CRC - Certified Risk Adjustment Coder ICD-10-CM Diagnosis Coding Questions and Answers

Question 1

A 68-year-old male presents for a follow-up visit for his Type 2 diabetes and hypertension.
The physician documents the patient's diabetes is complicated by peripheral vascular disease (PVD).
How should this be coded in ICD-10-CM?

Accepted Answer

E11.51

Answer

E11.9, I73.9

Answer

I73.9, E11.9

Answer

E11.69, I70.90

Question 2

A patient is seen for an acute exacerbation of chronic obstructive pulmonary disease (COPD) with acute bronchitis. Which of the following is the correct ICD-10-CM code sequencing?

Accepted Answer

J44.1, J20.9

Answer

J44.0, J20.9

Answer

J20.9, J44.1

Answer

J44.9, J20.9

Question 3

Which of the following statements is TRUE regarding the coding of chronic conditions for risk adjustment purposes?

Accepted Answer

All co-existing chronic conditions that affect patient care can be reported annually.

Answer

Chronic conditions should only be coded once when they are first diagnosed.

Answer

A chronic condition can be coded from a problem list without being addressed during the encounter.

Answer

Only chronic conditions that are the primary reason for the visit should be coded.

Question 4

A 75-year-old female with known osteoporosis (M81.0) trips and falls at home, sustaining a pathologic fracture of the right hip. This is the initial encounter for the fracture. What is the correct primary diagnosis code?

Accepted Answer

M80.051A

Answer

S72.001A, M81.0

Answer

M81.0, S72.001A

Answer

Z87.81, M80.051A

Question 5

A patient undergoes a routine screening colonoscopy, and a benign polyp is found and removed. What is the appropriate first-listed diagnosis?

Accepted Answer

Z12.11, Encounter for screening for malignant neoplasm of colon

Answer

K63.5, Polyp of colon

Answer

D12.6, Benign neoplasm of colon, unspecified

Answer

Z86.010, Personal history of colonic polyps

Question 6

In ICD-10-CM, an instructional note states 'Code first underlying condition.' This note is associated with a manifestation code. What does this indicate to the coder?

Accepted Answer

The manifestation code can never be the principal diagnosis.

Answer

The underlying condition is optional and coded only if known.

Answer

The manifestation code should be sequenced before the underlying condition.

Answer

This note only applies to inpatient coding scenarios.