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?
NEC
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?
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?
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What is the ICD-10-CM code for essential hypertension?
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Which option would be appropriate reporting for a diagnosis of nausea and vomiting?
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Which ICD-10-CM code(s) are reported for right and left ankle fractures?
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Which ICD-10-CM code(s) are reported for a laparoscopic oophorectomy that was cancelled due to an upper respiratory infection?
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Which ICD-10-CM code(s) is/are reported for a suspicious skin lesion referred to a dermatologist?
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What ICD-10-CM code(s) are reported for monitoring severe postoperative pain after an outpatient cholecystectomy?
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How would you report a patient with cyclic neutropenia with an associated fever?
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What effect do supplementary words enclosed in parenthesis have on coding?
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Three-character ICD-10-CM codes represent what level of code?
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What is the ICD-10-CM code for a bruised left knee, initial encounter?
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What is/are the ICD-10-CM code(s) for bilateral hip pain?
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What is the time limit when assigning codes as sequela?
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How are the codes sequenced when a patient presents with an acute exacerbation of a chronic condition and no single code captures both?
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What is the appropriate action when a physician documents an impending condition that had not occurred by the time of discharge?
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What ICD-10-CM code(s) are reported for a patient with chest pain, fever, and cough who is being evaluated for pneumonia?
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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.
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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.
