Deck 4: Steps in Diagnostic Code Selection

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Question
The instructional notes in the Tabular List take precedence over the instructional notes in the Alphabetic Index.
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Question
For the statement "intestinal obstruction due to meconium in mucoviscidosis of newborn," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) intestinal or obstruction
B) obstruction or meconium
C) obstruction or mucoviscidosis
D) mucoviscidosis, meconium, or obstruction
Question
For the statement "acute antitubular basement membrane nephritis," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) antitubular
B) basement
C) membrane
D) nephritis
Question
For the statement "adhesive shoulder joint capsulitis," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) adhesive
B) shoulder
C) joint
D) capsulitis
Question
When using ICD-10-CM, coders may have to query providers for more specific information when selecting codes.
Question
When coding the diagnostic statement "sarcoidosis of the skin of the right upper extremity," the main term to reference is ______.

A) extremity
B) skin
C) sarcoidosis
D) arm
Question
The "See" notes in the Tabular instruct coders to view additional sections of the Tabular.
Question
For the statement "oligospermia due to efferent duct obstruction," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) oligospermia
B) efferent
C) duct
D) obstruction
Question
The processing of medical claims will be enhanced through the use of ICD-10-CM codes.
Question
The Alphabetic Index and the Tabular List must both be used when assigning codes.
Question
In the ICD-10-CM Index to Diseases and Injuries, the primary arrangement for diagnoses is by _____.

A) condition
B) site
C) location
D) severity
Question
A complete listing of diagnoses for inpatients is typically recorded on the _____.

A) operative reports
B) face sheets
C) nursing notes
D) physician notes
Question
It is essential to use both the Alphabetic Index and the Tabular List when locating and assigning a code.
Question
For the statement "ovarian androgen hormone hypersecretion," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) ovarian
B) androgen
C) hormone
D) hypersecretion
Question
In the diagnostic phrase "acute bursitis of the right hand," the word acute is a modifying term.
Question
Sally Smith is reviewing an inpatient record for coding. She notes that the face sheet, diagnostic testing reports, and discharge summary contain different diagnoses. What should she do to code the diagnoses?

A) Use the diagnoses on the face sheet.
B) Select all the diagnoses on all three forms of documentation.
C) Use the diagnoses on the discharge summary.
D) Query the provider for clarification.
Question
ICD-10-CM codes indicate laterality.
Question
When selecting an ICD-10-CM code for the diagnostic statement "trochanteric bursitis of the right hip," the main term to reference is trochanteric.
Question
In the diagnostic statement "chronic allergic sinusitis due to animal dander," the modifying term(s) is (are) ______.

A) allergic
B) chronic
C) chronic allergic
D) sinusitis
Question
Medical documentation needs to be reviewed prior to code assignment.
Question
In the statement "traumatic foot amputation at the left ankle," the main term to reference in the ICD-10-CM Index to Diseases and Injuries would be ____________________.
Question
Sally Smith is selecting a code for the statement "left displaced fracture of posterior column of acetabulum." The main term to reference is ____________________.
Question
In the statement "bursitis of the right knee and ankle," the main term is ____________________.
Question
In the diagnostic statement "hysterical glottis spasm," the main term is _____.
Question
The instructional "See" and "See also" notes are considered ____________________ notes.
Question
The main term to be referenced in the ICD-10-CM Index to Diseases and Injuries for the statement "complex tear of lateral meniscus of the right knee" is ____________________.
Question
The main term in the diagnostic statement "acute staphylococcal hematogenous osteomyelitis of the femur" is ______.
Question
In the statement "acute sinusitis due to allergies," the modifying term is ____________________.
Question
Sally Smith is coding the statement "left ear acute punctured eardrum." The term to reference in the Index is ____________________.
Question
The encounter form for a patient records "bilateral hypersecretion glaucoma." The main term to reference in the ICD-10-CM Index to Diseases and Injuries is ____________________.
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Deck 4: Steps in Diagnostic Code Selection
1
The instructional notes in the Tabular List take precedence over the instructional notes in the Alphabetic Index.
True
2
For the statement "intestinal obstruction due to meconium in mucoviscidosis of newborn," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) intestinal or obstruction
B) obstruction or meconium
C) obstruction or mucoviscidosis
D) mucoviscidosis, meconium, or obstruction
D
3
For the statement "acute antitubular basement membrane nephritis," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) antitubular
B) basement
C) membrane
D) nephritis
D
4
For the statement "adhesive shoulder joint capsulitis," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) adhesive
B) shoulder
C) joint
D) capsulitis
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5
When using ICD-10-CM, coders may have to query providers for more specific information when selecting codes.
Unlock Deck
Unlock for access to all 30 flashcards in this deck.
Unlock Deck
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6
When coding the diagnostic statement "sarcoidosis of the skin of the right upper extremity," the main term to reference is ______.

