Deck 6: Coding Neoplasms

Question 1

Which of the following is a common test performed to check for malignant neoplasm of the cervix?

A) Bone scan
B) Chest x-ray
C) Colposcopy
D) Bronchoscopy

Answer 1

C

Question 2

________ is glandular secretion in abnormal quantity.

A) Functional Activity
B) Metastasize
C) Morphology
D) Topography

Answer 2

A

Question 3

Betty is being seen for a cervical cancer screening: The main term is ________; the correct code is ________.

A) cervical, Z12.1
B) screening, Z12.4
C) cancer, Z51.1
D) screening, Z86.001

Answer 3

B

Question 4

________ means out of place.

A) Mass
B) Topography
C) Ectopic
D) Metastasize

Question 5

Abnormal cells are present but have not spread to nearby tissue is tumor stage ________.

A) 0
B) I
C) II
D) III
E) IV

Question 6

A common test for malignant neoplasm of the lung is:

A) ultrasound.
B) chest x-ray.
C) acid phosphatase.
D) bone marrow biopsy.

Question 7

________ is the study of the configuration or structure of living organisms.

A) Morphology
B) Topography
C) Functional activity
D) Biology

Question 8

________ is the classification of neoplasms primarily by anatomical site.

A) Carcinoma
B) Malignant
C) Topography
D) Functional activity

Question 9

Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: A ________ code may be a ________ code if the reason for the visit is specifically the screening exam.

A) test, first-listed
B) first-listed, screening
C) screening, first-listed
D) screening, second-listed

Question 10

Which of the following codes is used to report a personal history of malignancy of the pancreas?

A) Z85.060
B) Z85.068
C) Z85.07
D) Z80.8

Question 11

________ is an invasive and destructive characteristic of a neoplasm; possibly causing damage or death.

A) Carcinoma
B) Benign
C) Ca in situ
D) Malignant

Question 12

What term indicates the tumor has not invaded any adjacent cells?

A) Primary
B) Benign
C) Ca in situ
D) Generalized

Question 13

Malignant cells have metastasized to distant parts of the body is tumor stage ________.

A) 0
B) I
C) II
D) III
E) IV

Question 14

Refer to the ICD-10-CM Official Guidelines I.C.21.c.4 which states: There are two types of history Z codes, ________.

A) malignant and benign
B) disease and disorder
C) personal and family
D) therapy and systemic

Question 15

An increase in a patient's white blood cell count is also known as:

A) anemia.
B) leukemia.
C) leukocytosis.
D) hemostasis.

Question 16

Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: The ________ of a person to rule out or confirm a suspected diagnosis because the patient has some sign or symptom is a diagnostic ________, not a screening.

A) examination, testing
B) testing, examination
C) encounter, test
D) assessment, encounter

Question 17

In your ICD-10-CM book turn to code category C81 in the Tabular List. Under this code category is an Excludes2 notation including "secondary neoplasm of bone marrow". What is the code next to the secondary neoplasm of bone marrow?

A) C46.3
B) C77.-
C) C79.52
D) C78.89

Question 18

When normal cells mutate, they create a:

A) benign tumor.
B) malignant tumor.
C) neoplasm.
D) all of these

Question 19

Anna has a family history of breast cancer. The coder should assign code:

A) Z80.1
B) Z85.1
C) Z80.3
D) Z85.3

Question 20

________ is a malignant neoplasm or cancerous tumor.

A) Carcinoma
B) Benign
C) Ca in situ
D) Mass

Question 21

When the physician's notes do not include any specific information regarding the nature of the tumor, the coder should select a code from which column?

A) Ca in situ
B) Uncertain
C) Unspecified
D) None of these

Question 22

The first piece of information a coder needs to report a neoplasm is:

A) where in the body is the neoplasm located.
B) is the neoplasm benign, malignant, in situ, or uncertain.
C) if the neoplasm is malignant, is this the first diagnosis of malignancy for this patient.
D) order of information does not matter.

