Coding Neoplasms Exam Prep Chapter 6

Let’s Code It!, 1e (Safian)

Chapter 6 Coding Neoplasms

1) Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: The ________ of a person to rule out or confirm a suspected diagnosis because the patient has some sign or symptom is a diagnostic ________, not a screening.

A) examination, testing

B) testing, examination

C) encounter, test

D) assessment, encounter

2) Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: A ________ code may be a ________ code if the reason for the visit is specifically the screening exam.

A) test, first-listed

B) first-listed, screening

C) screening, first-listed

D) screening, second-listed

3) What term indicates the tumor has not invaded any adjacent cells?

A) Primary

B) Benign

C) Ca in situ

D) Generalized

4) ________ is a malignant neoplasm or cancerous tumor.

A) Carcinoma

B) Benign

C) Ca in situ

D) Mass

5) ________ is an invasive and destructive characteristic of a neoplasm; possibly causing damage or death.

A) Carcinoma

B) Benign

C) Ca in situ

D) Malignant

6) ________ is glandular secretion in abnormal quantity.

A) Functional Activity

B) Metastasize

C) Morphology

D) Topography

7) ________ means out of place.

A) Mass

B) Topography

C) Ectopic

D) Metastasize

8) ________ is the study of the configuration or structure of living organisms.

A) Morphology

B) Topography

C) Functional activity

D) Biology

9) ________ is the classification of neoplasms primarily by anatomical site.

A) Carcinoma

B) Malignant

C) Topography

D) Functional activity

10) When normal cells mutate, they create a:

A) benign tumor.

B) malignant tumor.

C) neoplasm.

D) all of these

11) Betty is being seen for a cervical cancer screening: The main term is ________; the correct code is ________.

A) cervical, Z12.1

B) screening, Z12.4

C) cancer, Z51.1

D) screening, Z86.001

12) Anna has a family history of breast cancer. The coder should assign code:

A) Z80.1

B) Z85.1

C) Z80.3

D) Z85.3

13) Refer to the ICD-10-CM Official Guidelines I.C.21.c.4 which states: There are two types of history Z codes, ________.

A) malignant and benign

B) disease and disorder

C) personal and family

D) therapy and systemic

14) Which of the following codes is used to report a personal history of malignancy of the pancreas?

A) Z85.060

B) Z85.068

C) Z85.07

D) Z80.8

15) A common test for malignant neoplasm of the lung is:

A) ultrasound.

B) chest x-ray.

C) acid phosphatase.

D) bone marrow biopsy.

16) Abnormal cells are present but have not spread to nearby tissue is tumor stage ________.

A) 0

B) I

C) II

D) III

E) IV

17) Malignant cells have metastasized to distant parts of the body is tumor stage ________.

A) 0

B) I

C) II

D) III

E) IV

18) In your ICD-10-CM book turn to code category C81 in the Tabular List. Under this code category is an Excludes2 notation including "secondary neoplasm of bone marrow". What is the code next to the secondary neoplasm of bone marrow?

A) C46.3

B) C77.-

C) C79.52

D) C78.89

19) An increase in a patient's white blood cell count is also known as:

A) anemia.

B) leukemia.

C) leukocytosis.

D) hemostasis.

20) Which of the following is a common test performed to check for malignant neoplasm of the cervix?

A) Bone scan

B) Chest x-ray

C) Colposcopy

D) Bronchoscopy

21) The term mass is often used to describe a:

A) cyst.

B) benign tumor.

C) malignant tumor.

D) all of these.

22) The Neoplasm Table is set up as a seven-column table organized by the information in column 1—the anatomical location of the tumor, in alphabetic order. Moving to the right, what information is in the third column?

A) Malignant, primary

B) Malignant, secondary

C) Ca in situ

D) Benign

23) Which of the following terms identifies a neoplasm?

A) adenoma

B) melanoma

C) leukemia

D) all of these

24) The term ________ indicates the anatomical site where the malignant neoplasm was first seen and identified.

A) primary

B) secondary

C) Ca in situ

D) metastasized

25) The term ________ identifies the anatomical site to which the malignancy ________.

A) primary, secondary

B) secondary, metastasized

C) metastasized, secondary

D) Ca in situ, metastasized

26) The term ________ indicates that the tumor has undergone malignant changes but is still limited to the site where it originated.

A) primary

B) secondary

C) Ca in situ

D) metastasized

27) What term describes cancer that has spread throughout the body?

A) Disseminated cancer

B) Generalized cancer

C) Widely metastatic cancer

D) all of these

28) Which classification of neoplasm indicates that the pathologist is not able to determine whether the tumor is benign or malignant?

A) Ca in situ

B) Uncertain

C) Unspecified

D) None of these

29) When the physician's notes do not include any specific information regarding the nature of the tumor, the coder should select a code from which column?

A) Ca in situ

B) Uncertain

C) Unspecified

D) None of these

30) The first piece of information a coder needs to report a neoplasm is:

A) where in the body is the neoplasm located.

B) is the neoplasm benign, malignant, in situ, or uncertain.

C) if the neoplasm is malignant, is this the first diagnosis of malignancy for this patient.

D) order of information does not matter.

31) Neoplasms with overlapping boundaries are known as:

A) contiguous.

B) inclusive.

C) metastatic.

D) none of these.

32) Which of the following codes is used to report a patient with a secondary malignancy in his right kidney and renal pelvis?

A) C79.00

B) C79.01

C) C79.02

D) C64.1

33) If a patient is admitted to the hospital for chemotherapy to treat breast cancer of the right breast, what is the principal diagnosis?

A) C50.911

B) Z40.01

C) Z51.11

D) Z80.3

34) If a patient is admitted for radiation therapy due to lung cancer, what is the principal diagnosis assigned?

