ICD-9-CM Final

Created by lmhess89 

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When two or more diagnoses equally meet the definition for principal diagnosis, either one can be selected as the principal diagnosis. (31)

TRUE.

It is unacceptable to assign codes in the inpatient setting to diagnoses that are documented as being "probable," "suspected," or "likely". (31)

FALSE

In the inpatient setting, the physician documents possible aspiration peneumonia in the discharge summary. The aspiration pneumonia is coded as if it exists. (31)

TRUE

The principle diagnosis is defined as the most serious condition during a patient's hospital stay. (31)

TRUE

In the inpatient setting, the principal diagnosis is also called the "first-listed" diagnosis. (31)

FALSE

Patient is admitted with dysuria due to a severe urinary tract infection. Which diagnoses should be reported? A) dysuria, urinary tract infection, B) urinary tract infection, C) dysuria, D) urinary tract infection, dysuria (31)

(B) Urniary Tract Infection

The discharage summary states the patient's diagnoses are peptic ulcer disease versus chronic cholecystitis. Which diagnoses should be reported? A) peptic ulcer disease, B) chronic cholecystitis, C) a symptom code, D)Both Peptic Ulcer disease and Chronic Cholecystitis (31)

(D) Both Peptic Ulcer disease and Chronic Cholecystitis (either one can be principal).

The discharge summary states the patient's diagnosis is acute abdominal pain due to peptic ulcer disease or cholecystitis. Which diagnoses should be reported? A) abdominal pain, peptic ulcer disease, cholecystitis, B) adbominal pain, peptic ulcer disease, C) abdominal pain, cholecystitis, D) abdominal pain (31)

(A) Abdominal Pain, Peptic Ulcer disease, Cholecystitis

Patient is admitted following an outpatient procedure because of an exacerbation of the patient's asthma. What is the principal diagnosis? A) the reason for the patient's outpatient procedure B) a code for cancellation of the procedure, C) an aftercare V code, D) exacerbation of asthma (31)

(D) Exacerbation of Asthma

ICD-10-CM codes are alphanumeric, with all codes beginning with a number. (2)

FALSE

The ICD-10-CM, the WHO version, does not include a procedure classification (Volume 3). (2)

TRUE

Notable improvements in the content and format of the ICD-10-CM include expansion of sign and symptoms codes. (2)

FALSE

There are 10 times more codes in the ICD-10-CM than in the ICD-9-CM. (2)

FALSE (ICD-9-CM 17,000 Codes - ICD-10-CM 141,000 Codes)

All ICD-10-CM codes have seven characters. (2)

FALSE (some have less than 7)

There are 21 chapters in the ICD-10-CM. (2)

TRUE

This crosswalks ICD-9-CM codes to ICD-10-CM codes: A) Index, B) Tabular, C) multiaxial, D) GEM's (2)

(D) GEMs

Which of the following is true about the ICD-10-CM: A) There is a limitation of injury codes. B) There is additional information that is relevant to inpatient encounters. (C) There are combination diagnosis/symptom codes. D) There was an addition of an eigth character. (2)

(C) There are combination diagnosis/symptom codes.

The following are characteristics of the ICD-10-CM index: A) Main terms are in bold. B) Subterms are indented under the main terms. C) Only the first four characters of some codes are given. D) All of the above (2)

(A) Main terms are in bold.

The maximum number of characters in an ICD-10-CM code is: A) 4, B) 5, C) 6, D) 7 (2)

(D) SEVEN (7).

For a gastrointestinal hemorrage to be coded, the patient must be actively bleeding. (12)

FALSE

An ectopic pregnancy occurs when the fertilized ovum implants outside the uterus, usually in the fallopian tube. (12)

TRUE

A V27 "outcome of delivery" code is assigned as an additional code to the baby's record. (12)

FALSE

A pathologic fracture is a break in a bone that occurs because of a bone disease or weak bone. (12)

TRUE

The perinatal period extends through the first 6 weeks following birth. (12)

FALSE (28 days)

Non-healing burns should be coded as a posttraumatic wound infection. (12)

FALSE (classified as acute)

