EMCC CCA Medical Coding Worksheets Ch. 7-10 – Flashcards

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question
Which ICD-10-CM codes are used for problems that influence a patients health status but are not assigned for illness of injury?
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Z Codes
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What chapter or category of codes found within the ICD-9-CM includes external causes of injury and poisoning?
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E codes
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Z codes in ICD-10-CM can be listed as:
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May be listed as either primary or secondary
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Which ICD-10-CM coding guidelines applies to Counseling?
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I.C.21.c.10
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Which of the following may be terms used to relate factors influencing health status and contact with health services rather than specific diagnoses?
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Attention (to), Expsoure (to), Long-term
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Which is the correct coding guidelines in ICD-10-CM to verify the correct use of Z codes in any healthcare setting?
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I.C.21.a.
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Where would a person locate the codes in ICD-10-CM for the subsection allowing for the description of encounters for routine examinations?
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Z00-Z13
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Locate the appropriate ICD-10-CM code for Encounter for general adult medical examination.
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Z00.00
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Under Z00.01, encounter for general adult medical examination with abnormal findings, it has a note to the coder telling the coder to do what?
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Use additional code to identify abnormal findings
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Category Z00.12 encounter for routine child health examination had additional information regarding the use of the code, which is:
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Encounter for development testing of infant or child health check (routine) for child over 28 days old - Excludes I health check for child under 29 days old (Z00.11-)
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The appropriate code for ICD-10-CM, Encounter for examination for period of delayed growth in childhood without abnormal findings is:
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Z00.70
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The use of Z codes for observation is very limited and only certain circumstances may apply. What are those circumstances?
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Suspected condition, Suspected condition that is ruled out, No Signs, symptoms or injury related to suspected condition present
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If a patient in observation is suspected to have a condition for which the physician finally determines to be definitive, the coder would do which of the following?
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Use of the definitive diagnosis
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Which of the following official coding guidelines addresses the reporting of observation codes?
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I.C.21.c.6
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According to ICD-10-CM, which of the following is the appropriate code for suspected fetal anomaly that has been ruled out?
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Z03.73
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Which of the following may only be used as the principal or first listed diagnosis?
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Z99.12
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Which of the following is the official coding guideline for follow-up?
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I.C.21.c.8
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Follow up care refers to care which is:
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After treatment is complete
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In ICD-10-CM, follow-up care is in what categories?
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Z08-Z09
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Which of the following is the correct code for: Encounter for the follow up examination after completed treatment for conditions other than malignant neoplasm?
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Z09
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Certain tests in healthcare are done to establish whether a patient has a disease and these are called:
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Screening examinations
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Which of the following is the appropriate code for an encounter for screening mammograms for malignant neoplasm of the breast?
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Z12.31
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Which of the following codes would be assigned for an encounter for screening of malignant neoplasm of the vagina?
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Z12.72
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ICD-10-CM code Z13.220 refers to screening for:
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Lipoid disorders
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When reporting a screening mammography with abnormal results the coder would apply which code first?
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Screening code and then abnormal results code
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What official coding guideline is used for Screening?
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I.C.21.c.5
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ICD-10-CM codes Z14-Z15 correspond to which codes in ICD-9-CM
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V83-V84
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ICD-10-CM introduces the word "Status" as opposed to history codes, which were used in ICD-9-CM. The reason for the change to "status" is?
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Will impact the care of the patient at some other point in time
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Which of the following is the appropriate code for suspected exposure to pulmonary tuberculosis?
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Z20.1
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Which of the following is the appropriate code assignment for someone who has been diagnosed as a genetic carrier of cystic fibrosis?
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Z14.1
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Under category Z15.0 Genetic susecptibility to malignant neoplasm instructs the coder to do which of the following?
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code first, if applicable, any current malignant neoplasm (C00-C75, C81-C96), use additional code, if applicable, for any personal history of malignant neoplasm (Z85-)
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Code Z33.1 is only assigned as a secondary code to reflect that the patient is pregnant on an encounter why?
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Pregnancy is not related to the encounter, encounter for supervision of normal pregnancy or other health reasons
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Aftercare refers to what type of treatment?
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Encounters following initial treatment, subsequent treatment after the initial treatment, continuing care during the recovery period
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Which of the following is the appropriate code for an encounter for routine circumcision of a male infant?
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Z41.2
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According to ICD-10-CM, which of the following is the correct letter to identify subsequent care?
