Exam 9: Symptoms, signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes

Which of the following is a category of Z codes?

A screening code may be listed first if the reason for the visit is specifically a screening exam.

Encounter for blood alcohol test: __________

In ICD-10-CM,there are Excludes1 notes that are helpful in determining whether a symptom's code should be assigned.

Encounter for admission examination for prisoner: __________

The patient was admitted for prophylactic breast removal.The patient has a strong family history of breast cancer and the patient has severe fibrocystic disease in both breasts,making breast examination difficult.The patient was taken to the OR,and a bilateral simple mastectomy was performed.The patient recovered with no problems.The pathology report showed no evidence of malignancy. Final Diagnosis: Family history of breast cancer;severe fibrocystic disease. Procedure: Bilateral simple mastectomy.

A Z code for long-term use of antibiotics should not be assigned when antibiotics are taken for a short period of time for an acute illness.

Urinary hesitancy due to enlarged prostate: __________

Gas pain: __________

The patient was admitted to the hospital for monitoring of seizurelike spells.Video electroencephalogram monitoring (external)of these episodes was performed and did not reveal any epileptic activity. Final Diagnosis: Transient alteration of awareness.Seizure disorder ruled out.

Where are Z codes located in the Tabular List of the coding book?

ICD-10-CM provides codes to deal with encounters for circumstances other than a disease or injury.

The patient was admitted for a takedown of colostomy.The patient underwent a colostomy 3 months ago after colon resection was performed for perforated diverticulitis.The patient was taken to the OR for open colostomy reversal with end-to-end anastomosis.The patient still has a few diverticula of the large intestine and should follow a diverticulosis diet. Final Diagnosis: Diverticulosis. Procedure: Colostomy takedown.

What does BMI stand for?

Urethral discharge: __________

The patient is admitted to the hospital with right lower quadrant pain and nausea and vomiting.The patient had a low-grade fever.A diagnosis of acute appendicitis is made,and the patient is taken to the OR for removal of the appendix via open approach.

Which of the following is NOT true of status codes?

Observation codes are to be used if an injury or illness,or any signs or symptoms related to the suspected condition,is present.

Impending stroke with dizziness and facial weakness: __________

MATCHING Match the following terms to the correct definition. -Done in the absence of any signs or symptoms