to its stage?

answer

No, because metastasis is Not a characteristic of that behavior.

question

What are the 5 categories listed in the neoplasm "Table"

answer

Benign, Malignant, Uncertain Behavior, and Unspecified Category. (primary, secondary or in situ status)

question

What is cancer in situ mean?

answer

An early stage cancer in which the cancerous growth or tumor is still confined to the site from which it started, and has not spread to surrounding tissue or other organs in the body.

question

What is Carcinoma in situ?

answer

Cancer that involves cells that line the internal organs, or epithelial cells.

question

Z codes can be used as A. principle diagnosis only? B. secondary diagnosis only? C. Either principal or secondary, depending on the circumstances of admission? D. Secondary diagnosis only on "Inpatient stays and principal diagnosis on outpatient visits?

answer

C- Either principal or secondary, depending on the circumstances of admission. (ICD-10 Chapter 21)

question

Terms listed in the "Alphabetic Index" in boldface type are known as:

answer

Main Terms

question

Manifestation codes A. can never be reported first B. Are printed in brackets [ ] in the Alphabetic Index C. Describe a condition that results from another, underlying condition D. All of the above?

answer

All of the above: -Can never be reported first. -Are printed in brackets [ ] in the Alphabetic Index -Describe a condition that results from another, underlying condition

question

Codes that contain the descriptive abbreviation NOS are to used

answer

When the coder lacks sufficient information to assign a more specific code

question

What does NOS mean?

answer

Not Otherwise Specified- (a code is not found for a specific to allow a more granular code assignment)

question

What does NEC stand for?

answer

Not Elsewhere Classified (when specific details of a condition are available but the classification system does not include a specific category or code.

question

Meningitis due to ECHO virus

answer

A87.0

question

Chickenpox-go to varicella

answer

B01.9

question

Pulmonary anthrax

answer

A22.1

question

Hereditary hemochromatosis

answer

E83.110

question

Hypernatremia

answer

E87.0

question

Hypercholesterolemia

answer

E78.0

question

Hodgkin's sarcoma of thoracic lymph nodes.

answer

C81.92 Sarcoma/Hodgkin's/lymphoma/Hodgkins C81.9>/intra-thoracic.(2)

question

What is Sarcoma

answer

Malignant(cancerous) tumor of connective or other nonepithelial tissue

question

What is Malignant

answer

Cancerous cells out of control-that are spreading to other tissues and body parts.

question

What is a neoplasm

answer

A new and abnormal growth of tissue in some part of the body.

question

Malignant neoplasm of "Main" bronchus

answer

C34.00 Neoplasm/Table of neoplasm/bronchus.

question

A Patient is admitted to hospital for radiation therapy for a primary malignancy that is still present. What code is reported as the principle diagnosis

answer

Z51.0 Code for the neoplasm should be assigned as principal or first listed diagnosis) -Admission/radiation therapy/antineoplastic ( If a patient admission/encounter is solely for the administration of radiation therapy assign code Z51.0, Encounter for antineoplastic radiation therapy (ICD-10 Chapter 2 e.)

question

Iron -deficiency anemia secondary to chronic blood loss

answer

D50.0 Anemia/blood loss(chronic)

question

What types of diseases are found in the Alphabetic section "Syndrome"?

answer

Diseases named after a person

question

Von Willebrands disease and hemophilia C are both types of what type of defects

answer

Coagulation defects

question

Sickle cell trait

answer

D57.3 Trait/sickle cell/

question

Jacob- Creutzfeldt disease with dementia

answer

A81.00, F02.80(secondary) Creutzfeldt-Jacob disease or syndrome with dementia Disease/ subterm Jakob-Creutzfeldt-see Creutzfeldt-Jakob disease or syndrome/Creutzfeldt Instructed to use additional code-behavioral disturbance (F02.80).