A complicated wound occurs when a tendon is involved. (12)

FALSE (delayed healing, delayed treatment, foreign body, or primary infection)

An adverse effect occurs when a drug has been correctly prescribed and properly administered and the patient develops a reaction. (12)

TRUE

When coding a poisoning, also assign an E code from the therapeutic column from the Table of Drugs and Chemicals. (12)

FALSE

HIV infection can be reported if documented as "suspected" or "possible". (11)

FALSE

When a patient is admitted for chemotherapy, assign the code for the malignancy as the first-listed diagnosis. (11)

FALSE (assign V58.0)

Assignment of diabetes codes are not affected by whether the patient is on insulin. (11)

TRUE

If a physician documents that the patient's diabetes is poorly controlled, a fifth digit for "out of control" should be assigned. (11)

FALSE

ICD-9-CM presumes a cause-and-effect relationship between hypertension and heart disease. (11)

FALSE (only assume cause-and-effect relationship between hypertension and chronic kidney disease)

A fifth digit of 3 (in remission) should be assigned to 305.0X for someone who has abused alcohol in the past but no longer drinks alcohol. (11)

TRUE

The site to which a malignant neoplasm has spread is the primary site. (11)

FALSE

Status asthmaticus is a term used for a very severe type of asthmatic attack. (11)

TRUE

If a patient is admitted for dehydration due to chemotherapy, the dehydration is the first-listed diagnosis. (11)

TRUE

The same coding guidelines apply to both the inpatient and outpatient settings. (9)

FALSE

In the outpatient setting the term "first-listed diagnosis" is used instead of "principal diagnosis". (9)

TRUE

The first-listed diagnosis is the diagnosis that the physician lists first. (9)

FALSE

In the outpatient setting a diagnosis that is documented as "rule-out" should be coded as if it exsits. (9)

FALSE

V codes can be assigned as first-listed or secondary diagnoses. (9)

TRUE

In the outpatient setting, the term, "first-listed diagnosis" is used in lieu of "principal diagnosis". (9)

TRUE

If a patient is admitted for observation for a medical condition, a code is assigned for the medical condition as the first-listed diagnosis. (9)

TRUE

It is acceptable to use codes that describe signs or symptms when a definitive diagnosis has not be established by the provider. (9)

TRUE

If the pre- and postoperative diagnosis are different, the preoperative diagnosis should be coded. (9)

FALSE

The Official Guidelines for Coding and Reporting are updated every year. (10)

TRUE

If there are separate codes for both the acute and chronic forms of a condition, the code for the chronic condition is sequenced first. (10)

FALSE

The routlinely associated signs and symptoms should not be coded in addition to a code for the particular disease or condition. (10)

TRUE

A late effect is the residual condition that is still present 2 months after the after illness or injury. (10)

FALSE (no time limit)

It is unacceptable to code an impending condition as if it exists. (10)

TRUE

It is acceptable to assign codes directly from the Alphabetic Index of the ICD-9-CM. (10)

FALSE

When sequencing codes for residuals and late effects, the residual code is generally sequenced first followed by the late effect code. (10)

TRUE

It is important to follow any cross-reference instructions, such as SEE ALSO. (10)

TRUE

Always verify the code from the Alphabetic Index in the Tabular List to assure accurate coding. (10)

TRUE

A combination code is a single code that may be used to classify two diagnoses. (10)

TRUE

Multiple coding should not be used when there is a combination code that identifies all the elements documented in the diagnosis. (10)

TRUE

A combination code is a single code used to claissify: A) two diagnoses B) a diagnosis with an associated secondary process (manifestation) C) a diagnosis with an associated complication D) all the above (10)

D) All the above

Terms that may be used to describe a threatened condition include: A) evolving B) impending C) threatening D) All the above (10)

D) All the above

ICD-9-CM codes are used to translate verbal or narrative descriptions into numeric designations. (8)

TRUE

The symbol that instructs you to use an additional ICD-9-CM code in all manuals is a plus symbol (+). (8)

FALSE

The "Includes" notes further define or provide examples to clarify assignment. (8)

TRUE

In ICD-9-CM coding, the words "AND" and "WITH" have similar meaning. (8)

FALSE (AND means either/or and WITH means two conditions are included)

Excludes notes are informational only and not necessary for coding purposes. (8)

FALSE

Italicized type codes cannot be assigned as a first-listed diagnosis, because they are always listed after another code. (8)

TRUE

Eponyms can describe syndromes named for a person. (8)

TRUE

There are three types of cross-references in ICD-9-CM --SEE, SEE ALSO, SEE CATEGORY. (8)

TRUE

Main terms in the Alphabetic Index are in bold type, and subterms are indented under main terms two spaces to the right. (8)

TRUE

All ICD-9-CM codes require a minimum of four digits. (8)

FALSE

The acronym ICD-9-CM means: A. Internal Coding Definitions, 9th Version, Coding Manual, B) International Classification of Diseases, 9th Revision, Clinical Modification, C) International Classification of Diseases, 9th Edition, Coding Manual, D) International Classification of Diagnoses, 9th Revision, Coding Modification (8)

(B) International Classification of Diseases, 9th Revision, Clinical Modification.

The three volumes of ICD-9-CM are: A) Volume 1-Neoplasm Table, Volume 2-Hypertension Table, Volume 3-Index, B) Volume 1-CPT-4, Volume 2-HPCPS Level II, Volume 3-CMS 1500, C) Volume 1-Diseases: Tabular List, Volume 2-Diseases: Alphabetic Index, Volume 3-Procedures: Tabular List and Alphabetic Index, D) Volume 1-Alphabetic List, Volume2-Numeric List, Volume 3-Tabular List (8)

(C) Volume 1-Diseases: Tabular List, Volume 2-Diseases: Alphabetic Index, Volume 3-Procedures: Tabular List and Alphabetic Index

E codes are used to report: A) Extenuating circumstances surrounding an injury, B) Extra descriptors for coding, C) Exercise methods after injury, D) External causes of injury and poisoning (8)

(D) External causes of injury and poisoning.

Symbols, abbreviations, punctuation, and notations in ICD-9-CM are termed: A) grammar checks, B) guidelines, C) conventions, D) edits (8)

(C) Conventions

NEC is the acronym for: A) Nothing Else Coded, B) Neoplasm behavior Essential for Coding, C) Not Elsewhere Classifiable, D) Not and ExcludedCode (8)

(C) Not Elsewhere Classifiable

ICD-9-CM codes translate _______ of services provided from verbal and narrative descriptions to nationally accepted reporting standards. A) treatment plan, B) medical necessity, c) diagnostic code, D) coding conventions (8)

(B) Medical necessity

In ICD-9-CM, NOS means: A) Not Otherwise Specified, B) No Other Sequence available, C) No Other Symbol, D) No Other Secondary Code (8)

(A) Not Otherwise Specified

Words contained within the brackets "[ ]" provide the coder with: A) opposite pharses, B) incomplete terms, C) synonyms, alternative wording, explanatory phrases, D) modified terms (8)

(C) Synonyms, alternative wording, explanatory phrases

The colon ":" in the Tabular List indicates the: A) terms below complete the term to make it assignable to a given category, B) correct code is located in Volume 3, C) terms are synonyms, alternative wording, explanatory phrases, D) preceding term is not otherwise specified (8)

(A) Terms below complete the term to make it assignable to a given category.

A symbol used to denote all exclusion notes and to identify those codes that are not usually sequenced as the first-listed diagnosis is the: A0 brackets, B) parenthesis, C) italicized type, D) shaded areas (8)

(C) Italicized Type

In the Alphabetic Index of Volume 2, ICD-9-CM, nonessential modifiers are: A) two digits appended to the code to modify the meaning, B) alpha-numeric characters that clarify the meaning of thecode selection, C) terms enclosed in parentheses that have no effect on the selection of the code, D) codes denoting acute and chronic conditions (8)

(C) Terms enclosed in parentheses that have no effect on the selections of the code.