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D
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Which of the following are Z79 codes used to report?
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Use of a prescribed medication for treatment or prophylaxis for a long period of time.
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For which of the following records is category Z52, Donors of organs and tissues assigned?
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Only the donor record
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Locate the appropriate ICD-10-CM code for: noncompliance with medical treatment in the form of medication underdosing due to financial hardship.
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Z91.120
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Which of the following is the appropriate code for personal history of immunosuppression therapy?
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Z92.25
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Under Z91.12 there is a note to the coder and it states:
answer
Code first underdosing of medication (T36-T50) with fifth or sixth character 6
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Which of the following categories identifies the type of hazard, socioeconomic and psychosocial circumstances that have impacted the patient's health, thereby bringing about a reason for the encounter/admission?
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Z55-Z65
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ICD-9-CM code V85 BMI corresponds to which category in ICD-10-CM?
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Z68
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Which is the new Z category for blood type that ICD-9-CM did not have?
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Z67
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Find the appropriate code for Type A blood, RH positive.
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Z67.10
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Locate the appropriate code for someone who has an adult BMI of 35.0-35.9.
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Z68.35
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Is it appropriate for the coder to assign personal history codes with follow-up and family history codes with screening codes?
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Yes, coder may assign personal history, family history, and follow-up with screening codes
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In ICD-9-CM, which of the following would be coded when the patient ha a personal history of disease?
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V10.72
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Which of the following is the appropriate code for family history of breast cancer?
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Z80.3
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Which of the following is the appropriate code for a patient with an advance directive with a DNR order on the record in ICD-10-CM?
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Z66
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Which of the following is the appropriate code for an encounter for mental health services for victim of non-parental child abuse?
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Z69.020
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Which of the following scenarios is appropriate for the assignment of code R99?
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A patient is brought to ER and pronounced dead upon arrival
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Which of the following is considered a symptom?
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dizziness
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Where can documentation be obtained for reporting codes associated with the Glasgow coma scale?
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EMT, ER nurse, or physician documentation on presentation
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What else should be reported with generalized hyperhidrosis?
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menopause
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What is the appropriate code assignment for a patient with dysphagia resulting from a cerebral infaraction?
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I69.391, R13.10
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What else should be coded when reporting findings of alcohol in blood?
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level of alcohol in the blood
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Which of the following is considered to be a sign of a disease process?
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proteinuria
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What is the correct code assignment and sequencing for a patient with a coma and a skull fracture?
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the skull fracture should be sequenced first, followed by the code to report the coma
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Which of the following statements is correct regarding a symptom code with a definitive diagnosis code?
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It is never appropriate to assign a symptom code if there is a definitive diagnosis.
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Which of the following is not appropriate to report with a code from category R50?
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febrile convulsions
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Infectious diseases provoke_____________changes in the body.
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Physiological
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It is recommended that coders take a course in ______________for a better working knowledge of bacterial infections.
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Microbiology
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Which type of documentation is not appropriate for coding purposes?
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Laboratory reports
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When there is documentation stating that a bacterial infection is resistant to antibiotics, then a code from category ______should be assigned after the primary diagnosis.
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Z16
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Which specific ICD-10-CM coding guideline applies to coding resistant infections to antibiotics?
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I.C.1.c
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In ICD-10-CM which subsection corresponds to ICD-9-CM (001-009)?
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A00-A09
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Which of the following is the correct code for localized Salmonella pneumonia?
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A02.22
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Which of the following codes can be found in the ICD-10-CM Tabular Index related to Enterovirus enteritis NEC?
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A08.39
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Which of the following is conditions or diseases classified in ICD-10-CM code range (A15-A19) which corresponds to (010-018) in ICD-9-CM?
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Tuberculosis
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Which of the following diseases are classifiable to subsection (A20-A28) for Certain Zoonotic Diseases?
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Rate-bite fever, Anthrax, Other animal-borne disease that may be transmitted to humans
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The A15-A19 subsections of ICD-10-CM classify which of the following diseases?
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Tuberculosis of the eye
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This subsection in ICD-10-CM, Other Bacterial Diseases relates to 030-041 of the current ICD-9-CM:
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A30-A49
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What is the minimum number of codes required for reporting severe sepsis?
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Two
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Which of the following is the correct sequencing for a diagnosis of: Severe sepsis due to Escherichia coli with septic shock?
