Introduction to ICD-10-CM Coding, Exams of Advanced Education

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Introduction to ICD-10-CM- AAPC

Chapter 3 Exam -Answered 100%

Which coding convention is used in the description of an ICD-10-CM code when the information in the medical record provides detail, but no specific code exists? Refer to ICD-10-CM guideline I.A.6. - ANS-NEC What is a default code? Refer to ICD-10-CM guideline I.A.18. - ANS-The default code represents that condition is the most commonly associated with the main term. What is the ICD-10-CM code for benign prostatic hyperplasia with urinary retention? - ANS-N40.1, R33. Applying the coding concept from ICD-10-CM guideline I.B.1., which of the following is the recommended method for using your ICD-10-CM code book? - ANS-Always consult the Alphabetic Index first. Refer to the Tabular List to locate the selected code What is the ICD-10-CM code for essential hypertension? - ANS-I A patient visits the primary care physician for complaints of nausea and vomiting. Which option would be appropriate reporting for a diagnosis of nausea and vomiting? Apply the coding concept from ICD-10-CM guideline I.B.9. - ANS-R11. A patient is brought to the ED with right and left ankle fractures. Applying the coding concept from ICD-10-CM guideline I.B.13, which ICD-10-CM code(s) are reported? - ANS-S82.891A, S82.892A A patient is in outpatient surgery for a laparoscopic oophorectomy for a right ovarian cyst. After admission, the anesthesiologist discovered the patient had an upper respiratory infection and the surgery was cancelled. Applying the coding concept from ICD-10-CM guideline IV.A.1., which ICD-10-CM code(s) are reported? - ANS-N83.201, J06.9, Z53. A patient visits her family provider for her annual wellness exam. The provider notices a suspicious skin lesion on her arm and refers her to a dermatologist. Applying the coding concept from ICD-10-CM guideline IV.P, which ICD-10-CM code(s) is/are reported? - ANS-Z00.01, L98. A patient is admitted for an outpatient cholecystectomy for gall stones. During recovery, the patient developed severe postoperative pain. The patient was admitted to observation to monitor the pain. Applying the coding concept from ICD-10-CM guideline

IV.A.2., what ICD-10-CM code(s) are reported for the observation? - ANS-K80.20, G89. Cyclic neutropenia is coded with D70.4 Cyclic neutropenia. There are additional coding instructions for this code listed under the category D70 Neutropenia. Using those instructions, how would you report a patient with cyclic neutropenia with an associated fever? - ANS-D70.4, R50. Supplementary words enclosed in parenthesis in the ICD-10-CM codebook have what effect on the coding? - ANS-They do not affect code assignment Three-character ICD-10-CM codes represent what level of code in the ICD-10-CM? - ANS-Category What is the ICD-10-CM code for a bruised left knee, initial encounter? - ANS-S80.02XA What is/are the ICD-10-CM code(s) for bilateral hip pain? - ANS-M25.551, M25. Referencing ICD-10-CM guideline I.B.10, what is the time limit when assigning codes as sequela? - ANS-There is no time limit on sequelae Referencing ICD-10-CM guideline I.B.8, when a patient presents with an acute exacerbation of a chronic condition, and no single code captures both the chronic and acute nature of the illness, how are the codes sequenced? - ANS-Code the acute condition first, followed by the chronic condition Referencing ICD-10-CM guideline B.1.11, what is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge? - ANS-Check the ICD-10-CM Alphabetic Index to see if there are any listings under threatened or impending; and if not, code the existing underlying condition(s) rather than the condition described as impending A patient see the physician for chest pain, fever, and cough. The physician orders an X- ray to rule out pneumonia. Applying the coding concept from ICD-10-CM guideline IV.H., which IDC-10-CM code(s) are reported? - ANS-R07.9, R50.9, R Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his splenectomy, he is required to have clearance from his pulmonologist. The pulmonologist performs a pre-operative screening. Applying the coding concept from ICD-10-CM guideline IV.M., which ICD-10-CM codes would be reported for the pre-operative clearance? - ANS- Z01.811, D73. Fever - ANS-R50. Chronic non-intractable common migraine headache with status migrainosus - ANS- G43.

