I'm nervous!
Eye See You!
Can you Ear Me?
Have a Heart!
Just Breathe!
100
Should the affected side be documented but not specified as dominant or non dominant and the classification system does not indicate a default, code selection is as follows: If the left side is affected the default is ____________.
What is non-dominant? I.C.6.a
100
True or False? Assign as many codes from category H40, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage.
What is true? I.C.7.a.1
100
What is the anatomical term for the outer ear?
What is the pinna?
100
It is the first code we "memorized" when learning ICD-10.
What is Hypertension (I10)?
100
True or False? Respiratory failure may be listed as a secondary diagnosis if it occurs after admission, or if it is present on admission, but does not meet the definition of principal diagnosis.
What is TRUE? I.C.10.b.2
200
Routine or expected postoperative pain immediately after surgery should be coded.
What is false? I.C.6.3
200
True or False? When a patient has bilateral glaucoma and both eyes are documented as being the same type and stage, and there is a code for bilateral glaucoma, report only the code for the type of glaucoma, bilateral, with the seventh character for the stage.
What is true? I.C.7.a.2
200
True or False? Use an external cause code following the code for ear condition, if applicable to identify the cause of the ear condition.
What is true?
200
Myocardial infactions-- If a STEMI converts to NSTEMI due to thrombolytic therapy, it is coded as _______.
What is STEMI? I.C.9.e.1
200
True or False If a patient with chronic bronchitis has an acute episode of bronchitis, only the acute bronchitis would be coded.
What is FALSE? I.B.8 Acute and Chronic Conditions If the same condition is described as both acute and chronic, and separate subentries exist in the Alphabetic index at the same indentation level, code both and sequence the acute code first.
300
The default for post-thoracotomy and other postoperative pain not specified as acute or chronic is coded to the ________ form.
What is acute? I.C.6.3
300
True or False? When a patient has bilateral glaucoma and each eye is documented as having a different type or stage, and the classification distinguishes laterality, assign the appropriate bilateral code with the default being the highest stage.
What is false? The guideline states: When a patient has bilateral glaucoma and each eye is documented as having a different type or stage, and the classification distinguishes laterality, assign the appropriate code for each eye rather than the code for bilateral glaucoma. I.C.7.a.3
300
True or False Other and unspecified hearing loss (H91) and noise-induced hearing loss (H83.3-) may NOT be coded together.
What is TRUE? Excludes 1 note pg 601 Optum book
300
True or False? The relationship between hypertension and CKD is no longer assumed in ICD-10.
What is false? The guideline states: Assume a relationship between the hypertension and the chronic kidney disease, whether or not the condition is so designated. If heart failure is present, assign an additional code from category I50 to identify the type of heart failure. I.C.9.a.2
300
True or False For an inpatient record: If the provider records “suspected” or “possible” or “probable” avian influenza, or novel influenza, or other identified influenza, then the appropriate influenza code from category J11, Influenza due to unidentified influenza virus, should be assigned.
What is true? The guideline states: If the provider records “suspected” or “possible” or “probable” avian influenza, or novel influenza, or other identified influenza, then the appropriate influenza code from category J11, Influenza due to unidentified influenza virus, should be assigned. A code from category J09, Influenza due to certain identified influenza viruses, should not be assigned nor should a code from category J10, Influenza due to other identified influenza virus. I.C.10.c.
400
When an admission or encounter is for a procedure aimed at treating the underlying condition (e.g., spinal fusion, kyphoplasty), a code for the underlying condition (e.g., vertebral fracture, spinal stenosis) should be assigned as the _____________.
What is principal diagnosis? I.C.b.1
400
True or False? If a patient is admitted with glaucoma and the stage progresses during the admission, assign the code for the stage the patient was admitted to the hospital with.
What is false? The guideline states: If a patient is admitted with glaucoma and the stage progresses during the admission, assign the code for highest stage documented. I.C.7.a.4
400
It is the lay term for tinnitus.
What is "ringing in the ears"?
400
True or False? Transient hypertension is coded with I10. The transient is now part of the hypertension code in ICD10.
What is false? Assign code R03.0, Elevated blood pressure reading without diagnosis of hypertension, unless patient has an established diagnosis of hypertension documented by the provider. I.C.9.a.7
400
True or False When assigning a code for influenza, there must be a positive lab finding in the record in order to assign it.
What is false? The providers diagnostic statement is to be considered confirmation. I.C.10.c.
500
True or False? If the encounter is for pain control or pain management, assign the code from category G89 followed by the code identifying the specific site of pain (e.g., encounter for pain management for acute neck pain from trauma is assigned code G89.11.)
What is true? I.C.6.b.1.b.ii
500
True or False? Assignment of the seventh character “4” for “indeterminate stage” should be assigned when the provider does not document enough documentation for the stage of the glaucoma.
What is false? The guideline states: Assignment of the seventh character “4” for “indeterminate stage” should be based on the clinical documentation. The seventh character “4” is used for glaucomas whose stage cannot be clinically determined. This seventh character should not be confused with the seventh character “0”, unspecified, which should be assigned when there is no documentation regarding the stage of the glaucoma. I.C.7.a.5
500
When someone "burst their eardrum" this is the medical term.
What is perforated tympanic membrane?
500
If a patient has CAD and an acute myocardial infarction. The _________ should be sequenced first.
What is the AMI? The guideline states: If a patient with coronary artery disease is admitted due to an acute myocardial infarction (AMI), the AMI should be sequenced before the coronary artery disease. I.C.9.b
500
When a patient is admitted with Pneumonia due to Streptococcus and subsequently develops ventilator assisted pneumonia. The principal diagnosis should be _____________ followed by _____________?
What is the pneumonia diagnosed at the time of the admission(Streptococcal Pneumonia) followed by the VAP. I.C.10.d.2
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