ICD-10-CM/PCS _3 – Flashcards

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The _______ gland controls most activity in the endocrine system
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pituitary
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The _______ and _______ support both the endocrine system and reproductive system.
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ovaries, testes
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_______ includes the processes of digestion, elimination, breathing, blood circulation, and maintaining body temperature.
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metabolism
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_______ is elevated glucose without ketoacidosis, usually occurring in elderly type 2 diabetics with other conditions
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hyperosmolarity hyperglycemic nonketoic syndrome, HHNS
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The _______ is a butterfly-shaped gland in front of the trachea that produces two hormones, tri-iodothronine (T3) and thyroxine (T4).
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thyroid
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_______ is excessive quantities of circulating thyroid hormone due to overproduction by the thyroid gland, overproduction originating outside the thyroid, or loss of storage function and leakage from the gland.
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thyrotoxicosis
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_______ is a deficiency of thyroid hormone, usually due to lack of production of the hormone by the thyroid or inadequate secretion of hormones.
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hypothyroidism
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Assign a code for _______, if known, with codes for obesity.
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body mass index
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_______ is overproduction by the thyroid gland due to an autoimmune condition.
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Graves disease
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Cancer of the _______ accounts for three percent of new cancer cases but has a poor survival rate because it is usually not diagnosed until after it has metastasized widely.
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pancreas
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The type of diabetes in which the body's immune system attacks pancreatic beta cells so that the pancreas does not produce insulin is
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type 1 diabetes
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The type of diabetes in which elevated glucose is caused by an external factor, such as medication, surgery, pancreatic disease, or other illness, is
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secondary diabetes
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_______ accounts for 90 to 95% of all diagnosed cases of diabetes
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Type 2 diabetes
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In _______ a high level of ketones accumulate in the blood, turning it acidic, and it can be life threatening if not treated immediately.
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diabetic ketoacidosis
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Which of the following disorders is not classified in ICD-10-CM Chapter 4, Endocrine, Nutritional, and Metabolic Diseases (E00-E89)?
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GDM
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Which of the following word choices does NOT establish a causal relationship in physician documentation.
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and
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Which of the following is NOT a key criterion for abstracting thyroid disorders?
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Is insulin used on a long-term basis?
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Multiple coding may be required in all of the following situations EXCEPT:
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A patient has a diabetic complication
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Under the Main Term Diabetes in the Index, first-level subterms identify
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the type of diabetes
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The most frequent sites of cancer in the endocrine system are the
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thyroid and pancreas
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Type 1 diabetes mellitus with diabetic cataract, right eye
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E10.36
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Myxedema coma
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E03.5
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Postprocedural hypoparathyroidism
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E89.2
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Malignant neoplasm of the thymus gland
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C37
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Argininemia
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E72.21
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Diabetes insipidus
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E23.2
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Postinfectious hypothyroidism
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E03.3
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Drug-induced diabetes mellitus with diabetic neuralgia
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E09.42
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Pickwickian syndrome
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E66.2
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Type V glycogen storage disease
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E74.04
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Thyrotoxicosis factitia without thyrotoxic crisis
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E05.40
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Mixed hyperlipidemia
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E78.2
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Type 2 diabetes mellitus with diabetic gangrene
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E11.52
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Neonatal adrenoleukodystrophy
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E71.511
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Cushing's syndrome
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E24.9
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Constitutional gigantism
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E34.4
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Long chain/very long chain acyl CoA dehydrogenase deficiency
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E71.310
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Infantile osteomalacia
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E55.0
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Accidental puncture of thyroid during parathyroidectomy procedure
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E36.11
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Classical phenylketonuria
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E70.0
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Meconium ileus in cystic fibrosis
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E84.11
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Hypervitaminosis A
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E67.0
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Hypomagnesemia
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E83.42
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Infarction of the thyroid gland
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E07.89
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Estrogen excess
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E28.0
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The skin's ________ function raises and lowers body temperature through constriction and dilation of blood vessels and sweat glands.
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regulation
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_______ is an inflammation of space around the hair root.
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folliculitis
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_______ is an inflammation under the skin.
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cellulitis
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A _______ ulcer is a breakdown of the skin, usually over bony parts of body, caused by continuous pressure, friction, moistness, and heat.
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decubitus
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________ is the medical term for hives.
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urticaria
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_______ is the most common cancer in the integumentary system and accounts for 75% of new skin cancer cases.
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BCC
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________ occurs when skin falls off in layers.
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exfoliation
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Trich/o is the combining form for _______.
