321 Coding Final- Chapters 1-9 Fall 2023 Questions and Answers
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321 Coding
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321 Coding
321 Coding Final- Chapters 1-9 Fall 2023 Questions and Answers
An at-home coding specialist assigns ICD-10-CM codes for a patient with hypertension. Which type of HIPAA code set is being used?
Diseases, injuries, impairments, and other health-related problems
A facility enters into a contract ...
321 Coding Final- Chapters 1-9 Fall 2023 Questions and
Answers
An at-home coding specialist assigns ICD-10-CM codes for a patient with
hypertension. Which type of HIPAA code set is being used?
Diseases, injuries, impairments, and other health-related problems
A facility enters into a contract with a billing service to convert health information
and claims from a nonstandard to a standard format. The billing service is
considered a(n):
health care clearinghouse
A claims examiner reviews a patient's chart to locate documentation of a
diagnosis to justify treatment provided. What is the examiner trying to establish?
Medical necessity
Which is performed by health care facilities and providers for the purpose of
administrative planning?
Health data collection
The medical record is considered a __________ for a patient encounter.
business record
Secondary purposes of the medical record
do not relate directly to patient care.
Which of the following statements about a student internship is true?
Breach of confidentiality can result in termination from the internship site
A student is preparing to sit for a credentialing exam offered through the
American Health Information Management Association. Which is the student
pursuing?
Certified Coding Specialist
Students join their professional organizations
usually for a reduced fee, which is reserved for students.
A health care professional would like to network with other professionals via the
Internet. Which would be most helpful for this purpose?
discussion board
Which nomenclature is in use today?
SNOMED CT
Which coding system would a physician's office most likely use?
cpt
Susan just attended a lecture on new procedures and techniques used in cardiac
care, and she received continuing education (CE) credits for her participation.
How will CE credits professionally benefit Susan?
Susan can apply the CE credits toward maintenance of her professional credentia
A hospital inpatient coding specialist is more likely to be credentialed by
AHIMA
Which part of the problem-oriented record SOAP note is documented for the
statement, "Patient's diagnosis is acute bronchitis"?
Assessment
,Which part of the problem-oriented record SOAP note is documented for the
statement, "Chest x-ray reveals areas of lung consolidation"?
Objective
Which part of the problem-oriented record SOAP note is documented for the
statement, "Patient complains of headache"?
Subjective
Which part of the problem-oriented record SOAP note is documented for the
statement, "Patient is scheduled for brain scan on Tuesday"?
Plan
The physician documents "acute and chronic asthma" on the patient's record.
Which coding system is used to assign diagnosis codes for claims submission?
ICD-10-CM
Which credentialing exam is offered by the AAPC?
CPC
To initially locate an ICD-10-CM external causes code, go to the
Index to External Cause of Injuries
"Persons with health hazards related to communicable diseases" is an example
of a(n)
chapter of Z codes in ICD-10-CM
Place where the event occurred is an example of
ICD-10-CM external causes codes.
The ICD-10-CM Tabular List of Diseases and Injuries is referenced
to verify codes selected and to review instructions.
The patient is treated for diabetes mellitus controlled by medication, and during
the same encounter, he tells the physician that he has been experiencing severe
indigestion. The physician discussed possible reasons for indigestion with the
patient, who admitted to having eaten a lot of spicy foods in the past month. The
patient is unwilling to take over-the-counter or prescription medications for the
indigestion, and the physician suggested alternative solutions. The physician
also instructed the patient to return in two weeks for follow-up of the indigestion.
To completely code this case, assign ICD-10-CM code(s) for
diabetes mellitus, indigestion.
Which type of note is usually found below the infectious disease code in the ICD-
10-CM tabular list, indicating the need to report the organism code as a
secondary code?
use additional code
The "code, if applicable, any causal condition first" note in the ICD-10-CM tabular
lists indicates that this code may be assigned as a first-listed or principal
diagnosis when the causal condition is unknown or not applicable. When the
causal condition is known, the code for that condition should be reported as the
__________ diagnosis.
Principal
For the diagnosis rheumatic pneumonia, report ICD-10-CM code(s)
I00, J17.
, When the same condition is described as both acute (or subacute) and chronic,
and separate subentries exist in the ICD-10-CM index at the same indentation
level,
code both and sequence the acute (or subacute) code first
For acute cholecystitis and cholelithiasis, assign ICD-10-CM code
K80.00.
For a diagnosis of headaches due to intracranial injury without loss of
consciousness that occurred several years ago, which is considered the sequela
(residual condition)?
headaches
ICD-10-CM codes that indicate laterality specify whether the condition occurs
on the left, right, or bilaterall
When assigning codes for a syndrome, follow guidance in the
ICD-10-CM index
How are etiology and manifestation codes reported in the ICD-10-CM?
Etiology code is reported first, followed by the manifestation code.
The "see also" instruction in ICD-10-CM
does not have to be followed if the original main term provides the correct code.
Which information must be included in the diagnostic statement to classify a
condition in the ICD-10-CM tabular list?
Modifying term(s) located after the colon
A patient is diagnosed with amyloid heart (disease). Codes E85.4 [I43] are located
in the ICD-10-CM Index to Disease and Injuries. Upon verification in the Tabular
List of Diseases and Injuries, report code(s)
E85.4 and I43, in that order.
The description for code J00 in the ICD-10-CM Tabular List of Diseases and
Injuries is "acute nasopharyngitis [common cold]." How is this code description
interpreted?
Acute nasopharyngitis and common cold are synonymous
The concept "trust the index" in the ICD-10-CM disease index means that when
a term has been used to correctly locate a code in the disease index, but that term is
not described in the tabular list code entry, trust that the index directed you to the
correct code
Which instruction in the ICD-10-CM tabular list allows only one code to be
reported if a secondary condition is not documented?
Code, if applicable, any causal condition first
A patient diagnosed with phlyctenulosis due to tuberculosis received inpatient
care. Which is the proper coding (and sequencing if more than one code is
assigned) of ICD-10-CM diagnosis code(s)?
A18.52
A symptomatic HIV-positive patient is admitted to the hospital following a motor
vehicle accident. The patient is diagnosed as having an open comminuted type I
fracture of the left femoral shaft and receives inpatient treatment. The patient also
received HIV antiviral medication while in the hospital. Which is the proper coding
(and sequencing if more than one code is assigned) of ICD-10-CM diagnosis
code(s)?
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