A) extremity
B) skin
C) sarcoidosis
D) arm
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7
The "See" notes in the Tabular instruct coders to view additional sections of the Tabular.
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8
For the statement "oligospermia due to efferent duct obstruction," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) oligospermia
B) efferent
C) duct
D) obstruction
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9
The processing of medical claims will be enhanced through the use of ICD-10-CM codes.
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10
The Alphabetic Index and the Tabular List must both be used when assigning codes.
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11
In the ICD-10-CM Index to Diseases and Injuries, the primary arrangement for diagnoses is by _____.

A) condition
B) site
C) location
D) severity
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12
A complete listing of diagnoses for inpatients is typically recorded on the _____.

A) operative reports
B) face sheets
C) nursing notes
D) physician notes
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13
It is essential to use both the Alphabetic Index and the Tabular List when locating and assigning a code.
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14
For the statement "ovarian androgen hormone hypersecretion," the main term to reference in the ICD-10-CM Index to Diseases and Injuries is _____.

A) ovarian
B) androgen
C) hormone
D) hypersecretion
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15
In the diagnostic phrase "acute bursitis of the right hand," the word acute is a modifying term.
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16
Sally Smith is reviewing an inpatient record for coding. She notes that the face sheet, diagnostic testing reports, and discharge summary contain different diagnoses. What should she do to code the diagnoses?

A) Use the diagnoses on the face sheet.
B) Select all the diagnoses on all three forms of documentation.
C) Use the diagnoses on the discharge summary.
D) Query the provider for clarification.
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17
ICD-10-CM codes indicate laterality.
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18
When selecting an ICD-10-CM code for the diagnostic statement "trochanteric bursitis of the right hip," the main term to reference is trochanteric.
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19
In the diagnostic statement "chronic allergic sinusitis due to animal dander," the modifying term(s) is (are) ______.

A) allergic
B) chronic
C) chronic allergic
D) sinusitis
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20
Medical documentation needs to be reviewed prior to code assignment.
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21
In the statement "traumatic foot amputation at the left ankle," the main term to reference in the ICD-10-CM Index to Diseases and Injuries would be ____________________.
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22
Sally Smith is selecting a code for the statement "left displaced fracture of posterior column of acetabulum." The main term to reference is ____________________.
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23
In the statement "bursitis of the right knee and ankle," the main term is ____________________.
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24
In the diagnostic statement "hysterical glottis spasm," the main term is _____.
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25
The instructional "See" and "See also" notes are considered ____________________ notes.
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26
The main term to be referenced in the ICD-10-CM Index to Diseases and Injuries for the statement "complex tear of lateral meniscus of the right knee" is ____________________.
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27
The main term in the diagnostic statement "acute staphylococcal hematogenous osteomyelitis of the femur" is ______.
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28
In the statement "acute sinusitis due to allergies," the modifying term is ____________________.
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29
Sally Smith is coding the statement "left ear acute punctured eardrum." The term to reference in the Index is ____________________.
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30
The encounter form for a patient records "bilateral hypersecretion glaucoma." The main term to reference in the ICD-10-CM Index to Diseases and Injuries is ____________________.
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