ICD-10-CM Guidelines Exam Questions And Answers 100% Verified
ICD-10-CM Guidelines Exam Questions And Answers 100% Verified Code only _____ cases of HIV. Lab work is not required only the physician documents. - answerConfirmed When a patient is admitted for an HIV related condition, _____ is sequenced first followed by additional diagnoses codes for all reported HIV related conditions. - answerB20 If a patient with HIV disease is admitted for an unrelated condition such as a fracture, the code for the unrelated condition is coded _______. B20 is used as an additional diagnosis. - answerFirst Asymptomatic human immunodeficiency virus (HIV) infection is applied when the patient is HIV positive and does not have any documented symptoms of an HIV related illness. What is the code? - answerZ21 ICD-10-CM _______ ______ codes always take sequencing priority and should be listed first. - answerChapter 15 Should a patient with signs and symptoms is being seen for HIV testing, what should be coded while waiting on the results? - answerSigns and symptoms If a patient test results come back positive for HIV and the patient is symptomatic, what code should be used? - answerB20 Sepsis and severe sepsis require a code to identify the ________ _________. If documentation does not include the casual organism, report A41.9 Sepsis, unspecified organism. - answerSystematic infection Severe sepsis is associated with acute organ dysfunction. A minimum of two codes are required. Code underlying condition first, followed by a code from subcategory ______ depending on what is documented. - answerR65.2 Code ____ can never be used as principal diagnosis. - answerR65.2 When coding septic shock, first code the systemic infection followed by R65.21 or - answerOrgan function When the patient develops anemia because of the neoplasm and presents for treatment of the anemia, the code for the ________ is listed first, followed by the code for the ______. - answerMalignancy, anemia If the anemia is caused by chemotherapy or radiotherapy, the _______ code is reported first, followed by the appropriate codes for the _____________________. - answerAnemia, neoplasm and the adverse effect When coding an encounter for chemotherapy, immunotherapy, and radiotherapy, report the ___________ first, followed by the active code for the ___________________________, even if that neoplasm has already been removed. - answerZ codes, malignant neoplasm _______________ is a type of diabetes caused by something other than genetics or environmental factors. It is always caused by another condition or event. - answerSecondary diabetes _________ is the paralysis of both lower limbs. - answerParaplegia _________ is paralysis of all four limbs. - answerQuadriplegia _________ is paralysis on one vertical half of the body. - answerHemiplegia __________ is paralysis of one limb. - answerMonoplegia __________ is a condition when the optic nerve is damaged, causing vision loss. - answerGlaucoma ________________ is any inflammation of the middle ear without reference to etiology or pathogenesis. - answerOtitis media (OM) What code should be used to report weeks of gestation? - answerZ38 Should a condition originate in the perinatal period, and continue throughout the life of the patient, should the Perinatal code be used throughout the life of the patient of or should the perinatal code be discontinued after delivery. - answerThroughout life of the patient Coding of sequela generally requires two codes sequenced in the following order: _____________________________________________. - answerthe condition or nature of the sequela is sequenced first. The sequela code is sequenced second. Manifestation - answerSigns and/or symptoms of an underlying disease, not the disease itself, and therefore, cannot be a principal diagnosis. Excludes 1 - answerIt means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. If two conditions are not related to one another, it is possible to report both codes despite the presence of an Exclude note 1. Ex: Mental disorder (F01-F99) cannot be assigned with the R40-R46 codes but if dizziness (R42) is not component if mental health condition then we can code it separately. Excludes2 - answerA type 2 Excludes note represents "Not included here." An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate. Sepsis For a diagnosis of sepsis, assign the appropriate code for the underlying systemic infection. If the type of infection or causal organism is not further specified, assign code A41.9, Sepsis, unspecified organism. - answerSepsis A code from subcategory R65.2, Severe sepsis, should not be assigned unless severe sepsis or an associated __________________ is documented - answeracute organ dysfunction The term _____________ is a nonspecific term. It has no default code in the Alphabetic Index. It is not to be considered synonymous with sepsis. - answerurosepsis If a patient has sepsis and associated acute organ dysfunction or multiple organ dysfunction (MOD), follow the instructions for coding ________________. - answersevere sepsis If a patient has sepsis and an acute organ dysfunction, but the medical record documentation indicates that the acute organ dysfunction is related to a medical condition other than the sepsis, do not assign a code from subcategory ____________________. An acute organ dysfunction must be associated with the sepsis in order to assign the severe sepsis code. - answerR65.2, Severe sepsis The coding of severe sepsis requires a minimum of ____ codes: first a code for the _________________, followed by a code from subcategory _________________________. - answer2, underlying systemic infection, R65.2Severe sepsis Septic shock generally refers to ______________________ associated with severe sepsis, and therefore, it represents a type of acute organ dysfunction - answercirculatory failure If the reason for admission is both sepsis or severe sepsis and a localized infection, such as pneumonia or cellulitis, a code(s) for the underlying systemic infection should be assigned ____________ and the code for the localized infection should be assigned as a _____________________. - answerfirst, secondary diagnosis
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