ICD-10-CM Coding Guidelines| 71 QUESTIONS| WITH COMPLETE SOLUTIONS

The official Guidelines for Coding and Reporting are approved by the ______________ for ICD-10-CM to accompany and complement the official conventions and instructions provided within ICD-10-CM Correct Answer: cooperating parties Signs and Symptoms associated with a disease should not be assigned as additional codes (if a patient complains of shortness of breath and is diagnosed with pneumonia the only codes assigned is for pneumonia since shortness of breath is a symptom of pneumonia) Correct Answer: Coding guidelines use the term ______________ for all health care settings including inpatient hospital admissions Correct Answer: encounter Coding guidelines use the term ___________ to mean physician or any qualified health care practitioner who is legally accountable for establishing the patient's diagnosis. Correct Answer: provider The ______________ regulations for electronic transactions require providers and third-party payers including Medicare administrative contractors (MACs) to adhere to the Official Guidelines for coding and Reporting Correct Answer: HIPAA Section I of the Official Guidelines for Coding and Reporting includes the _______________ of the classification and general guidelines that apply to the entire classification and chapter-specific guidelines that correspond to the chapters as they are arranged in the classification. Correct Answer: structure and conventions Section II of the Official Guidelines for Coding and Reporting includes guidelines for selection of the ____________ for non outpatient settings Correct Answer: Principal diagnosis Section III of the Official Guidelines for Coding and Reporting includes guidelines for reporting ______________ in non outpatient settings Correct Answer: additional diagnoses Inpatient Care requires the reporting of additional diagnoses which are called Correct Answer: comorbidities Section IV of the Official Guidelines for Coding and Reporting covers ________________ coding and reporting Correct Answer: outpatient diagnosis Appendix I of the Official Guidelines for Coding and Reporting covers _________________ reporting guidelines Correct Answer: present on admission (POA)