Chapter 3 // Intro to ICD-10-CM Questions & Answers

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? - ANSWERSD70.4, R50.81 What is a default code? Refer to ICD-10-CM guideline I.A.18. - ANSWERSThe code that represents the condition most commonly associated with the main term. 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? - ANSWERSAlways 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? - ANSWERSI10 What is the ICD-10-CM code for benign prostatic hyperplasia with urinary retention? - ANSWERSN40.1, R33.8 A patient visits his 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. - ANSWERSR11.2 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? - ANSWERSS82.891A, S82.892A 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 When coding, if a patient is scheduled for surgery and needs pre operative testing, always code the ___________ first. - ANSWERSsubcategory ex. if having surgery on spleen, and seeing pulmonologist for chest x-ray, code pre-op visit code first 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? - ANSWERSN83.201, J06.9, Z53.09 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 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. The terms within the parentheses are referred to as nonessential modifiers. 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) rather than the condition described as impending acute - ANSWERSA condition with a rapid onset with a short course. anatomical - ANSWERSbody site brackets [ ] - ANSWERSsymbol to enclose synonyms, alternate wording, or explanatory phrases in tabular list; used in alpha index to identify manifestation codes in while rules will apply chronic - ANSWERSa condition that develops slowly and persists over a period of time code first - ANSWERSnote in the tabular list written in italics requiring the underlying disease be reported first colon : - ANSWERSused in tabular list after an incomplete term that need one or more of the modifiers that follow to make it assignable to a given category combination code - ANSWERSSingle code used to classify two diagnoses default code - ANSWERSThe code listed next to the main term and represents the condition most commonly associated with the main term etiology - ANSWERScause of disease eponym - ANSWERSdisease of syndrome named after someone essential modifiers - ANSWERSsubterms that are listed below the main term in the alphabetical order and are indented excludes 1 - ANSWERSNote in the Tabular List to indicate the terms listed are to be reported with a code from another category and are not to be reported with the current selected code excludes 2 - ANSWERSNote in the Tabular List to indicate the terms listed are to be reported from another category and may be reported with the current selected code if both conditions exist. includes - ANSWERSNote in the Tabular List under a three-character code title to define further, or to give an example of the contents of the category Index to Diseases and Injuries - ANSWERSDiagnosis codes organized by main term in an alphabetic index main term - ANSWERSThe key word to reference the disease, condition, or symptom in the ICD-10-CM Alphabetic Index. Main terms are bolded in the ICD-10-CM Alphabetic Index NEC - ANSWERSnot elsewhere classified NOS - ANSWERSnot otherwise classified Nonessential modifiers - ANSWERSSubterms that follow the main term and are enclosed in parentheses used to clarify the diagnosis, but are not required parentheses ( ) - ANSWERSsymbol to enclose supplementary words that may be present or absent in the statement of a disease or procedure, without affecting the code number to which it is assigned point dash .- - ANSWERSThis symbol is found in the Tabular List after certain codes. It indicates that the code is incomplete and go to that category or subcategory of codes to complete that code. rubrics - ANSWERSThree character categories