question

Alcoholic dependent chronic brain syndrome

answer

F10.27 Alcohol/ alcoholic/ alcohol-induced /brain syndrome/chronic,/with dependence. (An additional code for blood alcohol level (Y90) may be assigned if applicable)

question

Bipolar disorder currently with moderate disorder

answer

F31.32 Disorder/Bipolar/current/moderate

question

Acute endophthalmitis

answer

H44.009 Endophthalmitis/acute

question

Duchenne muscular dystrophy

answer

G71.0 Diseases/Duchenne/muscular dystrophy

question

Bilateral chronic primary angle-closure glaucoma, mild stage

answer

H40.2231 Disease/glaucoma/angle closure primary/chronic/bilateral

question

Pulmonary aneurysm

answer

I28.1 Aneurysm/pulmonary

question

Malignant hypertension with hypertensive heart disease and congestive heart failure

answer

I11.0, I50.9 Hypertension, hypertensive/subterms heart, with heart failure (congestive) I11.0. Malignant is a nonessential modifier of the main term Hypertension, in the Tabular List- code I11.0 directs the use of an additional code to identify type of heart failure (I50.-?). I50.9-congestive heart failure

question

Mitral valve stenosis and aortic valve insufficiency

answer

I08.0 ICD-10-CM provides a specific category for valve disease that involves multiple heart valves and whether they are specified as rheumatic or not. Stenosis/ mitral, with aortic valve disease; or Insufficiency, subterms aortic with mitral valve disease.

question

Acute bronchitis

answer

J20.9 Bronchitis/acute

question

Acute laryngitis with airway obstruction

answer

J05.0 Laryngitis/acute/obstruction

question

Hypertrophy of tonsils and adnoids

answer

J35.3 Hypertrophy/adenoids/tonsils

question

Submandibular gland abscess

answer

K11.3 Abscess/submandibular/gland

question

Acute duodenal ulcer with bleeding

answer

K26.0 Ulcer/duodenal/acute/with hemorrhage

question

Gastric ulcer

answer

K25.9 ulcer/gastric-(see ulcer, stomach)/stomach (code note unspecified chronic/acute/hemorrhage)

question

Acute renal failure with lesion of tubular necrosis

answer

N17.0 Failure/renal/with tubular necrosis-acute

question

Ureterolithiasis

answer

N20.1 Ureterolithiasis-see calculus, ureter

question

Acute pyelonephritis

answer

N10 pyelonephritis/acute

question

Carbuncle of the hand

answer

L02.539 Carbuncle/hand (code note unspecified)

question

Paronychia of right finger

answer

L03.011 paronychia-see cellulitis, digit/finger-see cellulitis, finger/ (Code note-right finger)

question

Sunburn

answer

L55.9 sunburn (Code note-unspecified)

question

Contracted pelvis, single liveborn infant delivered vaginally

answer

O33.1, Z37.0 Pregnancy/complicated by (care of) (management affected by)/ contracted pelvis. (z-code)"Outcome" of delivery/single/ liveborn.

question

Gestational diabetes, admitted for control not delivered

answer

O24.419 Diabetes/ gestational (in pregnancy). (If the patient requires insulin to manage the gestational diabetes, code O24.414 ) Note that there are different subcategory codes based upon the phase of pregnancy, O24.41- in pregnancy, O24.42- in childbirth and O24.43- in the puerperium for this condition.

question

Maternal hypotension syndrome, onset 10 min after delivery 39 weeks

answer

O26.53, Z3A.39 Hypotension/ maternal, syndrome (following labor and delivery). The trimesters are specified in chapter 15. The third trimester is 28 weeks 0 days until delivery. The fifth character 3 specifies the third trimester. An instructional note to "use additional code from category Z3A, weeks of gestation, to identify the specific week of the pregnancy" is present at the beginning of chapter 15. Pregnancy/ weeks of gestation, 39 weeks.

question

Bacterial pyogenic arthritis of left hip

answer

M00.852 Arthritis/pyogenic/bacterial/hip

question

Rheumatoid arthritis involving the hands

answer

M06.9 Arthritis/rheumatoid

question

Aseptic necrosis of femoral head

answer

M87.059 Necrosis-see osteonecrosis/osteonecrosis/idiopathic aseptic/femur (code note unspecified femur)

question

Spina bifada of lumbar region with congenital hydrocephalus

answer

Q05.2 Spina bifada/ lumbar/hydrocephalus

question

Brachial cleft cyst

answer

Q18.0 Cyst/branchial

question

VSD

answer

Q21.0 VSD stands for ventricular septal defect. Defect/ septal,/ ventricular

question

Anorexia

answer

R63.0 Anorexia/hysterical or nervosa

question

Failure to thrive, 35-year old patient

answer

R62.7 Failure/to thrive

question

Fussy infant

answer

R68.12 Fussy/baby

question

Open skull fracture with subarachnoid and subdural hemorrhage, expired due to brain injury without regaining consciousness, initial encounter

