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21 Cards in this Set
- Front
- Back
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Which coding convention is used in the description of an ICD-10-CM code when the information in the medical record provides detail, but no specific code exists? Refer to ICD-10-CM guidelines, section I.A.6. |
NEC |
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Cyclic neutropenia is coded with D70.4. There are additional coding instructions for this code listed under category D70 neutopenia. Using this instructions, how would you report a patient with cyclic neutropenia with an associated fever? |
D70.4, R50.81 |
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Supplementary words enclosed in parentheses in the ICD-10-CM code book have what affect on the coding? Refer to ICD-10-CM guidelines, section I.A.7. |
They do not affect code assignment |
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What is a default code? Refer to ICD-10-CM guidelines, section I.A.18. |
The code that represents the condition most commonly associated with the main term. |
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How to code Sequelae |
The residual condition is coded first, and the code(s) fit the cause of the sequela are reported as secondary. It may be necessary to go to the External Causes of Injuries Index to identify and reference appropriate sequels of an external cause. |
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BMI codes |
Can only be reported as a secondary diagnosis. |
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Three character ICD-10-CM codes represent what level of code in the ICD-10-CM? |
Category |
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Applying the coding concept from ICD-10-CM guidelines, section I.B.1., which of the following is the recommended method fit using your ICD-10-CM code book? |
Always consult the Alphabetic Index first. Refer to the Tabular List to locate the selected code. |
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What is the ICD-10-CM code for bruised left knee? |
S80.02XA |
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What is the ICD-10-CM code for prostate hyperplasia with urinary retention? |
N40.1, R33.8 |
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What is the ICD-10-CM code for essential hypertension? |
I10 |
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What is/are the ICD-10-CM code(s) for bilateral hip pain? |
M25.551, M25.552 |
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A patient visits the PCP for complaints of nausea and vomiting. Which option is appropriate to report a diagnosis of nausea and vomiting? Apply the coding concept from ICD-10-CM guidelines, section I.B.9. |
R11.2 |
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Referencing ICD-10-CM guidelines, section I.B.10, what is the time limit when assigning codes as "sequela"? |
There is no time limit of sequela |
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Referencing ICD-10-CM guidelines, section I.B.8, when s patient presents with an acute exacerbation of a chronic condition, and no single code captures both the chronic and acute nature of the illness, how are the codes sequenced? |
Code the acute condition first, followed by the chronic condition. |
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Referencing ICD-10-CM guidelines, section I.B.11, what is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge? |
Check the ICD-10-CM Index to Diseases and Injuries to see if there are listings under "threatened" or "impending" and if not, code the underlying condition(s) rather than the condition described as impending. |
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A patient is brought to the ED with right and left ankle fractures. Applying the coding conceits from ICD-10-CM guidelines, section I.B.12 and I.B.13, which ICD-10-CM code selection should you report?0 |
S82.891A, S82.892A |
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Outpatient surgery |
When a patient presents for outpatient surgery, the reason for the surgery is the first listed diagnosis even if the surgery is not performed due to complications. When a patient presents for outpatient surgery and develops complications requiring admission to observation, the reason for the surgery is the first listed diagnosis followed by the codes for the complications. |
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"Rule out", "probable", "suspected", "questionable", or "working diagnosis" documentation. |
Can not code these as a diagnosis for outpatient services. Inpatient coding you can code these diagnosis (except HIV. This must be confirmed). |
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Chronic diseases treated on an ongoing basis |
May be coded or reported as many times as the patient receives treatment and care for condition(s) |
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A patient sees the physician for chest pain, fever, and cough. The physician orders an X-ray to rule out pneumonia. Applying the coding concept from ICD-10-CM Guideline Section IV.H., which ICD-10-CM code(s) are reported? |
R07.9, R50.9, R05 |
