Deck 8: ICD 10 Cm Volumes 1 and 2

Question 1

When can "other" codes be used in the ICD-10-CM?

A)"Other" and "other specified" are used when the medical record provides enough details that a specific code can be identified
B)"Other" and "other specified" codes are used when the medical record provides enough details but a specific code is not able to be identified because it does not exist
C)"Other and "other specified" codes are used when it is too difficult to identify another code that exists
D)"Other and "other specified" codes can be used for any diagnosis and any patient about which the provider and coder differ on the codes they would choose and decide to use this delineation instead.

Answer 1

"Other" and "other specified" codes are used when the medical record provides enough details but a specific code is not able to be identified because it does not exist

Question 2

Do "borderline" codes exist in the ICD-10-CM?

A)Yes, "borderline" codes exist for all diagnosis in the ICD-10-CM
B)No, "borderline" codes do not exist for any diagnosis in the ICD-10-CM
C)Yes, "borderline" codes exist, but only for some diagnoses in the ICD-10-CM when the documentation clearly states a "borderline" diagnosis
D)Yes, "borderline" codes do exist in the ICD-10-CM and are only used when a condition isn't clarified in the providers' documentation at the coder's discretion.

Answer 2

Yes, "borderline" codes exist, but only for some diagnoses in the ICD-10-CM when the documentation clearly states a "borderline" diagnosis

Question 3

What is the correct sequencing for severe sepsis in the ICD-10-CM?

A)Severe sepsis can be coded as the primary code and then the systemic infection is coded because it is the underlying infection.
B)Severe sepsis is coded as the secondary code and never as the primary code.
C)Severe sepsis is coded as the primary code and does not require additional codes.
D)Severe sepsis is coded as the primary code because there are subcategories of it. The secondary code is the subcategory designated only after it has been confirmed by further testing.

Answer 3

Severe sepsis is coded as the secondary code and never as the primary code.

Question 4

When can pain codes be used when using ICD-10-CM?

A)Pain codes can be used independently or in conjunction with other codes
B)Pain codes can be used as primary or secondary codes.
C)If the site of pain is identified in the medical record it should be indicated with the appropriate pain code too.
D)All of the above
E)None of the above

Question 5

How do you report bilateral glaucoma where each eye is documented as having a different type or stage?

A)Assign the bilateral glaucoma code for whatever type of glaucoma is the more severe.
B)Assign individual codes when the glaucoma classification distinguishes laterality. Use each code individually for each eye to assign the type of glaucoma, and then use the appropriate seventh character for the stage.
C)Assign individual codes for each eye, each type, and each stage.
D)Assign individual codes when glaucoma classification distinguishes laterality, but do not distinguish between the types or the stages.

Question 6

Is there a national requirement for external causes of morbidity codes to be used?

A)Yes, it is a national requirement for mandatory ICD-10-CM external cause reporting.
B)Yes, there is a national and state requirement for reporting ICD-10-CM external causes of morbidity.
C)No, there is no national requirement for mandatory ICD-10-CM external cause reporting. However, there may be a state-specific requirement for reporting or individual payer requirements may request this information.
D)No, there is no national requirement and there are no state or individual payer requirements for mandatory ICD-10-CM external cause reporting.

Question 7

What are "Z" codes in the ICD-10-CM?

A)Z codes should always be listed as the primary code and never as a secondary code.
B)Z codes are used to identify factors influencing health status and contact with health services and may be used as either primary or secondary codes. They are not procedure codes, so they must always have a corresponding procedure code listed to describe any procedure performed.
C)Z codes are used to identify factors influencing health status and contact with health services and may only be used as secondary codes. They may also be used as procedure codes, so they may be used independently.
D)Z codes should always be listed as the primary code and are used to identify factors influencing health status and contact with health services.

Question 8

How are coexisting conditions that the patient has but are not the primary reason for the encounter coded? Which answer is incorrect regarding coexisting conditions?

A)All conditions in the patient's medical history should be coded
B)All conditions that coexist at the time of the encounter should be coded, if they affect or require a plan of care in the patient's treatment plan
C)Conditions that previously existed and were treated that no longer exist should not be coded
D)History codes may be used as secondary codes for conditions that previously existed but that have been treated and no longer exist

Question 9

A patient with HIV is admitted for enterocolitis due to Clostridium difficile. What is the correct ICD-10-CM code(s) and what is the correct sequence?

A)B20, A04.7
B)B20, A09
C)A04.7, B20
D)A04.7, R75

Question 10

A patient with acute lymphoblastic leukemia is currently undergoing chemotherapy and radiation therapy and develops anemia as a result. He requires admission and a blood transfusion because of this complication caused by the chemotherapy. What ICD-10-CM codes should be used and what is the correct sequence?

A)C91.10, D64.81, T45.1X5A
B)C91.00, T45.1X5A, D64.81
C)D64.81, C91.00, T45.1X5A
D)T45.1X5A, D64.81, C91.00

Question 11

A 35-year-old male with type 1 diabetes, who has an insulin pump, also has diabetic retinopathy without macular edema. He is admitted to the hospital with ketoacidosis without coma. What are the correct ICD-10-CM codes and what is the correct sequence?

