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TRUE

When the histological term of the neoplasm is documented, that term should be referenced before going to the Neoplasm Table.

FALSE

Only one code is reported when a patient is seen for the purpose of radiotherapy, immunotherapy, or chemotherapy and develops complications.

FALSE

Signs and symptoms associated with an existing malignancy can be used to replace the malignancy as the first-listed diagnosis.

TRUE

When the treatment is directed to the secondary site only, the secondary neoplasm is sequenced as the first-listed diagnosis.

TRUE

A code from the category V10 (personal history of malignant neoplasm) is reported when a malignancy has been previously removed and the patient is not receiving any further treatment of the site.

FALSE

When an encounter is for the treatment of dehydration due to a malignancy, the code for the malignancy is sequenced as the first-listed diagnosis.

TRUE

The code V58.11 (Encounter for antineoplastic chemotherapy) is reported as the first-listed code when the reason for the encounter is for the administration of chemotherapy.

TRUE

The codes for administration of chemotherapy, immunotherapy, and radiation therapy are always sequenced as the first-listed code when a patient is admitted solely for the administration of chemotherapy, immunotherapy, or radiation therapy.

FALSE

When the reason for the encounter is to determine the extent of the malignancy, and the patient also receives chemotherapy, the code for the administration of the chemotherapy is reported as the first-listed code.

TRUE

The code 285.22 (anemia in neoplastic disease) is sequenced as a secondary code when a patient has anemia due to a neoplasm and the patient is being treated for a malignancy.

FALSE

A 5th digit is not required for all of the codes in category 250 (Diabetes mellitus).

TRUE

Type I diabetes mellitus is also referred to as juvenile diabetes.

TRUE

To assign the 5th digits of 2 or 3, the physician has to document that the diabetes is uncontrolled.

FALSE

The code V58.67 (long-term use of insulin) should be assigned if insulin is given temporarily to a type II diabetic.

TRUE

The codes from category 250 (Diabetes mellitus) must be sequenced before the codes for any associated manifestations.

FALSE

The age of a patient is the determining factor in deciding which type of diabetes to assign.

TRUE

When a patient receives an underdose of insulin due to an insulin pump failure, the code 996.57 (mechanical complication due to insulin pump) is reported as the first-listed codes.

FALSE

The use of insulin means that a patient is a type I diabetic.

TRUE

When the type of diabetes is not documented, type II should be reported.

TRUE

Code V58.67 (long-term use of insulin) should be assigned as a secondary code for type II diabetes patients who routinely use insulin.

FALSE

When no neurological deficits are present from a previous CVA, report code V12.59 (Other diseases of circulatory system).

FALSE

The diagnosis of elevated blood pressure is assigned to a code from category 401 (Essential hypertension.

TRUE

The 4th digits for category 401 are 0 (malignant), 1 (benign), and 9 (unspecified).

TRUE

A relationship between hypertension and chronic kidney disease is assumed.

TRUE

The terms stroke and CVA are used interchangeably to refer to a cerebral infarction.

FALSE

When an acute MI is specified as nontransmural or subendocardial, and the site is specified, it is not coded as a subendocardial MI.

TRUE

Late effects of a CVA are reported with a code from category 438 (Late effects of cerebrovascular disease).

TRUE

Heart conditions are assigned to a code from category 402 (Hypertensive heart disease) when a causal relationship is stated as due to hypertension.

TRUE

The default category for the unspecified term acute myocardial infarction is 410.9 (Acute MI of unspecified site).

FALSE

Codes from category 438 (Late effects of cerebrovascular disease) may be assigned when no neurologic deficits are present.

TRUE

When status asthmaticus is documented with COPD or acute bronchitis, the status asthmaticus is sequenced first.

FALSE

The diagnosis of acute bronchitis with COPD requires two codes to fully describe this diagnosis.

TRUE

There are many instructional notes under the COPD subcategories that need to be reviewed to assure correct code assignment.

TRUE

The code 496 (Chronic airway obstruction) should only be reported when the documentation does not specify the type of COPD.

FALSE

An acute exacerbation of chronic obstructive bronchitis and asthma is equivalent to an infection superimposed on a chronic condition.

FALSE

Chapter 11 (Complications of pregnancy, childbirth, and the puerperium) codes can be reported on the maternal and newborn records.

TRUE

Codes in the category V23 (Supervision of high-risk pregnancy) may be reported as the principal or first-listed diagnosis.

TRUE

Fetal and placental problems affecting the management of the mother are only assigned when the condition is responsible for modifying the management of the mother.

FALSE

The 5th digits of 0-4 can be assigned to all of the codes in Chapter 11.

TRUE

Chapter 11 (Complications of pregnancy, childbirth, and the puerperium) codes have sequencing priority over codes from other chapters.

TRUE

When the physician specifies the pregnancy is incidental to the encounter, then code V22.2 (Pregnant state, incidental) is reported instead of a Chapter 11 code.

FALSE

Codes V22.0 (Supervision of normal first pregnancy) and V22.1 (Supervision of other normal pregnancy) should be used in conjunction with Chapter 11 (Complications of pregnancy, childbirth, and the puerperium) codes.

TRUE

The codes in the category V27.0-V27.9 (Outcome of delivery codes) should only be reported on the delivery episode.

TRUE

Code 650 (Normal delivery) is reported for a full-term delivery of a single healthy infant without any complications.

FALSE

A late effect of complication of pregnancy code is sequenced first followed by a code for the sequelae of the complication.

