7957754633 | Patient has Rheumatoid Arthritis and Anemia. The Anemia is integral to the Rheumatoid Arthritis. | FALSE | 0 | |
7957762467 | Patient has Dyspnea due to Congestive Heart Failure. Dyspnea should be assigned as an additional code. | FALSE | 1 | |
7957786643 | Multiple coding should be used when the classification provided the classification code that identifies all of the elements documented in the diagnosis. | FALSE | 2 | |
7957794076 | The code for the acute phase of an illness or injury that led to the sequela can be used with a code for the late effect. | FALSE | 3 | |
7957799242 | The residual effect is reported as a secondary code. | FALSE | 4 | |
7957805826 | In sequela effect, the code is either a current injury or a condition caused by a prior injury. It cannot be both. | TRUE | 5 | |
7957811871 | Although each diagnosis code may be reported only once per encounter, each code can be reported more than once per patient. | TRUE | 6 | |
7957819700 | In an outpatient setting, an impending condition should be coded as if it actually exists. | FALSE | 7 | |
7957824443 | Additional signs and symptoms that may not routinely be associated with the disease process being reported should be coded when present. | TRUE | 8 | |
7957839827 | An example of a late effect is hemorrhage after a surgery requiring a return to the operating room. | FALSE | 9 | |
7957842973 | You may report a code from the Index without verifying in the Tabular when there is no indication that the code requires additional characters. | FALSE | 10 | |
7957858310 | If a patient has a confirmed diagnosis, the signs and symptoms related to that condition should also be reported. | FALSE | 11 | |
7957871514 | If the same condition is described as both acute and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, report both codes and sequence the acute code first. | TRUE | 12 | |
7957883582 | A dash (-) at the end of an Index entry indicates that an additional character or characters is/are required. | TRUE | 13 | |
7957895789 | Cholelithiasis with chronic cholecystitis without obstruction (K80.10) is an example of a dual code. | FALSE | 14 | |
7957904697 | A code is invalid if it has not been reported to the full number of characters available, including the 7th character, if applicable. | TRUE | 15 | |
7957904698 | In most cases the manifestation codes will have in the code title, "in disease classified elsewhere." | TRUE | 16 | |
7957919191 | A late effect usually occurs within 1 month of the illness or injury. | FALSE | 17 | |
7957925656 | In diabetic retinopathy, the retinopathy is the etiology and the diabetes is the manifestation. | FALSE | 18 | |
7957937382 | In the outpatient setting, it is correct to report a "probable" condition as if it exists, such as probable appendicitis as appendicitis. | FALSE | 19 | |
7957948482 | When sequencing codes for residuals and late effects, the late effect code is sequenced first followed by a code describing the residual condition. | FALSE | 20 | |
7957955996 | Section II of the ICD-10-CM Official Guidelines for Coding and Reporting includes instructions on outpatient coding and reporting. | FALSE | 21 | |
7957961451 | Diagnosis codes are always reported to the highest number of characters available. | TRUE | 22 | |
7957970701 | The cooperating parties for the development and approval of the Official Guidelines for Coding and Reporting are CMS, AMA, and NCHS. | FALSE | 23 | |
7957979908 | List 5 common symptoms associated with acute myocardial infarction. | 1. Chest pain 2. Shortness of breath 3. Nausea and/or vomiting 4. Palpitations 5. Lightheadedness | 24 | |
7957995359 | List 5 common symptoms associated with gastroesophageal reflux. | 1. Heartburn 2. Acid regurgitation 3. Belching 4. Hoarseness in the morning 5. Reflux 6. Pain in chest 7. Trouble swallowing 8. Choking feeling 9. Dry cough | 25 | |
7958018636 | List 4 common symptoms associated with seasonal allergies. | 1. Runny nose 2. Itchy and/or watery eyes 3. Sneezing 4. Coughing | 26 | |
7958027362 | List 4 symptoms of a broken nose. | 1. Swelling 2. Pain 3. Discoloration 4. Disfiguration | 27 | |
7958035004 | Acute renal failure due to previous viral encephalitis. | Residual: Acute renal failure Cause: Viral encephalitis | 28 | |
7958043749 | Constrictive pericarditis due to old tuberculosis infection. | Residual: Constrictive pericarditis Cause: Tuberculosis infection | 29 | |
7958055722 | Hemiplegia/hemiparesis affecting right dominant side due to cerebrovascular accident 4 months ago. | Residual: Hemiplegia/hemiparesis of right dominant side Cause: Cerebrovascular accident 4 months prior | 30 | |
7958416755 | List the four cooperating parties that agree on coding principles. | 1. AHA 2. AHIMA 3. CMS 4. NCHS | 31 | |
7958420014 | ICD-10-CM Section I Guidelines covers what guidelines? | Structure and conventions, general guidelines, & chapter specific guidelines | 32 | |
7958424177 | ICD-10-CM Section II Guidelines covers what guidelines? | Selection of principal diagnosis for non-outpatient (hospital) settings | 33 | |
7958429226 | ICD-10-CM Section III Guidelines covers what guidelines? | Reporting additional diagnoses in non-outpatient settings | 34 | |
