Deck 3: General Guidelines and Notations
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Deck 3: General Guidelines and Notations
1
Which of the following punctuation is found in the Alphabetic Index?
A) Brackets
B) Colons
C) Italicized brackets
D) Italicized brackets and parentheses
A) Brackets
B) Colons
C) Italicized brackets
D) Italicized brackets and parentheses
D
2
Italicized brackets are used to:
A) show alternate terms.
B) surround an additional code or codes that must be included with the initial code.
C) show additional descriptions that are also included in the description of the code.
D) None of these
A) show alternate terms.
B) surround an additional code or codes that must be included with the initial code.
C) show additional descriptions that are also included in the description of the code.
D) None of these
B
3
If you see use additional code in the Tabular List, this is known as:
A) excludes note.
B) includes note.
C) notation.
D) suggestion.
A) excludes note.
B) includes note.
C) notation.
D) suggestion.
C
4
Which of the following seventh characters is used to show that the injury being coded is the initial encounter?
A) A
B) D
C) S
D) X
A) A
B) D
C) S
D) X
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5
Which of the following facilities is permitted to code a diagnosis identified as probable?
A) Physician's office
B) Inpatient hospital facility
C) Outpatient hospital facility
D) Urgent care
A) Physician's office
B) Inpatient hospital facility
C) Outpatient hospital facility
D) Urgent care
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6
When the ICD-10-CM indicates that a fourth digit is available, its use is:
A) mandatory.
B) optional.
C) recommended.
D) irrelevant.
A) mandatory.
B) optional.
C) recommended.
D) irrelevant.
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7
The first-listed code is also called the:
A) discharge diagnosis.
B) final diagnosis.
C) suspected diagnosis.
D) principal diagnosis.
A) discharge diagnosis.
B) final diagnosis.
C) suspected diagnosis.
D) principal diagnosis.
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8
"Other specified" is equivalent to:
A) NEC.
B) NOS.
C) unknown.
D) unspecified.
A) NEC.
B) NOS.
C) unknown.
D) unspecified.
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9
Which of the following seventh characters is used to show that a fracture being coded is a subsequent encounter for a fracture with delayed healing?
A) A
B) D
C) G
D) K
A) A
B) D
C) G
D) K
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10
NEC stands for:
A) non-elective contraindication.
B) not elsewhere classifiable.
C) noted exceptional condition.
D) notations, exceptions, and classifications.
A) non-elective contraindication.
B) not elsewhere classifiable.
C) noted exceptional condition.
D) notations, exceptions, and classifications.
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11
NOS stands for:
A) no ovary status.
B) not optional selection.
C) not otherwise specified.
D) not otherwise stated.
A) no ovary status.
B) not optional selection.
C) not otherwise specified.
D) not otherwise stated.
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12
Which of the following seventh characters is used to show that a fracture being coded is a subsequent encounter for fracture with nonunion?
A) A
B) D
C) G
D) K
A) A
B) D
C) G
D) K
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13
Which of the following seventh characters is used to show that the injury being coded is a subsequent encounter?
A) A
B) D
C) S
D) X
A) A
B) D
C) S
D) X
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14
The terms included within ____________ in a code description are called nonessential modifiers.
A) brackets
B) a colon
C) italicized brackets
D) parentheses
A) brackets
B) a colon
C) italicized brackets
D) parentheses
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15
In which of the following situations would NOS be used?
A) The physician did not provide more details in his or her notes.
B) The physician only stated a sign in his or her notes.
C) The physician stated the detail, but there is not a code to match.
D) The physician stated the detail, but placeholders are needed.
A) The physician did not provide more details in his or her notes.
B) The physician only stated a sign in his or her notes.
C) The physician stated the detail, but there is not a code to match.
D) The physician stated the detail, but placeholders are needed.
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16
Some ICD-10-CM codes require a seventh character. Most often the seventh character choices will be listed at the:
A) bottom of the code category.
B) bottom of the page.
C) top of the code category.
D) top of the page.
A) bottom of the code category.
B) bottom of the page.
C) top of the code category.
D) top of the page.
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17
A combination code includes:
A) both a diagnosis and a procedure.
B) two or more diagnoses.
C) two or more procedures.
D) None of these
A) both a diagnosis and a procedure.
B) two or more diagnoses.
C) two or more procedures.
D) None of these
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18
Which of the following seventh characters is used to show that the injury being coded is for a late effect?
