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ICD-10-CM Coding Guidelines for Medical Conditions, Exams of Nursing

A comprehensive guide for understanding and applying icd-10-cm coding guidelines for various medical conditions. It covers a wide range of topics, including diseases of the blood, respiratory issues, skin neoplasms, and more. It also includes examples and scenarios to help students grasp the concepts better.

Typology: Exams

2023/2024

Available from 05/10/2024

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Appendix I Incorrect See Incorrect

Module 8 Coding Application Final Exam

The definition of a principal diagnosis is provided by this organization according to the guidelines. (Do not include any periods or spaces in your answer. HINT: use an abbreviation.) (Select all options for full credit) Directional notations found in the tabular list include: (check all that apply) According to the guidelines in this section, resolved conditions with no treatment or care are not coded. Section I Section IV Section II Section III Correct Code first Correct See also Incorrect Use additional NOTE Correct Excludes Correct Correct Correct answer 1 - UHDDS

The AMA indicates the types of services provided by a physician for prevention or treatment of a patient in a manner that is in accordance with accepted standards of practice. diagnosis procedure coverage determination These conditions can be found in the alphabetic index under histological names usually associated with a body part or can be found on a table. Correct answer 1 - neoplasm Chapter 8: Several abbreviations are provided in this chapter on diseases of the blood. Indicate the abbreviation to coincide with the term. Diseases of the Blood Term Abbreviation erythrocyte sedimentation rate complete blood count hemoglobin mean platelet volume Chapter 12 includes more common terms for disorders of the eyelid, lacrimal system and orbit. A chalazion is defined as medical necessity Correct Correct answer 1 - ESR Correct Correct answer 2 - CBC Correct Correct answer 3 - Hgb Correct Correct answer 4 - MPV Correct

Type II Correct Correct answer 1 - fracturesfracture inflammation of the eyelids. a sty. tearing of the eyes. Describing conditions from chapter 22, a birth defect is a disorder that exists at the time of birth and may be a result of genetic factors. a problem in the structure which may or may not be disfiguring. occuring during a person's life. Which does not describe juvenile diabetes per information provided from the e-textbook? Type I IDDM Ketosis-prone diabetes The system contains structures that exchange oxygen and carbon dioxide in the body. These types of injuries are described and illustrated in the e-textbook. Depressed, compressed and impacted are different types of. Correct answer 1 - respiratory a deviation from what is normal in the development of a structure. Correct According to chapter 18, allow for bending and rotating movements, while work as cushions to assist in movement. Correct answer 1 - jointsjoint Correct Correct answer 2 - bursabursas Correct a small tumor. Correct

H40.10X2, H40.10X

Correct A patient is seen for treatment of anemia associated with malignant neoplasm of body of pancreas. What ICD- 10 - CM codes would be submitted for this encounter? , Patient has bilateral open-angle glaucoma of an unknown type. The patient's right eye is documented as moderate stage , the left eye is not documented with a stage. Which is the proper code application for this scenario? H40.1212, H40. H40.10X1, H40.10X Patient is admitted with heart failure and noted in the medical record to have HIV. Using proper sequencing per guidelines, what is the correct ICD- 10 - CM code assignment? , Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What is the ICD- 10 - CM code for the place of occurrence for Nancy's injury? Nancy returned to her primary care one week later to follow-up for her shoulder injury. Would the coder at the primary care append the same place of occurrence code? Yes, it is a work injury so the information should be included. No, place of occurrence is not included on follow-up visits. Correct answer 1 - Y92. Correct answer 2 - B Incorrect Correct answer 1 - I50. Correct Per guideline I.C.1.a.2.b

H40.1112, H40.

Incorrect Correct answer 1 - C25. Correct Guideline I.C.2.c. Correct answer 2 - D63.

R29.6, Z91.81, Z87.

