Test Bank Docx Ch.4 Introduction To Icd-10-Cm

Let’s Code It!, 1e (Safian)

Chapter 4 Introduction to ICD-10-CM

1) Outpatient coders cannot assign a diagnosis code for a diagnosis documented as:

A) probable

B) suspected

C) to be ruled out

D) All of these

2) According to the ICD-10-CM Official Guidelines, section ________ corresponds to Selection of Principal Diagnosis.

A) I

B) II

C) III

D) IV

3) Refer to the ICD-10-CM Official Guidelines Section IV.C. This guideline concerns:

A) Codes that describe symptoms and signs

B) Encounters for circumstances other than disease or injury

C) Accurate reporting of ICD-10-CM diagnosis codes

D) Selection of first-listed conditions.

4) Throughout the ICD-10-CM code book you will find which of the following to help guide you to the most accurate code for a patient encounter?

A) tips

B) symbols

C) notations

D) all of these

E) none of these

5) Which of the following punctuation is found in the Alphabetic Index?

A) Brackets

B) Italicized brackets

C) Italicized brackets and parentheses

D) Colon

6) _______ will show you alternate terms, alternate phrases, and/or synonyms to provide additional detail or explanation to the description.

A) Brackets

B) Colons

C) Italicized brackets

D) Italicized brackets and parentheses

7) NEC stands for:

A) non-elective contraindication.

B) not elsewhere classifiable.

C) noted exceptional condition.

D) notations, exceptions, and classifications.

8) The ________ notation is a reminder that you are going to need another code to identify the underlying disease that caused the diagnosed condition.

A) Code also

B) Code first

C) Use additional code

D) Excludes1

9) The ________ notation identifies codes that cannot be used together on the same health claim form with the originally listed code.

A) Includes

B) Excludes1

C) Excludes2

D) With

10) A/An ________ notation is a warning to stop and double-check the documentation so you don't report the code above the notation when a code shown in the notation may be more accurate.

A) Includes

B) Excludes1

C) Excludes2

D) With

11) The word or phrase ________ means the same thing as NEC: The physician specified additional information that the ICD-10-CM book doesn't have in any of the other codes in the category.

A) and

B) with

C) other specified

D) unspecified

12) A ________ is used in the Alphabetic Index to indicate that additional characters are required.

A) colon

B) hyphen

C) semicolon

D) period

13) A ________ located to the left of a code in the Tabular List is a symbol that notifies you that an additional character is required.

A) box

B) checkmark

C) number

D) box with a checkmark and number

14) The ________ notation provides you with additional terms and diagnoses that are included in the above code (this code's description).

A) Includes

B) Excludes1

C) Excludes2

D) Code First

15) Refer to the ICD-10-CM Official Guidelines Section I. How many parts does Section I have?

A) 2

B) 3

C) 4

D) 5

16) The condition, after study, that is the primary, or main, reason for the admission of a patient to the hospital for care; the condition that requires the largest amount of hospital resources for care is known as the:

A) principal diagnosis.

B) differential diagnosis.

C) sequela diagnosis.

D) systemic condition.

17) If two (or more) diagnoses are of equal severity, then report them in order of anatomical site— ________.

A) toe to head

B) head to toe

C) left to right

D) right to left

18) One disease that affects or encourages another condition is known as a:

A) manifestation.

B) sign.

C) underlying condition.

D) symptom.

19) If one code exists with a description that includes two or more diagnoses identified in one patient at the same time, you must choose the code that includes as many conditions as available. These codes are known as:

A) combination codes.

B) unspecified codes.

C) specified NEC.

D) differential codes.

20) When the physician indicates that the patient's signs and symptoms may closely lead to two different diagnoses and using the word versus or or between two diagnostic statements this is known as a/an:

A) combination codes.

B) unspecified.

C) specified NEC.

D) differential diagnosis.

21) There are times when a fifth, sixth, or seventh character is required, yet there are no fourth, fifth, or sixth characters. In these cases, ICD-10-CM uses a placeholder character, the letter ________, so the following characters will fall into their correct locations.

A) Y

B) X

C) Z

D) W

22) The rules for coding uncertain diagnoses for patients of an inpatient facility are different from those for outpatients. You will find the guideline in which section?

A) Section I.C

B) Section II.H

C) Section III.A

D) Section IV.B

23) A patient complains of dizziness. The physician states that she has hypertension. The coder should assign a code for:

A) dizziness.

B) hypertension.

C) dizziness and hypertension.

D) query the physician.

24) The physician's notes state, "Chest congestion, possible pneumonia." The coder in the physician's office should code:

A) pneumonia.

B) chest congestion.

C) query the physician.

D) all of these

25) What is the first step in looking up an ICD-10-CM diagnosis code?

A) Look up the main term in the Alphabetic Index.

B) Look up the main term in the Tabular List.

C) Look up the code in the Alphabetic Index.

D) Look up the code in the Tabular List.

26) A breakout section of the Alphabetic Index listing the suggested codes for benign and malignant neoplasms is known as the:

A) External cause of Injuries Index.

B) Index to Diseases and Injuries.

C) Neoplasm Table.

D) Table of Drugs and Chemicals.

E) Tabular List of Diseases and Injuries.

27) 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 found in column four?

A) Malignant, primary

B) Malignant, secondary

C) Ca in situ

D) Benign

28) The section of the ICD-10-CM code book listing drugs, chemicals, and other biologicals that may poison a patient or result in an adverse reaction is known as the:

A) External cause of Injuries Index.

