Medical Coding Questions and Answers with verified solutions

Medical Coding Questions and Answers with verified solutions Which of the following are characteristics of the index for the ICD-10-CM? The main term represents the diseases, conditions, nouns, and adjectives that you might see in the patient record. The main term is the first place you go to locate the code for the patient's disease or condition. Subterms or essential modifiers are located beneath the main term. All of the above - ANS- All the above Which of the following statements about coding in ICD-10-CM is most correct? Coders are not allowed to assign codes directly from the index without obtaining physician confirmation. It is an acceptable practice for coders to both reference and code directly from the index. It is not acceptable for coders to both reference and code directly from the index. None of the above - ANS- It is not acceptable for coders to both reference and code directly from the index. Which of the following statements about coding guidelines is most correct? Coding for inpatient and outpatient services uses the same coding guidelines. Coding for inpatient and outpatient services uses coding guidelines are interchangeable, so it's acceptable to only memorize one set of codes. Coding for inpatient and outpatient services uses different coding guidelines. None of the above - ANS- Coding for inpatient and outpatient services uses different coding guidelines. A combination code is a single code used to classify: ____________, or a diagnosis with an associated secondary process (manifestation), or a diagnosis with an associated complication. additional codes multiple codes subterm entries two diagnoses - ANS- two diagnoses To accurately code, it's necessary for you to have in-depth knowledge of medical terminology, anatomy and physiology, disease conditions, and pharmacology, along with an understanding of the __________ coding guidelines format and conventions. AAPC's Medical Coding Code of Ethics diagnosis Medicare Catastrophic Coverage Act ICD-10-CM - ANS- ICD-10-CM There are ___ steps to accurate coding. 4 2 8 18 - ANS- 8 HIPAA stands for __________. Health Insurance Portability and Availability Act Health Insurance Potential and Availability Act Health Insurance Portability and Accountability Act Health Insurance Potential and Accountability Act - ANS- Health Insurance Portability and Accountability Act The main or highest level of organization in the ICD-10-CM is the ______________. Chapter Body system Disease state Section - ANS- Chapter ______________________________ hypertension is when the patient takes medication that successfully manages the problem; _____________________ hypertension is due to an underlying condition. Code the underlying condition ____________________. Controlled; secondary; first Secondary; transient; second Controlled; transient; second Essential; secondary; first - ANS- Controlled, Secondary, First Z codes are used to __________________________________. indicate that a person with a resolving condition is being seen for specific aftercare, such as removal of stitches indicated that a person is being seen for the sole purpose of special therapy, such as chemotherapy indicate that a person who is not ill is being seen for a specific reason, such as for a pre-employment examination All of these are indicated with Z codes - ANS- all of these are indicated with Z codes Mr. Solomon is diagnosed with a viral intestinal infection. The notes have no other information. What is the correct code for his condition? This condition cannot be coded without more information. A08.4 K63.89 K63.9 - ANS- A08.4 An established patient, Ms. Parker, is a type II diabetic, complaining of painful urination and increased frequency. Her lab results confirm a urinary tract infection, and show blood glucose levels within normal limits. What is/are the first-listed diagnosis term(s)? Diabetes Painful urination Type II Diabetes Urinary Tract Infection - ANS- Urinary Tract Infection Mrs. Potter is diagnosed with rheumatoid arthritis. There are no other characteristics in the physician's notes. What is the correct ICD-10-CM code for her condition? M06 M06.9 M06.01 M06.00 - ANS- M06.9 Mrs. Lee is seen for acute and chronic laryngitis. What is/are the correct code(s) for her condition? J04.0 and J37.0 J04.0 only B95.0 B95.9 - ANS- J04.0 and J37.0 An external cause code is ______________________________________. often used as the first-listed diagnosis in special cases used to provide more information and to complete the patient's medical story does not include information about the details of an accident or injury, such as if the accident occurred in a boat vs. a car are no longer used in ICD-10-CM coding because of the time required for the provider - ANS- used to provide more information and to complete the patient's medical story Ms. Gregory is admitted with uncontrolled nausea, with vomiting, after chemotherapy for lung cancer. What is the correct ICD-10-CM code for the first-listed diagnosis? R11.2 R11.1 R11.12 C46.5 - ANS- R11.2 The ICD-10-CM main manual contains which of the following indexes? Numerical Index Code Index Diagnosis Index