Icd-10-Cm And Icd-10-Pcs Coding Handbook / Nelly Leon-Chisen

Front 1

A patient comes in for a prostatectomy due to prostate cancer. Labs show the patients white blood count is elevated and the procedure is cancelled. The principal diagnosis is designated as prostate cancer and not the elevated white blood count. True or False?

Back 1

True

Front 2

In a situation where two or more conditions equally meet the definition for principal diagnosis and neither condition was treated more than the other, either diagnosis can be listed as the principal diagnosis. True or False?

Back 2

True

Front 3

Which of the following is NOT applicable when determining other diagnoses to code in addition to the principal diagnosis?

Back 3

History of illness from a previous visit not affecting this episode of care

Front 4

NOS codes represent unspecified and should not be used if a more specific code is available to describe the diagnosis. True or False?

Back 4

True

Front 5

Medicare reimbursement is based on all of the following EXCEPT:

Back 5

Admitting diagnosis

Front 6

Which of the following is NOT a chronic condition that would require continuous monitoring during a patient's hospitalization?

Back 6

Hypertension (HTN)

Front 7

See cross references are not mandatory for the coder to follow. True or False?

Back 7

False, they are mandatory

Front 8

When coding inpatient charts, coders are allowed to code from pathology and xray reports since pathologists and radiologists are physicians. True or False?

Back 8

False, only the attending M.D.s documentation is coded.

Front 9

NEC codes may be used for conditions that there is not a specific code for. True or False?

Back 9

True

Front 10

Any history code may be used as a secondary diagnosis even if it does not impact current care or influence treatment. True or False?

Back 10

False

Front 11

Abnormal findings can only be coded when the physician documents the clinical significance during the inpatient stay. True or False?

Back 11

True

Front 12

Exclude2 note codes may be coded with the initial condition if the patient has both conditions at the same time. True or False?

Back 12

True

Front 13

In the outpatient setting, the definition of principal diagnosis does not apply since outpatient visits do not allow for the continued evaluation needed to meet UHDDS criteria. True or False?

Back 13

True

Front 14

Some chronic conditions require continuous monitoring or evaluation during a patient's hospitalization and should be coded as an additional code. True or False?

Back 14

True

Front 15

Coders should never assign codes that are designated as "unacceptable principal diagnosis" because Medicare and Medicaid will not cover these conditions. True or False?

Back 15

False

Front 16

Which of the following does NOT pertain to essential modifiers?

Back 16

That they are in parenthesis, parenthesis are used for nonessential modifiers

Front 17

Reimbursement is primarily based on the principal diagnosis for inpatient encounters. True or False?

Back 17

True

Front 18

Over coding and over reporting is considered an unethical coding practice and should not be done. True or False?

Back 18

True

Front 19

Codes in brackets should always be listed as principal diagnosis. True or False?

Back 19

False, codes in brackets are secondary or subterms

Front 20

Which of the following does UHHDS NOT apply?

Back 20

Physician office visits