Which provider is ultimately responsible for the final diagnosis?
What is the attending physician?
100
According to the UHDDS, a procedure that is surgical in nature, carries a procedural or anesthetic risk, or requires special training is defined as a:
What is a significant procedure?
100
In ICD-10-PCS, to code “removal of a thumbnail,” the root operation would be
What is extraction?
100
If a main term cannot be located in the Alphabetic Index, what should the coder do?
What is consider a synonym, eponym, or other alternative term?
100
ICD-10-PCS code structure contains how many characters?
What is seven?
200
How should an unconfirmed diagnosis of HIV infection be coded?
What is not coded?
200
What does the second character represent in the ICD-10-PCS code structure in the Medical and Surgical Section?
What is body system?
200
Casting of a non-displaced fracture is coded to which root operation?
What is immobilization?
200
Burns of the eye and internal organs are classified by:
What is site?
200
ICD-10-CM presumes a relationship between hypertension and what condition?
What is CKD?
300
Tumor cells in carcinoma that are undergoing malignant changes, but are still confined to the point of origin without invasion of the surrounding normal tissue, are referred to as:
What is carcinoma in-situ?
300
Lysis of adhesions procedures are classified to which ICD-10-PCS root operation?
What is release?
300
The postpartum period, clinically termed the “puerperium,” begins immediately after delivery and includes how many of the subsequent weeks?
What is six?
300
Prolonged pregnancy is a pregnancy that has advanced beyond _________ completed weeks of gestation.
What is 42 weeks?
300
Terms such as "growth," "neoplasm," and "tumor" are coded as which type of neoplasm?
What is neoplasm of unspecified behavior?
400
ICD-10-CM utilizes a placeholder character. This is used as a 5th character placeholder at certain 6 character codes to allow for future expansion. The placeholder character is:
What is "x"?
400
Procedures described as "transurethral" should be coded to which ICD-10-PCS approaches?
What is via natural or artificial opening?
400
When a patient is admitted with glaucoma and the stage of the glaucoma progresses during the admission, which stage(s) should be coded?
What is code only for the highest stage?
400
Debridement of the skin described as brushing or scrubbing of devitalized tissue, necrosis, slough, or foreign material is coded to what ICD-10-PCS root operation?
What is extraction?
400
According to ICD-10-CM, an elderly primigravida is defined as a woman who gives birth to her first child at the age of __________ or older:
What is 35?
500
A patient is seen for treatment of a pathological fracture due to cancer. What is the principal diagnosis?
What is pathological fracture?
500
A brain PET scan is classified within ICD-10-PCS in which section?
What is nuclear medicine?
500
A patient is admitted with acute myocardial infarction; the physician notes in the history that the patient is status post cholecystectomy and had been hospitalized one year earlier for pneumonia. At discharge, the physician documents the final diagnoses as acute myocardial infarction, status post cholecystectomy, and history of pneumonia. Whichdiagnosis(es) should be coded and reported?
What is acute MI?
500
Conditions due to birth injury are classified as:
What is perinatal conditions?
500
When is it appropriate to assign codes for abnormal findings in the acute inpatient hospital setting?
What is when the physician has not been able to arrive at a definitive diagnosis and lists the abnormal finding itself as the diagnosis?