7958433553 | ICD-10-CM Section IV Guidelines covers what guidelines? | Outpatient coding and reporting | 35 | |
7958440444 | List the steps for accurate coding in order: | 1. Identify the main term(s) in the diagnostic statement 2.Locate the main terms in the Alphabetic Index 3. Review any subterms under the main terms in the Tabular 4. Follow any cross-reference instructions, such as see 5. Verify the code(s) selected from the Index in the Tabular List 6. Refer to any instructional notations in the Tabular 7. Assign codes to the highest level of specifity 8. Code the diagnosis until all elements are completely identified | 36 | |
7958444224 | Which guideline goes over the steps to coding? | Section I.B 1. Locating a code in the ICD-10-CM | 37 | |
7958447521 | What is used at the end of an Alphabetic entry to indicated that additional characters are required? | Dash (-) | 38 | |
7958450972 | It is necessary to refer to the Tabular list to verify that no _______ is required. | 7th character | 39 | |
7958454826 | ICD codes are composed of codes with ________ characters. | 3, 4, 5, 6, or 7 | 40 | |
7958460875 | Codes with three characters are included in the ICD-10-CM as the heading of a ______ of codes that may be further subdivided by the use of 4th, 5th, 6th, and 7th characters, which provide greater detail. | Category | 41 | |
7958463571 | A code is _____ if it has not been coded to the full number of characters required for that code, including 7th character, if applicable. | Invalid | 42 | |
7959008154 | A patient presents with the chief complaint of headache of three days duration and frequent urination. Would you report both the headache and urination? | Yes | 43 | |
7959008155 | If the patient's medical record stated SOB due to asthma, would you report the SOB? | No | 44 | |
7959022187 | What cross-reference is used when notes are found in the Tabular List at codes that are not part of an etiology/ manifestation pair where a secondary code is useful to fully describe a condition or a secondary code should be added? | Use additional codes | 45 | |
7959029112 | What should be sequenced first when there is a "code first" note and an underlying disease is present? | The underlying condition | 46 | |
7959033023 | What note indicates that a code may be assigned as a principal diagnosis when the casual condition is unknown or not applicable? | Code, if applicable, any casual condition first | 47 | |
7959042268 | What would you code first if the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level? | Code both and sequence the acute (subacute) code first | 48 | |
7959045032 | What is the term for a single code used to classify two diagnoses? | Combination Code | 49 | |
7959049118 | A combination code is a single code used to classify _______. | 1. two diagnoses 2. a diagnosis with an associated manifestation 3. a diagnosis with an associated complication | 50 | |
7959061681 | When the combination code lacks necessary specificity in describing the manifestation or complication, a(n) __________ code should be used as a(n) _______ code. | Additional; Secondary | 51 | |
7959067513 | What is the residual effect (condition produced) after the acute phase of an illness or injury has terminated called? | Sequela (late effects) | 52 | |
7959071502 | What is generally coded first when coding Sequela effects? | The condition or nature of the sequela is sequenced first. The sequela code sequenced second | 53 | |
7959080153 | An exception to the Sequela rule are those instances where the code for the sequela is followed by a ________ code identified in the ______ _____ and title or the sequela code has been expanded (at the fourth, fifth, or sixth character levels) to include the manifestations. | Manifestation; Tabular List | 54 | |
7959112568 | The code for the acute phase of an illness or injury that led to the sequela is never used with a code for the _____ _____. | Late effect | 55 | |
7959120726 | Many codes have a ________ to identify the sequela within the Tabular. What is used to identify the sequela in the Tabular? | 7th character, character S | 56 | |
7959123408 | If the medical documentation indicates that the patient has two different conditions that are both included in one diagnosis code, how many times would you report the diagnosis code? | Once | 57 | |
7959129917 | What term is used to specify whether the condition occurs on the left, right, o bilateral side? | Laterality | 58 | |
7959133536 | How would you assign codes if no bilateral code is provided and the condition is bilateral? | Assign the code for the unspecified side | 59 | |
7959137266 | In some cases, bilaterally can be reported with a ______ code. | Single | 60 | |
7959142273 | How often are the Official Guidelines for Coding and Reporting updated? | Annually | 61 | |
7959144640 | The diagnostic statement in the medical record indicates that the patient has a history of diabetes mellitus. In this example, the coder should assign the code for | Diabetes Mellitus | 62 |
Step-By-Step Medical Coding Chapter 4: Using ICD-10-CM Flashcards
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