Medical coding III FINAL EXAM Preparation 2025| Approved Questions and Answers

Medical coding III FINAL EXAM Preparation 2025| Approved Questions and Answers What coding guideline applies to encounters solely for chemotherapy administration? Use the Z-code for "encounter for antineoplastic chemotherapy" as the primary diagnosis, with secondary codes for the type of cancer. A patient requires two different imaging studies for the same body part. What modifier is applied to distinguish the two studies? Use modifier -59 to show that these are separate and distinct procedures for the same anatomical location. How should late effects or residual conditions of a past illness be documented in coding? Code the residual condition first, followed by a code for the original illness with a modifier to indicate it as a sequela. What is the purpose of using a seventh character "D" in coding fractures? 2 The seventh character "D" indicates that the encounter is for subsequent care, such as followup or routine aftercare. If a patient receives a screening colonoscopy but polyps are found and removed, how should this visit be coded? Use both the screening Z-code and the code for polyp removal, as the initial purpose was screening but resulted in treatment. When should a code for "intractable" be applied to pain or other symptoms? Use "intractable" only when documented by the provider, indicating pain that doesn’t respond to standard treatment. A patient with Alzheimer's disease is seen for worsening cognitive symptoms. Which codes should be used? Code Alzheimer's disease as the primary diagnosis, with additional codes for any behavioral or cognitive symptoms if specified. In ICD-10, how are sequelae of an injury coded? 3 Use a sequela code to indicate the residual effect after the acute phase of an injury has ended, followed by the injury code with an "S" modifier to show it's a late effect. What is the correct approach for coding both an initial encounter and a secondary diagnosis of an underlying chronic condition? Code the acute or new condition as primary, with the chronic condition as secondary, ensuring that any complication codes are included if documented. A patient visit documents both primary cancer and a secondary metastatic site. How should this be coded? Code the primary cancer site first, followed by the code for the metastatic (secondary) site to reflect the spread. If a coding professional is coding a procedu