COC ICD-10-CM Coding 5

Question 1

A patient presents to an outpatient surgery center for laparoscopic cholecystectomy due to cholelithiasis with acute cholecystitis. Which code is first-listed?

Accepted Answer

K80.00 – Calculus of gallbladder with acute cholecystitis without obstruction

Answer

The condition that is the reason for the outpatient surgical procedure—cholelithiasis with acute cholecystitis—is coded as first-listed.

Question 2

When ICD-10-CM documentation states 'due to' or 'secondary to' within the medical record, this typically indicates:

Accepted Answer

A cause-and-effect relationship requiring a combination or linked code

Answer

'Due to' and 'secondary to' signal a causal relationship, directing the coder to use a combination code or link the etiology and manifestation codes.

Question 3

Under ICD-10-CM guidelines, when a patient has both an acute and a chronic condition, how are they coded?

Accepted Answer

Code both, sequencing the acute condition first

Answer

When both an acute and chronic form of the same condition exist and separate codes are available, both are coded with the acute form sequenced first.

Question 4

A patient is seen for type 1 diabetes with hypoglycemia with coma. Which ICD-10-CM code is most appropriate?

Accepted Answer

E10.641

Answer

E10.641 captures type 1 diabetes mellitus with hypoglycemia with coma as a combination code.

Question 5

Which ICD-10-CM convention applies when two conditions are linked by the term 'with' in the Alphabetic Index?

Accepted Answer

The 'with' relationship is assumed without requiring explicit provider documentation of causation

Answer

Per ICD-10-CM guidelines, the word 'with' in the Alphabetic Index establishes a presumed relationship that does not require explicit documentation of causation.

COC - Certified Outpatient Coder Practice Test

COC - Certified Outpatient Coder Practice Test

COC ICD-10-CM Coding 5