Deck 11: Extension 1: Chapter-Specific Guidelines: ICD-10-CM Chapters 1-10

Question 1

A code from category G89 (Pain) should not be assigned if the underlying (definitive) diagnosis is known unless the reason for the encounter is pain control/management.

Answer 1

True

Question 2

A code from subcategory R65.2, Severe sepsis, should not be assigned unless severe sepsis or an associated acute organ dysfunction is documented.

Answer 2

True

Question 3

Identify all infections documented as antibiotic resistant with code Z16.-, Infection with drug resistant microorganisms, which is placed before the infection code.

Answer 3

False

Question 4

If a patient is admitted for dehydration due to chemotherapy, the dehydration is the first-listed diagnosis.

Question 5

Mood disorders are also known as affective disorders with the main characteristic of disturbance in mood, most commonly anxiety, depression, and bipolar disorders.

Question 6

If a patient is seen for a pathological fracture due to a neoplasm, the neoplasm should be the first-listed diagnosis.

Question 7

A STEMI is also known as a Q-wave or transmural myocardial infarction.

Question 8

The Eustachian tube is part of the inner ear.

Question 9

If the type of diabetes mellitus is not documented in the medical record, the default is type 2 diabetes mellitus.

Question 10

When the reason for the encounter is to determine the extent of the malignancy, or for a procedure such as paracentesis or thoracentesis, the primary malignancy or appropriate metastatic site is designated as the first-listed diagnosis.

Question 11

If the patient has documented HIV, the HIV must be the first-listed diagnosis even if the patient is seen for a condition unrelated to HIV.

Question 12

I-10 presumes a cause-and-effect relationship between hypertension and heart and renal disease.

Question 13

Septic shock does not indicate the presence of severe sepsis.

Question 14

Central pain and chronic pain have the same meaning.

Question 15

Entropion is the outward turning of the margin of the eyelid.

Question 16

Code C80.0, Disseminated malignant neoplasm, unspecified, is reported only in those cases where the patient has advanced metastatic disease and no known primary or secondary sites are specified.

Question 17

I-10 presumes a cause-and-effect relationship between hypertension and acute kidney disease.

Question 18

G89 category codes (Pain) can be assigned as the first-listed or primary diagnoses.

Question 19

If a patient with coronary artery disease is admitted due to an acute myocardial infarction (AMI), the AMI should be sequenced before the coronary artery disease.

Question 20

The secondary cancer should be listed before the primary cancer if the secondary cancer is the reason for the visit.

Question 21

Hypertensive congestive heart failure with hypertension and chronic kidney disease, stage 4.
ICD-10-CM Codes: ____________________, ___________________, _________________

Question 22

Melkersson-Rosenthal syndrome.
ICD-10-CM Code: ____________________

Question 23

Encounter for screening for HIV due to high-risk heterosexual behavior.
ICD-10-CM Codes: _____________________, _____________________

Question 24

Primary malignancy of the left tonsil.
ICD-10-CM Code: ____________________

Question 25

Stenosis of the left carotid artery causing infarction/occlusion of a cerebral artery.
ICD-10-CM Code: ____________________

Question 26

Acute bilateral lacrimal canaliculitis due to Staphylococcus aureus.
ICD-10-CM Codes: ____________________, ____________________

Question 27

Admission for pain control for liver cancer.
ICD-10-CM Codes: ____________________, ___________________

Question 28

Pleural plaque without asbestos.
ICD-10-CM Code: ____________________

Question 29

Acute rheumatic mitral and aortic valve disease.
ICD-10-CM Code: ____________________

Question 30

Malignant hypertension with stage 4 chronic kidney disease.
ICD-10-CM Codes: ____________________, ____________________

Question 31

Retinal migraine.
ICD-10-CM Code: ____________________

Question 32

Acute lower respiratory infection (Streptococcus, group A) in a patient with COPD.
ICD-10-CM Codes: ____________________, ____________________, ____________________

Question 33

Post-traumatic acute headache.
ICD-10-CM Code: ____________________

Question 34

Treatment for anemia due to non-Hodgkin's lymphoma.
ICD-10-CM Codes: ____________________, __________________

Question 35

Acute lymphangitis of left upper arm.
ICD-10-CM Code: ____________________

Question 36

Acute suppurative otitis media without rupture of eardrum, of the left ear.
ICD-10-CM Code: ____________________

