ICD 10 Neoplasm Table and Table of Drugs and Chemicals

Question 1

Which of these is NOT a column in the ICD-10-CM Neoplasm Table?

Accepted Answer

Metastatic Recurrence

Answer

The Neoplasm Table columns are Malignant Primary, Malignant Secondary, Ca in situ, Benign, Uncertain Behavior and Unspecified Behavior. 'Metastatic Recurrence' is not a column.

Question 2

A provider documents 'adenoma of the colon.' What should the coder do first?

Accepted Answer

Look up 'adenoma' in the Alphabetic Index

Answer

The guidelines say to look up the histologic term (for example, adenoma) in the Alphabetic Index first. The index entry then tells you which Neoplasm Table column to use or gives a specific code.

Question 3

A primary malignancy was excised in the past, no treatment is directed at that site, and there is no evidence of disease. Which code category applies?

Accepted Answer

Z85

Answer

Category Z85, Personal history of malignant neoplasm, is used when the primary malignancy has been removed, no further treatment is directed at the site, and there is no evidence of an existing primary malignancy.

Question 4

Which of these is NOT a column in the Table of Drugs and Chemicals?

Accepted Answer

Overdose, Therapeutic

Answer

The columns are Poisoning (Accidental, Intentional Self-harm, Assault, Undetermined), Adverse Effect and Underdosing. 'Overdose, Therapeutic' is not a column.

Question 5

A patient has a rash from a correctly prescribed and properly taken medication. How is this coded?

Accepted Answer

Code the rash first, then the T code for the drug's adverse effect

Answer

For an adverse effect of a drug that was correctly prescribed and properly given, code the nature of the effect first (the rash), followed by the T36–T50 code for the drug with the adverse-effect character.

ICD 10 Practice Test

ICD 10 Practice Test

ICD 10 Neoplasm Table and Table of Drugs and Chemicals