A) A
B) D
C) S
D) X
A) A
B) D
C) S
D) X
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19
Which of the following codes indicates the highest level of specificity available for a dislocation of a sacroiliac and sacrococcygeal joint, subsequent encounter?
A) S33.D
B) S33.2A
C) S33.2XXD
D) S33.3XXD
A) S33.D
B) S33.2A
C) S33.2XXD
D) S33.3XXD
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20
The guidelines direct a coder to exclude any conditions or diagnoses:
A) that have no impact on the current treatment or service.
B) that cannot be reimbursed.
C) for which tests results are inconclusive.
D) for which insurance companies will deny payment.
A) that have no impact on the current treatment or service.
B) that cannot be reimbursed.
C) for which tests results are inconclusive.
D) for which insurance companies will deny payment.
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21
Code R60.0 includes all of the following except:
A) dropsy.
B) anasarca.
C) localized edema.
D) hydrothorax.
A) dropsy.
B) anasarca.
C) localized edema.
D) hydrothorax.
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22
When provided with both a preoperative diagnosis and a postoperative diagnosis:
A) the postoperative diagnosis is expected to be more accurate and should be used for coding.
B) the preoperative diagnosis is expected to be more accurate and should be used for coding.
C) the postoperative diagnosis and preoperative diagnosis are always the same.
D) None of these
A) the postoperative diagnosis is expected to be more accurate and should be used for coding.
B) the preoperative diagnosis is expected to be more accurate and should be used for coding.
C) the postoperative diagnosis and preoperative diagnosis are always the same.
D) None of these
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23
When coding a differential diagnosis, the coder will:
A) code two conditions, and the one documented first is the principal diagnosis.
B) code two conditions, and the one documented second is the principal diagnosis.
C) code two conditions, and either code can be assigned as the principal diagnosis.
D) only code symptoms because there is no definitive diagnosis to assign as principal.
A) code two conditions, and the one documented first is the principal diagnosis.
B) code two conditions, and the one documented second is the principal diagnosis.
C) code two conditions, and either code can be assigned as the principal diagnosis.
D) only code symptoms because there is no definitive diagnosis to assign as principal.
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24
Code B97.0 is a code for:
A) adenovirus.
B) echo virus.
C) viral and chlamydial infections.
D) None of these
A) adenovirus.
B) echo virus.
C) viral and chlamydial infections.
D) None of these
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25
Code L13.0 includes all of the following except:
A) dermatosis herpetiformis.
B) hydroa herpetiformis.
C) senile dermatitis herpetiformis.
D) Duhring's disease.
A) dermatosis herpetiformis.
B) hydroa herpetiformis.
C) senile dermatitis herpetiformis.
D) Duhring's disease.
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26
A statement in which the physician uses the word versus between two diagnostic statements is known as a:
A) differential diagnosis.
B) possible diagnosis.
C) rule-out diagnosis.
D) suspected diagnosis.
A) differential diagnosis.
B) possible diagnosis.
C) rule-out diagnosis.
D) suspected diagnosis.
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27
The correct code to report Gaucher's disease is:
A) E75.02.
B) E75.21.
C) E75.22.
D) E75.249.
A) E75.02.
B) E75.21.
C) E75.22.
D) E75.249.
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28
A coder can tell that a condition is a current condition and needs to be coded if:
A) the physician wrote a prescription to treat the condition.
B) the physician discussed therapy to treat the condition.
C) the condition is what brought the patient to see the physician on this visit.
D) All of these
A) the physician wrote a prescription to treat the condition.
B) the physician discussed therapy to treat the condition.
C) the condition is what brought the patient to see the physician on this visit.
D) All of these
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29
Which of these codes has the greatest level of specificity?
A) H62
B) H62.8
C) H62.8X
D) H62.8X1
A) H62
B) H62.8
C) H62.8X
D) H62.8X1
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30
When both acute and chronic conditions are listed as the diagnosis and there is no combination code available, you should:
A) report the code for the acute condition first.
B) report the code for the chronic condition first.
C) report a sign code followed by the acute code and then the chronic code.
D) report a sign code followed by the chronic code and then the acute code.
A) report the code for the acute condition first.
B) report the code for the chronic condition first.
C) report a sign code followed by the acute code and then the chronic code.
D) report a sign code followed by the chronic code and then the acute code.
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31
Charles was diagnosed with an acute gastrojejunal ulcer, hemorrhaging, with an obstruction. You will code:
A) K28.0.
B) K28.1.
C) K28.3.
D) K28.9.
A) K28.0.
B) K28.1.
