Deck 4: Diagnostic Coding: Introduction to ICD-10-CM

Question 1

The primary diagnosis in ICD-10-CM coding is listed

A) second.
B) after the coexisting condition.
C) before the signs and symptoms.
D) first.

Answer 1

first.

Question 2

Which of the following provides code numbers for neoplasms based on their anatomical site and divided by the description?

A) Neoplasm Table
B) Index to External Causes
C) Alphabetic Index
D) Tabular List

Answer 2

Neoplasm Table

Question 3

L03 is an example of what type of code?

A) category
B) combination code
C) subcategory
D) subclassification

Answer 3

category

Question 4

The use of brackets in the Alphabetic Index around a code means

A) it should be listed as the primary code followed by a manifestation code.
B) it cannot be the first-listed code.
C) it is an unspecified code and should only be used in certain circumstances.
D) it cannot be coded as it is an invalid diagnosis code.

Question 5

In ICD-10-CM coding the first character is a

A) letter or a number.
B) dummy placeholder.
C) letter.
D) number.

Question 6

The main term in the Alphabetic Index is

A) the word that identifies the subterm.
B) the word that identifies a disease and appears in boldface.
C) the word that identifies the etiology and non-essential modifiers.
D) the word that identifies the default code and the etiology.

Question 7

Excludes 2 in ICD-10-CM is an indication that

A) two conditions must be coded together to have a valid code.
B) conditions are not valid.
C) the patient could have both conditions at the same time.
D) two conditions could not exist together.

Question 8

Which letter is not currently used in ICD-10-CM coding?

A) B
B) O
C) Y
D) U

Question 9

Some conditions require two codes, one for the etiology and one for the

A) manifestation.
B) main term.
C) subterm.
D) eponym.

Question 10

When billing a Centers for Medicare and Medicaid Services (CMS) program, what will happen to a claim if the most specific code available is not used?

A) Claim will be paid at a lower rate.
B) Claim will not be processed.
C) Claim will be rejected.
D) Claim will be paid with a 10 percent penalty.

Question 11

ICD-10-CM was mandated under the HIPAA

A) Privacy Rule.
B) Security Rule.
C) Billing Rule.
D) Transactions and Code Sets.

Question 12

The Alphabetic Index is also known as the

A) ICD-10-PCS Index to External Causes.
B) ICD-10-CM Neoplasm Table.
C) ICD-10-CM Index to Disease and Injuries.
D) ICD-10-PCS Index to Disease.

Question 13

In "Niacin deficiency [pellagra]," what do the brackets represent?

A) that the coder cannot use this code because it is invalid
B) that the word pellagra is a synonym, alternative word, or explanation
C) that the coder must use a combination code
D) that the coder must look up the code for pellagra

Question 14

In the following statement, what is the manifestation code: "Pneumonia in rheumatic fever J00 [J17]"?

A) J00
B) Pneumonia
C) rheumatic fever
D) J17

Question 15

The first step in the coding process is to look in the

A) Tabular List.
B) Alphabetic Index.
C) Neoplasm Table.
D) Index to External Causes.

Question 16

If the ICD-10-CM code requires a seventh character and there is no sixth character, what should the coder do?

A) Use a zero in the sixth character.
B) Move the character to the sixth position and leave the seventh position empty.
C) Use the seventh character in the sixth character position followed by a zero.
D) Use an "x" in the sixth character position.

Question 17

The physician's description of the main reason for a patient encounter is called a(n)

A) chief complaint.
B) external cause.
C) diagnostic statement.
D) convention.

Question 18

Morvan's disease is an example of a(n)

A) convention.
B) subterm.
C) nonessential modifier.
D) eponym.

Question 19

When a patient presents for outpatient surgery but surgery is not performed due to a contraindication, the reason for the surgery is coded as

A) the etiology and manifestation.
B) a combination code.
C) the second-listed diagnosis.
D) the first-listed diagnosis.

