Question 1

Which of the following is not required to select an HIV code?

Accepted Answer

A positive test result confirming an HIV diagnosis is not required to select an HIV code. The key requirement is a provider's documentation or statement confirming the diagnosis, not necessarily the test results.

Question 2

Section, Subsection I, C, 2, d provides correct coding guidelines for:

Accepted Answer

Section, Subsection I, C, 2, d specifically addresses the correct coding guidelines for a primary malignancy that has been previously excised, guiding how to code when there is no longer evidence of the malignancy but the patient is receiving treatment such as chemotherapy, radiation therapy, or follow-up care.

Question 3

When coding for human immunodeficiency virus (HIV) and HIV-related conditions, the coder must understand the current state of the ___________ in relation to the condition of HIV.

Accepted Answer

The correct answer is D) patient. When coding for HIV and related conditions, it's crucial to understand the current state of the patient in relation to their condition. This includes knowing whether the patient is asymptomatic, has symptomatic HIV, or has progressed to AIDS, as this affects coding choices.

Question 4

Regarding SIRS, tachypnea is defined as:

Accepted Answer

Tachypnea in the context of SIRS (Systemic Inflammatory Response Syndrome) criteria is defined as a respiratory rate greater than 20 breaths per minute. This is one of the parameters used to identify patients who may be experiencing a systemic inflammatory response.

Question 5

Section, Subsection I, C, 2, i provides correct coding guidelines for:

Accepted Answer

Section, Subsection I, C, 2, i typically addresses the coding guidelines for malignancy in two or more contiguous sites, providing specific instructions on how to code such cases.

Question 6

Select the true statement regarding ICD-10-CM guidelines for the Neoplasms chapter:

Accepted Answer

The correct sequencing for anemia due to a neoplasm is to code the neoplasm first, followed by the code for the specific type of anemia. This reflects the causal relationship between the neoplasm and the anemia, where the neoplasm is the underlying condition leading to the anemia.

Question 7

All of the following are HIV-related opportunistic infections except:

Accepted Answer

Psoriasis is not an opportunistic infection but rather a chronic autoimmune skin condition that can affect individuals regardless of their HIV status. Opportunistic infections, such as Cytomegalovirus, Cryptosporidiosis, and Isosporiasis, occur more frequently or are more severe in individuals with weakened immune systems, such as those with HIV/AIDS.

Question 8

The presence of ______ signifies a progression of HIV disease from asymptomatic to symptomatic and shifts a patient's diagnosis from HIV to AIDS.

Accepted Answer

Opportunistic infections are a key indicator of the progression of HIV disease from an asymptomatic state to a symptomatic state, marking the transition in diagnosis from HIV to AIDS. These infections occur because the immune system is severely weakened by the virus.

Question 9

Aside from infection, under what circumstance can the body develop SIRS?

Accepted Answer

SIRS, or Systemic Inflammatory Response Syndrome, can develop as a response to various non-infectious processes, including trauma. This can be due to physical injury, burns, pancreatitis, and other causes that lead to a systemic inflammatory response.

Question 10

When an insulin pump malfunctions leading to underdosing, select the appropriate reporting and sequencing of resulting conditions:

Accepted Answer

In medical coding, the sequence often starts with the immediate cause of the encounter (in this case, the mechanical complication of the insulin pump), followed by the underdosing (a direct result of the malfunction), then the underlying condition (diabetes), and finally any additional conditions that arose due to the underdosing. This approach ensures clarity in the patient's medical records, highlighting the cause-effect relationship of the conditions being treated.

Question 11

Section, Subsection I, C, 2, a provides a specific guideline for:

Accepted Answer

Section, Subsection I, C, 2, a specifically provides guidelines for treatment directed at the malignancy.

Quiz 3: ICD-Specific Guidelines