AAPC Chapter 3 - Introduction to ICD-10-CM - Review Exam Solved 100%

The terms malignant, benign, in situ and uncertain behavior are all terms used when coding what? - Answer Correct Answer: a. Neoplasms Response Feedback: Rationale: Neoplasm codes in ICD-10-CM are classified as malignant, carcinoma in situ, uncertain, unspecified, or benign. What does ICD-10-CM guideline I.B.1 state to use when locating and assigning a diagnosis code? - Answer Correct Answer: b.ICD-10-CM Alphabetic Index and Tabular List Response Feedback: Rationale: According to the ICD-10-CM guideline 1.B.1 both the Alphabetical Index and Tabular List are used to locate and assign a code. Reliance on only the Alphabetic Index or the Tabular List will lead to errors and less specificity in reporting codes. Who are the parties responsible for providing the ICD-10-CM guidelines? - Answer Correct Answer: c. NCHS and CMS Response Feedback: Rationale: ICD-10-CM guidelines introduction states, Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) provide the guidelines for coding and reporting using ICD-10-CM. What do the instructions and conventions of the classification take precedence over? - Answer Correct Answer: b. Official Coding Guidelines Response Feedback: Rationale: ICD-10-CM guidelines state the instructions and conventions of the classification take precedence over guidelines. 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? - Answer Correct Answer: a. Z code (Z00-Z99) Response Feedback: Rationale: ICD-10-CM guideline IV.E indicates to use codes from Chapter 21 Factors Influencing Health Status and Contact with Health Services (Z00-Z99). These codes are also known as Z codes and are provided to record healthcare encounters for circumstances other than a disease or injury. ICD-10-CM Chapter 21 states Z codes provide codes to deal with encounters for circumstances other than a disease or injury. What is the ICD-10-CM code for low back pain? - Answer Correct Answer: b. M54.50 Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index Pain/low back and you are directed to M54.50. Verify code selection in the Tabular List. When referencing the Tabular List, which code contains an instructional note that indicates that two related conditions cannot occur together? - Answer Correct Answer: d.N94.2 Response Feedback: Rationale: Code N94.2 has an Excludes1 note for psychogenic vaginismus(F52.5), indicating that the diagnosis psychogenic vaginismus is not reported with code N94.2 but instead with code F52.5. Refer to ICD-10-CM coding guideline, I.A.12.a When coding for an ambulatory surgical procedure, how is the diagnosis determined? - Answer Correct Answer: a. Code the postoperative diagnosis because it is the most definitive. Response Feedback: Rationale: For ambulatory surgery, if the postoperative diagnosis is known to be different from the preoperative diagnosis at the time the diagnosis is confirmed, select the postoperative diagnosis for coding because it is the most definitive. Refer to ICD-10-CM guideline IV.N. What is the ICD-10-CM code for tachycardia? - Answer Correct Answer: c. R00.0 Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index for Tachycardia. Without further description, you are directed to R00.0. Verify code selection in the Tabular List. Which diagnosis code(s) below reports pain in the left and right ears? - Answer Correct Answer: d. H92.03 Response Feedback: Rationale: ICD-10-CM allows for the reporting of laterality (right, left, bilateral). For bilateral sites, the final character of the code indicates laterality. ICD-10-CM guideline I.B.13 indicates if no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side. There is a bilateral code provided for pain in the left and right ears H92.03. You would not report two separate codes. What is the ICD-10-CM code for fatigue? - Answer Correct Answer: c. R53.83 Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index for Fatigue. Without further description you are directed to R53.83. Verify code selection in the Tabular List. What do brackets [ ] indicate in the ICD-10-CM Alphabetic Index? - Answer Correct Answer: c. Use the code(s) in brackets in addition to the disease or condition to identity an associated manifestation. Response Feedback: Rationale: ICD-10-CM guideline I.A.7 states brackets that appear in the ICD-10-CM Alphabetic Index indicates manifestation codes. The diagnosis caudal cervical inflammatory spondylopathy is assigned ICD-10-CM code M46.82 and is an example of what ICD-10-CM coding convention? - Answer Correct Answer: d. NEC Response Feedback: Rationale: The abbreviation NEC (not elsewhere classifiable) is used in the ICD-10-CM Alphabetic Index to indicate there is no separate code for the condition, even though the statement may be very specific. In the Tabular List, these conditions may include words such as other. In the Alphabetic Index look for Spondylopathy/inflammatory/specified type NEC/cervical region. Using the ICD-10-CM Alphabetic Index, which main term below has an instructional note indicating another main term may also be referenced that may provide additional Alphabetic Index entries that may be useful? - Answer Correct Answer: b. Fibrosarcoma Response Feedback: Rationale: Look for the main term for Fibrosarcoma in the ICD-10-CM Alphabetic Index. The main term Fibrosarcoma has a note to see also Neoplasm, connective tissue, malignant. This note instructs you to go to another main term if additional information of the diagnosis cannot be found under the first main term. Refer to ICD-10-CM coding guideline I.A.16. What is the ICD-10-CM code for swine flu? - Answer Correct Answer: b. J09.X2 Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index for Flu/swine. You are directed to J09.X2. Verify code selection in the Tabular List. What diagnosis codes should be reported for fragilitas ossium, osteogenesis imperfecta and osteopsathyrosis? - Answer Correct Answer: c. Q78.0 Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index for Fragilitas/ossium Q78.0. Next look for Osteogenesis imperfect Q78.0. Look for Osteopsathyrosis Q78.0. The Tabular List includes all the conditions in the code Q78.0.