Codes that have mandatory fifth digits are codes that: A) always require a 5th digit to fully describe them B) use the numbers 1 or 2 as the fifth digit, C) require the use of a digit 5 as the fifth digit, D) require four supporting codes (8)

(A) Always require a 5th digit to fully describe them.

All ICD-9-CM codes must be supported by: A) nonessential modifiers, B) another diagnostic code, C) V codes, D) physician documentation in the medical record (8)

(D) Physician documentation in the medical record.

ICD-9-CM contains ______ active appendices in the Tabular List of Volume 1: A) 2; B) 4, C) 7, D) 8 (8)

(B) Four (4).

The glossary of Mental Disorders used to be listed in: A) Appendix A, B) Appendix B, C) Appendix C, Appendix D, Appendix D (8)

(B) Appendix B

The ICD-9-CM manual was developed based on a text by what organization? A) American Medical Association, B) American Academy of Professional Coders, C) World Health Organization, D) Center for Medicare and Medicaid Services (8)

(C) World Health Organization

Volume 2 of the ICD-9-CM manual is also known as the ______ Index. (8)

Alphabetic

____ codes are used to report external causes of injury or poisoning. (8)

"E" Codes

Hospitals use Volume _____ of the ICD-9-CM manual to report services provided to inpatients. (8)

Three (3)

What is the main term: Gouty nephropathy. (8)

Nephropathy

What is the main term: Fractured clavicle. (8)

Fractured

What is the main term: Globe adhesions. (8)

Adhesions

What is the main term: Cluster headache. (8)

Headache

What is the main term: Observation for high-risk pregnancy. (8)

Observation

What is the main term: Acute pneumonia. (8)

Pneumonia

What is the main term: Pitting edema. (8)

Edema

What is the main term: Knee pain. (8)

Pain

What is the main term: Auditory neuritis. (8)

Neuritis

What is the main term: Urinary retention. (8)

Retention

Another name for the Supplementary Classification of Factors Influencing Health Status and Contact and Health Services is: A) E codes, B) J codes, C) V codes, D None of these (8)

(C) V Codes

What organization, in conjunction with the National Centers for Health Statistics, is responsible for maintenance of the diagnosis classifications of ICD-9-CM, Volume 3? A) Department of Health, Eduation, and Welfare B) Department of Health and Human Services, C) U.S. Food and Drug Administration, D) Centers for Medicare and Medicaid services (8)

(D) Centers for Medicare and Medicaid Services

Identify first listed diagnosis: Established patient presents with chest pain and has a history of previous myocardial infarction. (9)

History of chest pain.

Identify first listed diagnosis: Initial office visit for patient with diarrhea. Physician documented gastroenteritis. (9)

Gastroenteritis

Identify first listed diagnosis: Established patient seen for redness and discharge from right eye. A diagnosis of bacterial conjunctivitis was made. (9)

Bacterial conjunctivitis

Identify first listed diagnosis: An established patient is seen for management of diabetes and rheumatoid arthritis and the physician spends equal time on each diagnosis. (9)

Diabetes and rheumatoid arthritis

Identify first listed diagnosis: An established patient is seen for amenorrhea and galactorrhea to rule out pituitary tumor. (9)

Amenorrhea and galactorrhea

Identify each of the following as a category, subcategory, or subclassification: 524.01 A) category, B) subcategory, C) subclassification (8)

C) Subclassification

Identify each of the following as a category, subcategory, or subclassification: 777.1 A) category, B) subcategory, C) subclassification (8)

B) Subcategory

Identify each of the following as a category, subcategory, or subclassification: 436 A) category, B) subcategory, C) subclassification (8)

A) Category

Identify the following as a procedure or diagnosis code: 51.10 A) diagnosis code, B) procedure code (8)

B) Procedure Code

Identify the following as a procedure or diagnosis code: 486 A) diagnosis code, B) procedure code (8)

A) Diagnosis Code

Identify the following as a procedure or diagnosis code: 250.00 A) diagnosis code, B) procedure code (8)

A) Diagnosis Code

Identify the following as a procedure or diagnosis code: 59.19 A) diagnosis code, B) procedure code (8)

B) Procedure Code

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