Neoplasm Table and Table of Drugs and Chemicals Flashcards

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

Answer: Metastatic Recurrence

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

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

Answer: Look up 'adenoma' in the Alphabetic Index

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.

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?

Answer: Z85

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.

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

Answer: Overdose, Therapeutic

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

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

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

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.

A poisoning is documented but the intent is not stated. How should it be coded?

Answer: Accidental

When intent is unknown or not stated, code it as accidental. Use 'Undetermined' only when the documentation specifically says the intent cannot be determined.