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Medical Coding Exam 2

Terms in this set (70)

Outpatient coders cannot assign a diagnosis code for a diagnosis documented as:

A. All of these
B. suspected
C. probable
D. to be ruled out
A.
According to the ICD-10-CM Official Guidelines, section ____ corresponds to Selection of Principal Diagnosis.

A. I
B.II
C. III
D. IV
B.
Refer to the ICD-10-CM Official Guidelines Section IV.C. This guideline concerns:

A. Encounters for circumstances other than disease or injury

B. Selection of first-listed conditions.

C. Codes that describe symptoms and signs

D. Accurate reporting of ICD-10-CM diagnosis codes
D.
Throughout the ICD-10-CM code book you will find which of the following to help guide you to the most accurate code for a patient encounter?

A. symbols
B. all of these
C. notations
D. tips
E. none of these
B.
Which of the following punctuation is found in the Alphabetic Index?

A. Brackets

B. Italicized brackets

C. Colon

D. Italicized brackets and parentheses
D.
NEC stands for:

A. noted exceptional condition.

B. not elsewhere classifiable.

C. non-elective contraindication.

D. notations, exceptions, and classifications.
B.
The ______ notation is a reminder that you are going to need another code to identify the underlying disease that caused the diagnosed condition.

A. Code also
B. Code first
C. Excludes1
D. Use additional code
B.
The ______ notation identifies codes that cannot be used together on the same health claim form with the originally listed code.

A. With
B. Excludes2
C. Includes
D. Excludes1
D.
A/An ____________ notation is a warning to stop and double-check the documentation so you don't report the code above the notation when a code shown in the notation may be more accurate.

A. Excludes1
B. With
C. Includes
D. Excludes2
D.
A _____ is used in the Alphabetic Index to indicate that additional characters are required.

A. period
B. colon
C. hyphen
D. semicolon
C.
__________ has the same meaning as NOS, explaining that the physician did not provide more details in his or her notes.
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A. Other specified
B. Notes
C. Unspecified
D. Specified
C.
The ______ notation provides you with additional terms and diagnoses that are included in the above code (this code's description).

A. Includes
B. Excludes1
C. Excludes2
D. Code First
A.
The condition, after study, that is the primary, or main, reason for the admission of a patient to the hospital for care; the condition that requires the largest amount of hospital resources for care is known as the:

A. systemic condition.
B. sequela diagnosis.
C. principal diagnosis.
D. differential diagnosis.
C.
If two (or more) diagnoses are of equal severity, then report them in order of anatomical site— ______.

A. left to right
B. head to toe
C. Toe to head
D. right to left
B.
One disease that affects or encourages another condition is known as a:

A. symptom.
B. sign.
C. underlying condition.
D. manifestation.
C.
If one code exists with a description that includes two or more diagnoses identified in one patient at the same time, you must choose the code that includes as many conditions as available. These codes are known as:

A. unspecified codes.
B. specified NEC.
C. differential codes.
D. combination codes.
D.
There are times when a fifth, sixth, or seventh character is required, yet there are no fourth, fifth, or sixth characters. In these cases, ICD-10-CM uses a placeholder character, the letter ____, so the following characters will fall into their correct locations.

A. Y
B. W
C. X
D. Z
C.
The rules for coding uncertain diagnoses for patients of an inpatient facility are different from those for outpatients. You will find the guideline in which section?

A. Section II.H
B. Section I.C
C. Section III.A
D. Section IV.B
A.
A patient complains of dizziness. The physician states that she has hypertension. The coder should assign a code for:

A. dizziness.
B. dizziness and hypertension.
C. query the physician.
D. hypertension.
D.
The physician's notes state, "Chest congestion, possible pneumonia." The coder in the physician's office should code:

A. query the physician.
B. chest congestion.
C. pneumonia.
D. all of these
B.
What is the first step in looking up an ICD-10-CM diagnosis code?

