Podcast
Questions and Answers
Which coding convention is used in the description of an ICD-10-CM code when the information in the medical record provides detail, but no specific code exists?
Which coding convention is used in the description of an ICD-10-CM code when the information in the medical record provides detail, but no specific code exists?
NEC
What is a default code?
What is a default code?
The default code represents that condition is the most commonly associated with the main term.
What is the ICD-10-CM code for benign prostatic hyperplasia with urinary retention?
What is the ICD-10-CM code for benign prostatic hyperplasia with urinary retention?
N40.1, R33.8
Applying the coding concept from ICD-10-CM guideline I.B.1., which of the following is the recommended method for using your ICD-10-CM code book?
Applying the coding concept from ICD-10-CM guideline I.B.1., which of the following is the recommended method for using your ICD-10-CM code book?
Signup and view all the answers
What is the ICD-10-CM code for essential hypertension?
What is the ICD-10-CM code for essential hypertension?
Signup and view all the answers
Which option would be appropriate reporting for a diagnosis of nausea and vomiting?
Which option would be appropriate reporting for a diagnosis of nausea and vomiting?
Signup and view all the answers
Which ICD-10-CM code(s) are reported for right and left ankle fractures?
Which ICD-10-CM code(s) are reported for right and left ankle fractures?
Signup and view all the answers
Which ICD-10-CM code(s) are reported for a laparoscopic oophorectomy that was cancelled due to an upper respiratory infection?
Which ICD-10-CM code(s) are reported for a laparoscopic oophorectomy that was cancelled due to an upper respiratory infection?
Signup and view all the answers
Which ICD-10-CM code(s) is/are reported for a suspicious skin lesion referred to a dermatologist?
Which ICD-10-CM code(s) is/are reported for a suspicious skin lesion referred to a dermatologist?
Signup and view all the answers
What ICD-10-CM code(s) are reported for monitoring severe postoperative pain after an outpatient cholecystectomy?
What ICD-10-CM code(s) are reported for monitoring severe postoperative pain after an outpatient cholecystectomy?
Signup and view all the answers
How would you report a patient with cyclic neutropenia with an associated fever?
How would you report a patient with cyclic neutropenia with an associated fever?
Signup and view all the answers
What effect do supplementary words enclosed in parenthesis have on coding?
What effect do supplementary words enclosed in parenthesis have on coding?
Signup and view all the answers
Three-character ICD-10-CM codes represent what level of code?
Three-character ICD-10-CM codes represent what level of code?
Signup and view all the answers
What is the ICD-10-CM code for a bruised left knee, initial encounter?
What is the ICD-10-CM code for a bruised left knee, initial encounter?
Signup and view all the answers
What is/are the ICD-10-CM code(s) for bilateral hip pain?
What is/are the ICD-10-CM code(s) for bilateral hip pain?
Signup and view all the answers
What is the time limit when assigning codes as sequela?
What is the time limit when assigning codes as sequela?
Signup and view all the answers
How are the codes sequenced when a patient presents with an acute exacerbation of a chronic condition and no single code captures both?
How are the codes sequenced when a patient presents with an acute exacerbation of a chronic condition and no single code captures both?
Signup and view all the answers
What is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge?
What is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge?
Signup and view all the answers
What ICD-10-CM code(s) are reported for a patient with chest pain, fever, and cough who is being evaluated for pneumonia?
What ICD-10-CM code(s) are reported for a patient with chest pain, fever, and cough who is being evaluated for pneumonia?
Signup and view all the answers
Study Notes
ICD-10-CM Coding Concepts
- NEC (Not Elsewhere Classified) is used when additional detail is provided in the medical record, but there is no specific code available.
- Default Code represents the most commonly associated condition with the main term as per ICD-10-CM guidelines.
Specific ICD-10-CM Codes
- Benign prostatic hyperplasia with urinary retention: N40.1, R33.8
- Essential hypertension: I10
- Nausea and vomiting diagnosis: R11.2
- Right and left ankle fractures: S82.891A, S82.892A
- Cyclic neutropenia with associated fever: D70.4, R50.81
- Bruised left knee, initial encounter: S80.02XA
- Bilateral hip pain: M25.551, M25.552
- Observation after outpatient cholecystectomy for gallstones with severe postoperative pain: K80.20, G89.18
- Wellness exam with suspicious skin lesion referral: Z00.01, L98.9
Coding Procedures and Guidelines
- Always consult the Alphabetic Index first before using the Tabular List for code location (ICD-10-CM Guideline I.B.1).
- Time limit for sequelae: No limit (ICD-10-CM Guideline I.B.10).
- In cases of acute exacerbation of a chronic condition, code the acute condition first (ICD-10-CM Guideline I.B.8).
- For impending conditions not documented by discharge, code existing underlying conditions (ICD-10-CM Guideline I.B.11).
Additional Notes
- Supplementary words in parentheses do not impact the code assignment.
- Three-character codes represent a Category in ICD-10-CM.
- For a patient with chest pain, fever, and cough, the reported codes include: R07.9, R50.9, R05.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge with flashcards on key concepts from Chapter 3 of the AAPC guidelines on ICD-10-CM. This quiz covers essential coding conventions and definitions that are vital for medical coding professionals. Enhance your understanding of ICD-10-CM intricacies with these targeted questions.
