Question 1

Ill-defined conditions are reported in Chapter 18 of ICD-10-CM and should be reported as additional diagnoses when a definitive diagnosis has been made.

Accepted Answer

False

Question 2

Febrile seizure is reported with code _____.

Accepted Answer

D

Question 3

Polly presents to the office today complaining of weakness and feeling tired for the last week. This is an example of symptoms.

Accepted Answer

Symptoms are subjective experiences reported by a patient, such as weakness and fatigue, that may indicate the presence of an underlying illness or condition.

Question 4

Edward reported to the ED with chest pain. After workup it was determined that he had an MI. The first-listed diagnosis for this encounter is chest pain.

Accepted Answer

The first-listed diagnosis for this encounter should be the MI, not the chest pain. The chest pain would be considered a symptom of the MI.

Question 5

Aphasia is reported with code R47.0.

Accepted Answer

The answer of Aphasia is reported with code R47.0....

Question 6

Kim is seen by Dr. Smith today. She is complaining of right upper quadrant pain. Dr. Smith records probable gall stones in her record. The first-listed diagnosis should be gallstones.

Accepted Answer

The first-listed diagnosis should be the reason for the encounter, which is right upper quadrant pain, as the gallstones are not confirmed but only suspected by Dr. Smith.

Question 7

Office note: "This patient has had numerous blood tests, and it is confirmed that there is a drop in hematocrit of undetermined origin." This case should be reported with code(s) ____________________.

Accepted Answer

The answer of Office note: "This patient has had numerous...

Question 8

Drug testing has revealed cocaine in a blood sample. This would be reported with code ____________________.

Accepted Answer

The answer of Drug testing has revealed cocaine in a...

Question 9

Which of the following would be reported with a code from Chapter 18 of ICD-10-CM?

Accepted Answer

Dysuria, or painful urination, would be reported with a code from Chapter 18 of ICD-10-CM, which covers symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified. Indigestion (A) would likely be reported with a code from Chapter 11, Diseases of the Digestive System. Increased estrogen (B) would not have a specific code in Chapter 18; it may be reported with a code from Chapter 14, Diseases of the Genitourinary System. Joint pain (C) would likely be reported with a code from Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue.

Question 10

Office progress note: "Tim is being seen today due to a complaint of painful urination. This may be caused by stenosis of the urethra." This case would be reported with code(s) _____.

Accepted Answer

The answer of Office progress note: "Tim is being seen...

Question 11

High blood pressure is an example of a symptom.

Accepted Answer

High blood pressure is actually a medical condition or disorder, not a symptom. Symptoms of high blood pressure may include headaches, dizziness, and chest pain.

Question 12

Codes from Chapter 18 of ICD-10-CM are more commonly used in the inpatient setting than the outpatient setting.

Accepted Answer

The answer of Codes from Chapter 18 of ICD-10-CM are...

Question 13

When ICD-10-CM assigns a combination code that identifies both the definitive diagnosis and a common symptom, an additional code for the symptom should be assigned.

Accepted Answer

ICD-10-CM guidelines specify that if a combination code captures both the diagnosis and a common symptom, an additional code for the symptom should not be assigned.

Question 14

Signs and symptoms that are associated routinely with a disease process are coded as an additional diagnosis if they are recorded in the patient's record.

Accepted Answer

Signs and symptoms that are routinely associated with a disease process are not coded as an additional diagnosis if they are recorded in the patient's record, as they are considered inherent to the disease.

Question 15

General physical deterioration is reported with code _____.

Accepted Answer

R53.81 specifically refers to "other malaise and fatigue" which can encompass general physical deterioration. The other codes listed do not specifically refer to this type of symptom.

Question 16

Which of the following would not be reported with a code from Chapter 18 of ICD-10-CM?

Accepted Answer

Chapter 18 of the ICD-10-CM is for symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified. Renal colic is a condition, not a symptom or sign, and would be classified under diseases of the genitourinary system, not in Chapter 18.

Question 17

When coding the phrase "acute enlarged cervical lymph nodes," the main term to reference in the index is _____.

Accepted Answer

The answer of When coding the phrase "acute enlarged cervical...

Question 18

A pediatric office note records that a child is a late walker. The code to assign for this is ____________________.

Accepted Answer

The answer of A pediatric office note records that a...

Question 19

The instructional notation that appears for the code for a drug induced fever is _____.

Accepted Answer

The instructional notation that appears for the code for a drug induced fever is "code first (T36-T50) to identify drug." This means that the underlying disease or condition should not be coded as the primary reason for the fever, but rather the drug that caused it. Excludes 1 and Excludes 2 notations are used to indicate codes that should not be used together because the conditions are mutually exclusive or the code is part of another code. Neither of these notations are relevant to the instructional notation for drug induced fever.

Question 20

Sam presents to the office today with back pain and a cough. After workup it is determined that he has a ruptured disk. The origin of the cough is undetermined at this time. The back pain and cough would both be reported.

Accepted Answer

The answer of Sam presents to the office today with...

Quiz 23: Symptoms, Signs, and Abnormal Clinical Laboratory Findings