answer

S02.91XB, S06.6X7A, S06.5X7A Fracture/traumatic. The specific site of the skull fracture is not stated within the diagnostic statement. The seventh character "B" is assigned to indicate the fracture is open and this is the initial encounter. Subarachnoid hemorrhage: Hemorrhage/ with intracranial/subarachnoid/traumatic. Subdural hemorrhage: The Alphabetic Index main term is Injury/intracranial/subdural hemorrhage (traumatic). For the subdural and subarachnoid hemorrhage code assignments, the sixth character "7" is selected upon review of the Tabular List to indicate the loss of consciousness with death due to brain injury, prior to regaining consciousness and the seventh character "A" is assigned to represent the initial encounte

question

Traumatic fracture of C3 with complete transection of spinal cord at that level, initial encounter.

answer

Rationale: The Alphabetic S14.113A, S12.200A Index main term is Fracture, traumatic subterms neck, cervical vertebra, third. The seventh character "A" is used to specify a closed fracture, initial encounter. Coding Guidelines (CMS 2013a, I.C.19.c) specify that a fracture not indicated as open or closed should be coded to closed and a fracture not indicated whether displaced or not displaced should be coded to displaced. Category S12, in the Tabular List specifies to code first any associated cervical spinal cord injury (S14.0, S14.1-). The Alphabetic Index main term Injury, subterms, spinal cervical, complete lesions, C3 level. The seventh character "A" is used to represent the initial encounter.

question

Traumatic fracture ribs 2 to 4 right and 2 to 5 left, initial encounter.

answer

S22.43XA Rationale: The Alphabetic Index main term is Fracture, traumatic with subterms ribs, multiple. The fifth character "3" is assigned to represent bilateral fractures. The seventh character "A" is used for the initial encounter for closed fracture

question

A patient was injured due to a tackle in a foot ball game. The injury occurred on a football field, and the patient is a student who is on a recreational football team. assign: Cause Place of occurrence Activity Status code

answer

ICD-10-CM Code(s) and Rationale: W03.XXXA Index to external cause, Tackle in sport. Three placeholders are required to assign the seventh character "A" denoting the initial encounter. Y92.321 Index to external cause, Place of occurrence, football field. Y93.61 Index to external cause, Activity, football, tackle. Y99.8 Index to external cause, External cause status, specified NEC

question

A patient fell from a ladder while running electrical wire inside a building construction site. Patient is an employed construction worker, initial encounter Assign: External cause Place of occurrence Activity Status code

answer

ICD-10-CM Code(s) and Rationale: W11.XXXA Index to external cause, Fall, falling, from, ladder. Three placeholders are required to assign the seventh character "A" denoting the initial encounter. Y92.61 Index to external cause, Place of occurrence, building under construction. Y93.H3 Index to external cause, Activity, construction. Y99.0 Index to external cause, External cause status, civilian activity done for financial or other compensation.

question

Assign external cause codes for burns due to ignition of clothing from fireplace in restaurant, initial encounter. (Do not assign code of place of occurrence)

answer

X06.2XXA, X02.0XXA Rationale: In the Index to External Cause, the main term is Ignition, subterm apparel. There is an Excludes 2 note present at X06 indicating the exposure to a controlled fire in a building (X02) is not included in codes present in this category. An additional code is assigned to describe the exposure to the fireplace. The Index to External Cause main term is Exposure, subterm fireplace which provides the cross reference to entry Exposure, fire, controlled building. The seventh character "A" is used for the initial encounter for both code assignments.

question

Encounter for artificial insemination

answer

Z31.83 Rationale: The Alphabetical Index main term is Encounter with subterm assisted reproductive fertility procedure cycle.

question

Hepatitis B carrier

answer

Z22.51 Rationale: The Alphabetical Index main term is Carrier, subterm hepatitis, B surface antigen.

question

History of carcinoma of the breast

answer

Z85.3 Rationale: The Alphabetical Index main term is History with subterm personal (of), malignant neoplasm, breast.

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