Exam 5: Diagnostic Coding Guidelines

When a patient is admitted for observation for a medical condition, assign a code for the __________ condition as the first listed diagnosis.

A dash at the end of an ICD-10-CM Index to Diseases and Injuries entry indicates that additional characters are required for a valid code.

A patient is admitted with nausea, vomiting, diarrhea, and abdominal pain. Testing has revealed colitis. The principal diagnosis is _____. abdominal pain

For ambulatory surgery, if the preoperative and postoperative diagnoses are different, select the postoperative diagnosis for coding.

The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care is known as the ____________________ diagnosis.

Which of the following is false?

Which of the following is not a member of the Cooperating Parties for ICD-10-CM?

Dr. Cook records the following diagnosis at the time of an inpatient discharge: "Abdominal pain ruled out colitis or gastritis." The principal diagnosis is_____.

At the time of discharge, the following diagnosis is recorded: "Confirmed threatened spontaneous abortion." The coder should select a code for spontaneous abortion.

Which section of the ICD-10-CM Official Guidelines for Coding and Reporting includes guidelines for the selection of principal diagnosis for non-outpatient settings?

Sally Smith was placed on observation due to pain in the upper right quadrant, vomiting, and jaundice. She was then placed on inpatient status for a removal of her gallbladder due to cholecystitis. The principal diagnosis for the admission is _____.

A three-digit code is to be used only if it is not further subdivided.

When a definitive diagnosis has been established, codes such as pain and fever are not coded.

In the outpatient setting, the term "first-listed" diagnosis is used in lieu of _____ diagnosis.

To select an ICD-10-CM code, first locate the main term in the ICD-10-CM Index to Diseases and Injuries and then verify the code in the ____________________.

ICD-10-CM diagnosis codes are composed of up to eight characters.

Section I of the ICD-10-CM Official Guidelines for Coding and Reporting provides guidelines only for outpatient services.

Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related ____________________diagnosis has not been established by the provider.

If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Index at the same indentation level, code_____.

For bilateral sites, the first character of the codes in ICD-10-CM indicates laterality.