Question 1

An invasive tumor that spreads beyond the tumor site is said to be:

Accepted Answer

A)  primary neoplasm 
B)  secondary neoplasm 
C)  malignant 
D)  benign 
A)  primary neoplasm 
B)  secondary neoplasm 
C)  malignant 
D)  benign C

Question 2

Which ICD-10-CM code describes "Inconclusive laboratory evidence of human immunodeficiency virus?"

Accepted Answer

A)  R75 
B)  Z72.89 
C)  Z11.59 
D)  Z21 
A)  R75 
B)  Z72.89 
C)  Z11.59 
D)  Z21 A

Question 3

When an opportunistic infection, such as Kaposi's sarcoma of the lung, is documented in an HIV-positive patient's record, how may the coder report this diagnosis?

Accepted Answer

A)  C46.50 
B)  B20 
C)  Z21 
D)  B20, C46.50 
A)  C46.50 
B)  B20 
C)  Z21 
D)  B20, C46.50 D

Question 4

The categories E10, E11, E13 for diabetes reflect what specificity?

Accepted Answer

A)  whether daily insulin is needed for control of the condition 
B)  the type of complications 
C)  the type of diabetes 
D)  the status of control of the condition 
A)  whether daily insulin is needed for control of the condition 
B)  the type of complications 
C)  the type of diabetes 
D)  the status of control of the condition

Question 5

All of the following are HIV-related opportunistic infections except:

Accepted Answer

A)  Tuberculosis 
B)  Candidiasis 
C)  Gonorrhea 
D)  Syphilis 
A)  Tuberculosis 
B)  Candidiasis 
C)  Gonorrhea 
D)  Syphilis

Question 6

If a primary site, due to excision or therapy, no longer exists and the patient is receiving treatment for a secondary site, the primary site is coded with:

Accepted Answer

A)  family history Z code 
B)  no code is assigned 
C)  personal history Z code 
D)  Signs, Symptoms, and Ill-Defined Conditions code 
A)  family history Z code 
B)  no code is assigned 
C)  personal history Z code 
D)  Signs, Symptoms, and Ill-Defined Conditions code

Question 7

When an insulin pump malfunctions leading to overdosing, select the appropriate reporting and sequencing of resulting conditions:

Accepted Answer

A)  code first conditions resulting from the overdosing, then the mechanical complication due to the insulin pump, then the reason for the pump's presence, then poisoning by insulin, followed by the appropriate diabetes code 
B)  code first the reason for the pump's presence, then poisoning by insulin, then the mechanical complication due to the insulin pump, the appropriate diabetes code, and any additional codes for conditions resulting from the overdosing 
C)  code first the appropriate diabetes code, then the mechanical complication due to the insulin pump, then poisoning by insulin, then the reason for the pump's presence, and any additional codes for conditions resulting from the overdosing 
D)  code first the mechanical complication due to the insulin pump, then poisoning by insulin, the appropriate diabetes code, and any additional codes for conditions resulting from the overdosing 
A)  code first conditions resulting from the overdosing, then the mechanical complication due to the insulin pump, then the reason for the pump's presence, then poisoning by insulin, followed by the appropriate diabetes code 
B)  code first the reason for the pump's presence, then poisoning by insulin, then the mechanical complication due to the insulin pump, the appropriate diabetes code, and any additional codes for conditions resulting from the overdosing 
C)  code first the appropriate diabetes code, then the mechanical complication due to the insulin pump, then poisoning by insulin, then the reason for the pump's presence, and any additional codes for conditions resulting from the overdosing 
D)  code first the mechanical complication due to the insulin pump, then poisoning by insulin, the appropriate diabetes code, and any additional codes for conditions resulting from the overdosing

Question 8

Septicemia is:

Accepted Answer

A)  sepsis with organ failure 
B)  a response specifically to an infection 
C)  a form of organ failure of the vascular system 
D)  the presence of toxins or disease in the blood 
A)  sepsis with organ failure 
B)  a response specifically to an infection 
C)  a form of organ failure of the vascular system 
D)  the presence of toxins or disease in the blood

Question 9

Which of the following is an antibiotic resistant staph infection?

