Question 1

Which is the correct code assigned for a person being seen for a cervical cancer screening?
A) Z12.1
B) Z12.4
C) Z51.1
D) Z86.001

Accepted Answer

B

Question 2

When the physician's notes do not include any specific information regarding the nature of the tumor, the coder should select a code from which column?
A) Ca in situ
B) Uncertain
C) Unspecified
D) None of these

Accepted Answer

If the physician's notes do not provide any specific information regarding the nature of the tumor, then the coder should choose an unspecified code.

Question 3

What are the two types of tissue examination used to determine the type of neoplasm?
A) Gross
B) Microscopic
C) Stained and microscopic
D) Gross and microscopic

Accepted Answer

The two types of tissue examination used to determine the type of neoplasm are gross examination (which involves examining the tumor with the naked eye or with imaging techniques) and microscopic examination (which involves examining the tissue under a microscope to identify the cellular characteristics of the tumor). Therefore, the best choice is D, which includes both gross and microscopic examination.

Question 4

The anatomical site where a malignant neoplasm was first seen and identified is known as the __________ site.
A) primary
B) secondary
C) Ca in situ
D) metastasized

Accepted Answer

The primary site is the anatomical location where the malignant neoplasm was first observed and identified. This is crucial information to determine the stage, prognosis, and treatment of the cancer. The secondary site refers to the anatomical location(s) where the cancer has spread to (metastasized). Ca in situ refers to cancer that has not invaded nearby tissues or organs and is confined to its original location.

Question 5

When normal cells mutate, they create a:
A) benign tumor.
B) malignant tumor.
C) neoplasm.
D) All of these

Accepted Answer

When normal cells mutate, they can form a neoplasm, which is a new and abnormal growth of tissue. This neoplasm can be either benign (non-cancerous) or malignant (cancerous), thus all of the options are correct.

Question 6

All neoplasms are classified according to which chapter in the ICD-10-CM coding manual?
A) 2
B) 3
C) 4
D) 5

Accepted Answer

Neoplasms are classified in Chapter 2 of the ICD-10-CM coding manual, which is specifically dedicated to neoplasms.

Question 7

How many possible code categories are there for an each anatomical site in the ICD-10-CM Table of Neoplasms?
A) 4
B) 5
C) 6
D) 7

Accepted Answer

There are 6 possible code categories for each anatomical site in the ICD-10-CM Table of Neoplasms: malignant primary, malignant secondary, carcinoma in situ, benign, uncertain behavior, and unspecified behavior.

Question 8

Codes listed in the Neoplasm table with a - (dash) following the code have a required additional character for:
A) functionality.
B) laterality.
C) specificity.
D) size.

Accepted Answer

The dash indicates that an additional character is needed to specify the laterality of the neoplasm.

Question 9

What term indicates that the tumor has not invaded any adjacent cells?
A) Primary
B) Benign
C) Ca in situ
D) Generalized

Accepted Answer

The answer of What term indicates that the tumor has...

Question 10

The first column in the neoplasm table is used to list the:
A) anatomical site.
B) malignant primary.
C) malignant secondary.
D) Ca in situ.

Accepted Answer

The first column in the neoplasm table is used to list the anatomical site where the neoplasm is located. The anatomical site is the primary identification of the neoplasm and is essential for accurate coding and classification. Columns B and C are used to indicate the type of neoplasm, and column D is used to identify carcinoma in situ.

Question 11

An increase in a patient's white blood cell count is also known as:
A) anemia.
B) leukemia.
C) leukocytosis.
D) hemostasis.

Accepted Answer

An increase in white blood cells is known as leukocytosis. Anemia is a decrease in red blood cells or hemoglobin. Leukemia is a type of cancer that affects blood-forming tissues, including the bone marrow and lymphatic system. Hemostasis is the process by which the body stops bleeding.

Question 12

Which classification of neoplasm indicates that the pathologist is not able to determine whether the tumor is benign or malignant?
A) Ca in situ
B) Uncertain
C) Unspecified
D) None of these

Accepted Answer

The classification "uncertain" indicates that the pathologist is not able to determine whether the tumor is benign or malignant, while the classification "ca in situ" indicates that the tumor is localized and has not invaded surrounding tissues, and the classification "unspecified" indicates that there is not enough information available to classify the tumor.

