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Diagnoses documented as probable, suspected, questionable, rule out, or working diagnosis, or other similar terms indicating uncertainty, are considered __________ diagnoses, and are not coded in an outpatient setting.


A) first-listed
B) primary
C) qualified
D) signs/symptoms

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The ICD-10-CM Table of Drugs and Chemicals is an alphabetic index of medicinal, chemical, and biological substances that result in poisonings and adverse effects. The first column of the table lists generic names of drugs and chemicals with four columns for poisonings, one column for adverse effects, and one column for underdosing. Which column is reviewed to locate a code when the patient develops a pathologic condition that results from a drug or chemical substance that was properly administered or taken?


A) Poisoning
B) Adverse Effect
C) Underdosing
D) Underdetermined

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Hospital inpatient __________ codes are submitted for reimbursement purposes.


A) CPT, and HCPCS level II
B) ICD-10-CM, CPT, and HCPCS level II
C) ICD-10-CM and ICD-10-PCS
D) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS level II

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The includes note located below category code H80 Otosclerosis in the ICD-10-CM tabular list indicates that otospongiosis is classified to that same category. This means that the provider __________, and a code from category H80 would be assigned.


A) could document otosclerosis or otospongiosis
B) has the option of documenting otoscleritis
C) must document otosclerosis in the patient record
D) queries the coder to determine the condition to code

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Which is an alphabetic index of anatomic sites for which there are six possible ICD-10-CM code numbers according to status as malignant primary, malignant secondary, malignant in situ, benign, of uncertain behavior, or of unspecified nature?


A) Table of Drugs and Chemicals
B) Table of Neoplasms

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Diabetes insipidus is represented by which ICD-10-CM code?


A) E13.9
B) E15
C) E23.2
D) E23.7

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The ICD-10-CM Table of Drugs and Chemicals is an alphabetic index of medicinal, chemical, and biological substances that result in poisonings and adverse effects. The first column of the table lists generic names of drugs and chemicals with four columns for poisonings, one column for adverse effects, and one column for underdosing. Which column is reviewed to locate a code when the patient takes less of a medication than is prescribed by a provider or a manufacturer's instruction?


A) Poisoning
B) Adverse Effect
C) Underdosing
D) Underdetermined

Correct Answer

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ICD-10-CM categories, subcategories, and codes contain __________.


A) combinations of letters and numbers
B) codes that begin with numbers
C) letters, based on a multi-axial classification
D) numbers that start with three digits and then a decimal

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Fever of unknown etiology. Rule out tuberculosis. Which ICD-10-CM code is assigned for an inpatient admission?


A) A15.0
B) R50.9
C) R50.9, A15.0
D) R50.9, Z03.89

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Inclusion terms listed below codes in the ICD-10-CM tabular list are not meant to be exhaustive, and additional terms found only in the index may also be associated with a code. This concept is called __________.


A) code verification
B) medical necessity
C) physician query
D) trust the index

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In the sample GEM table below, ICD-9-CM code 003.21 maps to ICD-10-CM code(s) __________. In the sample GEM table below, ICD-9-CM code 003.21 maps to ICD-10-CM code(s)  __________.      A)  A02.21 B)  A15.7 C)  C92.01 D)  O26.851 through O26.859


A) A02.21
B) A15.7
C) C92.01
D) O26.851 through O26.859

Correct Answer

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The ICD-10-CM Table of Drugs and Chemicals is an alphabetic index of medicinal, chemical, and biological substances that result in poisonings and adverse effects. The first column of the table lists generic names of drugs and chemicals with four columns for poisonings, one column for adverse effects, and one column for underdosing. Which column is reviewed to locate a code for a poisoning that results from an inadvertent overdose, wrong substance administered/taken, or intoxication that includes combining prescription drugs with nonprescription drugs or alcohol?


A) Poisoning: Accidental (Unintentional)
B) Poisoning: Intentional Self-Harm
C) Poisoning: Assault
D) Poisoning: Undetermined

Correct Answer

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Failed medical induction of labor at 43 weeks' gestation. Which ICD-10-CM code(s) are assigned?


A) O48.0
B) O61.0, O48.0
C) O61.0, O48.0, T48.0x5A
D) O61.9

Correct Answer

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Essential hypertension with congestive heart failure. Which ICD-10-CM code(s) should be assigned?


A) I10, I50.9
B) I11.0
C) I11.0, I10
D) I11.0, I50.9

Correct Answer

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The ICD-10-CM Table of Neoplasms is indexed according to anatomic site and contains four cellular classifications, organized in columns: malignant, benign, uncertain behavior, and unspecified nature. Which column classifies the identification of a neoplasm, but for which no further indication of the histology or nature of the tumor is reflected in the documented diagnosis?


A) malignant
B) benign
C) uncertain behavior
D) unspecified nature

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Which typeface is used for ICD-10-CM tabular list exclusion notes and to identify manifestation codes, which are never reported as the first-listed diagnoses?


A) all caps
B) bold
C) italics
D) underline

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Late vomiting in pregnancy is represented by which ICD-10-CM code?


A) O21.1
B) O21.2
C) O21.8
D) O21.9

Correct Answer

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Which of the following criteria is used to determine medical necessity?


A) Costly treatment is provided when compared with alternative methods.
B) Least expensive service is provided to patient, regardless of outcome.
C) Procedure or service is performed to treat a health care condition.
D) Treatment has a 50 percent chance of being effective for health outcome.

Correct Answer

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The ICD-10-CM Table of Drugs and Chemicals is an alphabetic index of medicinal, chemical, and biological substances that result in poisonings and adverse effects. The first column of the table lists generic names of drugs and chemicals with four columns for poisonings, one column for adverse effects, and one column for underdosing. Which column is reviewed to locate a code when the patient record does not document whether the poisoning was intentional or accidental?


A) Poisoning: Accidental (Unintentional)
B) Poisoning: Intentional Self-Harm
C) Poisoning: Assault
D) Poisoning: Undetermined

Correct Answer

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Patient presented to the emergency department with chest pain. Diagnosis of myocardial infarction was ruled out. Patient was released for followup with primary care physician. Which ICD-10-CM code should be assigned?


A) I21.3
B) I25.2
C) R07.9
D) Z03.89

Correct Answer

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