Question 1

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

Accepted Answer

B

Question 2

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

Accepted Answer

False

Question 3

High blood pressure is an example of a symptom.

Accepted Answer

High blood pressure is considered a sign, not a symptom, because it is measurable and can be detected by a healthcare professional, whereas symptoms are subjective experiences reported by the patient.

Question 4

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 5

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 feeling tired.

Question 6

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 7

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 8

Aphasia is reported with code R47.0.

Accepted Answer

Aphasia is reported with code R47.01 in the ICD-10-CM coding system.

Question 9

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 10

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 11

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 12

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

Accepted Answer

Dysuria (painful or difficult urination) is a symptom related to genitourinary system, which falls under Chapter 18 (R00-R99) of ICD-10-CM.

Question 13

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...

Question 14

General physical deterioration is reported with code _____.

Accepted Answer

R53.81 is the code for general physical decline and represents the best choice for this condition. R50.9 is a code for fever, R52 is a code for pain, and R54 is a code for senility and other abnormal mental status.

Question 15

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

Chapter 18 of ICD-10-CM is for symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified, and is used when a definitive diagnosis has not been made.

Question 16

Febrile seizure is reported with code _____.

Accepted Answer

Febrile seizures are specifically coded with R56.00, which is the ICD-10 code for simple febrile seizures.

Question 17

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 18

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

Accepted Answer

The instructional notation for a drug induced fever is to code first (T36-T50) to identify the drug. This means that the initial code should be for the drug that caused the fever, followed by the code for the fever itself. The other options, such as coding first for the underlying disease or excluding fever and chills, do not address the specific instruction for drug induced fever coding.

Question 19

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 20

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.

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