Quiz 12: Basics of Diagnostic Coding

Babies are considered newborn or perinatal for the first ______ days. A) 30 B) 29 C) 28 D) 27

Burns are coded by A) site and degree. B) the body surface involved. C) Both A and B D) None of the above

Medical assistants have the trust of the physician and practice that employs them. A medical assistant must A) adhere to ethical standards concerning assigning and reporting codes clearly. B) be responsible and knowledgeable to ensure that no fraud takes place in coding. C) be responsible and knowledgeable to ensure that no fraud takes place in claim submission. D) All of the above

Which volume(s) of ICD-9-CM is/are used for diagnostic coding? A) Volume 1 B) Volume 2 C) Volume 3 D) Both A and B

Which of the following letters in the ICD-10-CM is reserved by the World Health Organization to assign new diseases with uncertain etiology? A) U B) X C) Y D) Z

How are subterms treated in the alphabetic index to diseases and injury? A) Bold type B) Enclosed in parentheses C) Italicized D) Indented two spaces under the level of the preceding line

When a Code First Note is present and the patient has an underlying condition, the underlying condition should be sequenced first. Wherever such a combination exists, a Use Additional Code Note is found with the etiology code, and a Code First Note is found with the manifestation code. A) Both statements are true. B) Both statements are false. C) The first statement is true; the second is false. D) The first statement is false; the second is true.

Which of the following instructions in the Alphabetic Index indicates that another main term may reference additional useful index entries? A) See B) See also C) See category D) And E) Due to

Which of the following ICD-10-CM sections includes guidelines for reporting additional diagnoses in non-outpatient settings? A) Section I B) Section II C) Section III D) Section IV E) Section V

Which of the following is the second most common medical document from which diagnostic statements can be extracted? A) Encounter form B) Treatment notes C) Discharge summary D) Radiology, laboratory, or pathology report

All conditions that occur during or following medical care or surgery are classified as complications. There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication. A) Both statements are true. B) Both statements are false. C) The first statement is true; the second is false. D) The first statement is false; the second is true.

The code HIV indicates which of the following? A) The HIV virus is present B) The manifestation of and/or symptoms that occur as a result of HIV infection C) Probable case of HIV D) Suspected case of HIV

Which of the following terms defines a malignant neoplasm site as the absence of invasion of surrounding tissues? A) Primary B) Secondary C) In situ D) Benign

Which of the following codes will be used for a patient with a history of myocardial infarction with no symptoms but diagnosed by means of an electrocardiogram? A) Category I21 B) Code I25.2 C) Code I21.3 D) None of the above

Which of the following terms applies to the period from the last month of pregnancy to 5 months after giving birth? A) Antepartum B) Childbirth C) Postpartum D) Peripartum

A code from category Z37 should be included on A) every maternal record when a delivery has occurred. B) subsequent records. C) newborn records. D) Both A and B

When coding for drug toxicity, which of the following refers to a condition when a patient takes less of a medication than is prescribed by his or her provider or by the manufacturer's instructions? A) Adverse effect B) Poisoning C) Underdosing D) Toxic effect

The cause of a disorder is its __________.

The signs and symptoms of a disease are its __________.

The abbreviation that is the equivalent of "unspecified" is __________.

The __________ table describes malignancies.

At times, the medical assistant must code a(n) __________ if the physician is not yet sure of the diagnosis.

The medical assistant should never code a patient as having __________ unless it is clearly documented as confirmed in the medical record.

Carcinoma __________ is defined as the absence of invasion of surrounding tissues.

Burns are coded to the site by __________.

______________ are notes included in the Tabular Index to provide additional guidance for selected diagnosis codes.

The codes for pernicious anemia and a vitamin B₁₂ deficiency are the same.

A neoplasm or new growth is coded by the site or location of the neoplasm and its behavior.

The coder should always refer to the Tabular Index first.

The "code first" notation can usually be ignored.

Main terms appear in bold type.

Etiology refers to the underlying cause or origin of a disease.