Certified Coding Associate Exam ICD-10-CM Coding Principles 2

Question 1

According to ICD-10-CM Official Guidelines, how should a 'probable' diagnosis be coded in the inpatient setting?

Accepted Answer

Code the condition as if confirmed

Answer

Code only the signs and symptoms

Answer

Do not assign a code until confirmed

Answer

Add a Z code to indicate uncertainty

Question 2

In ICD-10-CM, what is a 'combination code'?

Accepted Answer

A single code that classifies both an etiology and a manifestation, or a disease with an associated complication

Answer

Two separate codes used together

Answer

A code that combines outpatient and inpatient data

Answer

A code that applies to multiple age groups

Question 3

How should hypertension be coded in ICD-10-CM when no causal relationship is documented?

Accepted Answer

As essential (primary) hypertension with code I10

Answer

As secondary hypertension

Answer

As hypertensive crisis

Answer

As a symptom code only

Question 4

Which of the following represents the correct use of an 'Excludes1' note in ICD-10-CM?

Accepted Answer

The two codes cannot be used together because they represent the same condition

Answer

The excluded code may be used together with this code if the patient has both conditions

Answer

The excluded code is required as an additional code

Answer

The excluded condition should be sequenced first

Question 5

When coding acute and chronic conditions in ICD-10-CM, which sequencing rule applies if separate codes exist?

Accepted Answer

Code the acute condition first

Answer

Code the chronic condition first

Answer

Use only one code for the condition

Answer

Code based on physician preference

Question 6

In ICD-10-CM, what do Z codes primarily represent?

Accepted Answer

Factors influencing health status and encounters not due to illness or injury

Answer

Injuries and trauma

Answer

Mental health disorders

Answer

Infectious diseases