Question 20

In ICD-10-CM a three-character code is to be used

A) when no definitive diagnosis has been established.
B) when there is a neoplastic process.
C) when it cannot be further subdivided.
D) for signs and symptoms.

Question 21

To report an automobile accident where the pedestrian was injured with a collision of the car, what would your cause code begin with?

A) R
B) I
C) C
D) V

Question 22

ICD-10-CM codes differ from ICD-9-CM codes because they

A) include E codes for external causes.
B) have more chapters and fewer characters.
C) are alphanumeric and have up to seven characters.
D) have fewer chapters but greater specificity.

Question 23

According to CMS the correct code set to be used is based on

A) the admission date.
B) the payment date.
C) the date of service.
D) the billing date.

Question 24

What describes conditions that remain after a patient's acute illness or injury has ended?

A) chronic
B) suspected
C) acute
D) sequelae

Question 25

What type of code is used to further define the etiology, site, or manifestation?

A) subcategory
B) category
C) combination code
D) subclassification

Question 26

Where are Inclusion notes located in ICD-10-CM?

A) Neoplasm Table
B) Alphabetic Index
C) Hypertension Table
D) Tabular List

Question 27

In ICD-10-CM, the term conventions means

A) typographic techniques that provide visual guidance.
B) physician's descriptions of the main reason for a visit.
C) main term descriptions.
D) codes that are always listed first.

Question 28

For ambulatory surgery, when the preoperative diagnosis is different from the postoperative diagnosis, the coder would code

A) the preoperative diagnosis.
B) both the preoperative and postoperative diagnosis.
C) the postoperative diagnosis.
D) the signs and symptoms.

Question 29

When the patient has a coexisting condition that the physician diagnoses and treats, the coder must

A) code the coexisting condition first followed by the primary diagnosis.
B) use a combination code to code both diagnoses.
C) add a seventh character code for the coexisting condition.
D) code the primary diagnosis first and then the current coexisting condition.

Question 30

When coding for poisoning (T46.1X1S, for example) in ICD-10-CM, what character describes if it was accidental, self-harm, assault, or undetermined?

A) fifth
B) seventh
C) fourth
D) sixth

Question 31

In ICD-10-CM, combination code is a single code that describes both

A) the subterm and etiology.
B) the etiology and manifestation.
C) the main term and subterm.
D) the manifestation and subterm.

Question 32

Not otherwise specified codes are used

A) when no other information is available for assigning the disease a more specific code.
B) never because they are not allowed in ICD-10-CM.
C) when no code matches the exact situation.
D) only when there is a manifestation code.

Question 33

Which of the following codes is considered a category code?

A) S82.111A
B) S82.111
C) S82
D) S82.1

Question 34

When an operative note states the postoperative diagnosis as carcinoma in situ of the cervix, this represents

A) that the original site cannot be found.
B) that the neoplasm is a noninvasive or preinvasive type.
C) that the neoplasm has metastasized.
D) a slow-grown, benign tumor.

Question 35

In the Neoplasm Table, if the documentation states that the neoplasm has metastasized to an additional body site, this would be classified as

A) carcinoma in situ.
B) malignant secondary.
C) malignant primary.
D) uncertain behavior.

Question 36

When verifying the selected code in the Tabular List, the coder must

A) be alert for additional character requirements.
B) always code to the seventh character.
C) read Excludes notes only.
D) read Includes notes only.

Question 37

A code in ICD-10-CM has how many characters?

A) five to seven
B) three
C) all of these are correct
D) four

Question 38

Who was not required to switch to ICD-10-CM on October 1, 2015?

A) workers' compensation
B) clearinghouses
C) providers
D) health care insurance companies

Question 39

When an established diagnosis has been determined, the coder must code

A) the established diagnosis and signs and symptoms.
B) the coexisting conditions only.
C) the established diagnosis.
D) the signs and symptoms only.

Question 40

In ICD-10-CM coding, which of the following is used to report an external cause of morbidity, the place of occurrence?