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A41.51, R65.21
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Which official coding guideline refers to coding for sepsis, severe sepsis and septic shock?
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I.C.1.d
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What should a coder report when they see the term "Urosepsis" documented on the medical record?
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Query the physician for clarifying documentation for the "Urosepsis"
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What is the correct code assignment for Rocky Mountain spotted fever?
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A77.0
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Which of the following is the correct code assignment for Arthritis due to Lyme disease?
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A69.23
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A50-A74, ICD-10-CM subsection has terminology related to________.
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Infectious disease, Causal organism
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A50-A64 Infections with a predominantly sexual mode of transmission include which of the following?
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Congenital syphilis, Chlamydial infections, anogenital herpes viral infections
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Although it is sexually transmitted, which of the following diseases is not classified in section A60-A74?
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HIV
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Chlamydial infections that are sexually transmitted are reported by which categories in ICD-10-CM?
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A55-A56
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Which of the following is the appropriate code for Chlamydial vulvovaginitis?
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A56.02
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Which of the following is the correct code assignment for ICD-10-CM code for Yaws Osteitis?
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A66.6
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ICD-9-CM codes in categories 080-088 corresponds to which category in ICD-10-CM?
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A75-A79
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Human immunodeficiency virus (HIV) disease is coded to which category?
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A80-B34
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Look at category A81 and chose the appropriate answer for the Includes note.
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Disease of the central nervous system caused by prions
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West Nile virus infection with neurologic manifestations requires the assignment of at least __________ code (s).
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2
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After reviewing code range A92.30-A92.39 and locating the appropriate code for West Nile virus infection with other complications, which of the following is the correct code assignment?
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A92.39
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Locate the appropriate code for Hemorrhagic fever with renal syndrome and choose the appropriate answer choice for the Excludes note.
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Excludes 1 hantavirus (cardio)-pulmonary syndrome (B33.4)
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ICD-10-CM codes B00-B09 correspond to which ICD-9-CM codes?
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050-059
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Locate the appropriate code for HIV Disease and choose the appropriate Includes statement
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Acquired immune deficiency syndrome (AIDS), AIDS-related complex (ARC), HIV infection, symptomatic
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Locate the correct ICD-10-CM code for Variant Creutzfeldt-Jakob disease causing dementia with behavioral disturbance.
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A81.01, F02.81
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The appropriate ICD-10-CM coding guideline for HIV is:
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I.C.1.a
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When coding encounters of purpose of determining HIV status, the appropriate codes is _________.
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Z11.4, followed by additional codes for associated high-risk behaviors
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Patient record states that if the patient is asymptomatic HIV, the coder would assign:
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Z21
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ICD-10-CM does not have a category for which of the following?
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B21-B24
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Locate the appropriate ICD-10-CM code for AIDS complicated by oral thrush.
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B20
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Which disease process is an exception to inpatient coding guidelines regarding uncertain diagnosis?
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Human Immunodeficiency virus (HIV)
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Coders should have knowledge of ______________in order to code infectious diseases.
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Anatomy and Physiology
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ICD-10-CM codes B35-B49 correspond to these categories in ICD-9-CM:
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100-118
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Categories B50-B64 in ICD-10-CM include the following conditions.
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African trypanosomiasis, Pneumocystosis, Chagas' disease
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Histoplasmosis, B39 has instructional notes about associated conditions that may need to be coded along with the histoplasmosis. What are those instructional notes?
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Code first associated AIDS (B20), Use additional code for any associated manifestations, such as: endocarditis (I39), meningitis (G02), Use additional code for any associated manifestations, such as: pericarditis (I32) and retinitis (H32)
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Locate the appropriate code for acute cystitis with hematuria due to Escherchia coli.
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N30.01, B96.2
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Locate the appropriate code for Pork tapeworm.
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B68.0
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Which is the correct official coding guideline in ICD-10-CM for coding Infectious agents as the cause of disease classified in other chapters?
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I.C.1.b.
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Which of the following conditions is not reported in Chapter 1 of ICD-10-CM?
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Pneumococcal pneumonia
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What is the appropriate code for HIV complicated by CMV?
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B20, B25.9
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Locate the appropriate code for a patient that has a diagnosis of HIV complicated by Klebsiella pneumoniae and is seeking treatment for the Klebsiella pneumoniae.
