Deck 4: Steps in Diagnostic Code Selection
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Deck 4: Steps in Diagnostic Code Selection
1
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
A) intestinal or obstruction
B) obstruction or meconium
C) obstruction or mucoviscidosis
D) mucoviscidosis, meconium, or obstruction
D
2
The instructional notes in the Tabular List take precedence over the instructional notes in the Alphabetic Index.
True
3
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
A) ovarian
B) androgen
C) hormone
D) hypersecretion
D
4
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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5
It is essential to use both the Alphabetic Index and the Tabular List when locating and assigning a code.
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6
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
A) adhesive
B) shoulder
C) joint
D) capsulitis
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7
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
A) oligospermia
B) efferent
C) duct
D) obstruction
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8
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
A) extremity
B) skin
C) sarcoidosis
D) arm
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9
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
A) allergic
B) chronic
C) chronic allergic
D) sinusitis
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10
ICD-10-CM codes indicate laterality.
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11
When using ICD-10-CM, coders may have to query providers for more specific information when selecting codes.
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12
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.
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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13
The Alphabetic Index and the Tabular List must both be used when assigning codes.
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14
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
A) antitubular
B) basement
C) membrane
D) nephritis
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15
A complete listing of diagnoses for inpatients is typically recorded on the _____.
A) operative reports
B) face sheets
C) nursing notes
D) physician notes
A) operative reports
B) face sheets
C) nursing notes
D) physician notes
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16
Medical documentation needs to be reviewed prior to code assignment.
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17
In the diagnostic phrase "acute bursitis of the right hand," the word acute is a modifying term.
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18
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
A) condition
B) site
C) location
D) severity
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19
The "See" notes in the Tabular instruct coders to view additional sections of the Tabular.
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20
The processing of medical claims will be enhanced through the use of ICD-10-CM codes.
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21
Sally Smith is coding the statement "left ear acute punctured eardrum." The term to reference in the Index is ____________________.
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22
In the diagnostic statement "hysterical glottis spasm," the main term is _____.
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23
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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24
The instructional "See" and "See also" notes are considered ____________________ notes.
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25
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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26
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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27
In the statement "bursitis of the right knee and ankle," the main term is ____________________.
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28
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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29
The main term in the diagnostic statement "acute staphylococcal hematogenous osteomyelitis of the femur" is ______.
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30
In the statement "acute sinusitis due to allergies," the modifying term is ____________________.
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