Question 13

Which of the following is not a common test performed to check for a malignant lung neoplasm?
A) Bone scan
B) Chest x-ray
C) Colposcopy
D) Bronchoscopy

Accepted Answer

A colposcopy is a visual examination of the cervix, and is not a test used to check for a lung neoplasm. The other options - bone scan, chest x-ray, and bronchoscopy - are commonly used tests to diagnose lung cancer.

Question 14

Which type of specimen examination is done with the naked eye?
A) Gross
B) Microscopic
C) Stained
D) Gross and microscopic

Accepted Answer

Gross examination refers to the examination of specimens with the naked eye, without the need for magnification.

Question 15

The anatomical site where a malignant neoplasm has traveled to is known as the _______ site.
A) primary
B) secondary
C) Ca in situ
D) generalized

Accepted Answer

The anatomical site where a malignant neoplasm has traveled to is known as the secondary site. The primary site refers to the initial location where the cancer began. "Ca in situ" refers to cancer that is present only in its original place and has not spread. "Generalized" is not a term typically used to describe the location of a specific cancer.

Question 16

What is the correct code for a family history of breast cancer?
A) Z80.1
B) Z80.3
C) Z85.1
D) Z85.3

Accepted Answer

The answer of What is the correct code for a...

Question 17

What term describes cancer that has spread throughout the body?
A) Disseminated cancer
B) Generalized cancer
C) Widely metastatic cancer
D) All of these

Accepted Answer

All of these terms are commonly used interchangeably to describe cancer that has spread throughout the body beyond its original site.

Question 18

What term indicates that a tumor has undergone malignant changes but is still limited to the origination site?
A) Primary
B) Secondary
C) Ca in situ
D) Generalized

Accepted Answer

"Ca in situ" stands for carcinoma in situ, which means that the tumor has undergone malignant changes but is still limited to the origination site. "Primary" refers to the original site of the tumor, whether benign or malignant. "Secondary" refers to metastatic tumors that have spread from the primary site to other locations in the body. "Generalized" is a broad term that does not specifically refer to tumors or cancer.

Question 19

The term mass is often used to describe a:
A) benign tumor.
B) cyst.
C) malignant tumor.
D) All of these

Accepted Answer

The answer of The term mass is often used to...

Question 20

Neoplasms with overlapping boundaries are known as:
A) contiguous.
B) inclusive.
C) metastatic.
D) None of these

Accepted Answer

Neoplasms with overlapping boundaries are known as contiguous, meaning they touch or share a common border. In contrast, metastatic tumors have spread from their site of origin to a distant location, and inclusive tumors would include others within their boundaries.

Quiz 5: Coding Neoplasms

Which is the correct code assigned for a person being seen for a cervical cancer screening?

When the physician's notes do not include any specific information regarding the nature of the tumor, the coder should select a code from which column?

What are the two types of tissue examination used to determine the type of neoplasm?

The anatomical site where a malignant neoplasm was first seen and identified is known as the __________ site.

When normal cells mutate, they create a:

All neoplasms are classified according to which chapter in the ICD-10-CM coding manual?

How many possible code categories are there for an each anatomical site in the ICD-10-CM Table of Neoplasms?

Codes listed in the Neoplasm table with a - (dash) following the code have a required additional character for:

What term indicates that the tumor has not invaded any adjacent cells?

The first column in the neoplasm table is used to list the:

An increase in a patient's white blood cell count is also known as:

Which classification of neoplasm indicates that the pathologist is not able to determine whether the tumor is benign or malignant?

Which of the following is not a common test performed to check for a malignant lung neoplasm?

Which type of specimen examination is done with the naked eye?

The anatomical site where a malignant neoplasm has traveled to is known as the _______ site.

What is the correct code for a family history of breast cancer?

What term describes cancer that has spread throughout the body?

What term indicates that a tumor has undergone malignant changes but is still limited to the origination site?

The term mass is often used to describe a:

Neoplasms with overlapping boundaries are known as: