Deck 5: Coding Neoplasms

Question 1

Which is the correct code assigned for a person being seen for a cervical cancer screening?

A) Z12.1
B) Z12.4
C) Z51.1
D) Z86.001

Answer 1

B

Question 2

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

Answer 2

C

Question 3

What are the two types of tissue examination used to determine the type of neoplasm?

A) Gross
B) Microscopic
C) Stained and microscopic
D) Gross and microscopic

Answer 3

D

Question 4

The anatomical site where a malignant neoplasm was first seen and identified is known as the __________ site.

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

Question 5

When normal cells mutate, they create a:

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

Question 6

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

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

Question 7

How many possible code categories are there for an each anatomical site in the ICD-10-CM Table of Neoplasms?

A) 4
B) 5
C) 6
D) 7

Question 8

Codes listed in the Neoplasm table with a - (dash) following the code have a required additional character for:

A) functionality.
B) laterality.
C) specificity.
D) size.

Question 9

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

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

Question 10

The first column in the neoplasm table is used to list the:

A) anatomical site.
B) malignant primary.
C) malignant secondary.
D) Ca in situ.

Question 11

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

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

Question 12

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 13

Which of the following is not a common test performed to check for a malignant lung neoplasm?

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

Question 14

Which type of specimen examination is done with the naked eye?

A) Gross
B) Microscopic
C) Stained
D) Gross and microscopic

Question 15

The anatomical site where a malignant neoplasm has traveled to is known as the _______ site.

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

Question 16

What is the correct code for a family history of breast cancer?

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

Question 17

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 18

What term indicates that a tumor has undergone malignant changes but is still limited to the origination site?

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

Question 19

The term mass is often used to describe a:

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

Question 20

Neoplasms with overlapping boundaries are known as:

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

Question 21

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 22

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 23

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 24

What does the M in M code stand for?

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

Question 25

What is the correct code assigned for a benign lipomatous neoplasm of the kidney?

A) D17.0
B) D17.71
C) D17.72
D) D17.9

Question 26

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 27

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 28

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 29

What is the correct code assigned for a bronchial adenoma?

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

Question 30

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

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

Question 31

What is the correct code assigned for an atypical nevus of the trunk?

A) D22.0
B) D22.10
C) D22.39
D) D22.5

Question 32

What is the correct code assigned for a personal history of breast cancer?

A) Z85.1
B) Z85.2
C) Z85.3
D) Z85.4

Question 33

A 53-year-old male patient is admitted for chemotherapy due to pancreatic duct cancer. What codes are assigned?

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

Question 34

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 35

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 36

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 37

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 38

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. What is the correct code to assign?

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

Question 39

What is the correct code for neurofibromatosis, type I?

A) Q85.00
B) Q85.01
C) Q85.02
D) Q85.09

Question 40

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 41

Arthur was diagnosed with cancer of the right acoustic nerve. How is this coded?

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

Question 42

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 43

Nathan, 1 year old, is diagnosed with juvenile myelomonocytic leukemia. What is the correct code to assign?

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

Question 44

What is the correct diagnosis code for multiple myeloma?

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

Question 45

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 46

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 47

Identify the correct principal diagnosis for the following scenario: Mark is a 25-year-old male admitted with anemia due to antineoplastic chemotherapy used to treat his astroblastoma.

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

Question 48

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 49

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 50

Pamela was diagnosed with stage II lung cancer with mets to the brain. How is this coded?

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