Question 1

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

Accepted Answer

If anemia is due to a neoplasm, the neoplasm is coded first followed by the code for the specific type of anemia, according to ICD-10-CM guidelines. This reflects the causal relationship between the neoplasm and the anemia.

Question 2

Section, Subsection I, C, 2, g covers guidelines regarding:

Accepted Answer

Symptoms, signs, and ill-defined conditions associated with neoplasms are covered in Section, Subsection I, C, 2, g.

Question 3

Categories E08 through E13 are subdivided first by the type or cause of diabetes, then by:

Accepted Answer

Categories E08 through E13 in the ICD-10 coding system for diabetes are subdivided first based on the affected body system or the specific complications or manifestations of diabetes.

Question 4

Coding guidelines for determining the extent of the malignancy are found in Section, Subsection:

Accepted Answer

The coding guidelines for determining the extent of the malignancy are found in Section I, C, 2, f.

Question 5

Septicemia is:

Accepted Answer

Septicemia refers to the presence of bacteria or their toxins in the bloodstream, leading to a systemic inflammatory response. It is often used interchangeably with bacteremia, but specifically involves the presence of pathogens in the blood.

Question 6

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

Accepted Answer

Rickettsioses are not typically classified as HIV-related opportunistic infections. Opportunistic infections in HIV/AIDS patients are infections that occur more frequently and are more severe because of the patient's weakened immune system. Toxoplasmosis, Molluscum contagiosum, and Microsporidiosis are known to be associated with HIV/AIDS due to immunosuppression, but Rickettsioses are caused by bacteria from the Rickettsiaceae family and are not commonly associated with HIV immunosuppression.

Question 7

When a diabetes-related complication is associated with an organ system, how many codes are typically needed to completely describe the diagnostic statement?

Accepted Answer

Typically, two codes are needed to completely describe a diabetes-related complication associated with an organ system: one to identify the diabetes itself and another to identify the specific complication or affected organ system.

Question 8

Only if the condition is ____________ can a coder select a code from category B20, human immunodeficiency virus (HIV) disease.

Accepted Answer

The correct choice is B because for a coder to select a code from category B20, the human immunodeficiency virus (HIV) disease must be confirmed by a statement by the provider in the documentation. Coding guidelines require a confirmed diagnosis, as documented by the provider, for the assignment of an HIV code.

Question 9

A progressive condition that may or may not begin with an infectious process but may result in organ failure and loss of life is:

Accepted Answer

The answer of A progressive condition that may or may...

Question 10

Select the correct sequencing of codes when the reason for a patient's encounter is treatment of a condition resulting from diabetes when the diabetic condition is due to malnutrition:

Accepted Answer

In medical coding, when treating a condition resulting from diabetes, especially when the diabetes is due to a specific cause like malnutrition, it's important to capture the full context of the patient's condition. This means coding for the underlying cause (in this case, malnutrition), then the diabetes itself, and finally the specific condition or manifestation resulting from the diabetes. This approach ensures that the patient's medical record accurately reflects the complexity of their condition, which is crucial for treatment, billing, and statistical purposes.

Question 11

The spread or metastases of a malignancy is the:

Accepted Answer

The spread or metastases of a malignancy refers to the development of secondary neoplasms, which are new and abnormal growths of tissue in a part of the body away from the primary site of cancer.

Question 12

Regarding SIRS, hypothermia is defined as:

Accepted Answer

The answer of Regarding SIRS, hypothermia is defined as:
...

Question 13

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

Accepted Answer

Section, Subsection I, C, 2, d provides guidelines for coding primary malignancy that has been previously excised, focusing on the correct coding practices for such cases.

Question 14

Chapter 2, Neoplasms, contains most, but not all, codes for benign and malignant neoplasms. Some neoplasm codes are located in:

Accepted Answer

Some neoplasm codes are located in the chapters specific to the neoplasms' anatomical sites, as these chapters provide more detailed coding for neoplasms based on their location in the body.

Question 15

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

Accepted Answer

SIRS (Systemic Inflammatory Response Syndrome) can develop as a response to various non-infectious processes, including trauma. This is because trauma can cause a systemic inflammatory response similar to that caused by infection.

Question 16

A 35-year-old male patient presents to the Emergency Room with a chief complaint of severe pain in the right hand after sustaining a fall down a flight of concrete steps at his apartment complex. Upon examination, the patient sustained multiple closed fractures to the hand. The patient is also HIV positive and suffers from peripheral neuropathy. Select the appropriate code selection and sequence to report for this patient:

Accepted Answer

The correct sequence starts with the code for the acute condition (S62.91XA - Fracture of unspecified part of right wrist and hand, initial encounter), followed by the patient's HIV status (B20 - HIV disease), and finally the code for the peripheral neuropathy (G99.0 - Neuropathy in infectious and parasitic diseases classified elsewhere), which is a condition related to the HIV.

Question 17

If a coder has reviewed the subterms listed and cannot find the condition documented, the coder should return to the main term and look for a note stating:

Accepted Answer

The "See also" note in coding indicates that the coder should refer to another main term if the condition is not found under the current subterms.

Question 18

An invasive tumor that spreads beyond the tumor site is said to be:

Accepted Answer

Invasive tumors that spread beyond their original site are considered malignant, which is a characteristic of cancerous growths. Benign tumors do not spread or invade other tissues.

Question 19

Select the best answer for the following: The guidelines at the ___________ level(s) supersede the chapter-specific guidelines.

Accepted Answer

The answer of Select the best answer for the following:...

Question 20

A response specifically to an infection is:

Accepted Answer

Sepsis is a life-threatening condition that arises when the body's response to an infection injures its own tissues and organs. It specifically refers to the body's systemic response to an infection, distinguishing it from the other options listed.

Quiz 3: ICD-Specific Guidelines