Otitis media left ear - ANS-H66. Epigastric pain - ANS-R10. Acute asthma exacerbation - ANS-J45. Acute myocardial infarction - ANS-I21. Hypertensive heart disease - ANS-I11. Syncope - ANS-R Nausea and vomiting - ANS-R11. GERD - ANS-K21. Chlamydial inflammation of the testes - ANS-A56. Sickle-cell anemia - ANS-D57. Ruptured spleen (not due to an injury) - ANS-D73. Cellulitis of the arm - ANS-L03. Chest mass - ANS-R22. Novel H1N1 flu - ANS-J10. Uncontrolled diabetes with diabetic cataracts - ANS-E11. Left, outer cheek abrasion, initial encounter - ANS-S00.81XA Acute cholecystitis with chronic cholecystitis - ANS-K81. Right eyebrow laceration, subsequent encounter - ANS-S01.111D Who are the parties responsible for providing the ICD-10-CM guidelines? - ANS-NCHS and CMS What month does the new ICD-10-CM codebook take effect each year? - ANS-October The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding what? - ANS-Neoplasms

What type of code is assigned when the provider documents a reason for a patient seeking healthcare that is not an injury or disease? - ANS-Z code (Z00-Z99) What does ICD-10-CM stand for? - ANS-International Classification of Diseases 10th Revision, Clinical Modification When coding for ambulatory surgery which statement is TRUE in reporting a confirmed diagnosis for the surgery performed? - ANS-Code the postoperative diagnosis because it is the most definitive. What is the ICD-10-CM code for fatigue? - ANS-R53. Which diagnosis code(s) below reports pain in the left and right ears? - ANS-H92. What is the ICD-10-CM code for hay fever? - ANS-J30. Refer to the Tabular List and identify the code that contains a note indicating not to code a specific diagnosis and that it should be coded elsewhere. - ANS-N94. A 6 year-old patient is seen in the office for acute otitis media, coded as H66.90. This is an example of a ____ code. - ANS-NOS What diagnosis code(s) should be reported for acute and chronic cystitis? - ANS- N30.00, N30. Which diagnosis code(s) should be reported for chronic gonococcal salpingitis? - ANS- A54. What is the ICD-10-CM code for tachycardia? - ANS-R00. What is the ICD-10-CM code for eyestrain? - ANS-H53. A patient presents to the Emergency Department with nausea and vomiting, abdominal pain and fever. The provider suspects appendicitis. The test results are pending. What ICD-10-CM code(s) is/are reported? - ANS-R11.2, R10.9, R50. A patient was seen in the provider's office and was diagnosed with influenza with pneumonia. The provider selected J18.9. Refer to the Tabular List to verify code J18.9. Is it correct to report code J18.9? Why? - ANS-No, there is a combination code J11. includes influenza with pneumonia. What is the ICD-10-CM code for a laceration on the left shoulder, subsequent encounter? - ANS-S41.012D

A patient sees his primary care provider for chest pain and regurgitation. The provider's diagnosis for the patient is gastroesophageal reflux. What diagnosis code(s) should be reported? - ANS-K21. A male patient has started having convulsions. His provider sent him to have a computerized axial tomogram (CT scan) of the brain with contrast. The hospital's radiologist read the CT scan. What diagnosis code is reported as the reason for the CT scan? - ANS-R56. A 45 year-old female with malignant Mullerian duct cancer is receiving her first treatment of chemotherapy. What diagnosis codes are reported? - ANS-Z51.11, C57. A 10 month-old comes into the pediatrician's office for a harsh, bark-like cough. She is diagnosed with croup. The mother also wants the pediatrician to look at a rash that has developed on her leg. The pediatrician prescribes over the counter medication of acetaminophen for the croup and hydrocortisone cream for the rash on the leg. She is to follow up in five days or return earlier if the conditions worsen. What ICD-10-CM code(s) should be reported for this visit? - ANS-J05.0, R What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist? - ANS-S62.101A What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis? - ANS-G80.1, G What diagnosis code(s) is/are reported for pneumonia due to SARS? - ANS-J12.