Question 23

If a patient with cancer is admitted for anemia due to a complication from breast cancer, what is the principal diagnosis?

A) Anemia
B) Admission for chemotherapy
C) Admission for radiation
D) Breast cancer

Question 24

What is the correct code assigned for chronic myelomonocytic leukemia in remission?

A) C93.00
B) C93.01
C) C93.10
D) C93.11

Question 25

The Neoplasm Table is set up as a seven-column table organized by the information in column 1-the anatomical location of the tumor, in alphabetic order. Moving to the right, what information is in the third column?

A) Malignant, primary
B) Malignant, secondary
C) Ca in situ
D) Benign

Question 26

Neoplasms with overlapping boundaries are known as:

A) contiguous.
B) inclusive.
C) metastatic.
D) none of these.

Question 27

If a patient is admitted to the hospital for chemotherapy to treat breast cancer of the right breast, what is the principal diagnosis?

A) C50.911
B) Z40.01
C) Z51.11
D) Z80.3

Question 28

Which of the following codes is used to report a patient with a secondary malignancy in his right kidney and renal pelvis?

A) C79.00
B) C79.01
C) C79.02
D) C64.1

Question 29

The term mass is often used to describe a:

A) cyst.
B) benign tumor.
C) malignant tumor.
D) all of these.

Question 30

The term ________ indicates that the tumor has undergone malignant changes but is still limited to the site where it originated.

A) primary
B) secondary
C) Ca in situ
D) metastasized

Question 31

Kia has been diagnosed with bronchial adenoma. The coder should assign code:

A) D38.1.
B) D38.3.
C) D38.5.
D) D38.6.

Question 32

Which classification of neoplasm indicates that the pathologist is not able to determine whether the tumor is benign or malignant?

A) Ca in situ
B) Uncertain
C) Unspecified
D) None of these

Question 33

What term describes cancer that has spread throughout the body?

A) Disseminated cancer
B) Generalized cancer
C) Widely metastatic cancer
D) all of these

Question 34

The term ________ indicates the anatomical site where the malignant neoplasm was first seen and identified.

A) primary
B) secondary
C) Ca in situ
D) metastasized

Question 35

If a patient is admitted for radiation therapy due to lung cancer, what is the principal diagnosis assigned?

A) C34.90
B) C34.91
C) Z51.0
D) Z51.11

Question 36

If a patient is admitted for dehydration due to the chemotherapy treatments she has been receiving to treat ovarian cancer, what is the principal diagnosis?

A) C56.1
B) C56.9
C) E86.0
D) Z51.11

Question 37

Which of the following terms identifies a neoplasm?

A) adenoma
B) melanoma
C) leukemia
D) all of these

Question 38

Benjamin has been diagnosed with an atypical nevus of the trunk: The main term is ________; the correct code is ________.

A) Atypical, D22.0
B) Nevus, D22.10
C) Trunk, D22.39
D) Nevus, D22.5

Question 39

The term ________ identifies the anatomical site to which the malignancy ________.

A) primary, secondary
B) secondary, metastasized
C) metastasized, secondary
D) Ca in situ, metastasized

Question 40

Dionne has been diagnosed with a benign lipomatous neoplasm of the kidney. The main term is ________; the correct code is ________.

A) benign, D17.0
B) lipoma, D17.71
C) kidney, D17.72
D) lipomatous, D17.9

Question 41

A physician cannot determine the specific site of the malignancy for a patient with face cancer. The cancer is in the patient's head, face, and neck. The coder should assign code:

A) C72.59
B) C79.49
C) C76.0
D) D43.3

Question 42

What is the correct diagnosis for a patient with a personal history of colonic polyps?

A) Z86.010
B) D12.0
C) K63.5
D) Z85.09

Question 43

What is the correct code assigned for an encounter for prophylactic surgery for risk factors related to malignant neoplasm of the ovary?