Correct Guideline I.C.18.d Yes, but only if the provider documented the place of occurrence in the medical record. Yes, coders should always include a place of occurrence code. 89 - year-old patient was admitted into an inpatient facility due to moderate vascular dementia with agitation. The provider noted the patient quickly progressed to severe vascular dementia with agitation. Which ICD- 10 - CM code is applied? A 73 - year old female is seen to determine any neurological issues. The patient has fallen in the past resulting in non-traumatic injuries. The family is concerned the patient may continue to fall if the cause cannot be determined quickly. R29.6, Z91. R29. Z91.81, Z87. 18 - year-old Emily is seeking treatment for scarring on the left forearm. She fell in a campfire as a child suffering second-degree burns of the forearm. She continues to have problems with this arm while playing sports. What ICD- 10 - CM codes are assigned for this encounter? , Patient is seen for a follow up with the Nephrologist. The patient has moderate CKD stage 3A. The patient had a kidney transplant six months ago and has been recovering well. Enter the ICD- 10 - CM codes for this encounter. , Correct answer 1 - N18. Correct Correct answer 1 - L90. Correct Correct answer 2 - T22.212S Correct Guideline I.B. Correct answer 1 - F01.C Correct Guideline I.C.20.b - place is only assigned once.

C93.31, Z92.

Correct Guideline I.C.21.c. Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What is the ICD- 10 - CM external cause status code reported for Nancy's injury? past. The condition is described in the medical record as in remission. What ICD- 10 - CM code(s) would describe this encounter? C93. Z92.21, C95. C95. Z92.21, C93. C95.11, Z92. Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What is the ICD- 10 - CM code for the external cause for Nancy's initial encounter of the injury? Correct answer 1 - W01.190A Peter was admitted in the hospital for respiratory issues. Diagnostic test confirmed COVID- 19 and chest xrays interpreted as pneumonia. The hospitalist documented the pneumonia was a manifestation of COVID- 19. Review the guidelines and enter the ICD- 10 - CM code for the principal diagnosis for this encounter. Correct answer 1 - U07. Incorrect Guideline I.C.1.g.1.c.i Correct answer 1 - Y99. Incorrect Guideline I.C.20.k Correct answer 2 - Z94. Correct Category N18 directional notations; Guidelines I.C.19.g.3.b; Guidelines I.C.14.a.

I15.0, I70.

Correct Reference guideline I.C.9.a. Correct answer 1 - O9A. Correct Correct answer 2 - C44. Incorrect Use additional notation with category O9A; Guideline I.C.2.l.3; Guideline I.C.15.a Peter was admitted in the hospital for respiratory issues. Chest xrays revealed pneumonia. The hospitalist documented laboratory tests were inconclusive for COVID- 19. Review the guidelines and enter the ICD- 10 - CM code for the principal diagnosis for this encounter. The cardiologist documented the patient has renovascular hypertension due to renal artery atherosclerosis. What ICD- 10 - CM code(s) would indicate this diagnosis? I70.1, I15. I70.1, I I25.10, I I10, I25. I10, I70. A 35 - year old pregnant patient in her third trimester is being seen for skin neoplasm of the neck. Enter the ICD- 10 - CM codes for the encounter. , Per information found in Chapter 15 codes, high risk pregnancies include all except: females 35 years or older at the time of birth females with social problems females with insufficient antenatal care females with chronic kidney disease Correct females with history of infertility Incorrect Correct answer 1 - J18. Incorrect Guideline I.C.1.g.1.a

Z51.

Missed 15 - year old male experiencing headaches is diagnosed with nonruptured congenital cerebral aneurysm. What ICD- 10 - CM code would describe this encounter? I72. R51. I60. Check ALL the code categories/subcategories that may only be principal/first-listed diagnosis per guidelines found in Chapter 21. (check all that apply) Z52. Z Correct Z00. Incorrect According to the initial assessment upon admission, Sally has a healing stage 2 pressure ulcer of the left hip. The discharge summary indicated the hip pressure ulcer has been resolved. What ICD- 10 - CM code should be indicated? L89.222, L89. No code is required as the ulcer is resolved. L89. Correct Reference guideline I.C.12.a.

Z

Correct Reference guideline I.C.21.c.