A. Look up the main term in the Tabular List.

B. Look up the code in the Alphabetic Index.

C. Look up the code in the Tabular List.

D. Look up the main term in the Alphabetic Index.
D.
A breakout section of the Alphabetic Index listing the suggested codes for benign and malignant neoplasms is known as the:

A. Index to Diseases and Injuries.

B. Table of Drugs and Chemicals.

C. Tabular List of Diseases and Injuries.

D. External cause of Injuries Index.

E. Neoplasm Table.
D.
Once you have a suggested code from the Alphabetic Index, Neoplasm Table, Table of Drugs and Chemicals, and/or the Index to External Cause Codes, you will need to find that code in the

A. Index to Diseases and Injuries.

B. Table of Drugs and Chemicals.

C. Neoplasm Table.

D. Neoplasm Table.

E. External Cause of Injuries Index.
D.
The coder _____ report(s) a code directly from the Alphabetic Index without checking it in the Tabular List.

A. sometimes
B. may
C. never
D. is allowed to
C.
Dr. Peterie examines Thomas because he has a family history of prostate cancer. The main term is _____, and the correct diagnosis code is ______

A. History, Z80.42
B. Cancer, C61
C. Neoplasm, C63.7
D. Malignancy, R97.21
A.
Jim is scheduled for respiratory surgery. He presents today for a preoperative examination. The main term is _____, and the correct diagnosis code is ______.

A. Examination, Z01.811
B. Encounter, Z01.81
C. Preoperative, Z01.818
D. Evaluation, Z01.812
A.
_______ will show you alternate terms, alternate phrases, and/or synonyms to provide additional detail or explanation to the description.

A. Colons
B. Italicized brackets and parentheses
C. Brackets
D. Italicized brackets
C.
The word or phrase _____ means the same thing as NEC: The physician specified additional information that the ICD-10-CM book doesn't have in any of the other codes in the category.

A. unspecified
B. other specified
C. and
D. with
B.
The Table of Drugs and Chemicals' first column shows a list of substances. Moving to the right, the sixth column identifies which of the following?

A. Poisoning, Intentional Self-Harm
B. Poisoning, Assault Poisoning,
C. Adverse effect
D. Underdosing
C.
The Tabular List section of the ICD-10-CM book lists every code and its complete description in ______ order by code.

A. numeric
B. alphabetic
C. listed
D. alphanumeric
D.
A condition that affects the entire body and virtually all body systems, therefore requiring the physician to consider this in his or her medical decision making for any other condition is known as a:

A. sequela diagnosis.
B. differential diagnosis.
C. systemic condition.
D. principal diagnosis.
C.
Which code range identifies the diseases of the digestive system?

A. G00-G99
B. R00-R99
C. E00-E89
D. K00-K95
D.
In the ICD-10-CM Alphabetic Index turn to Pneumoconiosis. What punctuation(s) do you find?

A. Slanted Brackets
B. Parentheses
C. Colon
D. Brackets
B.
Turn to Hypertension in the ICD-10-CM Alphabetic Index. All of the following are listed as nonessential modifiers except

A. accelerated.
B. benign.
C. idiopathic.
D. organic
D.
A code surrounded within italicized, or slanted, brackets

A. is a previously deleted code.
B. is a manifestation.
C. Correct
D. is optional.
Correct
The correct code for acute and chronic respiratory failure with hypoxia is

A. J96.21.
B. J96.92.
C. J96.01.
D. J96.12.
A.
Which of the following would not be considered a systemic condition?

A. hypertension
B. diabetes mellitus
C. pregnancy
D. sprain of left coracohumeral
D.
Steve is starting a new job and is required to complete a preemployment examination. Dr. Rogers completed the exam and signs the paperwork. How is this encounter coded?

A. Z12.31
B. Z00.00
C. Z02.1
D. Z02.2
C.
An infection can spread through:

A. touching a doorknob.
B. shaking someone's hand.
C. picking up a used tissue.
D. all of these
D.
____ is/are any agent that causes disease; a microorganism such as a bacterium or virus.

A. Parasites
B. Pathogen
C. Viruses
D. Systemic
B.
Signs and symptoms of an existence of infection include all except a(n):

A. fever.
B. rash.
C. increased white blood cell count.
D. change in heart rate.
B.
When an infection or virus spreads throughout the entire body it is known as:

A. Parasites.
B. Pathogen.
C. Viruses.
D. Systemic.
D.
When there are no symptoms or manifestations this is known as:

A. Systematic.
B. Symptomatic.
C. Asymptomatic.
D. Chronic.
C.
_____ is the reaction of tissues to infection or injury; characterized by pain, swelling, and erythema.