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B20, J15.0
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Locate the correct ICD-10-CM code for Infectious mononucleosis due to Epstein-Barr virus without complication.
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B27.00
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A neoplasm is__________.
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Abnormal new tissue growth
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There are several different terms that coders should be aware when coding neoplasms and they are:
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Non-invasive, Uncertain, Unspecified
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ICD-10-CM classifies Neoplasms in which chapter?
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Chapter 2
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ICD-9-CM codes range from ______ to _______ for neoplasms.
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140.0-239.9
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Neoplasm codes require the coder to accurately identify detailed_______.
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Functional activity, Pathophysiology, Anatomical locations
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Which ICD-10-CM official coding guideline explains the coding for neoplasm?
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I.C.2
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How are neoplasms classified primarily?
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Site and Topography
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There are some cases where a code from ________ may be necessary to identify functional activity associated with the neoplasms.
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Chapter 4
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Where in the ICD-10-CM book would a coder locate the topography of a neoplasm?
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Table of Neoplasms
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Cancer Registry uses a specific system for reporting neoplasms, which is referred to as:
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International Classification of Diseases for Oncology, (ICD-O)
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Where is the first place the coder should look when beginning to search for the neplasm?
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Histological term in the alpha index
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How is the principal diagnosis for neoplasms often determined?
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Focus of treatment
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When the focus of treatment is the secondary site, which code is listed as the principle?
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The secondary site is listed as the principle
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One exception to an encounter, if it is for this purpose only is known as a(n) _______; this is coded as the principal diagnosis.
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Encounter for chemotherapy, immunotherapy or radiation therapy
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When the encounter is for determining the extent of the malignancy or a procedure and the patient receives chemotherapy at the encounter, the coder will use what as the principle diagnosis?
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Primary or metastatic site
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The patient has a malignant condition and develops anemia which is documented as being associated with the malignancy, how would the coder sequence the codes?
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Malignancy primary, anemia in neoplastic disease as secondary
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When is it appropriate to use the ICD-10-CM code C80.0 Disseminated malignant neoplasm, unspecified?
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The sites are not specified and the patient has extensive metastasis
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When a patient is pregnant and seen for a malignant condition, the coder would use which code as the principle diagnosis?
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O94.1- followed the malignancy code from Chapter 2
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Assign the appropriate code from ICD-10-CM for anemia associated with left upper lobe lung cancer.
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C34.12, D63.0
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When a patient has had the malignancy removed or eradicated and the documentation is clear that no further treatment is needed a coder should use an appropriate code from this category?
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Z85
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When coding malignant neoplasms, having a working knowledge of ________ and ________ will greatly assist the coder.
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Pathology, terminology
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ICD-10-CM codes in this section correspond to 140-208 in ICD-9-CM.
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C00-C96
question
What terms would the coder look for when attempting to locate a code from ICD-10-CM code range C00-C96.
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Articular cartilage, Skin, Digestive organs
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ICD-10-CM differs from ICD-9-CM in this section because with the individual codes there is an allowance for _____________.
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Laterality
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Find the appropriate code for a patient who has Kaposi's sarcoma and with full blown HIV.
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B20, C46.9
question
What do the ICD-10-CM codes in category C22 malignant neoplasm of liver and intrahepatic bile ducts instruct the coder to do?
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Assign additional codes for alcohol abuse, dependence, or hepatitis B or C
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Locate the appropriate code for malignant neoplasm of the heart and find what the Excludes Notes Say.
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Excludes 1 malignant neoplasm of great vessels (C49.3)
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Locate the appropriate code in ICD-10-CM for Malignant melanoma of left eyelid, including canthus.
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B43.12
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ICD-10-CM code category C50, Breast cancer should be followed by an additional code to identify:
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Estrogen receptor status
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When coding for malignant neoplasm of testis C62 in ICD-10-CM there is a condition to be reported and that would be?
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Functional activity
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ICD-10-CM secondary neoplasms are specified in which categories?
answer
C77-C79
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Which ICD-10-CM official coding guideline would you locate information for coding secondary sites?
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I.C.2.b.
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Which category has three codes that are used to report malignant neoplasms without specified sites?
answer
C80
question
Locate the proper code for thyroid cancer with iodine-deficiency related nodular goiter.
answer
C73,E01.2
question
Identification of morphology for in situ neoplasms requires a thorough knowledge of:
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Pathophysiology
question
In situ neoplasm can be known by other terminology, including ________.
