icd 10 week 2 quiz – Flashcards

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question
A complete listing of diagnoses for inpatients is typically recorded on the _____.
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face sheets
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A patient is admitted with nausea, vomiting, diarrhea and abdominal pain. Testing has revealed colitis. The principal diagnosis is _____.
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colitis
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Diagnoses documented as probable, suspected or questionable are _____.
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reported in the inpatient setting
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Dr. Cook records the following diagnosis at the time of discharge: "abdominal pain due to colitis or gastritis." The principal diagnosis is
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abdominal pain
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For the statement "acute antitubular basement membrane nephritis" the main term to reference in the Index is _____.
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nephritis
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For the statement "adhesive shoulder joint capsulitis" the main term to reference in the Index is _____.
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capsulitis
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For the statement "intestinal obstruction due to meconium in mucoviscidosis of newborn" the main term to reference in the Index is _____.
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d. mucoviscidosis, meconium or obstruction
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For the statement "oligospermia due to efferent duct obstruction" the main term to reference in the Index is _____.
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oligospermia
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For the statement "ovarian androgen hormone hypersecretion" the main term to reference in the Index is _____.
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hypersecretion
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ICD-10-CM code I25.110, ASHD, native artery with unstable angina is a ______ code
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combination
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If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Index at the same indentation level, code_____.
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both and sequence the acute (subacute) first
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In the diagnostic statement "chronic allergic sinusitis due to animal dander" the modifying term(s) are
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chronic allergic
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In the Index the primary arrangement for diagnoses is by _____.
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condition
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In the outpatient setting, the term first-listed diagnosis is used in lieu of _____ diagnosis
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principal
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Sally Smith is reviewing an inpatient record for coding. She notes that the face sheet, diagnostic testing reports and the discharge summary contain conflicting diagnoses that also do not associate with signs and/or symptoms of the definitive diagnosis. What should she do to code the diagnoses?
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query the provider for clarification
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Sally Smith was placed on observation due to pain in the upper right quadrant, vomiting and jaundice. She was then placed on inpatient status for a removal of her gallbladder due to cholecystitis. The principal diagnosis for the admission is _____.
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cholecystitis
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When coding the diagnostic statement "sarcoidosis of the skin of the right upper extremity" the main term to reference is:
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sarcoidosis
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Which of the following is false?
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The guidelines for reporting inpatient and outpatient services are identical.
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Which of the following is NOT a member of the Cooperating Parties for ICD-10-CM?
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AMA (American Medical Association)
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Which section of the ICD-10-CM Official Guidelines for Coding and Reporting includes guidelines for the selection of principal diagnosis for nonoutpatient settings?
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Section II
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A dash at the end of an Index entry indicates that additional characters are required for a valid code.
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True
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A three-digit code is to be used only if it is not further subdivided
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True
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A sequela is the acute illness or injury that has caused a permanent condition
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False
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At the time of discharge the following diagnosis is recorded, "confirmed threatened spontaneous abortion." The coder should select a code for spontaneous abortion
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False
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For ambulatory surgery, if the preoperative and postoperative diagnoses are different, select the postoperative diagnosis for coding
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True
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For bilateral sites, the first character of the codes in ICD-10-CM indicates laterality.
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False
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ICD-10-CM allows for more detail in the reporting of diagnoses when compared to ICD-9-CM.
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True
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ICD-10-CM codes have more detail than ICD-9-CM codes
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True
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ICD-10-CM diagnosis codes are composed of up to eight characters.
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False
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ICD-9-CM and ICD-10-CM codes indicate laterality.
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False
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Medical documentation needs to be reviewed prior to code assignment
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True
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Section I of the ICD-10-CM Official Guidelines for Coding and Reporting provides guidelines only for outpatient services
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False
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Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes.
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True
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The Alphabetic Index and the Tabular List must both be used when assigning codes.
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True
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The instructional notes in the Tabular take precedence over the instructional notes in the Index.
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True
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