A. Inflammation
B. Acute
C. Chronic
D. Subclinical
A.
______ is severe; serious.

A. Inflammation
B. Acute
C. Chronic
D. Subclinical
B.
When a patient acquires a condition that develops as a result of being in a health care facility it is known as a(n) _____ condition.

A. pathogen
B. virus
C. parasite
D. nosocomial
D.
Exposure due to some diseases, such as influenza, can be transmitted by coughing, spitting, talking, and sneezing. This type of exposure is known as:

A. droplet exposure.
B. contact exposure.
C. touch exposure.
D. needlestick exposure.
A.
Dysentery is transmitted by:

A. needlestick.
B. drinking contaminated water.
C. insect bites.
D. air.
B.
Which of the following are named by their shape?

A. Bacteria
B. Fungi
C. Parasites
D. Viruses
A.
Signs of Cellulitis include all of the following except:

A. erythema.
B. hypertension.
C. edema.
D. tachycardia.
B.
etanus is an infection of the nervous system and is caused by the entry of _______ into the body through a break in the skin.

A. bacteria
B. pathogen
C. parasite
D. virus
A.
Which of the following embed themselves in host cells and can be difficult to isolate?

A. viruses
B. bacteria
C. fungi
D. parasites
A.
Which of the following can lay dormant for long periods of time?

A. Bacteria
B. Viruses
C. Fungi
D. Parasites
B.
What are hookworms, pinworms, and tapeworms examples of?

A. fungi
B. parasites
C. viruses
D. bacteria
B.
Mushrooms, yeast, and mold are edible forms of:

A. bacteria.
B. fungi.
C. parasites.
D. viruses.
B.
Malaria, a disease spread by mosquitoes, is an example of a:

A. bacterial infection.
B. Fungal infection.
C. parasitic infestation.
D. viral infection.
C.
In order to code a diagnosis of meningitis, you have to know the specific virus or bacterium at the core of the inflammation. This can typically be found in the ______ report.
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A. Physician's Notes/Operative
B. Imaging
C. Pathology
D. Medication
C.
_______ report a code for HIV infection or illness without a specific physician diagnostic statement-a confirmed diagnosis.

A. Always
B. Never
C. Sometimes
D. Certainly
B.
The presence of unknown bacteria in the blood may be diagnosed as:

A. septicemia.
B. sepsis.
C. bacteremia
D. severe sepsis
C.
The diagnosis of severe sepsis must include a(n):

A. known pathogen.
B. fever.
C. organ dysfunction.
D. HIV-positive status.
C.
The diagnosis of severe sepsis must include:

A. identification of the underlying infection.

B. which organ system failed.

C. the age of the patient.

D. identification of the underlying infection and which organ failed.
D.
The diagnosis of sepsis must include:

A. a specified pathogen.
B. acute organ dysfunction.
C. an unknown pathogen.
D. HIV-positive status.
A.
Staphylococcus aureus is what type of infection?

A. bacterial
B. fungal
C. parasitic
D. viral
A.
The body's response to an infection may include the sign or symptom of

A. rash.
B. increased body temperature.
C. blurred vision.
D. reduced body temperature.
B.
_____ is a serious infection of the skin that may be either a staph infection (staphylococcal bacteria) or a strep infection (streptococcal bacteria).

A. Cellulitis
B. Hepatitis
C. Impetigo
D. Meningitis
A.
All of the following are parasites except

A. worms.
B. warts.
C. mites.
D. lice.
B.
Aspiration pneumonia is a

A. viral infection.
B. parasitic infection.
C. bacterial infection.
D. fungal infection.
C.
A woman with HIV-positive status is pregnant and in her second trimester. What must be the first-listed code?

A. O98.71
B. O98.711
C. O98.7
D. O98.712
D.
Exposure to HIV will be coded with which code?

A. Z20.7
B. Z20.4
C. Z20.6
D. Z20.5
C.
The code for septic shock may be all of the following except

A. an additional code.

B. added to the codes required for severe sepsis.

C. the first-listed diagnosis code.

D. used to identify the inclusion of hypotension.
C.
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