Question 1

A facility coder notes that a provider has documented a salpingo-oophorectomy was performed on a male patient. The coder relied on her knowledge of __________ to determine this is an impossible coding scenario.

Accepted Answer

Medical terminology knowledge is essential here because a salpingo-oophorectomy involves the removal of a female's ovary and fallopian tube, which are not present in males.

Question 2

What is another name for the full description of an ICD-10-CM code?

Accepted Answer

Nomenclature is the correct term for the full description of an ICD-10-CM code, as it refers to the system of names used in a particular field, in this case, medical coding.

Question 3

Punctuation marks used to enclose supplemental terms, or nonessential modifiers, are:

Accepted Answer

Parentheses are used to enclose supplemental information or nonessential modifiers in a sentence, providing additional details without interrupting the main flow of the text.

Question 4

The guidelines for Chapter 20, External Causes of Morbidity, include:

Accepted Answer

The answer of The guidelines for Chapter 20, External Causes...

Question 5

A default code is one that:

Accepted Answer

A default code is typically the one most often used with a condition, serving as a standard or common choice when coding.

Question 6

In the medical record, the patient is documented to have the following conditions: lower back pain, blood in the urine, and a kidney infection. The coder would assign ICD-10-CM code(s) for the following condition(s):

Accepted Answer

The answer of In the medical record, the patient is...

Question 7

There are currently no guidelines for these chapters in ICD-10-CM:

Accepted Answer

Chapters 3 (Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism), 8 (Diseases of the ear and mastoid process), and 11 (Diseases of the digestive system) in ICD-10-CM currently do not have specific guidelines provided in the ICD-10-CM Official Guidelines for Coding and Reporting.

Question 8

The patient's diagnostic story is told by:

Accepted Answer

ICD-10-CM is used to code and classify diagnoses from patient records, effectively telling the patient's diagnostic story.

Question 9

The diagnosis code selected from the ICD-10-CM manual provides the support for the patient's:

Accepted Answer

The diagnosis code from the ICD-10-CM manual supports the medical necessity of the service provided to the patient, justifying the healthcare services rendered.

Question 10

The chapter-specific guidelines for Chapter 19, Injury, Poisoning, and Certain Other Consequences of External Causes contain information about:

Accepted Answer

The answer of The chapter-specific guidelines for Chapter 19, Injury,...

Question 11

The statement in the ICD-10-CM Official Guidelines "that condition established after study to be chiefly responsible for the admission of the patient to the hospital for care" is a definition of a:

Accepted Answer

The statement defines a "principal diagnosis," which is the condition established after study to be chiefly responsible for the admission of the patient to the hospital for care.

Question 12

A condition with sudden onset, usually without warning, and of brief duration is a(n) ___________ condition.

Accepted Answer

An acute condition is one that starts suddenly and has a short duration, unlike chronic conditions which are long-lasting.

Question 13

The ICD-10-CM code A04.8 "Other specified bacterial intestinal infections" would be appropriate to assign when the cause of a patient's enteritis is not specifically described in a more specific ICD-10-CM code. This is an example of a:

Accepted Answer

The code A04.8 is a "Not elsewhere classified" (NEC) code, used when a specific condition is documented but does not have a more specific code available in the classification system.

Question 14

Excludes 1 and Excludes 2 notes can be found in all of the following locations in the ICD-10-CM manual except:

Accepted Answer

Excludes 1 and Excludes 2 notes are not found at the beginning of the index entry in the ICD-10-CM manual. They are typically found at the beginning of a section, chapter, or directly below the code.

Question 15

The nomenclature "Open wound of elbow, forearm, and wrist with tendon involvement" may be selected when:

Accepted Answer

The nomenclature specifies that the wound must involve the elbow, forearm, or wrist with tendon involvement, but it does not require wounds on all three locations simultaneously.

Question 16

Which of the following statements best describes the entities that can utilize the ICD-10-CM manual?

Accepted Answer

The ICD-10-CM manual is used across various healthcare settings, including physician offices, hospitals, and outpatient clinics, for coding and classifying diagnoses, symptoms, and procedures. This broad applicability helps in standardizing medical records, billing, and research.

Question 17

Guidelines including information about hypertension and hypertensive heart and kidney disease, cerebral infarction, stroke, cerebral vascular accident, late effects, and myocardial infarction are included in this chapter's specific guidelines:

Accepted Answer

The conditions listed, such as hypertension, hypertensive heart and kidney disease, cerebral infarction, stroke, cerebral vascular accident, late effects, and myocardial infarction, are all related to the circulatory system. Therefore, they fall under the category of Diseases of the Circulatory System.

Question 18

The way the condition due to the underlying disease or condition presents itself is called the:

Accepted Answer

Manifestation refers to the way a disease or condition presents itself, including signs and symptoms.

Question 19

What does the index of the ICD-10-CM manual contain?

Accepted Answer

The index of the ICD-10-CM manual contains an alphabetic listing of main terms identifying conditions, which helps users locate the appropriate codes.

Question 20

Elevated blood pressure is an example of a:

Accepted Answer

Elevated blood pressure is a sign because it is an objective indication of a disease or a health condition that can be measured or observed by a healthcare professional, unlike symptoms which are subjective and reported by the patient.

Quiz 2: Foundations of ICD-10-CM