A) M codes
B) V and Y codes
C) Z codes
D) E codes

Question 41

Nonessential or supplementary terms use what type of punctuation?

A) brackets
B) exclusion Notes
C) colon
D) parentheses

Question 42

When the Tabular List has the instruction to "code first underlying disease," it means that the code selected would be

A) excluded.
B) listed first.
C) listed second.
D) listed either first or second because the instruction is for review only.

Question 43

What does the instruction "use additional code" tell the coder?

A) The code selected can be listed first or second.
B) The code selected must be listed second.
C) The code selected must be excluded.
D) The order of the codes must be same as shown in the Alphabetic Index.

Question 44

If a see cross reference appears after a main term, the coder

A) does not need to look up any additional words or phrases.
B) can code right from the Alphabetic Index.
C) must find the manifestation code also.
D) must look up the term that follows the word see in the index.

Question 45

Which of the following is made up of 21 chapters of disease descriptions and their codes?

A) Neoplasm Table
B) Alphabetic Index
C) Tabular List
D) Index to External Causes

Question 46

The terms acquired, congenital, and both eyes that may modify the main term in the diagnostic statement would be considered

A) default codes.
B) nonessential modifiers.
C) etiology codes.
D) subterms.

Question 47

If documentation in the medical record mentions a type or form of a condition that is not listed, the coder would code

A) unspecified.
B) other.
C) signs and symptoms.
D) unlisted.

Question 48

When coding from the neoplasm table, the term primary refers to the condition as

A) a neoplasm that is considered non-invasive.
B) a slow-growing, benign tumor.
C) the main diagnosis.
D) the metastasized diagnosis.

Question 49

If a cross reference of see also appears in the Alphabetic Index, the coder

A) should look up the additional words.
B) must find the manifestation code also.
C) does not need to look up any additional words or phrases.
D) can code right from the Alphabetic Index.

Question 50

A hyphen in the Alphabetic Index is a reminder to the coder that

A) they need to look at another word to find the correct code.
B) there are no additional codes available.
C) it is not necessary to look in the Tabular List.
D) they need to look further in the Tabular List to select the right code.

Question 51

Not elsewhere classifiable means that

A) it is unspecified.
B) we must find another code.
C) no code matches the exact situation.
D) it has a manifestation code also.

Question 52

Eponyms are usually listed in the Alphabetic Index under

A) the nonessential modifier and main term.
B) the main term and subterm.
C) the eponym and main term.
D) the convention and the eponym.

Question 53

Which of the following codes is considered a subcategory code?

A) S82.111
B) S82
C) S82.1
D) S82.111A

Question 54

If you are coding in the outpatient setting, the chief complaint is

A) documented in the patient's words.
B) listed as the secondary diagnosis.
C) documented with medical terminology.
D) listed as the primary diagnosis.

Question 55

When there is a seventh character extension in some categories, it is usually used to describe what?

A) category code
B) poisoning occurrence
C) sequence of the visit
D) dummy placeholder

Question 56

In ICD-10-CM, what does Excludes 1 mean?

A) used when that disease process cannot be coded and another code must be determined
B) used when a patient has both conditions at the same time
C) used when two conditions could not exist together
D) used when there are two conditions that must be coded together to have a valid code

Question 57

The federal government has used ICD-10 to categorize what since 1999?

A) age statistics
B) government spending
C) morbidity data
D) mortality data

Question 58

Where are Exclusion notes located in ICD-10-CM?

A) Hypertension Table
B) Tabular List
C) Neoplasm Table
D) Alphabetic Index

Question 59

ICD-10-CM diagnosis coding has as little as __________ and as many as __________ characters.

A) three; five
B) three; seven
C) one; five
D) one; seven

Question 60

A valid code in ICD-10-CM must have at least how many characters?

A) 7
B) 4
C) 5
D) 3

Question 61

If a patient was diagnosed with a lesion of the femoral nerve, what range of codes would you look at?

