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CPC-Physician Based Medical Coding > CPC Ch3- Introduction ICD-10-CM > Flashcards

CPC Ch3- Introduction ICD-10-CM Flashcards

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USMLE® Step 1 flashcards
1
Q

Which coding 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? Refer to ICD-10-CM guideline I.A.6.
A. Code First
B. In diseases classified elsewhere
C. NEC
D. NOS

A

C. NEC

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2
Q

Cyclic neutropenia is coded with D70.4 Cyclic neutropenia. There are additional coding instructions for this code listed under the category D70 Neutropenia. Using those instructions, how would you report a patient with cyclic neutropenia with an associated fever?
A. D70.4
B. D70.4, R50.81
C. R50.81, D70.4
D. R50.81

A

B. D70.4, R50.81

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3
Q

Supplementary words enclosed in parentheses in the ICD-10-CM code book have what effect on the coding? Refer to ICD-10-CM guideline I.A.7.
A. They indicate to look under another word to locate the ICD-10-CM code.
B. At least one word in parenthesis is required to be in the documentation to use that code.
C. They identify manifestation codes that should be coded in addition to the primary code.
D. They do not affect code assignment.

A

D. They do not affect code assignment.

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4
Q

What is a default code? Refer to ICD-10-CM guideline I.A.18.
A. The first code listed when reporting a condition.
B. The first code listed in the category of codes.
C. The code that represents the condition most commonly associated with the main term.
D. The most specific code that represents the most severe condition most commonly associated with the main term.

A

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

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5
Q

Three-character ICD-10-CM codes represent what level of code in the ICD-10-CM?
A. Section
B. Category
C. Subcategory
D. Subclassification

A

B. Category

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6
Q

Applying the coding concept from ICD-10-CM guideline I.B.1., which of the following is the recommended method for using your ICD-10-CM code book?
A. Either the Tabular List or Alphabetic Index will take you to the right code.
B. Locate the main term in the Tabular List, and then verify it in the Alphabetic Index.
C. Instructional notations in the Alphabetic Index take precedence over those in the Tabular List.
D. Always consult the Alphabetic Index first. Refer to the Tabular List to locate the selected code.

A

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

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7
Q

What is the ICD-10-CM code for a bruised left knee, initial encounter?
A. S81.031A
B. S80.02XA
C. S90.912A
D. S89.92XA

A

B. S80.02XA

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8
Q

What is the ICD-10-CM code for benign prostatic hyperplasia with urinary retention?
A. N40.0
B. N40.0, R33.8
C. N40.1
D. N40.1, R33.8

A

D. N40.1, R33.8

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9
Q

What is the ICD-10-CM code for essential hypertension?
A. I11
B. I11.9
C. I12.9
D. I10

A

D. I10

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10
Q

What is/are the ICD-10-CM code(s) for bilateral hip pain?
A. M25.851, M25.852
B. M25.859
C. M25.559
D. M25.551, M25.552

A

D. M25.551, M25.552

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11
Q

A patient visits his primary care physician for complaints of nausea and vomiting. Which option is appropriate to report a diagnosis of nausea and vomiting? Apply the coding concept from ICD-10-CM guideline I.B.9.
A. R11
B. R11.2
C. R11.0, R11.10
D. R11.14

A

B. R11.2

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12
Q

Referencing ICD-10-CM guideline I.B.10, what is the time limit when assigning codes as sequela?
A. At least six months beyond the injury or illness causing the sequela.
B. At least two years beyond the injury or illness causing the sequela.
C. There is no time limit on sequelae.
D. There is a sliding scale of time limits on sequelae in the ICD-10-CM appendix.

A

C. There is no time limit on sequelae.

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13
Q

Referencing ICD-10-CM guideline I.B.8, 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?
A. Code the chronic condition first, followed by the acute condition.
B. Code the acute condition first, followed by the chronic condition.
C. Check with the physician to determine whether the acute or chronic condition takes precedence.
D. Code only the acute condition.

A

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

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14
Q

Referencing ICD-10-CM guideline I.B.11, what is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge?
A. 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.
B. Code the condition that is impending.
C. Use a Z code to describe the patient encounter.
D. Use the appropriate 7th character to indicate the condition is impending or threatened.

