COC Latest Questions and Verified Answers

Referencing ICD-10-CM guideline I.B.10., what is the time limit when assigning codes as "sequela"? - There is no time limit on sequela. Rationale: ICD-10-CM Official Coding Guidelines, Section I.B.10 states there is no time limit when sequela codes can be used. Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his splenectomy, he is required to have clearance from his pulmonologist. The pulmonologist performs a preoperative screening and documents that his mild COPD should not be a problem. Applying the coding concept from ICD-10-CM guideline IV.M., which ICD-10-CM Codes would be reported for the pre-operative clearance? - Z01.811, D73.1, J44.9 Rationale: ICD-10-CM coding guidelines Section IV.M. states to sequence first a code from subcategory Z01.81, Encounter for preprocedural examinations. Assign a code for the condition to describe the reason for the surgery as an additional diagnosis. Look in the ICD10-CM Alphabetic Index to for Examination/pre-procedural/respiratory (Z01.811). Next, report the findings related to the reason for the preoperative screening. Look for Hypersplenia, hypersplenism (D73.1). Then, look in the Alphabetic Index for Disease/pulmonary/chronic obstructive referring you to J44.9. Verify the codes in the Tabular List. Applying the coding concept from ICD-10-CM guideline I.B.1., which of the following is the recommended method for using your ICD-10-CM code book? - Always consult the Alphabetic Index first. Refer to the Tabular List to locate the selected code Rationale: Introduction ICD-10-CM - How to Use the ICD-10-CM - Steps to Correct Coding tells us to locate the main term in the Alphabetic Index, then verify the code in the Tabular List. What is the ICD-10-CM code for bilateral hip pain? - M25.551, M25.552 Rationale: In the Index to Diseases and Injuries, look for Pain(s)/ joint/hip. You are directed to subcategory code M25.55. In the Tabular List, a sixth character is assigned to indicate laterality. Because there is no code choice for bilateral, M25.551 is reported for the right hip pain and M25.552 is reported for the left hip pain. What is the ICD-10-CM code for a bruised left knee, initial encounter? - S80.02XA Rationale: In the Index to Diseases and Injuries, look for the main term Bruise. You are directed to see also Contusion. Look for the main term Contusion, locate the site, subterm, knee and you are referred to S80.0-. Review in Tabular List. There is a fifth character symbol in front of subcategory code S80.0 to indicate the laterality of the contusion. The contusion is on the left knee, reporting so far S80.02. There is a symbol for 7th, X, extension character, indicating you need to report two more characters to complete this code. Because you only have so far five characters, S80.02, you need to report an "X" as a dummy placeholder for your sixth character and then an "A" to indicate initial encounter for your seventh character. There is an instructional note under category code S80 that indicates which letters can only be used as the 7th character. Correct code choice is S80.02XA. Supplementary words enclosed in parentheses in the ICD-10-CM coding manual have what affect on the coding? Refer to ICD-10-CM guideline I.A.7. - They do not affect code assignment. Rationale: Parentheses are used in both the ICD-10-CM Alphabetic Index and Tabular List to enclose supplementary words that may be present in the statement of a disease or procedure without affecting the code number to which it is assigned. The terms within the parentheses are referred to as nonessential modifiers. A patient visits her family provider for her annual wellness exam. The provider notices a suspicious skin lesion on her arm and refers her to a dermatologist. Applying the coding concept from ICD-10-CM guideline IV.P, which ICD-10-CM code(s) is/are reported? - Z00.01, L98.9 Rationale: ICD-10-CM coding guidelines, section IV.P. requires the coder to report first the general medical exam diagnosis and then the abnormal finding. Look in the ICD-10-CM Alphabetic Index for Examination (for) (following) (general) (of) (routine)/annual (adult) (periodic) (physical)/with abnormal findings Z00.01. In the Tabular List, there is a note to also report the code to identify the abnormal finding. Look in the ICD-10-CM Alphabetic Index for Lesion/Skin L98.9. Verify code selection in the Tabular List.