A) Q00-Q99
B) A00-B99
C) S00-S99
D) G00-G99

Question 62

What type of code describes two diagnoses or a diagnosis with an associated complication?

A) combination code
B) comorbidity code
C) mortality code
D) eponym

Question 63

If a patient was diagnosed with a malignancy of the ovary, what range of codes would you look at to code the disease?

A) S
B) C
C) N
D) G

Question 64

The final step in coding would be to

A) report the coexisting conditions as primary.
B) check compliance with official guidelines.
C) code to the seventh character.
D) include suspected conditions.

Question 65

When a diagnosis is not established at the first visit and follow-up visits are required before determining a primary diagnosis, what should the coder do?

A) Code the inconclusive diagnosis.
B) Code the working diagnosis.
C) Code the sequelae.
D) Code the signs and symptoms.

Question 66

In the cellulitis and acute lymphangitis of finger and toe (L03.0) code, the fourth character is an example of a

A) subcategory.
B) combination code.
C) category.
D) subclassification.

Question 67

Another word for NOS is

A) subterm.
B) combination.
C) unspecified.
D) convention.

Question 68

GEMs is the acronym for

A) General Equivalence Matrix.
B) General Equivalence Mappings.
C) Generic Equivalence Mappings.
D) General Elements Matrix.

Question 69

As of October 1, 2015, the diagnosis codes that must be used in the United States are based on which of the following revisions of the International Classification of Diseases (ICD)?

A) 5th Revision
B) 10th Revision
C) 9th Revision
D) 15th Revision

Question 70

Laterality coding in ICD-10-CM shows that the classification system can

A) increase reimbursement.
B) inform the insurance carrier that both sides of the body were affected.
C) capture which side of the body is being coded.
D) eliminate the need for two codes if both sides of the body are affected.

Question 71

Which of the following is an index of drugs and chemicals?

A) Index to External Causes
B) Tabular List
C) Table of Drugs and Chemicals
D) Alphabetic Index

Question 72

The abbreviation NEC represents a code

A) that has a manifestation code also.
B) that is used when no other information is available.
C) that is used when a disease or condition cannot be found in any other category.
D) that is used for unspecified reasons.

Question 73

What is one of the major advantages of ICD-10-CM over ICD-9-CM?

A) provides more categories for disease and other health-related conditions
B) less flexible
C) lower level of specificity
D) eliminates the need to code for external causes

Question 74

An acute illness is described as

A) an illness or condition with severe symptoms and a short duration.
B) an illness with severe symptoms and a long duration.
C) a condition with minor symptoms and a short duration.
D) a condition that remains after an illness has been treated.

Question 75

In ICD-10-CM which of the following describes a subterm?

A) a word that identifies a disease or condition in the Alphabetic Index
B) a supplementary word or phrase that helps define a code
C) a default code
D) a word or phrase that describes a main term in the Alphabetic Index

Question 76

M codes that are followed by four digits, a slash, and a final digit are used by pathologists to

A) report morbidity diagnoses.
B) report diseases that cannot be managed or controlled.
C) report metastasized processes.
D) report on and study the prevalence of various types of neoplasms.

Question 77

Turnover lines in ICD-10-CM coding are used

A) only for eponyms.
B) for subterms that help define the main term.
C) only when nonessential modifiers are used.
D) when the main term or subterm is too long to fit on one line.

Question 78

To correctly code a situation where the encounter is for circumstances other than a disease or injury you would use a(n)

A) Z code.
B) M code.
C) E code.
D) V code.

Question 79

What is the main term in the sentence "the patient presents with blindness following an accident with a bow and arrow when he was a child"?

A) accident
B) blindness
C) arrow
D) injury

Question 80

Chronic diseases treated on an ongoing basis may be coded

A) as many times as the patient receives treatment.
B) only at discharge from the hospital.
C) only the first time you see the patient.
D) once per month.