C) K28.3.
D) K28.9.
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32
Penny is diagnosed with retrovirus. Report this with code:
A) B97.3.
B) B97.30.
C) B97.31.
D) B99.9.
A) B97.3.
B) B97.30.
C) B97.31.
D) B99.9.
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33
Thomas was diagnosed with acute staphylococcal prostatitis. You will code:
A) N41.0.
B) N41.0, B95.8.
C) B95.8.
D) B95.8, N41.0.
A) N41.0.
B) N41.0, B95.8.
C) B95.8.
D) B95.8, N41.0.
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34
The code for ornithosis is also used to report:
A) parrot fever.
B) psittacosis.
C) parotitis.
D) parrot fever and psittacosis.
A) parrot fever.
B) psittacosis.
C) parotitis.
D) parrot fever and psittacosis.
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35
Quentin has been diagnosed with secondary esophageal varices due to portal hypertension. You will report:
A) K76.6, I85.10.
B) I85.10 alone.
C) K76.6 alone.
D) I85.10, K76.6.
A) K76.6, I85.10.
B) I85.10 alone.
C) K76.6 alone.
D) I85.10, K76.6.
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36
Hypopiesis and hypotension will be reported with:
A) one code for hypertension.
B) two codes, one for hypopiesis and one for hypotension.
C) one code because hypopiesis and hypotension use the same code.
D) two codes, one for hypotension and one for cardiovascular collapse.
A) one code for hypertension.
B) two codes, one for hypopiesis and one for hypotension.
C) one code because hypopiesis and hypotension use the same code.
D) two codes, one for hypotension and one for cardiovascular collapse.
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37
Kenneth is diagnosed with primary malignant lung cancer, upper lobe, right. You will code:
A) C34.11.
B) C34.31.
C) C34.10.
D) C34.12.
A) C34.11.
B) C34.31.
C) C34.10.
D) C34.12.
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38
Brandon was diagnosed with whooping cough due to Bordetella pertussis with pneumonia. You will code:
A) A37.90.
B) A37.91.
C) A37.01.
D) A37.80.
A) A37.90.
B) A37.91.
C) A37.01.
D) A37.80.
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39
Marvin was diagnosed with mitral valve failure. You will code:
A) I05.8.
B) I34.0.
C) I34.0, I05.8.
D) I05.8, I34.0.
A) I05.8.
B) I34.0.
C) I34.0, I05.8.
D) I05.8, I34.0.
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40
Tamika is diagnosed with phobic anxiety disorder and obsessive-compulsive disorder. What is/are the code(s) you will report?
A) F40.9
B) F40.9, F42.9
C) F41.9
D) F42
A) F40.9
B) F40.9, F42.9
C) F41.9
D) F42
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41
Andy's father had kidney cancer. For Andy's visit, you will code:
A) Z85.528.
B) Z80.51.
C) C64.9.
D) D30.00.
A) Z85.528.
B) Z80.51.
C) C64.9.
D) D30.00.
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42
Diana was in a car accident on her way to work this morning and hurt her neck. After an examination, Dr. Jefferson diagnosed Diana with whiplash. You would report the diagnosis of whiplash with code:
A) S09.8XXA.
B) S13.4XXA.
C) S13.4XXD.
D) T14.90.
A) S09.8XXA.
B) S13.4XXA.
C) S13.4XXD.
D) T14.90.
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43
Which of the following is a valid code?
A) S40.011
B) S40.021
C) O46.00
D) M00.021
A) S40.011
B) S40.021
C) O46.00
D) M00.021
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44
A primary malignant neoplasm of the right femur is coded as:
A) D16.20.
B) C79.51.
C) C40.20.
D) C40.21.
A) D16.20.
B) C79.51.
C) C40.20.
D) C40.21.
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45
Jalesa was diagnosed with bulbar acute paralytic poliomyelitis. How should this be coded?
A) A80.0
B) A80.3
C) A80.9
D) A80.39
A) A80.0
B) A80.3
C) A80.9
D) A80.39
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46
William has a second-degree sunburn. This will be coded with:
A) L55.0.
B) L55.1.
C) L55.2.
D) L55.9.
A) L55.0.
B) L55.1.
C) L55.2.
D) L55.9.
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47
Frank is diagnosed with gastroenteritis from a Salmonella infection from undercooked chicken. How should this be coded?
A) A05.9
B) A09
C) A02.0
D) A02.9
A) A05.9
B) A09
C) A02.0
D) A02.9
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