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Non-invasive
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Which ICD-10-CM categories for in situ neoplasms correspond to ICD-9-CM categories 230-234?
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D00-C09
question
Locate the appropriate code for Carcinoma in situ of the anterior bladder wall.
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D09.0
question
Locate the correct ICD-10-CM code for Intra-abdominal hemangioma.
answer
D18.03
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What other term is often used when documenting in situ neoplasm that a coder should be aware of?
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Dysplasia
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Locate the correct code in ICD-10-CM for Osteosarcoma of the left fibula.
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C40.22
question
Which is not a behavioral classification of neoplasms?
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Transitional
question
What condition should be coded prior to assignment of a code for post-transplant lymphoproliferative disorder?
answer
Complication of transplanted organs and tissue
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Locate the appropriate code for Malignant neoplasm of nipple and areola, male breast, left.
answer
C50.022
question
Locate the appropriate code (s) for patient who has breast cancer and it has metastized to the left side of the lung and is admitted for lobectomy.
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C78.02, C50.919
question
Which is the correct official coding guideline in ICD-10-CM for coding disseminated malignant neoplasm, unspecified?
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I.C.2.j.
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Which of the following is the correct official coding guideline for malignant neoplasm without specification of site?
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I.C.2.k.
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Locate the appropriate code for Follicular lymphoma, unspecified, intrathoracic lymph nodes.
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C82.92
question
The documentation states "uncertain behavior of neoplasm." What does that mean?
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Cannot be determined as to whether it is malignant or benign
question
Locate the correct ICD-10-CM code for Polycythemia vera.
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D45
question
What condition (s) might be included in the endocrine, nutritional and metabolic disease chapter?
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Diabetes mellitus, Malnutrition, overweight, Thyroid disorders
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Chapter 4 of ICD-10-CM requires the coder to have knowledge of glands in the endocrine system, which of the following is NOT a gland?
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Lung
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Which of the following does the coder need to be aware of when assigning codes?
answer
Hypothyroidism
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The coder needs to look for documentation of ____________ when coding hyperthyroidism.
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Thyrotoxic storm, Goiter, Thyrotoxic crisis
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Locate the appropriate code for Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm in ICD-10-CM.
answer
E05.20
question
Locate the appropriate ICD-10-CM code for Hashimoto's thyroiditis.
answer
E06.3
question
If the documentation states that the hypothyroidism is due to a drug or other substance from which category should it be sequenced prior to the E03.2 code?
answer
T36-T65
question
When the documentation states acute thyroiditis due to an infectious agent what secondary code categories would be used?
answer
B95-B97
question
Locate the appropriate ICD-10-CM code for Pyogenic thyroiditis due to streptococcus constellatus.
answer
E06.0, B95.0
question
Which disease process in this area differs significantly between ICD-9-CM and ICD-10-CM?
answer
Diabetes mellitus and associated conditions
question
Diabetes mellitus requires extensive understanding of pathophysiology and ______ with physiological functions in other body systems.
answer
Causal relationships
question
In ICD-10-CM diabetes has multiple combination codes that means that the coder needs to review carefully the __________ for other diabetes mellitus combinations to apply as appropriate.
answer
Documentation
question
A farmer with a few poor crop years decides to bait rodents from his barn himself rather than consult a pest control expert. As a result, he sustains exposure to rat poison (Strychnine) which is known to cause damage to beta cells of the Islet of Langerhans found within his pancreas. He is diagnosed with insulin-dependent diabetes, characterized predominantly by hyperglycemia, for which insulin is administered and prescribed for what is believed to be premanent damage. In the farmer's case, how would his disabetic condition be considered?
answer
Secondary (DM)
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What should the coder do when the documentation does not clearly state whether the diabetes is Type I or Type II?
answer
If documentation does not state then it defaults to Type II
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Which of the following characteristics may be found in the codes and need to be considered when reporting Diabetes, manifestations of the disease and associated disease (s)?
answer
Sequencing and combination of codes
question
ICD-9-CM Diabetes codes range from 249-250. In ICD-10-CM, diabetes codes are in which category?
answer
E08-E13
question
If the patient is a Type II diabetic and is using long term insulin, what additional code would be needed to show long term use of insulin?
answer
Z79.4
question
When seeing that a patient is on insulin, the coder should always code the Z79.4 category for long term insulin use.
