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

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.

Answer 1

False

Question 2

Febrile seizure is reported with code _____.

A) P90
B) R55
C) R57.8
D) R56.00

Answer 2

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.

Answer 3

True

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.

Question 5

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.

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) ____________________.

Question 8

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

Question 9

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

A) indigestion
B) increased estrogen
C) joint pain
D) dysuria

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) _____.

A) N35.9
B) N35.9, R30.9
C) R30.9, N35.9
D) R30.9

Question 11

High blood pressure is an example of a symptom.

Question 12

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

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.

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.

Question 15

General physical deterioration is reported with code _____.

A) R50.9
B) R52
C) R53.81
D) R54

Question 16

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

A) renal colic
B) epigastric pain
C) aphagia
D) anosmia

Question 17

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

A) cervical
B) enlarged
C) lymph
D) nodes

Question 18

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

Question 19

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

A) code first underlying disease
B) code first (T36-T50) to identify drug
C) Excludes 1: fever and chills
D) Excludes 1: atypical face pain due to fever and chills

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.

Question 21

Abnormal retinal function study is reported with code _____.

Question 22

Pathology diagnosis: "squamous intraepithelial lesion, low grade, from cytologic smear of cervix." This diagnosis would be coded with ____________________.

Question 23

Elevated urine levels of indoleacetic acid is reported with code _____.

Question 24

Emergency department note: "Sarah presents to the ER today due to fainting. She has fainted on a number of occasions due to a drop in her blood pressure. Previous workup has not indicated any cardiovascular diseases. At this time her blood pressure is 125/80. I am referring her to a cardiologist for additional testing." This encounter would be reported with code(s) ____________________.

Question 25

X-ray reveals a shadowing on the lung. This would be reported with code _____.

Question 26

Cardiac murmur is reported with code _____.

Question 27

Wheezing is reported with code _____.

Question 28

Abnormal chest percussion is reported with code _____.

Question 29

Office note: "This patient returns today for discussion of his elevated PSA. We discussed the possibility of prostate cancer and I told him that I want to have him undergo a biopsy." This encounter would be reported with code(s) ____________________.

Question 30

Skilled nursing facility note: "Patient was seen today at the request of the charge nurse. Patient is observed to be restless and agitated. There are no abnormal findings on examination. If the patient continues to experience these symptoms for more than 24 hours, I will reexamine him." This case would be reported with code ____________________.

Question 31

Office visit note: "This 4-year-old patient presents today with fever and chills. Exam reveals no abnormal findings in the HEENT. Chest is clear. There are no abnormal findings in the abdomen. The rest of the examination is unremarkable. I am ordering blood work to rule out infection." This case would be reported with code(s) ____________________.

Question 32

Abnormal odor of sputum is reported with code _____.

Question 33

Abnormal level of copper in the blood is reported with code _____.

Question 34

Rapid heartbeat is reported with code _____.

Question 35

Emergency department note: "This 59-year-old with no known history of any pathology was brought to the ED and pronounced dead upon arrival." This case would be reported with code ____________________.