A

A. 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.

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15
Q

A patient is brought to the ED with right and left ankle fractures. Applying the coding concepts from ICD-10-CM guidelines I.B.12 and I.B.13, which ICD-10-CM code selection should you report?
A. S82.841D
B. S82.843A, S82.843S
C. S82.891A, S82.892A
D. S82.899A

A

C. S82.891A, S82.892A

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16
Q

A patient is admitted for an outpatient cholecystectomy for gallstones. During recovery, the patient developed severe postoperative pain. The patient was admitted to observation to monitor the pain. Applying the coding concept from ICD-10-CM guideline IV.A.2, what is the appropriate ICD-10-CM code selection for the observation?
A. K80.20, G89.18
B. G89.18
C. G89.18, K80.20
D. K80.20

A

A. K80.20, G89.18

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17
Q

A patient is in outpatient surgery for a laparoscopic oophorectomy for a right ovarian cyst. After admission, the anesthesiologist discovered the patient had an upper respiratory infection and the surgery was cancelled. Applying the coding concept from ICD-10-CM guideline IV.A.1, what is the appropriate ICD-10-CM code selection?
A. J06.9, Z53.09, N83.201
B. Z53.09
C. Z53.09, J06.9, N83.201
D. N83.201, J06.9, Z53.09

A

D. N83.201, J06.9, Z53.09

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18
Q

A patient sees the physician for chest pain, fever, and cough. The physician orders an X-ray to rule out pneumonia. Applying the coding concept from ICD-10-CM guideline IV.H., which ICD-10-CM coding is reported?
A. J18.9
B. J10.1
C. R07.9, R50.9, R05.9
D. R07.9, R50.9, R05.9, J18.9

A

C. R07.9, R50.9, R05.9

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19
Q

A patient visits her family provider for her annual wellness exam. The provider notices a suspicious skin lesion on her arm and refers her to a dermatologist. Applying the coding concept from ICD-10-CM guideline IV.P, which ICD-10-CM coding is reported?
A. Z00.00
B. Z00.01
C. Z00.00, L98.9
D. Z00.01, L98.9

A

D. Z00.01, L98.9

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20
Q

Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his splenectomy, he is required to have clearance from his pulmonologist. The pulmonologist performs a pre-operative screening and documents that his mild COPD should not be a problem. Applying the coding concept from ICD-10-CM guideline IV.M, which ICD-10-CM codes would be reported for the pre-operative clearance?
A. Z01.811, J44.9
B. Z01.811, D73.1, R09.89
C. D73.1, Z01.811
D. Z01.811, D73.1, J44.9

A

D. Z01.811, D73.1, J44.9

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21
Q

What should the word AND be interpreted to mean when it appears in a title?
A. “And” or “or” – patient may have either or both
B. And – patient must have both
C. Do not use
D. Instead of

A

A. “And” or “or” – patient may have either or both

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22
Q

What type of code is assigned when the provider documents the reason for a patient seeking healthcare services that is not for an injury or disease?
A. ICD-10-PCS code
B. External cause code (V00-Y99)
C. Non-specific code
D. Z code (Z00-Z99)

A

D. Z code (Z00-Z99)

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23
Q

What section of the ICD-10-CM guidelines contains instructions on how to code for a patient receiving diagnostic services only in an outpatient setting?
A. Section III
B. Section I
C. Section II
D. Section IV

A

D. Section IV

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24
Q

Which of the following statements is TRUE in reference to reporting body mass index (BMI) codes?
A. BMI codes should be reported as primary codes only.
B. BMI codes are only reported with the ICD-10-CM code E66.3 for overweight.
C. BMI codes should be reported as a secondary code only.
D. BMI codes should never be reported in ICD-10-CM.

A

C. BMI codes should be reported as a secondary code only.

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25
Q

What is an example of an eponym?
A. Salpingo-oophoritis
B. Xanthoma
C. Neuropathy
D. Paget’s disease

A

D. Paget’s disease

26
Q

What is the ICD-10-CM code for strep throat?
A. A49.1
B. B97.89
C. J02.8
D. J02.0

A

D. J02.0

27
Q

What is the ICD-10-CM code for tachycardia?
A. I49.8
B. R00.0
C. I47.9
D. P29.11

A

B. R00.0

28
Q

What is the ICD-10-CM code for heartburn?
A. R07.9
B. R06.89
C. F45.8
D. R12

A

D. R12

29
Q

When referencing the Tabular List, which code contains an instructional note that indicates that two related conditions cannot occur together?
A. N94.2
B. A18.01
C. S04.0
D. K31.84

A

A. N94.2

30
Q

What is the ICD-10-CM code for chest pain?
A. R07.82
B. G89.29
C. R07.9
D. N64.4

A

C. R07.9

31
Q

Which diagnosis below would be considered a combination code?
A. E06.0
B. I07.0
C. K80.00
D. R78.0

