CRC STUDY CH. 4 Intro to ICD-10 CM QUESTIONS & ANSWERS

Referencing ICD-10-CM guideline I.B.11., what is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge? - ANSWERSCheck the ICD-10-CM Alphabetic Index to see if there are listings under "threatened" or "impending" and if not, code the existing underlying condition(s) and not the condition described as impending. 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 and documents that his mild COPD should not be a problem. Applying the coding concept from ICD-10-CM guideline IV.M., which ICD-10-CM Codes would be reported for the pre-operative clearance? - ANSWERSZ01.811, D73.1, J44.9 Rationale: ICD-10-CM guideline IV.M, state to sequence first a code from subcategory Z01.81, Encounter for preprocedural examinations. Assign a code for the condition to describe the reason for the surgery as an additional diagnosis. Look in the ICD-10-CM Alphabetic Index for Examination/pre-procedural/respiratory (Z01.811). Next, report the findings related to the reason for the preoperative screening. Look for Hypersplenia, hypersplenism (D73.1). Then, look in the Alphabetic Index for Disease, diseased/pulmonary/chronic obstructive referring you to J44.9. Verify the codes in the Tabular List. Supplementary words enclosed in parentheses in the ICD-10-CM coding manual have what affect on the coding? Refer to ICD-10-CM guideline I.A.7. - ANSWERSThey do not affect code assignment. They do not affect code assignment. - ANSWERSThe code that represents the condition most commonly associated with the main term Three character ICD-10-CM codes represent what level of code in the ICD-10-CM? - ANSWERSCategory 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? - ANSWERSCode the acute condition first, followed by the chronic condition A patient sees 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 ICD-10-CM code(s) are reported? - ANSWERSR07.9, R50.9, R05.9 What is the ICD-10-CM code for essential hypertension? - ANSWERSI10 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? - ANSWERSK80.20, G89.18 What is the ICD-10-CM code for bilateral hip pain? - ANSWERSM25.551, M25.552 What type of code is assigned when the provider documents the reason for a patient seeking healthcare services that is not for an injury or disease? - ANSWERSZ code (Z00-Z99) In the ICD-10-CM Alphabetic Index what is the code next to the main term called? - ANSWERSDefault Code What does ICD-10-CM stand for? - ANSWERSInternational Classification of Diseases 10th Revision, Clinical Modification What does ICD-10-CM guideline I.B.1 state to use when locating and assigning a diagnosis code? - ANSWERSICD-10-CM Alphabetic Index and Tabular List Which of the following statements is TRUE in reference to reporting body mass index (BMI) codes? - ANSWERSBMI codes should be reported as a secondary code only. What is the ICD-10-CM code for low back pain? - ANSWERSM54.50 Which diagnosis code(s) should be reported for chronic gonococcal salpingitis? - ANSWERSA54.24 What is the ICD-10-CM code for classical migraine - ANSWERSG43.109 What is the ICD-10-CM code for hives? - ANSWERSL50.9 What diagnosis code(s) should be reported for acute and chronic cystitis? - ANSWERSN30.00, N30.20