Chapter 4 Quiz Flashcards
What is/are the correct code(s) for a patient with acute on chronic maxillary sinusitis?
(A) J01.00, J32.0.
(B) J01.00.
(C) J32.0, J01.00.
(D) J01.01
(A) J01.00, J32.0.
There are instances when a patient will have both the acute form and the chronic form of a condition and there is not a combination code to report both the acute and the chronic condition. According to the ICD-10-CM guidelines, if separate subentries exist code both and sequence the acute code first. Look in the ICD-10-CM Alphabetic Index for Sinusitis/acute/maxillary J01.00. Look in the ICD-10-CM Alphabetic Index for Sinusitis (accessory) (chronic) (hyperplastic) (nasal) (nonpurulent)/maxillary J32.0. Verify both codes in the Tabular List.
What is/are the correct code(s) for a patient with Type 1 diabetic neuropathy?
(A) E11.40.
(B) E90.40.
(C) E10.9, G62.9.
(D) E10.40.
(D) E10.40.
Look in the ICD-10-CM Alphabetic Index for Diabetes, diabetic/Type 1/with/neuropathy. The code is E10.40, verify with the Tabular List.
If a patient has acute diastolic heart failure, what is the main term that is used in the ICD-10-CM Alphabetic Index?
(A) Heart.
(B) Acute.
(C) Failure.
(D) Diastolic.
(C) Failure.
The main term is the disease, illness, or condition of the patient. In this case, the disease is failure of the heart. The main term is failure, with subterms heart, diastolic, and acute.
What are the correct codes for benign hypersensitive heart disease and stage 3a chronic kidney disease?
(A) I10, I11.9, I12.9, N18.31.
(B) I13.10, N18.31.
(C) N18.31, I13.10.
(D) I13.0, N18.31.
(B) I13.10, N18.31.
Look in the ICD-10-CM Alphabetic Index for Hypertension, hypersensitive/heart/with/kidney disease (chronic). There is a note to see Hypertension/cardiorenal. Look in the ICD-10-CM Alphabetic Index for Hypertension/cardiorenal/without heart failure/with stage 1 through 4 chronic kidney disease I13.10. Verify the code selection in the Tabular List. This is a combination code for hypersensitive heart and chronic kidney disease, so I13.10 is used instead of reporting a code for each one. Code I31.10, hypersensitive heart and chronic kidney disease, without heart failure, with stage 1 through 4 chronic kidney or unspecified chronic kidney disease, has to use an additional note that states to code the stage of kidney disease as a secondary code. Look in the Alphabetic Index for Disease, disease/kidney/chronic/stage 3a. Code N18.31 chronic kidney disease, stage 3a is the correct code.
Which sections of ICD-10-CM does a biller use to code for a physician’s office?
(A) ICD-10-CM Alphabetic Index and Tabular List.
(B) Alphabetic Index only.
(C) Tabular List only.
(D) ICD-10-CM and ICD-10-PCS.
(A) ICD-10-CM Alphabetic Index and Tabular List.
Both the ICD-10-CM Alphabetic Index and the Tabular List are used to locate a diagnosis code in physician offices.
In looking at the notes with this code, which statement is TRUE?
K67 Disorders of the peritoneum in infectious diseases classified elsewhere
Code first underlying disease such as:
congenital syphilis (A50.0)
helminthiasis (B65.0-B83.9)
Excludes 1: peritonitis in chlamydia (A74.81)
peritonitis in diphtheria (A36.89)
peritonitis in gonococcal (A54.85)
peritonitis in syphilis (late) (A52.74)
peritonitis in tuberculosis (A18.31)
(A) Code K67 may be a first-listed code.
(B) Code K67 may be coded with code A74.81.
(C) Code K67 may never be coded with codes A74.81, A36.89, A54.85, A52.74, and A18.31.
(D) Code K67 is a secondary code with codes A74.81, A36.89, or A52.74 being coded first.
(C) Code K67 may never be coded with codes A74.81, A36.89, A54.85, A52.74, and A18.31.
The “Excludes 1” note indicates that none of the conditions listed may be coded with code K67.
How many chapters does ICD-10-CM contain?
(A) 17.
(B) 19.
(C) 22.
(D) 20.
(C) 22.
There are 22 chapters in ICD-10-CM to classify diseases and injuries by etiology (cause) or anatomical (body) site, and appendices.
In looking at the following listing in the ICD-10-CM Alphabetic Index, what can you tell about the codes for curvature of the spine due to Charcot-Marie-Tooth disease?
Curvature
spine (acquired) (idiopathic) (incorrect) (postural)-see Dorsopathy, deforming
congenital Q67.5
due to or associated with
Charcot-Marie-Tooth disease (see also subcategory M49.8) G60.0
(A) Only one code is required G60.0.
(B) Two codes are required with code from subcategory M49.8 coded first.
(C) Two codes are required and it does not matter which one is coded first.
(D) Two codes may be required; double check the Tabular List to be sure both codes are accurate and determine which to code first.
(D) Two codes may be required; double check the Tabular List to be sure both codes are accurate and determine which to code first.
Brackets in the ICD-10-CM Alphabetic Index identifying manifestations and may mean that there are 2 codes required. You will need to double check the Tabular list for both codes to see which should come first.
What general guideline is addressed in I.C.1.a.2.c.?
(A) Documentation unclear as to whether sepsis or severe sepsis is present or admission.
(B) Other codes for MRSA.
(C) Whether the patient is newly diagnosed.
(D) Code only confirmed cases.
(C) Whether the patient is newly diagnosed.
Section I. Conventions, General Coding Guidelines and Chapter Specific Guidelines
Specific Guidelines
Section I.C Chapter- Specific Coding Guidelines
Section I.C. 1 Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99)
Section I.C. 1.a. Human Immunodeficiency Virus (HIV) Infections
Section I.C. 1.a.2 Selection and sequencing of HIV codes
Section I.C. 1.a.2.c Whether the patient is newly diagnosed
Which statement is TRUE regarding the ICD-10-CM codebook?
(A) Every code requires seven characters.
(B) The External Cause of Injuries Index is the first index found in the ICD-10-CM codebook.
(C) An ICD-10-CM code can be reported directly from the ICD-10-CM Alphabetic Index.
(D) The abbreviation that indicates a provider has documented a specific diagnosis but there is not a code for that specificity is NEC.
(D) The abbreviation that indicates a provider has documented a specific diagnosis but there is not a code for that specificity is NEC.
NEC is the abbreviation for “Not Elsewhere Classifiable”. Selecting a code with the NEC classification means that the provider documented more specific information regarding the patient’s condition, but there is not a code to report the condition accurately.