B) Index to Diseases and Injuries.

C) Neoplasm Table.

D) Table of Drugs and Chemicals.

E) Tabular List of Diseases and Injuries.

29) The Table of Drugs and Chemicals' first column shows a list of substances. Moving to the right, the sixth column identifies which of the following?

A) Poisoning, Intentional Self-Harm

B) Poisoning, Assault Poisoning,

C) Adverse effect

D) Underdosing

30) What section of the ICD-10-CM code book would provide you with a suggested code to describe how a patient was injured?

A) External Cause of Injuries Index

B) Index to Diseases and Injuries

C) Neoplasm Table

D) Table of Drugs and Chemicals

E) Tabular List of Diseases and Injuries

31) Once you have a suggested code from the Alphabetic Index, Neoplasm Table, Table of Drugs and Chemicals, and/or the Index to External Cause Codes, you will need to find that code in the

A) External Cause of Injuries Index.

B) Index to Diseases and Injuries.

C) Neoplasm Table.

D) Table of Drugs and Chemicals.

E) Tabular List of Diseases and Injuries.

32) The coder ________ report(s) a code directly from the Alphabetic Index without checking it in the Tabular List.

A) may

B) never

C) sometimes

D) is allowed to

33) The Tabular List section of the ICD-10-CM book lists every code and its complete description in ________ order by code.

A) alphabetic

B) numeric

C) alphanumeric

D) listed

34) ICD-10-CM code range J00-J99 identifies the Diseases of the

A) Nervous System.

B) Respiratory System.

C) Digestive System.

D) Genitourinary System.

35) ICD-10-CM code range V00-Y99 identifies

A) External Causes of Morbidity.

B) Factors Influencing Health Status and Contact with Health Services.

C) Congenital Malformations, Deformations, and Chromosomal Abnormalities.

D) Injury, Poisoning, and Certain Other Consequences of External Causes.

36) What is the correct code for a patient being examined for allergies?

A) Z01.83

B) Z01.82

C) Z01.810

D) Z01.84

37) What is the correct code for a patient being seen for high-risk bisexual behavior?

A) Z72.5

B) Z72.51

C) Z72.52

D) Z72.53

38) What is the correct external cause code for a patient who fell out of a stationary wheelchair, initial encounter?

A) W05.0XXA

B) W05.1XXA

C) W05.2XXA

D) W07.XXXA

39) A condition that affects the entire body and virtually all body systems, therefore requiring the physician to consider this in his or her medical decision making for any other condition is known as a:

A) principal diagnosis.

B) differential diagnosis.

C) sequela diagnosis.

D) systemic condition.

40) According to the ICD-10-CM Official Guidelines, I.A.21.c.5: ________ is the testing for disease or disease precursors in seemingly well individuals so that early detection and treatment can be provided for those who test positive for the disease.

A) vetting

B) screening

C) inspection

D) status

41) Dr. Peterie examines Thomas because he has a family history of prostate cancer. The main term is ________, and the correct diagnosis code is ________

A) Cancer, C61

B) Neoplasm, C63.7

C) History, Z80.42

D) Malignancy, R97.21

42) Jim is scheduled for respiratory surgery. He presents today for a preoperative examination. The main term is ________, and the correct diagnosis code is ________.

A) Evaluation, Z01.812

B) Preoperative, Z01.818

C) Examination, Z01.811

D) Encounter, Z01.81

43) Susan presents today for procreative management genetic testing. The main term is ________, and the correct diagnosis code is ________.

A) Procreative, Z31.448

B) Testing, Z31.438

C) Management, Z31.430

D) Genetic, Z31.440

44) Emily is diagnosed with rat-bite fever. The coder should assign which code?

A) A25.0

B) A25.1

C) A25.9

D) D44.03

45) Alicia is diagnosed with acute myocarditis due to Streptococcus. The coder should assign which code?

A) I40.9

B) I01.2

C) I40.8

D) A54.83

46) Matthew came to see Dr. Lindsay complaining of fever, diarrhea, and vomiting. Matthew is diagnosed with influenza with gastrointestinal manifestations. The coder should assign code:

A) J11.1.

B) J10.2.

C) J11.2.

D) J09.X3.

47) In the ICD-10-CM Alphabetic Index turn to Pneumoconiosis. What punctuation(s) do you find?

A) Brackets

B) Slanted Brackets

C) Parentheses

D) Colon

48) In the ICD-10-CM Alphabetic Index turn to Disease>Alzheimer's. What punctuation(s) do you find?

A) Semicolon

B) Slanted Brackets

C) Parentheses

D) Colon

49) In the ICD-10-CM Tabular List turn to code G04.01. What notation do you find under this code?

A) Code first

B) Excludes2

C) Use additional code

D) Excludes1

50) What is the correct external cause code for a patient who was bitten by a squirrel, initial encounter?

A) W53.01XA

B) W53.11XA

C) W53.21XA

D) W53.81XA

51) Sam was diagnosed with dysphasia following a nontraumatic intracerebral hemorrhage. The coder should assign code:

A) I69.121.

B) I69.321.

C) I69.821.

D) I69.991.

52) Suzie came in contact with a co-worker who was diagnosed with varicella. Suzie has no signs or symptoms of the disease. She visits Dr. Hearn to be on the safe side. The coder should assign code:

A) Z20.810.

B) Z20.811.

C) Z20.820.

D) Z20.828.