Question 37

Cataract due to type 2 diabetes mellitus.
ICD-10-CM Code: ____________________

Question 38

Arthritis due to Lyme disease.
ICD-10-CM Code: ____________________

Question 39

Infectious colitis.
ICD-10-CM Code: _____________________

Question 40

Atherosclerotic coronary artery disease with history of stent placement via angioplasty in the native right coronary artery.
ICD-10-CM Codes: ____________________, _____________________

Question 41

Otomycosis due to aspergillosis.
ICD-10-CM Code: _____________________

Question 42

Sickle-cell crisis with acute chest syndrome.
ICD-10-CM Code: _____________________

Question 43

Intractable epileptic seizures related to alcohol.
ICD-10-CM Code: ____________________

Question 44

Type 1 diabetes mellitus with unspecified diabetic retinopathy and with diabetic cataract.
ICD-10-CM Codes: ____________________, ____________________

Question 45

Encounter for chemotherapy for malignant glioma of the frontal lobe.
ICD-10-CM Codes: _____________________, ____________________

Question 46

Chronic asthmatic bronchitis with COPD.
ICD-10-CM Code: _____________________

Question 47

Primary lung cancer of the right middle lobe with metastasis to the neck of the pancreas.
ICD-10-CM Codes: _____________________, ____________________

Question 48

Encounter for treatment of pancytopenia due to primary angiosarcoma of the liver.
ICD-10-CM Codes: _____________________, _____________________

Question 49

Ulcer with necrosis of the muscle of the left ankle, due to atherosclerosis of native vessel of the left leg.
ICD-10-CM Codes: ____________________, _____________________

Question 50

Psychogenic dysphonia.
ICD-10-CM Code: ____________________

Question 51

Bifascicular block.
ICD-10-CM Code: _____________________

Question 52

Unspecified thyrotoxicosis with thyrotoxic storm.
ICD-10-CM Code: _____________________

Question 53

Mitral valve prolapse, nonrheumatic.
ICD-10-CM Code: ____________________

Question 54

Prinzmetal angina.
ICD-10-CM Code: _____________________

Question 55

Diabetes insipidus.
ICD-10-CM Code: ____________________

Question 56

COPD with acute exacerbation.
ICD-10-CM Code: _____________________

Question 57

Sick sinus syndrome.
ICD-10-CM Code: _____________________

Question 58

Benign neoplasm of the thymus.
ICD-10-CM Code: _____________________

Question 59

Buerger's disease.
ICD-10-CM Code: _____________________

Question 60

Sickle-cell anemia.
ICD-10-CM Code: ____________________

Question 61

HOSPITAL-RECORD OF OPERATION
INDICATION: Septic shock due to severe sepsis and the need to initiate mechanical ventilation.
PROCEDURE PERFORMED: Elective intubation.
ANESTHESIA: Versed and fentanyl.
PROCEDURE: After the procedure was explained to and consent was obtained from the patient's family, the patient was premedicated with Versed and fentanyl. After adequate anesthesia and analgesia was achieved, the patient's vocal cords were directly visualized with the aid of a laryngoscope using a Miller 3 blade. A size 8.5 endotracheal tube was then inserted and passed through the vocal cords atraumatically and without any difficulty. The CO₂ monitor did confirm correct placement of the tube. The cuff was then inflated and the tube secured around 22 cm at the lips.
The patient tolerated the procedure well. There were no acute complications. A chest x-ray had been ordered to confirm correct placement of the endotracheal tube.
ICD-10-CM Code(s): ____________________

Question 62

Congestive heart failure.
ICD-10-CM Code: ____________________

Question 63

RECORD OF OPERATION
PREOPERATIVE DIAGNOSIS: Acute myocardial infarction, congestive heart failure with hypotension.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE_.PERFORMED: Insertion of Swan-Ganz catheter.
PROCEDURE: Right neck area was prepped. Sterile drapes were applied. Under sterile gowns and technique, right internal jugular vein was identified with 22 gauge needle from medial approach. 18 gauge catheter was inserted into the vein. A guide wire was passed through the vein. 9 French introducer was inserted over the guide wire without difficulty. 7.5 French catheter was inserted. Right atrial pressures were 16, right ventricular pressure 34/10, pulmonary artery pressure 36/22 with a wedge pressure of 18. The patient tolerated the procedure well.
ICD-10-CM Code(s): ____________________

Question 64

Candidal infection of the mouth.
ICD-10-CM Code: ____________________

Question 65

Primary malignant neoplasm of the gallbladder.
ICD-10-CM Code: ____________________