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ICD-10-CM Diagnosis Coding Flashcards

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  1. What is the maximum number of characters in a valid ICD-10-CM code?

    Answer: 7

    ICD-10-CM codes can be up to 7 characters in length.

  2. In ICD-10-CM, what does the 7th character 'A' typically indicate?

    Answer: Initial encounter

    'A' as the 7th character designates the initial encounter for active treatment.

  3. Which ICD-10-CM guideline governs the sequencing of diagnoses for outpatient visits?

    Answer: First-listed diagnosis rule

    For outpatient coding, the first-listed diagnosis is the condition established after study to be chiefly responsible for the visit.

  4. What does an 'Excludes1' note in ICD-10-CM mean?

    Answer: The two codes cannot be used together on the same claim

    Excludes1 means the two conditions cannot occur together and therefore cannot both be coded.

  5. A patient is seen for type 2 diabetes with diabetic chronic kidney disease, stage 3. What combination code would be used?

    Answer: E11.22

    E11.22 is the combination code for type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3.

  6. Which of the following correctly describes 'laterality' in ICD-10-CM?

    Answer: A code specifying right, left, or bilateral

    Laterality refers to identifying whether a condition affects the right side, left side, or both sides of the body.

  7. When coding signs and symptoms, which guideline applies in the inpatient setting?

    Answer: Signs and symptoms integral to the principal diagnosis are not coded separately

    Signs and symptoms that are routinely associated with (integral to) the principal diagnosis should not be coded separately.

  8. What is a 'placeholder' character in ICD-10-CM, and what letter is used?

    Answer: The letter X, used to fill a required character position

    The letter X is used as a placeholder to fill a required character position when no specific code exists for that position.