answer
No
question
Which is the official coding guideline for coding Diabetes mellitus in ICD-10-CM?
answer
I.C.4.a.
question
Some diabetics use an insulin pump. What codes would be used to show pump failure and then complications of underdosing or overdosing?
answer
T38.3x6, T38.3x
question
Diabetes mellitus may be due to an underlying condition such as a drug or other condition. Where would the coder locate the sequencing instructions for these combinations?
answer
E08-E09
question
Which of the following is the correct code assignment for Type I diabetes mellitus with gastroparesis?
answer
None
question
What is the appropriate code for Type II diabetes with severe nonproliferataive diabetic retinopathy with macular edema, patient uses insulin?
answer
E11.341,Z79.4
question
What is the difference between the coding instructions for ICD-9-Cm and ICD-10-CM regarding sequencing of secondary diabetes?
answer
ICD-9-CM says code the secondary condition first and then the associated condition, ICD-10-CM requires the underlying condition to be sequenced first with the code from category E08 to be listed secondary.
question
The ICD-10-CM code range E15-E16 has several disease categories included. Which disease or condition is identified by ICD-10-CM code range E15-E16?
answer
Hyperinsulinism with hypoglycemic coma, Increased secretion of glucagon, Hyperplasia of pancreatic islet beta cells
question
In ICD-10-CM, drung induced hypoglyceia with coma requires the coder to do what?
answer
Identify the causal agent from T36-T50 to be sequenced first followed by E16.0
question
ICD-9-CM categories 252-258 relate to which categories in ICD-10-CM?
answer
E20-E35
question
In ICD-10-CM E31.2 there is an instructional note that tells the coder to do what?
answer
Code also any associated malignancies and other conditions associated with the syndromes
question
In ICD-10-CM there is an instructional note under E13.22 instructing the coder to do what?
answer
Use additional code to identify stage of chronic kidney disease (N18.1-N18.6)
question
In ICD-10-CM look at code E35 Disorders of endocrine glands in disease classified elsewhere, how is this code used?
answer
Always sequenced second
question
Which category is used in ICD-10-CM for reporting intraoperative complications of the endocrine system?
answer
E36
question
Coding of nutritional deficiencies are often documented not using the specific deficiency, requiring the coder to be familiar with __________.
answer
Terminology
question
Which category in ICD-10-CM is used to report sequelae and late effects of nutritional deficiencies?
answer
E64
question
In ICD-10-CM, how are obesity codes categorized?
answer
Type, Extent of obesity, Type an extent of obesity
question
What additional category code in ICD-10-CM should be assigned if documentation supports it on obesity?
answer
Z68 for BMI
question
What is the appropriate official coding guideline in ICD-10-CM for coding BMI and Pressue ulcers?
answer
I.B.14
question
Which is not a category in ICD-10-CM in Chapter 4?
answer
E69
question
Locate the appropriate ICD-10-CM code for Pickwickian syndrome with BMI of 44.
answer
E66.2, Z68.4
question
Locate the appropriate code in ICD-10-CM for Vitamin B6 deficiency.
answer
E53.1
question
Gout is classified differently in ICD-10-CM than it was in ICD-9-CM. In which ICD-10-CM chapter is gout classified?
answer
Musculoskeletal System and Connective Tissue
question
E70-E90 in ICD-10-CM is the category for metabolism disorders. Which of the following are included in that category?
answer
Carbohydrates, Ketones, Fatty-acids
question
Where is elevated uric acid in the blood classified in ICD-10-CM?
answer
Chapter Four
question
When assigning code E88.42 MERRF Syndrome, what other code should be assigned?
answer
Myoclonic epilepsy
question
Locate the appropriate code for Lowe's syndrome with associated glaucoma.
answer
E72.03, H42
question
Which of the following is true regarding determination of type of diabetes mellitus?
answer
Type of diabetes for purposes is based on documentation, and the default is Type II if the type is not documented.
question
Which of the following does not impact code assignment for hyperthyroidism?
answer
Diabetes
question
Hemochromatosis is a disorder of ______________ metabolism.
answer
Iron
question
Beriberi is a deficiency of ________________.
answer
Thiamine
question
Locate the appropriate code in the ICD-10-CM for congenital lactase deficiency.
answer
E73.0
question
Locate the correct ICD-10-CM code for Hungry bone syndrome.
answer
E83.81
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