Question 1

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

Accepted Answer

A confirmed diagnosis in the documentation is required to select an HIV code, but a positive test result is not explicitly necessary for coding purposes. The key is the provider's documentation and statement regarding the HIV diagnosis.

Question 2

The body's response to septicemia, trauma, or cancer is:

Accepted Answer

Systemic inflammatory response syndrome (SIRS) is the body's response to a variety of severe clinical insults, including septicemia, trauma, or cancer.

Question 3

Which ICD-10-CM code describes "Inconclusive laboratory evidence of human immunodeficiency virus?"

Accepted Answer

R75 is the ICD-10-CM code for "Inconclusive laboratory evidence of human immunodeficiency virus [HIV]." This code is used when a test for HIV does not provide a definitive positive or negative result.

Question 4

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

Accepted Answer

Gonorrhea is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae, not considered an opportunistic infection related to HIV. Opportunistic infections like tuberculosis, candidiasis, and others occur more frequently or are more severe in individuals with weakened immune systems, such as those with HIV, but syphilis and gonorrhea are primary STIs not classified under this category.

Question 5

If a primary site, due to excision or therapy, no longer exists and the patient is receiving treatment for a secondary site, the primary site is coded with:

Accepted Answer

When a primary site no longer exists due to excision or therapy, and the patient is receiving treatment for a secondary site, the correct coding practice is to use a personal history Z code. This indicates that the patient has a history of the primary condition, but it is not currently active.

Question 6

Diagnosis code Z11.4 represents:

Accepted Answer

Diagnosis code Z11.4 is specifically used for encounters for screening for human immunodeficiency virus (HIV), indicating that the patient is being tested for HIV as a precautionary or preventive measure, rather than because HIV symptoms or exposure are necessarily present.

Question 7

When locating a code for a neoplasm, begin by:

Accepted Answer

The answer of When locating a code for a neoplasm,...

Question 8

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

Accepted Answer

Lordosis is not an HIV-related opportunistic infection. It is a medical condition that causes an excessive inward curvature of the spine.

Question 9

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

Accepted Answer

Psoriasis is not an opportunistic infection related to HIV; it is a chronic autoimmune skin condition. Opportunistic infections, such as Cytomegalovirus, Isosporiasis, and Cryptosporidiosis, occur more frequently and can be more severe in individuals with weakened immune systems, such as those with HIV.

Question 10

Which of the following is an antibiotic resistant staph infection?

Accepted Answer

MRSA stands for Methicillin-resistant Staphylococcus aureus, which is a type of staph infection resistant to many antibiotics, making it a significant concern in healthcare settings.

Question 11

Diabetes due to an underlying condition or cause is referred to as:

Accepted Answer

Secondary diabetes is a form of diabetes that is a direct consequence of another health condition or due to the effect of certain medications, rather than arising from the body's inability to produce or use insulin effectively on its own.

Question 12

When an opportunistic infection is present, which of the following is true regarding code selection?

Accepted Answer

When an opportunistic infection is present in a patient with AIDS, both an AIDS code and a code for the opportunistic infection are required. The sequencing of these codes depends on the reason for the visit and the presence of other conditions, ensuring accurate and comprehensive medical coding.

Question 13

Guidelines regarding correct Coding and sequencing of complications associated with malignancies or with therapy are found in Section, Subsection:

Accepted Answer

The answer of Guidelines regarding correct Coding and sequencing of...

Question 14

A form of organ failure of the vascular system is:

Accepted Answer

Septic shock is a severe and potentially fatal condition that occurs when sepsis leads to dangerously low blood pressure and abnormalities in cellular metabolism, indicating failure of the vascular system.

Question 15

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 current state of the patient in relation to the condition of HIV is crucial for accurate coding, as it determines the specific codes that should be used based on the patient's diagnosis, symptoms, and treatment status.

Question 16

Admission/encounter for pain management is discussed in Section, Subsection:

Accepted Answer

The answer of Admission/encounter for pain management is discussed in...

Question 17

Counseling for human immunodeficiency virus (HIV), when a patient returns for test results and the test result is negative, is described by which ICD-10-CM code?

Accepted Answer

Z71.7 is the ICD-10-CM code for HIV counseling, which is appropriate when a patient returns for test results and the result is negative.

Question 18

As septic shock is organ failure due to sepsis, documentation of septic shock alone indicates the presence of _______, and coding this condition requires two codes.

Accepted Answer

The answer of As septic shock is organ failure due...

Question 19

Coding of sepsis requires a minimum of _____ code(s).

Accepted Answer

Coding of sepsis typically requires a minimum of two codes: one to identify the underlying systemic infection and another to identify the specific organ dysfunction if present.

Question 20

A patient presents with a primary neoplasm of the left femur (C40.22) and is admitted for chemotherapy treatment (Z51.11). During the course of treatment, the patient experiences severe nausea and is treated for the nausea in this encounter (R11.0). Select the appropriate code assignment and sequence for this scenario:

Accepted Answer

The primary reason for the encounter is chemotherapy treatment for cancer, coded as Z51.11. The primary neoplasm of the left femur is the underlying condition, coded as C40.22, and should be listed after the reason for the encounter. The treatment of severe nausea, coded as R11.0, is a secondary condition treated during the encounter and is listed last.

Quiz 3: ICD-Specific Guidelines

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

The body's response to septicemia, trauma, or cancer is:

Which ICD-10-CM code describes "Inconclusive laboratory evidence of human immunodeficiency virus?"

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

If a primary site, due to excision or therapy, no longer exists and the patient is receiving treatment for a secondary site, the primary site is coded with:

Diagnosis code Z11.4 represents:

When locating a code for a neoplasm, begin by:

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

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

Which of the following is an antibiotic resistant staph infection?

Diabetes due to an underlying condition or cause is referred to as:

When an opportunistic infection is present, which of the following is true regarding code selection?

Guidelines regarding correct Coding and sequencing of complications associated with malignancies or with therapy are found in Section, Subsection:

A form of organ failure of the vascular system is:

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.

Admission/encounter for pain management is discussed in Section, Subsection:

Counseling for human immunodeficiency virus (HIV) , when a patient returns for test results and the test result is negative, is described by which ICD-10-CM code?

As septic shock is organ failure due to sepsis, documentation of septic shock alone indicates the presence of _______, and coding this condition requires two codes.

Coding of sepsis requires a minimum of _____ code(s) .