Accepted Answer

A)  MSSA 
B)  MSA 
C)  MRSA 
D)  MRA 
A)  MSSA 
B)  MSA 
C)  MRSA 
D)  MRA

Question 10

A 27-year-old pregnant female in her second trimester presents with MSSA. Select the appropriate code selection and sequence:
· A41.01 Sepsis due to Methicillin susceptible staphylococcus aureus
· B95.61 Methicillin susceptible staphylococcus aureus as the cause of diseases classified elsewhere
· O98.812 Other maternal infectious and parasitic diseases complicating pregnancy, second trimester

Accepted Answer

A)  O98.819, A41.01 
B)  A41.01, B95.61, O98.812 
C)  O98.812, A41.01 
D)  O98.812, A41.01, B95.61 
A)  O98.819, A41.01 
B)  A41.01, B95.61, O98.812 
C)  O98.812, A41.01 
D)  O98.812, A41.01, B95.61

Question 11

The categories E10, E11, E13 for diabetes reflect what specificity?

Accepted Answer

A)  the type of complications 
B)  whether daily insulin is needed for control of the condition 
C)  the type of diabetes 
D)  the status of control of the condition 
A)  the type of complications 
B)  whether daily insulin is needed for control of the condition 
C)  the type of diabetes 
D)  the status of control of the condition

Question 12

An invasive tumor that spreads beyond the tumor site is said to be:

Accepted Answer

A)  malignant 
B)  secondary neoplasm 
C)  benign 
D)  primary neoplasm 
A)  malignant 
B)  secondary neoplasm 
C)  benign 
D)  primary neoplasm

Question 13

Correct coding guidelines regarding Treatment of secondary neoplasm site are outlined in Section, Subsection:

Accepted Answer

A)  I, C, 2, e 
B)  I, C, 2, a 
C)  I, C, 2, g 
D)  I, C, 2, b 
A)  I, C, 2, e 
B)  I, C, 2, a 
C)  I, C, 2, g 
D)  I, C, 2, b

Question 14

Section, Subsection I, C, 2, i provides correct coding guidelines for:

Accepted Answer

A)  Coding and sequencing of complications 
B)  Primary malignancy previously excised 
C)  Admission/encounter for pain management 
D)  Malignancy in two or more contiguous sites 
A)  Coding and sequencing of complications 
B)  Primary malignancy previously excised 
C)  Admission/encounter for pain management 
D)  Malignancy in two or more contiguous sites

Question 15

Patient is being seen to determine their HIV status and they suspect they have been exposed to the HIV virus, select the appropriate code(s).

Accepted Answer

A)  Z11.4, Z20.6 
B)  Z21 
C)  Z11.4 
D)  Z72.9 
A)  Z11.4, Z20.6 
B)  Z21 
C)  Z11.4 
D)  Z72.9

Question 16

Guidelines regarding correct Coding and sequencing of complications associated with malignancies or with therapy are found in Section, Subsection:

Accepted Answer

A)  I, C, 2, d 
B)  I, C, 2, i 
C)  I, C, 2, h 
D)  I, C, 2, c 
A)  I, C, 2, d 
B)  I, C, 2, i 
C)  I, C, 2, h 
D)  I, C, 2, c

Question 17

Regarding SIRS, tachypnea is defined as:

Accepted Answer

A)  Respiratory rate greater than 20 breaths per minute 
B)  Respiratory rate greater than 30 breaths per minute 
C)  Respiratory rate greater than 10 breaths per minute 
D)  Respiratory rate greater than 40 breaths per minute 
A)  Respiratory rate greater than 20 breaths per minute 
B)  Respiratory rate greater than 30 breaths per minute 
C)  Respiratory rate greater than 10 breaths per minute 
D)  Respiratory rate greater than 40 breaths per minute