A) Z40.00
B) Z40.01
C) Z40.02
D) Z40.09

Question 44

Arthur was diagnosed with cancer of the right acoustic nerve. The coder should assign code:

A) C72.40.
B) C72.41.
C) C72.42.
D) C72.59.

Question 45

What is the correct code assigned for intraductal carcinoma in situ of the right breast?

A) D05.90
B) D05.11
C) D05.12
D) D05.81

Question 46

What is the correct code assignment for a 40-year-old patient who is admitted for prophylactic removal of both breasts due to a strong family history of breast cancer?

A) Z40.01, Z80.3
B) Z40.01, Z85.3
C) Z80.3, Z40.01
D) Z85.3, Z40.01

Question 47

What is the correct principal diagnosis for a patient admitted with a malignant neoplasm in overlapping sites of the colon?

A) C18.0
B) C18.4
C) C18.8
D) Z51.11

Question 48

Mark is a 25-year-old male admitted with anemia due to antineoplastic chemotherapy used to treat his astroblastoma. The coder should assign which code for the principal diagnosis?

A) D64.81
B) D64.89
C) C71.0
D) C71.9

Question 49

What is the correct principal diagnosis for a patient being seen for radiation therapy to treat prostate cancer?

A) C61
B) C63.7
C) Z51.0
D) Z51.11

Question 50

All neoplasms are classified according to which chapter in the ICD-10-CM coding manual?

A) 2
B) 3
C) 4
D) 5

Question 51

What is the correct diagnosis code for a patient being admitted for genetic testing for ovarian cancer?

A) Z15.01
B) Z15.02
C) C56.1
D) C56.9

Question 52

What is the correct diagnosis code for multiple myeloma?

A) C90.0
B) C91.0
C) C90.00
D) C91.00

Question 53

What does the M in M code stand for?

A) Malignancy
B) Melanoma
C) Metastatic
D) Morphology

Question 54

The study of the microscopic composition of tissues is known as:

A) biology.
B) histology.
C) immunology.
D) morphology.

Question 55

Pamela was diagnosed with stage II lung cancer with mets to the brain. The coder should assign codes:

A) C34.90, C79.31.
B) C34.92, C79.31.
C) C71.9, C34.90.
D) C79.31, C34.92.

Question 56

Randy Carson, a 53-year-old male, was admitted for chemotherapy due to pancreatic duct cancer. The coder should assign codes:

A) Z51.11, C25.2.
B) Z51.11, C25.3.
C) C25.2, Z51.11.
D) C25.3, Z51.11.

Question 57

What is the correct principal diagnosis for a patient being seen for a malignant melanoma of the right eyelid?

A) C43.10
B) C43.11
C) C43.12
D) Z51.11

Question 58

M codes identify the ________ of the neoplasm.

A) behavior and histology
B) behavior and size
C) histology and size
D) behavior, histology, and size

Question 59

Nathan, 1 year old, is diagnosed with juvenile myelomonocytic leukemia. The coder should assign code:

A) C93.3
B) C93.30
C) C93.31
D) C93.32

Question 60

Refer to the ICD-10-CM Official Guidelines I.C.2.b which states: When a patient is admitted because of a ________ neoplasm with metastasis and treatment is directed toward the secondary site only, the ________ neoplasm is designated as the principal diagnosis even though the primary malignancy is still present.

A) secondary, primary
B) primary, secondary
C) Ca in situ, secondary
D) primary, benign

Question 61

Refer to the ICD-10-CM Official Guidelines I.C.2.d which state: When a primary malignancy has been previously ________ or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category ________, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy.

A) excised, Z85
B) Z85, excised
C) excised, Z84
D) Z86, excised

Question 62

Refer to the ICD-10-CM Official Guidelines I.C.2.c.3 which states: When the admission/encounter is for management of dehydration due to the malignancy and only the dehydration is being treated (intravenous rehydration), the dehydration is sequenced ________, followed by the code(s) for the malignancy.

A) first
B) second
C) third
D) fourth