A

C. K80.00

32
Q

What is the ICD-10-CM code for classical migraine?
A. G43.119
B. G43.109
C. G43.509
D. G43.909

A

B. G43.109

33
Q

What is the ICD-10-CM code for headache?
A. G44.001
B. G44.209
C. R51.9
D. G44.009

A

C. R51.9

34
Q

What do brackets [] indicate in the ICD-10-CM Alphabetic Index?
A. Use the code(s) in brackets first.
B. Use the code(s) in brackets as the only code.
C. Do not assign the code in brackets.
D. Use the code(s) in brackets in addition to the disease or condition to identity an associated manifestation.

A

D. Use the code(s) in brackets in addition to the disease or condition to identity an associated manifestation.

35
Q

In the ICD-10-CM Alphabetic Index next to Hypertension, what do the terms in parentheses indicate?
A. Hypertension cannot be coded unless one of those words is documented with hypertension in the diagnosis.
B. Look at another main term to find that type of hypertension.
C. Supplementary words that can be present or absent with the diagnosis hypertension and does not affect the code to which it is assigned.
D. Hypertension needs two codes assigned.

A

C. Supplementary words that can be present or absent with the diagnosis hypertension and does not affect the code to which it is assigned.

36
Q

What is the ICD-10-CM code for sprained left ankle, initial encounter?
A. S83.90XD
B. S93.601A
C. S73.192D
D. S93.402A

A

D. S93.402A

37
Q

The provider orders the following serum blood tests as part of a pre-employment physical exam: Complete Blood Count (CBC) automated and automated differential White Blood Count (WBC) count, Comprehensive Metabolic Panel (CMP), and a Thyroid Stimulating Hormone (TSH) assay, which are all part of the general health panel. A drug screen for multiple drug classes was also collected. What diagnosis code is reported?
A. R68.89
B. R71.0
C. Z02.1
D. Z00.01

A

C. Z02.1

38
Q

What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist?
A. M80.031A
B. S62.101A
C. S62.102A
D. S12.9XXA

A

B. S62.101A

39
Q

A patient sees his primary care provider for chest pain and regurgitation. The provider’s diagnosis for the patient is gastroesophageal reflux. What diagnosis code(s) should be reported?
A. K21.9
B. R07.9, R11.10
C. R07.9, R11.10, K21.9
D. K21.9, R07.9, K21.9

A

A. K21.9

40
Q

A 50-year-old female presents to her provider with symptoms of insomnia and upset stomach. The provider suspects she is premenopausal. She is diagnosed with impending menopause. What diagnosis code(s) should be reported?
A. N95.9, G47.00, K30
B. N95.9
C. G47.00, K30
D. E28.319

A

C. G47.00, K30

41
Q

A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination and urinalysis, the patient is diagnosed with a urinary tract infection (UTI). What ICD-10-CM code(s) is/are reported?
A. R10.0, R35.0
B. R10.0, R35.0, N39.0
C. R10.0, N39.0
D. N39.0

A

D. N39.0

42
Q

What diagnosis coding is reported for pneumonia due to severe acute respiratory syndrome (SARS)?
A. J18.9, B97.21
B. J12.81, B97.21
C. J18.9
D. J12.81

A

D. J12.81

43
Q

What diagnosis code(s) is/are reported for agitated and violent behavioral disturbances in a patient with early onset Alzheimer’s?
A. F02.818
B. F02.811, G30.0
C. G30.8, F02.818
D. G30.0, F02.811

A

D. G30.0, F02.811

44
Q

What is the ICD-10-CM code for a laceration on the left shoulder, subsequent encounter?
A. S46.001D
B. S51.009D
C. S41.012D
D. S51.801D

A

C. S41.012D

45
Q

A 37-year-old male is diagnosed with cholelithiasis, choledocholithiasis and acute and chronic cholecystitis. What ICD-10-CM code(s) is/are reported?
A. K80.20, K80.70, K80.66
B. K80.62, K80.66
C. K80.66
D. K80.20, K80.70, K80.62, K80.60

A

C. K80.66

46
Q

When a patient has a condition that is both acute and chronic and there are separate entries for both, how is it reported?
A. Code only the chronic code
B. Code only the acute code
C. Code both sequencing the chronic first
D. Code both sequencing the acute first

A

D. Code both sequencing the acute first

47
Q

What is the meaning of “provider” in the ICD-10-CM guidelines?
A. The hospital
B. Insurance company
C. The physician
D. The patient

