Chapter 3: Intro to ICD-10-CM

Question 1

Which code convention is used in the description of an ICD-10-CM code when the information in the medical record provides detail, but no specific code exists?

Answer 1

NEC - Not elsewhere classifiable.

Question 2

Supplementary words enclosed in parenthesis in the ICD10 book have what effect on the coding?

Answer 2

They do not affect the code assignment.

Question 3

What is a default code?

Answer 3

The code that represents the condition most commonly associated with the main term.

Question 4

Three character ICD10 codes represent what level of code?

Answer 4

Category

Question 5

Applying the coding concept from ICD-10 guidelines, which of the following is the recommended method for using your ICD-10 code book?

Answer 5

Always consult the Alphabetic Index first. Refer to the Tabular List to locate the selected code.

Question 6

What is the time limit when assigning codes as sequela?

Answer 6

There is no time limit on sequelae.

Question 7

When a patient presents with an acute exacerbation of a chronic condition, and no single code captures both the chronic and acute nature of the illness, how are the codes sequenced?

Answer 7

Code the acute condition first, followed by the chronic condition.

Question 8

What is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge?

Answer 8

Check the ICD-10-CM Alphabetic Index to see if there are listings under threatened or impending; and if not,
code the existing underlying condition(s) rather than the condition described as impending.