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

In the outpatient setting, uncertain diagnoses are not coded; instead the documented signs, symptoms, or abnormal findings are reported.

Question 2

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

Accepted Answer

Coded as if it existed

Answer

Unlike outpatient rules, inpatient guidelines allow an uncertain diagnosis documented at discharge to be coded as if it were established.

Question 3

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

Accepted Answer

Chiefly responsible for the admission after study

Answer

The principal diagnosis is the condition established after study to be chiefly responsible for occasioning the patient's admission.

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

Z-codes describe factors influencing health status and reasons for encounters other than disease or injury, such as screenings and aftercare.

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

External cause codes provide supplementary information about how an injury occurred and may never be sequenced as the principal or first-listed diagnosis.

ICD 10 Practice Test

ICD 10 Practice Test

ICD 10 Advanced Topics 5