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hair
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Replacement skin tissue from another person is a/an ________.
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allograft
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The skin's ________ function helps prevent invasion by pathogens, mechanical harm, and loss of fluids and electrolytes.
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protection
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Which of the following is NOT a common method used to diagnose skin conditions?
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X-ray
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Psoriasis, pityriasis, and lichen are examples of ________ disorders.
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papulosquamous
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Pressure ulcers are classified into ________ stages.
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four
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An unstagable pressure ulcer is one that
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cannot be visually assessed due to dead cells, eschar, or exudate
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Which of the following disorders is classified in ICD-10-CM Chapter 12?
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Radiation exposure
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All of the following are non-pressure ulcers of the skin EXCEPT
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peptic ulcer
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Coders should locate a code for a pressure ulcer on the right buttock by searching the Index for what Main Term and subterm?
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Ulcer, pressure
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For an ulcer that worsens during the course of an inpatient admission, assign a code for
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the highest stage
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If skin exfoliation exists, use category L49 to identify the percentage of
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exfoliation
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Skin cancers are named after
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the type of cell in which they start
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Infantile eczema
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L20.83
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Retiform parapsoriasis
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L41.5
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Cafe au lait spots
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L81.3
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Discoid lupus erythematosus
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L93.0
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Eosinophilic cellulitis
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L98.3
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Stage 3 decubitus ulcer of the right lower back
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L89.133
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Trichorrhexis nodusa
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L67.0
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Allergic urticaria
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L50.0
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Carbuncle of the face
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L02.03
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Basal cell carcinoma of skin of right calf
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C44.712
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Allergic contact dermatitis due to cosmetics
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L23.2
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Solar urticaria
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L56.3
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Acne keloid
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L73.0
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Non-pressure ulcer of the back with necrosis of the bone
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L98.424
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Neurodermatitis
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L28.0
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Bockhart's impetigo
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L01.02
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Anetoderma of Jadassohn-Pellizzari
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L90.2
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Nonbullous erythema multiforme with 45% skin exfoliation
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L51.0, L49.4
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Infantile acne
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L70.4
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Vitiligo
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L80
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Alopecia mucinosa
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L65.2
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Onychogryphosis
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L60.2
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Malignant melanoma in situ of the right eyelid
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D03.11
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Postprocedural hemorrhage of skin following dermatologic procedure
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L76.21
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Omphalitis of an adult
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L08.82
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A ________ fracture is an acute current injury that results from an accident.
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traumatic
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A _______ fracture is a fracture of a bone that has been subjected to repeated use or impact.
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stress
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_______ are fibrous tissure that join muscles to bones.
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tendons
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_______ healing occurs when a patient waits to seek care for a fracture.
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delayed
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_______ is when the ends of fractured bone segments do not heal with proper alignment.
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malunion
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The _______ is the shaft, or long narrow portion of a long bone
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diaphysis
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The _______ is the rounded end of the bone closest to the trunk.
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proximal epiphysis
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The _______ consists of the arms, shoulders, wrists, hands, legs, hips, ankles, and feet.
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appendicular
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_______ are fibrous tissue that connect bones to bones.
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ligaments
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________ muscles are controlled by a subconscious part of the brain and control bodily functions such as breathing and digestion.
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involuntary
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A fracture that occurs as the result of a disease process is a _______ fracture.
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pathologic
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When more than one bone, joint, or muscle has the same condition, how should the coder assign codes, if multiple site code is available?
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Assign a code for multiple sites
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When a bone is affected by osteoporosis at the end near the joint, coders should
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assign a code for the bone
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Arthritis that occurs due to another disease requires coders to
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sequence the underlying condition first and the arthritis second
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X-rays are used to evaluate conditions of the _______ because they clearly show the difference between hard tissue and soft tissue
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bones
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The presence of Rh factor in the blood allows physicians to use blood tests to diagnose
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rheumatoid arthritis
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_______ is the failure of the ends of fractured bone segments to reunite.
