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Lesson 22 & 23
Coding Practice Parts 1&2
| Question | Answer |
|---|---|
| A patient with type 1 diabetes comes into the office for wound care of a diabetic foot ulcer with muscle necrosis on the heel of the left foot. Which diagnosis code is sequenced first? | Combination code for type 1 diabetes with foot ulcer |
| Which one of the following ICD-10-CM codes indicates a malignant neoplasm of the prostate? | C61 |
| What is the first step in ICD-10-CM diagnosis coding? | Review documentation to identify diagnoses |
| A patient is admitted for treatment of malignant neoplasm of the bladder that has metastasized to the uterus, ovaries, and rectum. What should be sequenced first? | Bladder |
| Nausea and pain are both examples of | Symptoms |
| Which one of the following choices is an example of an ICD-10 diagnosis code? | I50.21 |
| A patient comes into an office to have allergens applied to his skin to see if reactions occur. This is called | patch testing |
| What is the correct code for Crohn's disease of the large intestine with abscess? | K50.114 |
| If the ends of a fractured bone segment didn't heal with proper alignment, then it's called | malunion |
| When codingstress fractures and soft-tissue disorders caused by overuse or pressure, it's important to remember to | code also the external cause |
| Symptoms that most patients experience with a given condition are known as | integral symptoms |
| A patient previously smoked for 14 years, but no longer smokes. Which one of the following choices is the correct ICD-10-CM code for history of tobacco use? | Z87.891 |
| A negative physical reaction is coded as a(n) | adverse effect |
| which term means "to spread and invade organs"? | Metastasize |
| A patient presents with a fractured radius that is protruding through the skin due to a fall off of a skateboard. This fracture would probably be coded as | open |
| When the coding manual index doesn't provide one code for multiple sites, then | assign as many separate codes as needed to cover all sites |
| A nursing home patient has a pressure ulcer of the right buttock due to being bedridden. Which of the following Main Terms would a coder look up in the index when assigning the principle diagnosis? | Ulcer |
| When one of the following choices is defined as "the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital? | Principle diagnosis |
| When coding the ICD-10-CM diagnosis submandibular salivary gland abscess, what's the best Main Term to look up? | Abscess |
| A living patient is donating a kidney. Which one of the following diagnosis codes indicates a kidney donor? | Z52.4 |
| A patient sees a physician for management of her type 2 diabetes. She also has peripheral neuropathy. Which one of the following choices indicates the correct code assignment and sequencing for this encounter? | E11.9 as principal, G62.9 as secondary |
| When coding burns for multiple sites, it's important to remember to assign | separate codes for each burn site |
| Which one of the following ICD-10-CM codes is an example of a sign or symptom code? | R30.0 |
| A patient is seen for synovium rupture in the right shoulder and right elbow. Which of the following choices is the correct code and sequencing for this scenario? | M66.111, M66.121 |
| In the ICD-10-CM coding manual, an instructional note at the beginning of a category applies to | all codes in that category |
| A patient was admitted to the hospital with slurred speech, facial drooping, and left arm weakness. On discharge, the physician documents "possible stroke." What should be listed as the principal diagnosis? | Stroke |
| Which one of the following choices is a cancer of the lowest layer of the epidermis? | Basal Cell |
| The principal diagnosis code for arthritis of the right elbow due to Staphylococcus is reported as which of the following? | M00.021 |
| A patient sees a doctor for diabetic cataracts. He also has diabetic neuropathic arthropathy. How many codes will be assigned for this encounter? | 2 |
| In ICD-10-CM, which one of the following choices is a code placeholder that has no meaning? | X |
| The organ that receives a hormone is classified as the | target organ |
| What degree is a burn if it completely damages the epidermis and then part of the dermis? | Second |
| On May 15, the physician documents "Hypertension based on multiple elevated blood pressure readings from March, April and May." The coder should assign code(s) for | hypertension |
| In the patient's record the physician documented "diabetes with gastroparesis" on discharge. What ICD-10-CM diagnosis code(s) should the coder assign as the principal diagnosis? | One combination code for the diabetes and gastroparesis |
| In ICD-10-CM, how should a coder handle signs and symptoms when a diagnosis has been established? | Don't code the signs and symptoms |
| A patient sprains her ankle. In the coding book under "ankle", there's a note that states "see condition." Which one of the following Main Terms should the coder look up first when trying to find the code for ankle sprain? | Ankle |
| Which one of the following choices is a tissue replacement using tissue from another person? | Allograft |
| An undetermined type of poisoning due to Trimeton would be coded to which one of the following groups? | T45.0X4 |
| A patient comes to the physician's office for a prophylactic vaccination. What diagnosis code set will the patient code from in this instance? | Z codes |