Q28.

Correct

I67.

Incorrect

S40.011A, W01.190A, Y92.210, Y99.

Correct Correct answer 1 - Z79.

L89.222, L89.

Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What ICD- 10 - CM code(s) are indicated for the initial encounter? S40.011A, W01.0XXA, Y92.210, Y99. S40.011A, W01.190A, Y92.210, Y93.9, Y99. S40.011A A coder should code all diagnoses or additional conditions that affect patient care per Section III guidelines. Which is not considered an additional diagnoses? diagnostic procedure extended length of stay increased monitoring therapeutic treatment Patient is seen for substance use counseling with a mental health provider. The medical record documents cannabis use , alcohol use and alcohol dependence. Referencing Chapter 5 guidelines, what ICD- 10 - CM code(s) describe this encounter? F10.20, F12. F10.90, F12. F10.20, F10.90, F12. Patient is listed as a Type I diabetic (E10.9) using an alpha-glucosidase inhibitor oral medication of Miglitol and insulin injections. What ICD- 10 - CM diagnosis codes will be submitted along with E10.9? (oral), (injection)

F10.20, F12.

Correct See guideline I.C.5.b. earlier episodes of care Correct Reference guideline Section III

I21.

Correct Chapter 19 indicates a guideline called "kidney transplant complications". How would we write or reference this guideline number? (This format has been referenced in many lessons and feedback answers; no spaces necessary and proper punctuation is required.) Thee are two types of "Excludes" notes in the ICD- 10 - CM. False, excludes means excludes and there is only one. True, there are two types, but the provider directs the coder to which one to use. True, there are two types, but it depends if the patient is over the age of 5. Joe Jones was seen to determine his HIV status one week ago. He is returning today to be informed of his HIV test results. The test results are positive. The ICD- 10 - CM diagnosis code to use for this current encounter is. Sam has been complaining of back pain and a CT scan has determined a suprarenal hemorrhage. This definitive diagnosis would be reported with ICD- 10 - CM code. A 58-year-old male patient presents to the ED with severe chest pain. He is diagnosed with a first episode of an acute myocardial infarction. What ICD- 10 - CM code is reported? R07. R07.9, I21. Correct answer 1 - E27. Correct answer 1 - B True, there are two types of excludes notes. Correct Correct answer 1 - I.C.19.g.3.b Correct Guideline I.C.4.a. Correct answer 2 - Z79. Correct

Terrorism, transport, activity, status Correct Stage II chronic kidney disease equates to chronic kidney disease. severe moderate profound The following is recorded at the time of discharge for a newborn: low birth weight of 625 grams. This would be reported with ICD- 10 - CM code. A 7 - year-old patient is seen in the OR for a secondary palatopasty with a diagnosis of complete unilateral cleft palate. What ICD- 10 - CM code is reported? Coding guidelines from Chapter 20 provide sequencing when applying mulitple external cause codes. Which is a valid sequence? Activity, abuse, terrorism, transport Terrorism, abuse, transport, activity Status, activity, transport, terrorism Which is incorrect about a code of ethics? A code of ethics cannot resolve all ethical issues. A code of ethics sets forth values. A code of ethics can result in personal commitment to engage in ethical practices. What type of queries should not be used? yes/no leading Correct A code of ethics guarantees ethical behavior. Correct Correct answer 1 - Q35. Correct answer 1 - P07. mild Correct

year, quarter, page number Correct Page vi of "How to use ICD- 10 - CM Expert for Hospitals 2023" also describes the publication notations. Correct answer 1 - 25 verbal open-ended How many MDCs are there under the MS-DRG system? (enter a number only) Case mix attributes include Age, sex and discharge status Labor portion, non-labor portion, geographic index, disproportionate poor, and outliers Principal diagnosis, present on admission, and comorbid conditions The ICD- 10 - CM has an notation for AHA coding clinics. The notations indentify: publication number, year publication number, page number year, volume, quarter Resource intensity, treatment difficulty, severity of illness, and prognosis Correct