Deck 24: Diagnostic Coding Basics

Question 1

The medical assistant should never code a patient as having __________ unless it is clearly documented as confirmed in the medical record.

A) human immunodeficiency virus
B) malignant neoplasms
C) diabetes mellitus
D) burns

Answer 1

human immunodeficiency virus

Question 2

To make repayment to for expense or loss incurred describes which of the following terms?

A) Reimbursement
B) Diagnosis
C) Abstract
D) Medically necessary

Answer 2

Reimbursement

Question 3

Which of the following letters in the ICD-10-CM is reserved by the World Health Organization to assign new diseases with uncertain etiology?

A) U
B) X
C) Y
D) Z

Answer 3

U

Question 4

Burns are coded by

A) site and degree.
B) the body surface involved.
C) Both A and B
D) None of the above

Question 5

Which of the following terms defines a malignant neoplasm site as the absence of invasion of surrounding tissues?

A) Primary
B) Secondary
C) In situ
D) Benign

Question 6

The signs and symptoms of a disease are its __________.

A) manifestations
B) symptoms
C) prognosis
D) etiology

Question 7

The code HIV indicates which of the following?

A) The HIV virus is present.
B) The manifestation of symptoms that occur as a result of HIV infection
C) Probable case of HIV
D) Suspected case of HIV

Question 8

______________ are notes included in the Tabular Index to provide additional guidance for selected diagnosis codes.

A) Punctuation
B) Relational terms
C) Instructional notations
D) None of the above

Question 9

Burns are coded to the site by __________.

A) site
B) body surface
C) degree
D) All of the above

Question 10

The cause of a disorder is its __________.

A) manifestation
B) symptoms
C) prognosis
D) etiology

Question 11

Determining the cause of a condition, illness, disease, injury, or congenital defect describes which of the following terms?

A) Reimbursement
B) Diagnosis
C) Abstract
D) Medically necessary

Question 12

Which of the following codes will be used for a patient with a history of myocardial infarction with no symptoms but diagnosed by means of an electrocardiogram?

A) Category I21
B) Code I25.2
C) Code I21.3
D) None of the above

Question 13

When coding neoplasms __________ is defined as the absence of invasion of surrounding tissues.

A) benign
B) carcinoma in situ
C) malignant primary
D) unspecified nature

Question 14

The branch of medicine dealing with the incidence, distribution, and control of disease in a population and prevalence of disease in large populations and with detection of the source and cause of epidemics of infectious disease describes which of the following terms?

A) Epidemiological
B) Etiology
C) Mortality
D) Sequela

Question 15

The relative frequency of deaths in a specific population describes which of the following terms?

A) Epidemiological
B) Etiology
C) Mortality
D) Sequela

Question 16

The abbreviation that is the equivalent of "unspecified" is __________.

A) NEC
B) POS
C) NOS
D) DOS

Question 17

Collecting important information from the health record describes which of the following terms?

A) Reimbursement
B) Diagnosis
C) Abstract
D) Medically necessary

Question 18

At times, the medical assistant must code a(n) __________ if the physician is not yet sure of the diagnosis.

A) manifestation
B) symptoms
C) prognosis
D) etiology

Question 19

Which of the following terms applies to the period from the last month of pregnancy to 5 months after giving birth?

A) Antepartum
B) Childbirth
C) Postpartum
D) Peripartum

Question 20

Accepted healthcare services appropriate for the evaluation and treatment of a disease, condition, illness, or injury and consistent with the applicable standard of care describes which of the following terms?

A) Reimbursement
B) Diagnosis
C) Abstract
D) Medically necessary

Question 21

An abnormal condition resulting from a previous disease describes which of the following terms?

A) Epidemiological
B) Etiology
C) Mortality
D) Sequela

Question 22

Which of the following is the correct ICD-10-CM code for this diagnostic statement; ingrowing toenail, right great toe?

A) F98.8
B) L60.0
C) L73.1
D) S60.111

Question 23

Which of the following is the correct ICD-10-CM code for this diagnostic statement; bronchitis?

A) J20.9
B) J40
C) J45.909
D) J86.0

Question 24

The International Classification of Diseases was established by

A) Department of Health and Human Services.
B) World Health Organization.
C) American Medical Association.
D) None of the above

Question 25

Which of the following is the correct ICD-10-CM code for this diagnostic statement; encounter for positive pregnancy test?

A) Z32.00
B) Z32.01
C) Z34.00
D) Z34.01

Question 26

Which of the following is the correct ICD-10-CM code for this diagnostic statement; shortness of breath?

A) R06.5
B) R06.89
C) R06.02
D) R19.6

Question 27

Diagnostic statements can be found in

A) operative reports.
B) discharge summaries.
C) H&P reports.
D) All of the above

Question 28

The study of the causes or origin of diseases describes which of the following terms?

A) Epidemiological
B) Etiology
C) Mortality
D) Sequela

Question 29

Which of the following is the correct ICD-10-CM code for this diagnostic statement; diabetes mellitus, type 2, without complications?

A) E10.8
B) E10.9
C) E11.8
D) E11.9

Question 30

ICD-10-CM uses up to ___ characters to identify a disease or injury.

A) 9
B) 7
C) 5
D) 3

Question 31

Which of the following is the correct ICD-10-CM code for this diagnostic statement; localized skin infection at surgical site?

A) L02.91
B) L03.90
C) L04.8
D) L08.9

Question 32

Diagnostic coding was originally developed to study causes of

A) disease.
B) etiology.
C) mortality.
D) sequela.

Question 33

__________ are indented under the main term and must be included in the diagnostic statement.

A) Main terms
B) Nonessential modifiers
C) Essential modifiers
D) Symptoms

Question 34

Which of the following is the correct ICD-10-CM code for this diagnostic statement; lower abdominal pain, right lower quadrant?

A) R10.11
B) R10.30
C) R10.31
D) R10.813

Question 35

Which of the following is the correct ICD-10-CM code for this diagnostic statement; moderate cervical dysplasia?

A) N87.1
B) N88.0
C) N89.1
D) N90.3

Question 36

When performing diagnostic coding you should start in looking in the

A) table of contents.
B) Alphabetic Index.
C) Tabular List.
D) None of the above

Question 37

In the Alphabetic Index main terms appear

A) underlined.
B) in italics.
C) indented.
D) in bold.

Question 38

Which of the following is the correct ICD-10-CM code for this diagnostic statement; preprocedural examination?

A) Z01.21
B) Z01.30
C) Z01.411
D) Z01.810

Question 39

Which of the following is the correct ICD-10-CM code for this diagnostic statement; degenerative joint disease, right knee?

A) M16.12
B) M17.11
C) M18.31
D) M19.90

Question 40

Which of the following is the correct ICD-10-CM code for this diagnostic statement; iron-deficiency anemia?

A) D50.9
B) D51.1
C) D53.3
D) D64.9

Question 41

Which of the following is the correct ICD-10-CM code for this diagnostic statement; asthma, unspecified, uncomplicated?

A) J44.9
B) J45.901
C) J45.909
D) J69.8

Question 42

Etiology refers to the underlying cause or origin of a disease.

Question 43

Which of the following is the correct ICD-10-CM code for this diagnostic statement; streptococcal pharyngitis?

A) J02.0
B) J02.9
C) J06.0
D) J31.2

Question 44

The coder should always refer to the Tabular Index first.

Question 45

Main terms appear in bold type.

Question 46

Which of the following is the correct ICD-10-CM code for this diagnostic statement; examination for a routine pap test?

A) Z01.419
B) Z02.81
C) Z03.818
D) Z04.72

Question 47

Nonessential modifiers must be in the actual diagnostic statement for the code to be used.

Question 48

ICD-10-CM codes are all numbers.

Question 49

The "code first" notation can usually be ignored.

Question 50

A neoplasm or new growth is coded by the site or location of the neoplasm and its behavior.