Medical ICD-10-CM Benefits and Guidelines Questions

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Chapter 17 – Dagno Coding
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Review Questions
Review the objectives, glossary, and chapter information before completing these review questions.
1. The first Classification of Causes of Death was introduced by the French physician Jacques Bertillon in
the year
2. What was the compliance implementation date for using ICD-10-CM codes?
3. Name five benefits of using ICD-10-CM over ICD-9-CM?
a.
b.
C.
d.
e.
to read and
and
4. Computer-assisted coding uses
analyze the medical record.
5. What guidelines does the medical assistant need to become familiar with to assign correct diagnostic
codes?
6. In an outpatient setting, the condition, problem, or other reason for the health encounter that is chiefly
responsible for the services provided is called the
or the
7. Explain code linkage.
8. What is the abbreviation for the coding edits that were implemented by the Centers for
Medicare and Medicaid Services (CMS) to promote correct coding and control inappropriate
reimbursement?
9. A single code used to describe two diagnoses is called a
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Chapter 17 – Diagnostic Coding 377
10. Explain a “qualified diagnosis and state what terms (descriptions) to code instead.
11. In your own words, describe what the following terms mean.
a. NEC:
b. NOS:
12. When coding an underlying cause of a disease, along with the disease that resulted, name the rule to
follow and state which is coded first and second.
a. Rule:
b. Code first:
c. Code second:
13. Explain what the following terms mean that are found in the diagnostic codebook:
a. Excludes 1:
b. Excludes 2:
c. Initial encounter (injury):
d. Laterality:
e. Sequela.
14. List the various categories to look under when searching for a “main term” in the Alphabetic Index
(Volume II).
a.
b.
C.
d.
e.
f.
g
h.
i.
and verify the code in Volume
j.
15. To code diagnoses, start in Volume
to
16. Diagnostic codes using ICD-10-CM can vary from
digits.
17. The character “x” used in the fourth, fifth, or sixth digit with certain character codes to allow for future
expansion is called a
© 2018 Cengage Learning, All Rights Reserved. May not be scanned, copied or duplicated,
or posted to a publicly accessible website, in whole or in part.
og
378
Chapter 17 • Diagnostic Coding
18. The code B20 (human immunodeficiency virus (HIV] disease) can only be used in
19. When coding neoplasms, name the five titles that codes are listed under and give a brief definition of
each term.
b.
C.
d.
e.
20. Diabetes codes are combination codes that include the
21. True or False. Routine postoperative pain should not be coded.
22. True or False. Essential hypertension does not include high blood pressure.
23. The abbreviation “STEMI” stands for
24. True or False. When you code for a specific type of influenza documented in the medical record, it does
not need to be verified by positive laboratory serology.
25. List the time frames for the following trimesters in pregnancy:
First Trimester:
Second Trimester:
Third Trimester:
26. True or False. If documentation does not specify if a fracture is displaced or not displaced, code as not
displaced.
27. When coding burns, name the three elements in which burns are classified and give a brief description
of each term.
a.
b.
C.
8. Codes for external causes of morbidity start with the letters
and
Codes for factors that
influence health status, and contact with health services start with the letter
Critical Thinking Exercises
Underline the main term” in the following diagnostic statements. When determining the main term, do
not forget to ask, “What is wrong with the patient?”
a. The patient received an insect bite on the index finger of her right hand.
b. The newborn baby is experiencing spasmodic colic.
C. The patient i