Question 18

When locating a code for a neoplasm, begin by:

Accepted Answer

A)  indexing the histologic term 
B)  indexing "benign" or "malignant" 
C)  indexing the anatomical site 
D)  referencing the Table of Neoplasms 
A)  indexing the histologic term 
B)  indexing "benign" or "malignant" 
C)  indexing the anatomical site 
D)  referencing the Table of Neoplasms

Question 19

Guidelines for correct coding of Admission/encounter for therapy of neoplasms are found in Section, Subsection:

Accepted Answer

A)  I, C, 2, h 
B)  I, C, 2, d 
C)  I, C, 2, e 
D)  I, C, 2, i 
A)  I, C, 2, h 
B)  I, C, 2, d 
C)  I, C, 2, e 
D)  I, C, 2, i

Question 20

Section, Subsection I, C, 2, a provides a specific guideline for:

Accepted Answer

A)  Treatment of secondary site 
B)  Coding and sequencing of complications 
C)  Determining extent of malignancy 
D)  Treatment directed at the malignancy 
A)  Treatment of secondary site 
B)  Coding and sequencing of complications 
C)  Determining extent of malignancy 
D)  Treatment directed at the malignancy

Exam 3: ICD-Specific Guidelines

An invasive tumor that spreads beyond the tumor site is said to be:

Which ICD-10-CM code describes "Inconclusive laboratory evidence of human immunodeficiency virus?"

When an opportunistic infection, such as Kaposi's sarcoma of the lung, is documented in an HIV-positive patient's record, how may the coder report this diagnosis?

The categories E10, E11, E13 for diabetes reflect what specificity?

All of the following are HIV-related opportunistic infections except:

If a primary site, due to excision or therapy, no longer exists and the patient is receiving treatment for a secondary site, the primary site is coded with:

When an insulin pump malfunctions leading to overdosing, select the appropriate reporting and sequencing of resulting conditions:

Septicemia is:

Which of the following is an antibiotic resistant staph infection?

The categories E10, E11, E13 for diabetes reflect what specificity?

An invasive tumor that spreads beyond the tumor site is said to be:

Correct coding guidelines regarding Treatment of secondary neoplasm site are outlined in Section, Subsection:

Section, Subsection I, C, 2, i provides correct coding guidelines for:

Patient is being seen to determine their HIV status and they suspect they have been exposed to the HIV virus, select the appropriate code(s).

Guidelines regarding correct Coding and sequencing of complications associated with malignancies or with therapy are found in Section, Subsection:

Regarding SIRS, tachypnea is defined as:

When locating a code for a neoplasm, begin by:

Guidelines for correct coding of Admission/encounter for therapy of neoplasms are found in Section, Subsection:

Section, Subsection I, C, 2, a provides a specific guideline for:

The Certified Professional Coder

Foundations of ICD-10-CM

Foundations of CPT

Evaluation and Management

Anesthesia

Surgery Section

Surgery Section: Integumentary System

Surgery Section: Musculoskeletal System

Surgery Section: Respiratory System

Surgery Section: Cardiovascular and Lymphatic Systems

Surgery Section: Digestive System

Surgery Section: Urinary System and Male Reproductive System

Surgery Section: Female Reproductive System and Maternity Care and Delivery

Surgery Section: Nervous System

Surgery Section: Eyes, Ears, and Endocrine System

Radiology

Pathology Laboratory

Medicine

HCPCS Level II: Category II and Category III Codes

Practice Management

Fundamental Coding Guidelines

Coding for Evaluation and Management E&M, Anesthesia, and Surgery Section

Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

Coding for Surgical Procedures on Digestive, Urinary, Male and Female Reproductive Systems, Maternity Care, Nervous System, and Eyes, Ears, and Endocrine System

Coding for Radiology, Pathology Laboratory, General Medicine, HCPCS Category II and III, and Practice Management

Coding and Surgical Procedures

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