ICD 10 Coding Guidelines 3

Question 1

When coding a sequela (late effect), what is the correct sequencing?

Accepted Answer

Condition/nature of the sequela first, then the sequela code

Answer

The residual condition is coded first, followed by the sequela code.

Question 2

The 7th character 'S' is used to indicate:

Accepted Answer

Sequela

Answer

'S' identifies a sequela, a condition resulting from a previous injury.

Question 3

An 'Excludes2' note means:

Accepted Answer

The excluded condition is not part of the code but may be reported separately

Answer

Excludes2 means 'not included here,' so both codes may be used if both conditions exist.

Question 4

For combination codes in ICD-10-CM, the coder should:

Accepted Answer

Assign only the single combination code when it fully identifies both conditions

Answer

A single combination code is used when it captures both the diagnosis and its manifestation/complication.

Question 5

When a patient has bilateral involvement but no bilateral code exists, the coder should:

Accepted Answer

Assign separate codes for left and right sides

Answer

Without a bilateral option, code each side separately using right and left codes.

ICD 10 Practice Test