A) C34.90

B) C34.91

C) Z51.0

D) Z51.11

35) If a patient with cancer is admitted for anemia due to a complication from breast cancer, what is the principal diagnosis?

A) Anemia

B) Admission for chemotherapy

C) Admission for radiation

D) Breast cancer

36) If a patient is admitted for dehydration due to the chemotherapy treatments she has been receiving to treat ovarian cancer, what is the principal diagnosis?

A) C56.1

B) C56.9

C) E86.0

D) Z51.11

37) Benjamin has been diagnosed with an atypical nevus of the trunk: The main term is ________; the correct code is ________.

A) Atypical, D22.0

B) Nevus, D22.10

C) Trunk, D22.39

D) Nevus, D22.5

38) Kia has been diagnosed with bronchial adenoma. The coder should assign code:

A) D38.1.

B) D38.3.

C) D38.5.

D) D38.6.

39) Dionne has been diagnosed with a benign lipomatous neoplasm of the kidney. The main term is ________; the correct code is ________.

A) benign, D17.0

B) lipoma, D17.71

C) kidney, D17.72

D) lipomatous, D17.9

40) What is the correct code assigned for chronic myelomonocytic leukemia in remission?

A) C93.00

B) C93.01

C) C93.10

D) C93.11

41) What is the correct code assigned for intraductal carcinoma in situ of the right breast?

A) D05.90

B) D05.11

C) D05.12

D) D05.81

42) Randy Carson, a 53-year-old male, was admitted for chemotherapy due to pancreatic duct cancer. The coder should assign codes:

A) Z51.11, C25.2.

B) Z51.11, C25.3.

C) C25.2, Z51.11.

D) C25.3, Z51.11.

43) What is the correct principal diagnosis for a patient admitted with a malignant neoplasm in overlapping sites of the colon?

A) C18.0

B) C18.4

C) C18.8

D) Z51.11

44) What is the correct principal diagnosis for a patient being seen for a malignant melanoma of the right eyelid?

A) C43.10

B) C43.11

C) C43.12

D) Z51.11

45) What is the correct principal diagnosis for a patient being seen for radiation therapy to treat prostate cancer?

A) C61

B) C63.7

C) Z51.0

D) Z51.11

46) What is the correct diagnosis code for a patient being admitted for genetic testing for ovarian cancer?

A) Z15.01

B) Z15.02

C) C56.1

D) C56.9

47) Pamela was diagnosed with stage II lung cancer with mets to the brain. The coder should assign codes:

A) C34.90, C79.31.

B) C34.92, C79.31.

C) C71.9, C34.90.

D) C79.31, C34.92.

48) Arthur was diagnosed with cancer of the right acoustic nerve. The coder should assign code:

A) C72.40.

B) C72.41.

C) C72.42.

D) C72.59.

49) Nathan, 1 year old, is diagnosed with juvenile myelomonocytic leukemia. The coder should assign code:

A) C93.3

B) C93.30

C) C93.31

D) C93.32

50) Mark is a 25-year-old male admitted with anemia due to antineoplastic chemotherapy used to treat his astroblastoma. The coder should assign which code for the principal diagnosis?

A) D64.81

B) D64.89

C) C71.0

D) C71.9

51) What is the correct diagnosis for a patient with a personal history of colonic polyps?

A) Z86.010

B) D12.0

C) K63.5

D) Z85.09

52) What is the correct diagnosis code for multiple myeloma?

A) C90.0

B) C91.0

C) C90.00

D) C91.00

53) What is the correct code assignment for a 40-year-old patient who is admitted for prophylactic removal of both breasts due to a strong family history of breast cancer?

A) Z40.01, Z80.3

B) Z40.01, Z85.3

C) Z80.3, Z40.01

D) Z85.3, Z40.01

54) All neoplasms are classified according to which chapter in the ICD-10-CM coding manual?

A) 2

B) 3

C) 4

D) 5

55) A physician cannot determine the specific site of the malignancy for a patient with face cancer. The cancer is in the patient's head, face, and neck. The coder should assign code:

A) C72.59

B) C79.49

C) C76.0

D) D43.3

56) What does the M in M code stand for?

A) Malignancy

B) Melanoma

C) Metastatic

D) Morphology

57) M codes identify the ________ of the neoplasm.

A) behavior and histology

B) behavior and size

C) histology and size

D) behavior, histology, and size

58) The study of the microscopic composition of tissues is known as:

A) biology.

B) histology.

C) immunology.

D) morphology.

59) What is the correct code assigned for an encounter for prophylactic surgery for risk factors related to malignant neoplasm of the ovary?

A) Z40.00

B) Z40.01

C) Z40.02

D) Z40.09

60) Refer to the ICD-10-CM Official Guidelines I.C.2.b which states: When a patient is admitted because of a ________ neoplasm with metastasis and treatment is directed toward the secondary site only, the ________ neoplasm is designated as the principal diagnosis even though the primary malignancy is still present.

A) secondary, primary

B) primary, secondary

C) Ca in situ, secondary

D) primary, benign

61) Refer to the ICD-10-CM Official Guidelines I.C.2.d which state: When a primary malignancy has been previously ________ or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category ________, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy.

A) excised, Z85

B) Z85, excised

C) excised, Z84

D) Z86, excised

62) Refer to the ICD-10-CM Official Guidelines I.C.2.c.3 which states: When the admission/encounter is for management of dehydration due to the malignancy and only the dehydration is being treated (intravenous rehydration), the dehydration is sequenced ________, followed by the code(s) for the malignancy.

A) first

B) second

C) third

D) fourth