A

C. The physician

48
Q

What does ICD-10-CM guideline I.B.1 state to use when locating and assigning a diagnosis code?
A. ICD-10-CM Alphabetic Index and Illustrations
B. ICD-10-CM code book and Dictionary
C. Tabular List and Index to Procedures
D. ICD-10-CM Alphabetic Index and Tabular List

A

D. ICD-10-CM Alphabetic Index and Tabular List

49
Q

In the ICD-10-CM Alphabetic Index what is the code next to the main term called?
A. Category Code
B. Default Code
C. Unspecified Code
D. Subcategory Code

A

B. Default Code

50
Q

What does ICD-10-CM stand for?
A. International Class Diagnosis 10th Book, Clinical Medicine
B. Infections Classified Diseases 10th Revision, Clinical Modification
C. International Code Diagnosis-10, Coding Medical
D. International Classification of Diseases 10th Revision, Clinical Modification

A

D. International Classification of Diseases 10th Revision, Clinical Modification

51
Q

A 6-year-old patient is seen in the office for acute otitis media, coded as H66.90. This is an example of what ICD-10-CM convention?
A. Category
B. NEC
C. Etiology/manifestation code
D. NOS

A

D. NOS

52
Q

Which diagnosis code(s) below reports pain in the left and right ears?
A. H92.01, H92.02
B. H93.8X3
C. H92.03
D. H92.09

A

C. H92.03

53
Q

What is the ICD-10-CM code for UTI?
A. N39.0
B. N71.9
C. T80.29XA
D. A54.00

A

A. N39.0

54
Q

What is the ICD-10-CM code for cough?
A. J41.0
B. R05.9
C. B37.89
D. J11.1

A

B. R05.9

55
Q

What is the sequencing order when coding a sequela (late effect)?
A. The cause of the late effect is coded first and the residual condition is coded second.
B. The residual condition is coded first, and the code(s) for the cause of the late effect are coded as secondary.
C. The symptom is coded first followed by the residual condition and the late effect code.
D. The cause of the late effect is coded first; the residual condition is coded second followed by the symptoms.

A

B. The residual condition is coded first, and the code(s) for the cause of the late effect are coded as secondary.

56
Q

When coding for an ambulatory surgical procedure, how is the diagnosis determined?
A. Code the preoperative diagnosis and postoperative diagnosis if the diagnoses are different.
B. Code the preoperative diagnosis because it is the most definitive.
C. Code the postoperative diagnosis because it is the most definitive.
D. Z codes are always reported for ambulatory surgery.

A

C. Code the postoperative diagnosis because it is the most definitive.

57
Q

What diagnosis codes should be reported for a patient with polyneuropathy as a result of vitamin B deficiency?
A. G62.9, E53.9
B. E53.9, G63
C. G63, E53.9
D. E53.9, G62.9

A

B. E53.9, G63

58
Q

What diagnosis codes should be reported for fragilitas ossium, osteogenesis imperfecta and osteopsathyrosis?
A. Q78.8
B. Q78.2
C. Q78.0
D. Q78.9

A

C. Q78.0

59
Q

A 65-year-old is seen by her cardiologist for preoperative evaluation for clearance for removal of her gallbladder due to gallstones. The cardiologist notes that she has hypertension. Medication is given to control her hypertension. What diagnosis codes are reported?
A. Z01.810, K80.20, I10
B. K80.20, I10, Z01.810
C. Z01.810, K80.21, I10
D. I10, K80.20, Z01.810

A

A. Z01.810, K80.20, I10

60
Q

A male patient with convulsions is sent for a computerized axial tomogram (CT scan) of the brain with contrast. What diagnosis code is reported as the reason for the CT Scan?
A. R51.9
B. R56.01
C. R56.00
D. R56.9

A

D. R56.9

61
Q

What is the diagnosis code(s) for a patient with bronchitis and the flu?
A. J40, J11.1
B. J11.1
C. J40, J09.X2
D. J09.X2

A

B. J11.1

62
Q

A 30-year-old female patient was seen in the ED with complaints of diarrhea for the past four days. She was also complaining of lower abdominal pain. After examination, the patient was diagnosed with viral gastroenteritis. She was instructed to drink plenty of fluids and to begin eating solids only after the diarrhea has subsided. What diagnosis code(s) would be reported for this encounter?
A. K52.9
B. R10.31, R19.7
C. A08.4
D. A08.4, R10.84, R19.7

A

C. A08.4

CPC-Physician Based Medical Coding (39 decks)

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