A)E10.10, E10.319, Z79.4
B)E10.11, E10.319
C)E10.10, E10.311, Z79.4
D)E10.11, E10.311

Question 12

A 33-year-old woman follows up with her psychiatrist for ongoing major depressive disorder that is considered moderate. She is on a daily medication for this disorder. She also follows up with him for generalized anxiety disorder. She smokes 1.5 packs of cigarettes per day and she reports that this helps her anxiety and, when she doesn't smoke, her anxiety increases. What ICD-10-CM codes are correct and what sequence should they be listed?

A)F33.0, F41.9, F17.200
B)F33.1, F41.1, F17.210
C)F33.0, F41.1, F17.200
D)F33.1, F41.9, F17.210

Question 13

A 21-year-old patient with chronic tension-type headaches that are not intractable relies on daily prophylactic medications to help relieve the headaches. What is the correct ICD-10-CM code for this type of headache?

A)G43.10
B)G44.019
C)G44.201
D)G44.229

Question 14

A 45-year-old patient has a chalazion of her right upper eyelid. What is the correct ICD-10-CM code indicating laterality for this patient?

A)H00.11
B)H00.12
C)H00.13
D)H00.14

Question 15

A 2-year-old patient is here for initial examination and is found to have a right acute serous otitis media and impacted cerumen of the left ear. What are the correct ICD-10-CM codes for this patient in the correct sequence?

A)H65.02, H65.21
B)H61.22, H65.01
C)H65.01, H61.22
D)H65.03, H61.21

Question 16

A patient with a history of asthma is seen in the office for an acute nasopharyngitis (common cold) and increasing difficulty breathing, even using her albuterol inhaler at home 2-3 times a day. She is diagnosed with a common cold and mild intermittent asthma with acute exacerbation. What is the correct sequence of ICD-10-CM codes for this patient?

A)J45.21, J22
B)J45.20, J00
C)J45.31, J00
D)J45.21, J00

Question 17

A 26-year-old man has been diagnosed with Crohn's disease of the large and small intestine without complications. What is the correct ICD-10-CM code for this diagnosis?

A)K50.0
B)K50.1
C)K50.8
D)K50.9

Question 18

An elementary school student who wrestles has been diagnosed with non-bullous impetigo. What is the correct ICD-10-CM code for this type of infectious skin disease?

A)L01.00
B)L01.01
C)L01.02
D)L01.03

Question 19

A 2-month-old infant is diagnosed with torticollis due to not having enough tummy time and always preferring to lay on one side of her head. What is the correct ICD-10-CM code for this patient?

A)M43.2
B)M43.5
C)M43.6
D)M43.8

Question 20

A 28-year-old woman will be undergoing a lithotripsy for bilateral kidney stones. The stones are secure within the kidney and have not begun to migrate. What is the correct ICD-10-CM code for this patient's kidney stones?

A)N20.0
B)N20.1
C)N20.2
D)N21.0

Question 21

A 12-week-pregnant woman develops gestational diabetes, which she is able to control through diet and hasn't yet had to use insulin to control. What is the correct ICD-10-CM code for this patient?

A)O24.410
B)O24.414
C)O24.419
D)O24.42

Question 22

A little girl was born to a mother who used cocaine up to the day before delivery. The drug screen is pending, but the patient is suspected to be affected by the maternal use of cocaine. The patient is small for gestational age, at 2450 grams. What are the correct ICD-10-CM codes for this patient?

A)P04.41, P05.18
B)P04.49, P05.17
C)P04.41, P05.17
D)P04.49, P05.18

Question 23

A patient was diagnosed with pneumonia based on chest x-ray findings and has significant shortness of breath. An unknown organism is causing the pneumonia. What is the correct coding for ICD-10-CM?

A)J13, R06.02
B)J13, R06.00
C)J18.9, R06.00
D)J18.9, R06.02

Question 24

What codes are correct for impaired fasting glucose and for elevated blood alcohol level?

A)R73.0, R78.0
B)R73.01, R78.0
C)R73.02, R78.1
D)R73.0, R78.1

Question 25

A patient fell off of a horse and broke her right wrist. She had it x-rayed and it was noted that it was a non-displaced fracture of the scaphoid bone of the right wrist and it was casted in the emergency department. What ICD-10-CM codes should be used for this incident?

A)S62.04A, V80.010D, Y93.52
B)S62.04D, V80.010S, Y93.52
C)S62.04S, V80.010A
D)S62.04A, V80.010A, Y93.52

Question 26

A 33-year-old woman is seen by obstetrics for a normal second pregnancy and she is at 16-weeks' gestation. What are the correct ICD-10-CM codes for this patient?

A)Z34.02, Z3A.16
B)Z34.82, Z3A.16
C)Z34.01, Z3A.15
D)Z34.82, Z3A.15

Question 27

A five year old accidentally slammed his right 4th digit in a car door. He is diagnosed with a contusion of the right 4th finger with damage to the nail. What is the correct code for this initial encounter?

A)S60.111A
B)S60.121D
C)S60.141A
D)S60.141D

Question 28

A patient receives a prophylactic antibiotic that is started preoperatively through his IV. This antibiotic (ceftriaxone sodium, 250 mg) is infused over 30 minutes. What is the correct CPT code for this procedure?

A)96365, J0696
B)96366, J0696
C)96367, J0696
D)96368, J0696

Question 29

A patient receives normal saline as an intravenous infusion that is given over 45 minutes within the physician office. What is the correct CPT code for this procedure?

A)96360
B)96361
C)96365
D)96366