Question 1

Select the true statement regarding the first-listed diagnosis:

Accepted Answer

The first-listed diagnosis is the main reason for the visit in an outpatient setting and is used for provider/outpatient coding.

Question 2

Identify the main term in this diagnostic statement: "Congenital atrial septal defect"

Accepted Answer

The main term in a diagnostic statement is the condition or disease being described, which in this case is the "Defect" in the atrial septal wall.

Question 3

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 organized into chapters based on body systems or specific conditions, allowing for systematic categorization of diseases and health conditions.

Question 4

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 used when a specific bacterial cause of intestinal infection is identified but does not have a more specific code, making it a "Not elsewhere classified" code.

Question 5

Per ICD-10-CM guidelines, the use of the word "and" is interpreted to mean:

Accepted Answer

In ICD-10-CM, the word "and" is interpreted as "and/or," meaning it can indicate either a conjunction or an alternative when used in diagnostic descriptions.

Question 6

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 or becomes apparent. It encompasses both signs (objective evidence of disease observable by others) and symptoms (subjective experiences of the patient).

Question 7

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

A salpingo-oophorectomy is a surgical procedure involving the removal of an ovary and its associated fallopian tube, which is a procedure applicable only to female anatomy. The coder's knowledge of medical terminology would indicate that this procedure cannot be performed on a male patient.

Question 8

When a more specific code is not provided in the ICD manual, the abbreviation _______ is used.

Accepted Answer

The answer of When a more specific code is not...

Question 9

Providers will sometimes confuse impending or threatened conditions with:

Accepted Answer

Impending or threatened conditions are often confused with probable conditions because both terms suggest a degree of uncertainty regarding the diagnosis or the development of a condition.

Question 10

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

Excludes1 note indicates that the code should never be used at the same time as the code from which it is excluded. It means "NOT CODED HERE!" and is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Question 11

The diagnostic statement "Cholera" would be coded as:

Accepted Answer

Cholera is a bacterial infection of the small intestine that causes severe diarrhea and dehydration. The diagnostic statement "Cholera" would be coded as A00.9 Cholera, unspecified, because there is not enough information provided to determine the specific type of cholera.

Question 12

The following are true of the 2018 edition of the CPC exam except:

Accepted Answer

The CPC exam uses the current year's manuals for HCPCS, CPT, and ICD-10, not the previous year's.

Question 13

In ICD-10-CM, the following notation indicates that a separate associated complication or comorbidity is present:

Accepted Answer

In ICD-10-CM, the notation "with" is used to indicate that there is an associated complication or comorbidity present. This implies that the conditions linked by "with" in the coding index or tabular list are considered to be related unless the documentation in the patient's medical record specifies otherwise.

Question 14

In ICD-10-CM, alphabetic seventh characters used to complete the description of many codes by conveying additional information are the:

Accepted Answer

Seventh characters, often referred to as extenders in ICD-10-CM, are used to provide additional information about the encounter, such as whether it is an initial encounter, a subsequent encounter, or a sequela for injuries and conditions.

Question 15

Impending or threatened conditions are:

Accepted Answer

Impending or threatened conditions refer to situations where a condition was likely to occur but was prevented due to medical intervention, and specific codes are used to document these scenarios.

Question 16

When the acute and chronic forms of a condition are present:

Accepted Answer

When separate subentries exist in the Alphabetic Index for both the acute and chronic forms of a condition, both forms should be coded. This approach ensures that the medical record accurately reflects the patient's condition and aids in appropriate treatment and billing.

Question 17

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 18

The patient's diagnostic story is told by:

Accepted Answer

The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) manual is used to translate diagnoses and health conditions into standardized codes, effectively telling the patient's diagnostic story through a universally understood language in the healthcare industry.

Question 19

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 branch of science or art, in this case, the medical classification system for diagnosis coding.

Question 20

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

Accepted Answer

A condition with sudden onset, usually without warning, and of brief duration is an acute condition.

Quiz 2: Foundations of ICD-10-CM