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Nonunion
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A frequent site for metastatic cancer is
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bone
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Leukemia starts in
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bone marrow
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Pneumococcal arthritis of left ankle
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M00.172
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Felty's syndrome, left hip
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M05.052
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Dysplastic osteoarthritis of right hip
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M16.31
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Lead-induced chronic gout, vertebrae
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M1A.18X0
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Panarteritis nodosa
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M30.0
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Low back pain
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M54.5
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Rheumatoid nodule, right wrist
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M06.331
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Stress fracture, right foot, initial encounter
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M84.374A
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Plica syndrome, left knee
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M67.52
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Psoas tendinitis, right hip
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M76.11
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Subacute osteomyelitis, right humerus
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M86.221
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Sicca syndrome with myopathy
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M35.03
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Rhabdomyosarcoma of the hip left
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C49.22
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Relapsing polychondritis
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M94.1
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Spondylolysis, lumbar region
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M43.06
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Postsurgical lordosis
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M96.4
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Arthralgia of temporomandibular joint
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M26.62
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Rheumatoid bursitis, left hand
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M06.242
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Age-related osteoporosis with current pathologic fracture of the right ankle, inital encounter
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M80.071A
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Achilles tendinitis, right leg
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M76.61
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Spinal stenosis, cervical region
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M48.02
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Diastasis of muscle of the left shoulder
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M62.012
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Spontaneous rupture of the flexor tendon, lower leg
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M66.369
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Fibromyalgia
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M79.7
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Osteitis deformans of skull
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M88.0
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The extension ____ describes subsequent encounter for closed fracture with malunion.
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P
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The extension _____ describes subsequent encounter for open fracture type IIIA, IIIB, IIIC with routine healing.
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F
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The extension _____ describes subsequent encounter for closed fracture with nonunion.
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K
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The extension _____ describes initial encounter for closed fracture.
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A
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The extension _____describes initial encounter for open fracture type IIIA, IIIB, or IIIC.
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C
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The extension _____ describes subsequent encounter for open fracture type I or II with delayed healing.
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H
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The extension _____ describes sequela.
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S
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The extension ______ describes initial encounter for open fracture type I or II.
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B
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The extension ____ describes subsequent encounter for closed fracture with routine healing.
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D
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The extension _____ describes subsequent encounter for open fracture type I or II with routine healing.
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E
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Which is NOT a criteria used in assigning codes for burns?
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open or closed
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Traumatic fracture codes have seventh-character extensions for all of the following EXCEPT
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Displaced or non displaced
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When a patient with osteoporosis has a minor fall, coders should assign.
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a code for osteoporosis fracture only
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Which of the following is NOT true regarding the Table of Drugs and Chemicals ?
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assign codes directly from the table without verifying in the Tabular List
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To assign a code for adult or child abuse, search the Index for the Main Term.
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maltreatment
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When the medical record documents suspected abuse,
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search the Index for the Main Term Maltreatment and subterm suspected.
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Assign a complications of care code when
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providers document that a medical or surgical procedure is the cause of a condition
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When a patient has multiple injuries, how should codes be sequenced?
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sequence the code for the most serious injury first
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When patients are treated for sequela or after-effects after the primary injury has healed, how should codes be sequenced.
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sequence the after-effect condition first and the primary injury second
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When coding adverse effects. how should codes be sequenced.
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sequence the code for the resulting condition or manifestation first
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Abrasion of the scalp, initial encounter
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S00.01XA
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Fracture of the mandible, subsequent encounter
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S02.609D
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Laceration of the left carotid artery, initial encounter
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S15.012A
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Muscle strain of the lower back, initial encounter
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S39.012A
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Accidental ingestion of toxic mushrooms, initial encounter
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T62.0X1A
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Bone marrow transplant failure
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T86.02
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Crushing injury of the left upper arm, initial encounter
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S47.2XXA
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Heat collapse, initial encounter
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T67.1XXA
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Fracture of the left sacrum, type 3, subsequent encounter
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S32.16XD
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Complete amputation of right breast, traumatic injury, late effect
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S28.211S
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Late effect of a moderate laceration of the spleen
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S36.031S
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Nonunion of fracture of femoral neck, right
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S72.001K
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Acute transfusion reaction due to Rh incompatibility, initial encounter
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T80.410A
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Traumatic compartment syndrome of the left hip, initial encounter
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T79.A22A
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Partial traumatic amputation, left leg, subsequent encounter
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S88.922D
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Blast injury of right ear, initial encounter
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S09.311A
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Traumatic hemopneumothorax, subsequent encounter
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S27.2XXD
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Foreign body in nostril, initial encounter
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T17.1XXA
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Late effect of a third degree burn on the left ankle
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T25.312S
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Displaced avulsion fracture of the right ischium, initial encounter
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S32.611A
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Major contusion of left kidney, traumatic, initial encounter
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S37.022A
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Displaced longitudinal fracture of right patella, initial encounter
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S82.021A
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Open bite of the right buttock, subsequent encounter
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S31.815D
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Sprain of right ankle, initial encounter
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S93.401A
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Adverse effect of overuse of laxatives, subsequent encounter
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T47.4X5D
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