Exam 5: Diagnostic Coding Guidelines

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

A patient is admitted for severe back pain, and it is determined that the patient has kidney stones. The principal diagnosis is ____________________.

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

A sequela is the acute illness or injury that has caused a permanent condition.

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.

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?

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

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.

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.

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