CPC ICD-10-CM Diagnosis Coding 3

Question 1

When diabetes mellitus type is not documented in the medical record, what is the ICD-10-CM default?

Accepted Answer

Type 2 diabetes mellitus

Answer

Per ICD-10-CM guidelines, when the type of diabetes mellitus is not documented, the default assignment is Type 2 diabetes mellitus.

Question 2

In ICD-10-CM fracture coding, what does the 7th character 'A' indicate?

Accepted Answer

Initial encounter for fracture

Answer

The 7th character 'A' designates the initial encounter, used while the patient is actively receiving treatment for the fracture.

Question 3

Which chapter of ICD-10-CM contains codes for neoplasms?

Accepted Answer

Chapter 2 (C00–D49)

Answer

Chapter 2 of ICD-10-CM (codes C00–D49) covers all neoplasms, including malignant, benign, in situ, and neoplasms of uncertain behavior.

Question 4

When coding a sequela (late effect) condition in ICD-10-CM, what is the correct sequencing?

Accepted Answer

Sequence the nature of the sequela first, followed by the sequela cause code

Answer

For sequela coding, the residual condition (nature of the sequela) is sequenced first, followed by the sequela code identifying the original cause, with limited exceptions.

Question 5

When a patient has both an acute and a chronic form of the same condition, how should ICD-10-CM codes be sequenced?

Accepted Answer

Code both, sequencing the acute condition first

Answer

Per ICD-10-CM guidelines, when both acute and chronic forms exist, both are coded with the acute (subacute) condition sequenced first.

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CPC ICD-10-CM Diagnosis Coding 3