Question 1

The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:

Accepted Answer

The correct ICD-10-CM codes are B20 for HIV disease, T37.5X5A for adverse effect of antiviral drugs, R63.4 for abnormal weight loss, and E86.0 for dehydration. These codes accurately reflect the patient's condition and treatment history.

Question 2

A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:

Accepted Answer

Modifier -50 is used to indicate a bilateral procedure, which is appropriate for a service performed on both sides of the body during the same operative session.

Question 3

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

Accepted Answer

All the statements (A, B, C) accurately describe coding guidelines for acute and chronic conditions. Acute and chronic conditions can indeed be coded separately or with a combination code, and the ICD system provides combination codes for conditions explicitly connected by a "with" statement in its indexing.

Question 4

Which is an example of a pathologic fracture?

Accepted Answer

A pathologic fracture occurs when a bone breaks in an area weakened by some other disease, such as cancer, rather than as a result of an injury. In this case, option C, a compression fracture of vertebrae due to metastatic carcinoma, is an example of a pathologic fracture because the fracture is due to the bone being weakened by the metastatic carcinoma, not directly because of an external trauma.

Question 5

When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?

Accepted Answer

The instructional notes "code first" and "use additional code" in the ICD manual indicate that more than one code is needed to fully describe a condition where one is a manifestation of another or a complication arises. "Code first" instructs the coder to first code the underlying condition, while "use additional code" indicates that an additional code should be used to provide more detail about the manifestation or complication.

Question 6

A 67-year-old female patient with stage 5 chronic kidney disease presents today for ongoing dialysis. Choose the appropriate ICD-10-CM codes:

Accepted Answer

N18.6 is the ICD-10-CM code for Chronic kidney disease, stage 5, and Z99.2 is for Dependence on renal dialysis. These codes accurately reflect the patient's condition and treatment.

Question 7

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

Accepted Answer

The Guidelines and parenthetical notes in the CPT manual provide all the necessary instructions for properly coding a procedure, including specific coding rules, exceptions, and clarifications.

Question 8

A patient returns to the physician's office with flulike symptoms during the postoperative period for an appendectomy performed 1 month ago. Which modifier would need to be appended to today's office visit?

Accepted Answer

Modifier -24 is used to indicate that the service provided is unrelated to the postoperative care of the previous surgery. Since the patient is returning with flulike symptoms, which are unrelated to the appendectomy, modifier -24 is appropriate to use for the office visit.

Question 9

A nonhealing burn should be coded as which type of burn?

Accepted Answer

The answer of A nonhealing burn should be coded as...

Question 10

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s):

Accepted Answer

E28.310 is the correct ICD-10-CM code for primary ovarian failure, which is synonymous with premature menopause. This code accurately reflects the diagnosis without the need for additional codes related to symptoms or other conditions.

Question 11

The flow of a practice's revenue, which begins when charges for services, procedures, or supplies are incurred and continues until those charges are paid in full or adjusted off the account is known as the:

Accepted Answer

The revenue cycle encompasses all the financial transactions that occur from the time a service is provided to a patient until the payment for that service is collected. This includes billing, collections, charge capture, and dealing with payers.

Question 12

Many conditions and diseases have "sequelae (late effects)," such as a CVA. How much time must elapse between the incident and the acute symptoms for a residual condition to be coded as a sequela (late effect)?

Accepted Answer

There is no set time for a residual condition to be coded as a sequela (late effect) following an incident like a CVA. The determination is based on the patient's recovery and the presence of lasting effects, not a specific time frame.

Question 13

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s):

Accepted Answer

E28.310 is the ICD-10-CM code for symptomatic premature menopause, which matches the patient's condition of ovarian failure with symptoms like headaches, flushing, and night sweats.

Question 14

The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:

Accepted Answer

B20 indicates HIV disease, R63.4 is for abnormal weight loss, and E86.0 is for dehydration. T37.5X5A is for adverse effects of antiviral drugs, which includes nucleoside reverse transcriptase inhibitors.

Question 15

A nonhealing burn should be coded as which type of burn?

Accepted Answer

The answer of A nonhealing burn should be coded as...

Question 16

When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?

Accepted Answer

The instructional notes "Code first" and "Use additional code" in the ICD manual indicate situations where more than one code is needed to fully describe a condition. "Code first" is used to indicate that a primary condition should be coded before a related condition, while "Use additional code" instructs to add another code to provide more detail about the condition or to indicate a complication or manifestation.

Question 17

Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?

Accepted Answer

Using the most current edition of the AMA CPT manual ensures accurate coding because codes are regularly updated, added, or deleted to reflect current medical practices and technologies. Accurate coding is crucial for proper billing and to avoid claims denials.

Question 18

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

Accepted Answer

The CPT manual includes guidelines and parenthetical notes throughout its sections, which provide instructions and clarifications necessary for properly coding procedures. These elements are essential for understanding the context and specific conditions under which different codes should be applied.

Question 19

The language that is built on medical terminology, anatomy, and pathophysiology and describes services, procedures, and the medical necessity of those services and procedures is referred to as:

Accepted Answer

The answer of The language that is built on medical...

Question 20

A patient who is suffering from osteosarcoma located above the right knee begins chemotherapy treatment at today's encounter. Select the appropriate ICD-10-CM codes to be reported for this encounter:

Accepted Answer

Z51.11, C40.21The correct ICD-10-CM codes for this scenario are Z51.11 (Encounter for antineoplastic chemotherapy) and C40.21 (Malignant neoplasm of right lower limb, above knee). The sequencing is important; Z51.11 is listed first to indicate the reason for the encounter is chemotherapy, followed by C40.21 to specify the location and side of the osteosarcoma.

Quiz 22: Fundamental Coding Guidelines

The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:

A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

Which is an example of a pathologic fracture?

When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?

A 67-year-old female patient with stage 5 chronic kidney disease presents today for ongoing dialysis. Choose the appropriate ICD-10-CM codes:

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

A patient returns to the physician's office with flulike symptoms during the postoperative period for an appendectomy performed 1 month ago. Which modifier would need to be appended to today's office visit?

A nonhealing burn should be coded as which type of burn?

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s) :

The flow of a practice's revenue, which begins when charges for services, procedures, or supplies are incurred and continues until those charges are paid in full or adjusted off the account is known as the:

Many conditions and diseases have "sequelae (late effects) ," such as a CVA. How much time must elapse between the incident and the acute symptoms for a residual condition to be coded as a sequela (late effect) ?

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s) :

The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:

A nonhealing burn should be coded as which type of burn?

When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?

Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

The language that is built on medical terminology, anatomy, and pathophysiology and describes services, procedures, and the medical necessity of those services and procedures is referred to as:

A patient who is suffering from osteosarcoma located above the right knee begins chemotherapy treatment at today's encounter. Select the appropriate ICD-10-CM codes to be reported for this encounter: