Question 1

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

Accepted Answer

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is a comprehensive system for coding medical diagnoses. It includes guidelines for most chapters, but there are a few chapters without specific guidelines. These chapters typically cover conditions that are either self-explanatory or do not require additional guidance for coding beyond what is provided in the chapter's codes and descriptions themselves. As of the last update, 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) are among those without specific guidelines.

Question 2

A coder identifies _______ when he/she determines the answer to the question "What did the patient suffer from?"

Accepted Answer

The main term is identified by coders to determine what the patient suffered from, as it is the key word or phrase that represents the primary reason for the patient's visit or the main condition being treated.

Question 3

Sequela is:

Accepted Answer

Sequela refers to a condition that is the consequence of a previous disease or injury, occurring after the initial condition has resolved.

Question 4

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 service or procedure performed.

Question 5

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 ICD-10-CM code A04.8 "Other specified bacterial intestinal infections" is an example of a "Not elsewhere classified" code. It is used when the specific condition is documented, but a more specific code does not exist in the ICD-10-CM structure, indicating that the condition is specified but does not fit into categories that are explicitly listed elsewhere in the classification.

Question 6

The following notation implies sequencing of the codes when reported:

Accepted Answer

"Use additional code" implies that an additional code should be sequenced alongside the primary code to fully capture the medical scenario being described. This notation is used to indicate that more than one code is necessary to fully describe a condition or circumstance.

Question 7

The ICD-10-CM manual provides the ___________ for the patient's service or procedure.

Accepted Answer

The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) manual provides the "Why" for the patient's service or procedure, meaning it is used to code and classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.

Question 8

The Tabular List of the ICD-10-CM manual is divided into chapters based on:

Accepted Answer

The Tabular List of the ICD-10-CM manual is divided into chapters based on body systems or conditions.

Question 9

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 10

Approximately how many codes does the ICD-10-CM manual contain?

Accepted Answer

The answer of Approximately how many codes does the ICD-10-CM...

Question 11

An unspecified code would be assigned to a code known as a ___________ code.

Accepted Answer

The answer of An unspecified code would be assigned to...

Question 12

In ICD-10-CM, the note indicating that the condition excluded is distinct from the code condition and is coded elsewhere in the manual but that it may be coded with the code condition during the same encounter is the:

Accepted Answer

Excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but may still be present and can be coded together if both conditions occur.

Question 13

This is the connecting term between the subterms acute and chronic to indicate ICD-10-CM provides a combination code to describe both conditions:

Accepted Answer

The connecting term "with" is used between the subterms acute and chronic in ICD-10-CM to indicate a combination code that describes both conditions.

Question 14

Select the true statement below regarding the CPC coding exam

Accepted Answer

The CPC (Certified Professional Coder) exam is based on ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) Level II codes, which are all crucial for outpatient coding.

Question 15

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

Salpingo-oophorectomy refers to the surgical removal of an ovary and its fallopian tube, which is a procedure applicable only to female anatomy. Therefore, knowledge of medical terminology would indicate that this procedure cannot be performed on a male patient.

Question 16

In ICD-10-CM, the note indicating that the condition being coded is located elsewhere in the manual and should never be coded with the code under which it is located is the:

Accepted Answer

Excludes 1 notes in ICD-10-CM indicate that the condition listed should never be coded with the code under which it is located, as it is mutually exclusive.

Question 17

Guidelines for coding pressure ulcer stages are in this chapter:

Accepted Answer

Pressure ulcers are classified under "Diseases of the Skin and Subcutaneous Tissue" because they primarily affect these areas.

Question 18

Select the true statement regarding guidelines and conventions:

Accepted Answer

The hierarchy of guidelines dictates that the closer a guideline or convention is to the code in the Tabular List, the higher its authority. This means specific instructions accompanying a code override more general guidelines found elsewhere.

Question 19

An acute condition is one that:

Accepted Answer

Acute conditions are characterized by their sudden onset, contrasting with chronic conditions that develop slowly and last a long time.

Question 20

Donald was seen at Quick Care outpatient urgent care facility. He presented with a mild fever, chills, nausea, and sore throat. Upon examination and throat culture, Donald was diagnosed with Strep throat. Strep throat will be documented as the:

Accepted Answer

The first-listed diagnosis is the main reason for the healthcare encounter, in this case, Strep throat, for which Donald sought treatment at the urgent care facility.

Quiz 2: Foundations of ICD-10-CM