ICD 10 Advanced Topics 5

Question 1

When a definitive diagnosis has not been established, outpatient coding guidelines direct the coder to report:

Accepted Answer

The signs, symptoms, or test findings

Answer

A 'rule out' diagnosis as confirmed

Answer

The most serious possible disease

Answer

A Z-code for screening

Question 2

For inpatient coding, a diagnosis documented as 'probable' or 'suspected' at discharge should be:

Accepted Answer

Coded as if it existed

Answer

Omitted entirely

Answer

Reported only as a symptom

Answer

Reported as a Z-code

Question 3

The 'principal diagnosis' for inpatient reporting is defined as the condition:

Accepted Answer

Chiefly responsible for the admission after study

Answer

Listed first alphabetically

Answer

With the highest reimbursement

Answer

Documented in the chief complaint

Question 4

Z-codes (Z00–Z99) in ICD-10-CM are primarily used to report:

Accepted Answer

Factors influencing health status and contact with health services

Answer

Injuries and poisonings

Answer

Neoplasms

Answer

Infectious organisms

Question 5

External cause codes (Chapter 20, V00–Y99) in ICD-10-CM are:

Accepted Answer

Never reported as a principal/first-listed diagnosis

Answer

Always the first-listed code

Answer

Required on every claim

Answer

Used instead of injury codes

Question 6

When coding a poisoning, ICD-10-CM requires the coder to identify the substance and the:

Accepted Answer

Intent (accidental, intentional, assault, or undetermined)

Answer

Manufacturer

Answer

Dosage in milligrams

Answer

Pharmacy location

Question 7

An 'adverse effect' of a correctly prescribed and properly administered drug is coded by reporting:

Accepted Answer

The reaction/manifestation plus the drug's adverse effect code

Answer

Only a poisoning code

Answer

An external cause assault code

Answer

A Z-code for screening