Exam 5: Diagnostic Coding Guidelines

Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes.

Codes with three digits are included in ICD-10-CM as the heading of a/an ____________________ of codes.

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

When there is a "code first" note and an underlying condition is present, the ____________________ condition should be sequenced first.

When an admission is for treatment of a complication resulting from surgery, the ____________________ code is sequenced as the principal 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 ____________________.

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

A/An ____________________ code is a single code used to classify two diagnoses, or a diagnosis with an associated secondary process or complication.

ICD-10-CM code I25.110, ASHD, native artery with unstable angina is a ______ code.

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

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_____.

Section IV of the ICD-10-CM Official Guidelines for Coding and Reporting contains the Diagnostic Coding and Reporting Guidelines for ___________________ Services.

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

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

Diagnoses documented as probable, suspected, or questionable are _____.

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

Which of the following is false?

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

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

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 _____.