The definition of a principal diagnosis is provided by this organization according to the guidelines. (Do not include any periods or spaces in your answer. HINT: use an abbreviation.)
(Select all options for full credit) Directional notations found in the tabular list include: (check all that apply)
According to the guidelines in this section, resolved conditions with no treatment or care are not coded.
The AMA indicates the types of services provided by a physician for prevention or treatment of a patient in a manner that is in accordance with accepted standards of practice.
These conditions can be found in the alphabetic index under histological names usually associated with a body part or can be found on a table.
Chapter 8: Several abbreviations are provided in this chapter on diseases of the blood. Indicate the abbreviation to coincide with the term.
Chapter 12 includes more common terms for disorders of the eyelid, lacrimal system and orbit. A chalazion is defined as
According to chapter 18, _______ allow for bending and rotating movements, while work as cushions to assist in movement
Describing conditions from chapter 22, a birth defect is
Which does not describe juvenile diabetes per information provided from the e-textbook?
The ____ system contains structures that exchange oxygen and carbon dioxide in the body.
These types of injuries are described and illustrated in the e-textbook. Depressed, compressed and impacted are different types of _____ .
A patient is seen for treatment of anemia associated with malignant neoplasm of body of pancreas. What ICD-10-CM codes would be _____ submitted for this encounter? ,
Patient has bilateral open-angle glaucoma of an unknown type. The patient's right eye is documented as moderate stage, the left eye is not documented with a stage. Which is the proper code application for this scenario?
Patient is admitted with heart failure and noted in the medical record to have HIV. Using proper sequencing per guidelines, what is the correct ICD-10-CM code assignment? ,
Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What is the ICD-10-CM code for the place of occurrence for Nancy's injury?
Nancy returned to her primary care one week later to follow-up for her shoulder injury. Would the coder at the primary care append the same place of occurrence code?
89-year-old patient was admitted into an inpatient facility due to moderate vascular dementia with agitation. The provider noted the patient quickly progressed to severe vascular dementia with agitation. Which ICD-10-CM code is applied?
A 73-year old female is seen to determine any neurological issues. The patient has fallen in the past resulting in non-traumatic injuries. The family is concerned the patient may continue to fall if the cause cannot be determined quickly.
18-year-old Emily is seeking treatment for scarring on the left forearm. She fell in a campfire as a child suffering second-degree burns of the forearm. She continues to have problems with this arm while playing sports. What ICD-10-CM codes are assigned for this encounter?
Patient is seen for a follow up with the Nephrologist. The patient has moderate CKD stage 3A. The patient had a kidney transplant six months ago and has been recovering well. Enter the ICD-10-CM codes ____ for this encounter. ,
Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What is the ICD-10-CM external cause status code reported for Nancy's injury?
past. The condition is described in the medical record as in remission.
What ICD-10-CM code(s) would describe this encounter?
Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What is the ICD-10-CM code for the external cause for Nancy's initial encounter of the injury?
Peter was admitted in the hospital for respiratory issues. Diagnostic test confirmed COVID-19 and chest xrays interpreted as pneumonia. The hospitalist documented the pneumonia was a manifestation of COVID-19. Review the guidelines and enter the ICD-10-CM code for the principal diagnosis for this encounter. Correct answer 1 - U07.1
Peter was admitted in the hospital for respiratory issues. Chest xrays revealed pneumonia. The hospitalist documented laboratory tests were inconclusive for COVID-19. Review the guidelines and enter the ICD-10-CM code for the principal diagnosis for this encounter.
The cardiologist documented the patient has renovascular hypertension due to renal artery atherosclerosis. What ICD-10-CM code(s) would indicate this diagnosis?
A 35-year old pregnant patient in her third trimester is being seen for skin neoplasm of the neck. Enter the ICD-10-CM codes for the encounter. ,
Per information found in Chapter 15 codes, high risk pregnancies include all except:
15-year old male experiencing headaches is diagnosed with nonruptured congenital cerebral aneurysm. What ICD-10-CM code would describe this encounter?
Check ALL the code categories/subcategories that may only be principal/first-listed diagnosis per guidelines found in Chapter 21. (check all that apply)
According to the initial assessment upon admission, Sally has a healing stage 2 pressure ulcer of the left hip. The discharge summary indicated the hip pressure ulcer has been resolved. What ICD-10-CM code should be indicated?
Nancy tripped on a child's toy at the daycare center she works at. She fell and hit her shoulder on the table. She is seen in the ED for a right shoulder contusion. What ICD-10-CM code(s) are indicated for the _____ ?
A coder should code all diagnoses or additional conditions that affect patient care per Section III guidelines. Which is not considered an additional diagnoses?
Patient is seen for substance use counseling with a mental health provider. The medical record documents cannabis use, alcohol use and alcohol dependence. Referencing Chapter 5 guidelines, what ICD-10-CM code(s) describe this encounter?
Patient is listed as a Type I diabetic (E10.9) using an alpha-glucosidase inhibitor oral medication of Miglitol and insulin injections. What ICD-10-CM diagnosis codes will be submitted along with E10.9?
Chapter 19 indicates a guideline called "kidney transplant complications". How would we write or reference this guideline number? (This format has been referenced in many lessons and feedback answers; no spaces necessary and proper punctuation is required.)
Joe Jones was seen to determine his HIV status one week ago. He is returning today to be informed of his HIV test results. The test results are positive. The ICD-10-CM diagnosis code to use for this current encounter is .
Sam has been complaining of back pain and a CT scan has determined a suprarenal hemorrhage. This definitive diagnosis would be reported with ICD-10-CM code .
A 58-year-old male patient presents to the ED with severe chest pain. He is diagnosed with a first episode of an acute myocardial infarction. What ICD-10-CM code is reported?
Stage II chronic kidney disease equates to _____ chronic kidney disease. The following is recorded at the time of discharge for a newborn: low birth weight of 625 grams. This would be reported with ICD-10-CM code .
A 7-year-old patient is seen in the OR for a secondary palatopasty with a diagnosis of complete unilateral cleft palate. What ICD-10-CM code is reported?
Coding guidelines from Chapter 20 provide sequencing when applying mulitple external cause codes. Which is a valid sequence?
Which is incorrect about a code of ethics?
What type of queries should not be used?
How many MDCs are there under the MS-DRG system? (enter a number only)
Principal diagnosis, present on admission, and comorbid conditions The ICD-10-CM has an notation for AHA coding clinics. The notations indentify:
