45 Questions
Which healthcare setting is suitable for using Z codes?
Any healthcare setting
What do Z codes indicate about a patient encounter?
They indicate the reason for the encounter
Which category of Z codes indicates contact with and suspected exposure to communicable diseases?
Category Z20
When is it appropriate to use contact/exposure codes like Z20?
To explain an encounter for testing
Which category of Z codes is specifically for encounters for inoculations and vaccinations?
Category Z23
Can Z codes be used as procedure codes?
No, they are only for diagnostic purposes
When the principal diagnosis is required to be a code from category Z38, what is sequenced after the Z38 code?
A code from category Z05, Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out
When can codes from subcategory Z03.7, Encounter for suspected maternal and fetal conditions ruled out, be used?
Either as a first-listed or as an additional code assignment, depending on the case
When should codes from subcategory Z03.7, Encounter for suspected maternal and fetal conditions ruled out, not be used?
When an illness or any signs or symptoms related to the suspected condition or problem are present
Which of the following is NOT a reason to use the history Z code categories (Z80, Z81)?
Suspected maternal or fetal condition that is ruled out during the encounter
When should aftercare Z codes be used?
When the initial treatment of a disease has been performed, and the patient requires continued care during the healing or recovery phase
What is the correct way to report encounters solely for radiation therapy, chemotherapy, or immunotherapy for the treatment of a neoplasm?
Use the code for the type of therapy (Z51.0 or Z51.1) first, followed by the diagnosis code
What is the purpose of a status code in medical coding?
To provide additional information about a patient's current or past condition that may affect treatment
When should a status code for genetic carrier status (Z14) be used?
When a person carries a gene associated with a particular disease but does not have the disease and is not at risk of developing it
What is the appropriate coding scenario for resistance to antimicrobial drugs?
Sequence the infection code first, followed by the resistance code
When should the code Z33.1 (Pregnant state, incidental) be used?
When the pregnancy is in no way complicating the reason for the visit
When should the code Z66 (Do not resuscitate) be assigned?
When the provider has documented that the patient is on do not resuscitate status at any time during the stay
What is the appropriate use of BMI (Body Mass Index) codes?
BMI codes should only be assigned when there is an associated, reportable diagnosis such as obesity
What is the purpose of personal history codes?
To provide information about past medical conditions no longer present
When should family history codes be used?
When a family member has had a disease, putting the patient at higher risk
Which of the following is true about history codes?
They may alter the type of treatment ordered even if the illness is no longer present
What is the difference between screening and diagnostic examination?
Screening is for seemingly well individuals, while diagnostic examination is for those with signs or symptoms
When should a screening code be listed as an additional code?
If the screening is done during an office visit for other health problems
In what circumstances should observation Z codes be used?
When a person is being observed for a suspected condition that is ruled out
When should code Z78.1 be used?
When a patient is put in restraints during the current encounter
Which code should be assigned if a patient is receiving medication for prophylactic use?
Z79
What does code Z98.85 indicate?
Transplanted organ removal status
Under which category should complications of organ transplant be coded?
Z98
Which category of Z codes is specifically for use when there are no complications or malfunctions of replaced organs or tissues?
Z89-Z90
When should code Z92.82 be assigned as a secondary diagnosis?
When a patient is still receiving tPA at the receiving facility
Which type of aftercare encounter is indicated by the code Z48?
Encounter for other postprocedural aftercare
Which Z code should be assigned when pediatric-to-adult transition counseling is the sole reason for the encounter?
Z71.87, Encounter for pediatric-to-adult transition counseling
When should category Z3A codes, Weeks of gestation, be assigned?
Only for inpatient admissions that encompass more than one gestational week
What is the purpose of using a code from category Z37, Outcome of delivery?
To be included on all maternal delivery records as a secondary code
Which Z code category should be used for encounters related to contraceptive management or procreative management and counseling?
Both Z30 and Z31
When is it appropriate to use a code from subcategory Z40.0, Encounter for prophylactic surgery for risk factors related to malignant neoplasms?
When the patient has a history of malignancy and is undergoing preventive surgery
What is the purpose of using follow-up codes?
To indicate that the condition has been fully treated and no longer exists
When should codes from category Z34, Encounter for supervision of normal pregnancy, be used?
They should always be listed first when used
What is the purpose of using Z codes for family planning (contraceptive) or procreative management and counseling on an obstetric record?
To be included either during the pregnancy or the postpartum stage, if applicable
Which of the following is the primary purpose of using aftercare codes?
To provide more detailed information about the type of aftercare encounter
What is the recommended sequencing of multiple aftercare codes?
The sequencing depends on the circumstances of the encounter
When would a status code be used in conjunction with an aftercare code?
To indicate the nature of the aftercare being provided
What is the recommended sequencing of a follow-up code and a history code?
The follow-up code should be sequenced first, followed by the history code
Which of the following is the purpose of the counseling Z codes?
To indicate the patient's need for counseling and advice related to an illness or injury, or coping with family or social problems
Which of the following is the purpose of code Z71.84, Encounter for health counseling related to travel?
To indicate the patient's need for counseling regarding health risks and safety for future travel purposes
Learn about the ICD-10 coding guidelines for newborn encounters, including the sequencing of codes Z38 and Z05. Understand when additional codes from subcategory Z03.7 can be used in these scenarios.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