FALSE

If a woman delivers outside the hospital, and is admitted afterwards for postpartum conditions, make sure to always assign a delivery diagnosis code first.

TRUE

Postpartum complications occurring during the same admission as the delivery are given a fifth digit of "2."

TRUE

Two codes are required to fully describe a transplant complication.

FALSE

When a drug intentionally taken or administered results in an overdose, it is coded as an adverse effect.

TRUE

When a reaction occurs from a correctly prescribed and administered drug, the reaction is coded first followed by the appropriate E code.

TRUE

If the documentation is unclear as to whether the patient has a complication of a transplant, then the physician should be queried.

FALSE

The coding of a poisoning by a drug is sequenced with the manifestation code first followed by the poisoning code.

TRUE

Follow-up codes imply a condition has been fully treated and no longer exists.

FALSE

When a condition is discovered during a screening exam, the code for the condition is sequenced first followed by a screening V code.

FALSE

Donor V codes can be used for living donors and cadaveric donations.

TRUE

History codes can be reported on any medical record regardless of the reason for the visit.

FALSE

A code from category V29 (Observation and evaluation of newborn and infants for suspected conditions not found) is reported when the patient has signs or symptoms of a suspected problem.

TRUE

V codes may be reported either as a first-listed or secondary code, depending on the circumstances of the encounter.

TRUE

Codes in category V01 (Contact with or exposure to communicable diseases) are reported for patients who do not show any signs or symptoms of a disease but have been exposed to it by close personal contact with an infected person.

FALSE

A V code should be reported when a diagnosis is being treated or when a sign or symptom is being studied.

FALSE

Routine and administrative examination V codes are reported when an examination is for the diagnosis of a suspected condition or for treatment purposes.

TRUE

A status code is informative because the status of a patient may affect the course of treatment and its outcome.

FALSE

When the intent (accident, self-harm, assault) of the cause of an injury or poisoning is unknown or unspecified, code the intent as accidental.

TRUE

In order to report a terrorism E code, the Federal Government has to identify the cause of an injury as due to an act of terrorism.

TRUE

There are E codes used to identify the occurrence of an abnormal reaction or later complication of a surgical or medical procedure.

FALSE

E codes are assigned for both the initial and subsequent encounter of an injury, poisoning, or adverse affect of a drug.

TRUE

E codes for child and adult abuse take priority over all other E codes.

FALSE

There are late effect E codes for injuries, poisonings, and adverse effects of drugs.

TRUE

E codes are located in the "Index to External Causes."

TRUE

You should assign as many E codes as necessary to fully explain each cause of injury, poisoning, or adverse affect.

FALSE

When the place of occurrence of an injury or poisoning is not specified, assign the code E849.9 (unspecified place).

TRUE

An E code can never be reported as a principal (first-listed) code.

FALSE

Activity E codes should always be assigned with poisoning E codes.

TRUE

Do not assign code E000.9 (Unspecified external cause status) if the status is not stated.

TRUE

Diagnosis codes for uncertain diagnosis may be assigned for an inpatient stay.

FALSE

When coding late effects, the residual condition is sequenced second and the late effect is sequenced first.

FALSE

There are no exceptions to the assigning of conditions that are an integral part of a disease process.

TRUE

A code is invalid if it has not been reported to the full number of digits required to describe the diagnosis.

FALSE

The starting point for locating a code is the "Tabular List" (Volume 1).

TRUE

When coding a condition described as "impending" or "threatened," where the condition did not occur, you should reference the terms impending or threatened in the "Index to Diseases."

TRUE

When coding acute and chronic conditions, the acute condition is sequenced first.

FALSE

V codes can never be used to identify the reason for the encounter or visit.

TRUE

Signs and symptoms not associated with a disease process can be reported separately.

TRUE

The instructional note "Use additional code" refers to the multiple coding for a single condition guideline.

FALSE

"Includes" and "excludes" notes do not affect the code selection.

TRUE

Use of fourth and fifth digits, if available, is mandatory.

FALSE

The bullet symbol is used to indicate that the code description has changed.

FALSE

In the "Index to Diseases," when the main term is modified by terms listed in parentheses, these modifiers are considered essential for code selection.

TRUE

ICD-9-CM stands for International Classification of Diseases, Ninth Revision, Clinical Modification.

TRUE

The instructional note "code first" instructs the coder regarding the correct sequencing of codes.

FALSE

The slanted brackets following a main term in the "Index to Diseases" instructs you to assign the code in the slanted brackets as the first listed code.

FALSE

ICD-9-CM neoplasm diagnosis codes supplement the appropriate morphology code.

TRUE

Volume 2 is the volume you will always start with in locating and assigning diagnosis codes.

TRUE

Straight brackets enclose synonyms, alternate words, or explanatory phrases.

FALSE

Codes that appear with a gray color bar over the code title identify conditions that are considered an acceptable principal diagnosis for inpatient admissions.

TRUE

Manifestation codes appear in the 'Tabular List' in italic type and with a blue color bar over the code title.

TRUE

Medicare code edits are used by fiscal intermediaries to check for the coding accuracy on claims.

FALSE

The CC exclusion list indicates principal diagnosis codes that are excluded as CC or MCC conditions with certain secondary diagnoses.

TRUE

The AHA publication Coding Clinic for ICD-9-CM References includes additional information about specific codes that can assist the medical coder in making the final code selection.

FALSE

"Adjunct codes" has been deactivated as of October 1, 2007.

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