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The Reason for the Encounter
100

What sequencing guideline applies when a person with HIV is admitted to the hospital for an unrelated condition?

sequence the unrelated condition first.

100

When a person is classified as Morbidly Obese, what other diagnosis may be required to code?

BMI

100

Which category of diseases would you code the diagnosis: Sunburn

Chapter 12: The diseases of skin and subcutaneous

100

Nathan took his daily allergy medication as prescribed, then when to the concert had a "dab" of cocaine. Afterward, Nathan fell unconscious. How would you code: Adverse Effect, Poisoning, or Toxic Effect?

Poisoning: ICD 10 CM provides the following examples for Poisoning: Error made in prescription, overdose of the drug intentionally taken, non-prescribed drug taken with correctly prescribed and properly administered drug, interaction of drug(s) and alcohol..

100

High Blood Pressure and Hypertension are coded the same.

True

200

When coding septic shock, what is coded first?

Underlying organism

200

For Psychoactive substance use, when both USE and ABUSE are documented, which code is assigned?

Abuse

200

A patient has a healthy pregnancy and is visiting the Dr. for a routine prenatal visit. How do you code the encounter? (Hint: This code is a first listed code)

Z34.0 or a Z code incidental pregancy

200

True or False: Some Z codes can be first listed

True - see chapter 21 #16 in the Guidelines or Z-1 indicator in ICD-10-CM

200

A 4-year-old is diagnosed with diabetes. How do you code? Type I or Type II

Type II, if the type is not specified, you code type II

300
True or False: Use B95.62(MRSA) if no specific combination code is available?
True
300
Which do you code first, acute or chronic?
Acute
300
78-year-old Mary is being seen by the ER physician after falling down the stairs. The Dr. Diagnosed Mary with a severe fracture. How would you code? Open or Closed?
Closed. Per guidelines Chapter 19, C. A fracture not indicated as open or closed should be coded as closed... If a displaced fx is not documented as non displaced or displaced, it should be coded as displaced
300

If you had a heart attack 28 days ago it is considered an old heart attack.

True - I25.2

300

Mona has Stage 3 CKD, and receiving dialysis for End Stage Renal Disease. Which Stage(s) do you code?

Code only the End Stage

400
When a patient is admitted with Breast Cancer that has metastasized to the bone, and the treatment is directed toward the bone cancer, which diagnosis is the primary diagnosis?
The Bone Cancer (Secondary Cancer) is sequenced first.
400
Hypertension: When a patient is diagnosed with CKD, HTN, Heart Disease which category code is assigned?
I13
400
An HIV/AIDS patient is pregnant is seeing the OB/GYN. How do you sequence the encounter?
O98.7 (HIV in Pregnancy), B20 (HIV/AIDS), Z3A
400
True or False: It is okay to code a pathological fracture in the same setting as a traumatic fracture
False
400

True or False, congenital malformations at birth can no longer be coded when the patient is an adult even if the malformation still exists.

False

500
When a patient has diabetes type II prior to pregnancy and having complications, how is that coded?
Code the Pregnancy complication first (O, then Diabetes code, then pregnancy weeks using a Z3A code).
500
What sequencing guideline applies when a person is admitted due to a broken foot and then has his first AMI while hospitalized?
Sequence the broken foot first, then the AMI.
500

The doctor diagnoses the patient with Hypertension and CKD. How would you code this

Hypertensive CKD or I12 category

500

True or False: If a patient was diagnosed with Diabetes Due to Cushings disease, you sequence the Cushings disease first then E08

True. The red code "first code" indicates the coding sequence rule.

500

True or Fales: TAP is an ICD 10 CM Annotation Technique created by AMCI. It was the first ICD 10 CM Annotation Technique ever published.

That is True!

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