ICD-10-CM Coding Guidelines Exam|
71 Questions with Answers
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 - -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) - -
-Coding guidelines use the term ______________ for all health care settings
including inpatient hospital admissions - -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. - -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 - -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. - -structure and
conventions
-Section II of the Official Guidelines for Coding and Reporting includes
guidelines for selection of the ____________ for non outpatient settings - -
Principal diagnosis
-Section III of the Official Guidelines for Coding and Reporting includes
guidelines for reporting ______________ in non outpatient settings - -additional
diagnoses
-Inpatient Care requires the reporting of additional diagnoses which are
called - -comorbidities
-Section IV of the Official Guidelines for Coding and Reporting covers
________________ coding and reporting - -outpatient diagnosis
, -Appendix I of the Official Guidelines for Coding and Reporting covers
_________________ reporting guidelines - -present on admission (POA)
-If The provider documents "a borderline diagnosis" at the time of discharge
code the diagnosis as confirmed even when the ICD-10-CM Index to Diseases
and Injuries provides a specific entry that includes the word "borderline"
(True or False) - -False
-When reviewing ICD-10-CM Index to Disease and Injuries entries if the code
listed contains a fifth, sixth, ore seventh character it is unnecessary to verify
the code in the ICD-10-CM Tabular List of Diseases and Injuries. - -False
-Upon verification of codes in the ICD-10-CM Tabular List of Diseases and
Injuries when seventh characters are provided they must be assigned - -True
-Certain Z codes can be reported as a first-listed code for outpatient care. -
-True
-Codes that describe symptoms and signs are always reported with
established diagnoses - -False
-Some symptoms, signs, and ill-defined condition codes are found in ICD-10-
CM chapters other than Chapter 18, Symptoms, Signs, and Abnormal Clinical
and Laboratory Findings Not Elsewhere Classified (R00-R99) - -True
-Signs and symptoms that are integral to the disease process should be
assigned as additional codes because they are included in the disease
process. - -False
-Conditions that are not considered an integral part of a disease process
such as additional signs and symptoms that may not be associated routinely
with a disease process, should be coded when present - -True
-Etiology/manifestation conditions often require that two codes be reported
to completely describe a single condition that affects multiple body systems.
- -True
-If the same condition is described as acute (or subacute) and chronic
always assign a combination code. - -False
-One multiple code can be assigned as a single code to classify two entirely
different conditions. - -False
-Combination codes are located by referring to subterm entries in the
disease index and by reading "includes" and "excludes" notes in the tabular
list - -True
71 Questions with Answers
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 - -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) - -
-Coding guidelines use the term ______________ for all health care settings
including inpatient hospital admissions - -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. - -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 - -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. - -structure and
conventions
-Section II of the Official Guidelines for Coding and Reporting includes
guidelines for selection of the ____________ for non outpatient settings - -
Principal diagnosis
-Section III of the Official Guidelines for Coding and Reporting includes
guidelines for reporting ______________ in non outpatient settings - -additional
diagnoses
-Inpatient Care requires the reporting of additional diagnoses which are
called - -comorbidities
-Section IV of the Official Guidelines for Coding and Reporting covers
________________ coding and reporting - -outpatient diagnosis
, -Appendix I of the Official Guidelines for Coding and Reporting covers
_________________ reporting guidelines - -present on admission (POA)
-If The provider documents "a borderline diagnosis" at the time of discharge
code the diagnosis as confirmed even when the ICD-10-CM Index to Diseases
and Injuries provides a specific entry that includes the word "borderline"
(True or False) - -False
-When reviewing ICD-10-CM Index to Disease and Injuries entries if the code
listed contains a fifth, sixth, ore seventh character it is unnecessary to verify
the code in the ICD-10-CM Tabular List of Diseases and Injuries. - -False
-Upon verification of codes in the ICD-10-CM Tabular List of Diseases and
Injuries when seventh characters are provided they must be assigned - -True
-Certain Z codes can be reported as a first-listed code for outpatient care. -
-True
-Codes that describe symptoms and signs are always reported with
established diagnoses - -False
-Some symptoms, signs, and ill-defined condition codes are found in ICD-10-
CM chapters other than Chapter 18, Symptoms, Signs, and Abnormal Clinical
and Laboratory Findings Not Elsewhere Classified (R00-R99) - -True
-Signs and symptoms that are integral to the disease process should be
assigned as additional codes because they are included in the disease
process. - -False
-Conditions that are not considered an integral part of a disease process
such as additional signs and symptoms that may not be associated routinely
with a disease process, should be coded when present - -True
-Etiology/manifestation conditions often require that two codes be reported
to completely describe a single condition that affects multiple body systems.
- -True
-If the same condition is described as acute (or subacute) and chronic
always assign a combination code. - -False
-One multiple code can be assigned as a single code to classify two entirely
different conditions. - -False
-Combination codes are located by referring to subterm entries in the
disease index and by reading "includes" and "excludes" notes in the tabular
list - -True
